Browsing by Author "Bordalo, A.A."
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- Schistosoma haematobium in Guinea-Bissau: unacknowledged morbidity due to a particularly neglected parasite in a particularly neglected countryPublication . Botelho, M.C.; Machado, A.; Carvalho, A.; Vilaça, M.; Conceição, O.; Rosa, F.; Alves, H.; Richter, J.; Bordalo, A.A.Schistosomiasis is the major neglected tropical helminthic disease worldwide. Current knowledge on the epidemiology of schistosomiasis in Guinea-Bissau is scarce and regarding to the absence of Schistosoma haematobium (S.h.). Therefore, a pilot study was undertaken to assess the prevalence and morbidity due to S.h. infection in randomly selected 90 children and adolescents aged 6 to 15 years. Prevalence of S.h. infection was 20.00 % (18/90). Microhematuria was observed in 61.11 % (11/18) of S.h.-egg-excreting vs. 37.50 % (27/72) of non-S.h.-egg-excreting children p ≤ 0.01. Body mass index (BMI) was less than 15 kg/m(2) in 52/90 (57.78 %) of all children and adolescents, but this proportion increased to 66.67 % (12/18) in S.h.-infected children who were more frequently stunted and wasted than in non-infected children. The mean weight-for-age Z score (WAZ) was reduced in S.h. infected as compared to non-infected children (-1.48 ± 1.08 SD vs. -0.80 ± 1.11 SD; p ≤ 0.01). To our knowledge, this is the first epidemiologic report on S. haematobium infection in Guinea-Bissau since 22 years. Even in this relatively small study sample, it appears that S. haematobium, besides the well-known symptoms such as hematuria, leads to significant, albeit commonly unacknowledged morbidity such as stunting and wasting. These observations underscore the notion that this vulnerable but neglected population urgently needs to be targeted for implementation of measures for treatment and control.
- Urinary schistosomiasis in Guinea BissauPublication . Botelho, M.C.; Machado, A.; Carvalho, A.; Vilaça, M.; Conceição, O.; Alves, H.; Richter, J.; Bottazzi, M.E.; Bordalo, A.A.Urogenital schistosomiasis due to Schistosoma (S.) haematobium is among the most prevalent parasitoses in sub-Saharan Africa. The pathology is characterized by serious and irreversible lesions in the urogenital tract induced by chronic infection with the parasite that can eventually lead to renal failure due to hydronephrosis and to squamous cell carcinoma of the bladder. Considering the frequency and severe morbidity observed already in young children, the purpose of this pilot study was to assess the prevalence and morbidity of S. haematobium infection in Guinea Bissau. A baseline survey was conducted during September 2011. A randomly selected sample of 90 children aged 6–15 years old was included in this study. Prevalence of S. haematobium infection was 20% (18/90). It was higher in older children (median age in years: 15.4 2.71 vs. 9.3 2.22; P < 0.001), a significant gender difference in prevalence and intensity was not found. The predominant symptom was haematuria (87.1%), this symptom being strongly associated with S. haematobium infection (P < 0.01). Anthropometric examination revealed that growth in infected boys was impaired as compared to non-infected boys (median height in cm: 123.3 21.07 vs. 134.71 15.1) (P < 0.05). To our knowledge this is the first epidemiologic report of S. haematobium infection in Guinea Bissau. Considering the high prevalence of S. haematobium infections in Guinea Bissau and the long-term risks, including renal failure and bladder cancer, our results indicate that this population should be targeted for follow-up and implementation of measures for treatment and control of schistosomiasis.