Intestinal Helminths And Anemia In A Malaria Endemic Area Areka Wolyta Zone

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The overall aim of the study was to determine the contribution of intestinal helminthrninfections to the prevalence of anemia caused by malaria in a population living in a poorrnsmall town, Areka. Malaria and helminth infections were highly prevalent in the studyrnpopulation. The severity of anemia due to malaria and helminth infections alone and inrnmalaria–helminth co-infections was assessed. Patients (n = 767) who visited ArekarnHealth Center, students from Areka Senior Secondary School and persons whornaccompanied patients to the Health Center were randomly screened for anemia, malariarnand helminth infections. Uninfected individuals (n = 291) were taken as controls. Anemiarnwas defined as Hemoglobin(Hgb) less than 11 g/dl in children < 6 years, < 12 g/dl inrnchildren 6-14 years and females >14 years and < 13 g/dl in males above the age of 14rnyears. The prevalence of anemia in cases (individuals who were positive for eitherrnmalaria or helminth infections) was 45.1 % and in the control group 14.8 %. Severernanemia (Hgb < 7 g/dl) was 7.8 % in the malaria and/or helminth infected and was none inrnthe controls. Infected children less than 6 years of age were more anemic, with an overallrnprevalence of 52.8 %. Anemia was more prevalent in infected adult females as comparedrnto infected adult males (37.6 % and 22.6 %, respectively). Children less than 6 years ofrnage were more vulnerable to malaria, whereas children 6-14 years old had a higherrnprevalence of A. lumbricoides (18.2%) & T. trichiura (14.2%). Hookworm infectionrnprevalence was the highest (19.4%) in the age group14 years and above. The main riskrnfactors for anemia were identified as malaria in all age groups, hookworm infection inrnadults and malaria-hookworm co-infection in children below the age of 14 years. Datarnindicated that no association with anemia could be drawn for A. lumbricoides and T.rntrichiura infections. Anemia control should include prevention and treatment of malariarnand hookworm infections and by a deworming program of the general population.rnNutritional iron deficiency prevalent in the study community may have exacerbatedrnanemia. Thus dietary iron supplementation in the nutrition of the general population mustrnalso be considered to control anemia in the population studied.

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Intestinal Helminths And Anemia In A Malaria Endemic Area Areka Wolyta Zone

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