Short communication: Soil-transmitted helminthiasis in Uganda: epidemiology and cost of control

Authors


Authors
Narcis B. Kabatereine (corresponding author), Edridah M. Tukahebwa and Francis Kazibwe, Vector Control Division, Ministry of Health, Kampala, PO Box 1661, Uganda. Email: vcd_sci@utlonline.co.ug, EdridahT@vcdmoh.go.ug
Jeremiah M. Twa-Twa, School Health Programme, Ministry of Health, Kampala, Uganda. E-mail: twatwaj@yahoo.com
John F. Z. Barenzi, Child Days, UNICEF/Ministry of Health, Kampala, Uganda. E-mail: johnbarenzi@hotmail.com
Sam Zaramba, Health Services C &C, Ministry of Health, Kampala, Uganda. E-mail: zaramba@moh.go.ug
J. Russell Stothard, Department of Zoology, Natural History Museum, Cromwell Road, London SW7 5BD, UK.
E-mail: R.Stothard@nhm.ac.uk
Alan Fenwick, Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College, Norfolk Place, London W2 1PG, UK. E-mail: a.fenwick@ic.ac.uk
Simon Brooker, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. E-mail: simon.brooker@lshtm.ac.uk

Summary

A countrywide description of the distribution of soil-transmitted helminths in Uganda is reported, based on data for 20 185 schoolchildren from 271 schools. The overall prevalence of Ascaris lumbricoides, Trichuris trichiura and hookworm was 6.3%, 5.0% and 43.5%, respectively. The prevalence of A. lumbricoides and T. trichiura was unevenly distributed in the country with prevalence greatest in south-western Uganda whereas hookworm was generally more homogeneously distributed. Based on preliminary cost analysis of an ongoing school-based control programme, the financial delivery cost per schoolchild treated with albendazole is estimated to be between US$ 0.04 and 0.08 in different districts.

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