EPIDEMIOLOGY OF GUINEA WORM IN FOUR VILLAGES IN MALUMFASHI LOCAL GOVERNMENT AREA, KATSINA STATE.

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Date
1995-10
Authors
KINILA, KILO PRUDENCE
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Abstract
In order to determine the prevalence, distribution and socio economic impact of dracunculiasis and to assess health education program for it's control in Malumfashi Local Government Area of Katsina state, information was obtained by interviewing 2,701 in habitants in 216 house hold of four villages (YanDoka, Kalgo, Lamuntanni and Gangara) using a structured questionnaire. The sources of drinking water for the villages were examined for the presence of (1) Thermocyclops sp (2) Eucyclops sp and Halicyclops sp, vector of Dracunculus medinensis. The study, which was carried out by house to house survey, between October 1992 and September 1993, revealed that 665 inhabitant were infected (24.62). YanDoka village had the highest prevalence of 33.6%, followed by Kalgo (30.12). The highest rate of infection was in Gidan /Tambaya hamlet in Kalgo village. Males were 1.6 times more likely to be affected than females; however the difference was not statistically significant. Interestingly, the 0-10 age group was the age group at the greatest risk of infection. It was 2.6 times more likely to be affected than all other age groups combined. This pattern differs from other studies. It was noted that (35.3%) of the in habitants of the four villages were children. When the prevalence was related to occupation, it was observed that school pupils (32.3%), the jobless (28.8%) and the farmers (23.6%) had high risk of infection. The disease is more frequent, during the rainy viseason. Dayi dam was used by a large proportion (1814) of the respondents and 28.6% of them had dracunculiasis. Dayi dam users were 2.1 times more likely to be affected than users of other water sources combined. Both Dayi and the pond at Lamuntanni were found to harbour cyclops: Thermocyclops and Eucyclops (Dayi) and Theremocyclops (pond at lamuntanni). The density of cyclops was highest in Dayi dam, followed by the pond at Lamuntanni but no cyclops were seen in the stream at Fari and Gangara dam the other two sources of water for the area. The number of cases of the disease was lower among the villages who use the later two sources. Lower limbs were the main site of emergence of the worms involving 81.8% of the 665 affected persons. 210 of 257 person*? who were incapacitated for 1-3 weeks had worm emergence from their lower limbs. The survey indicated that 91.6% of the 216 household, studied were-aware that guineaworm would be contracted by drinking contaminated water. Only 55 (25.5%) out of the 216 households use monofilamentous filters, 56 (25.9%) used cloth and 105 (48.6%) did not use any filter. People who use cloth filter were 1.8 times more likely to be infected than those who used monofilamentous filter. Those who did not use any filter at all were 2.7 times more likely to be infected than those who use. Health education program were available to the village but a significant proportion of those who attend health education talks did not practice what they were told.
Description
A THESIS SUBMITTED TO THE POSTGRADUATE SCHOOL, AHMADU BELLO UNIVERSITY, ZARIA, NIGERIA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE MASTER OF SCIENCE IN VETERINARY PUBLIC HEALTH AND PREVENTIVE MEDICINE. DEPARTMENT OF VETERINARY PUBLIC HEALTH AND PREVENTIVE MEDICINE, FACULTY OF VETERINARY MEDICINE, AHMADU BELLO UNIVERSITY, ZARIA 1995
Keywords
EPIDEMIOLOGY,, GUINEA,, WORM,, FOUR,, VILLAGES,, MALUMFASHI,, LOCAL,, GOVERNMENT,, AREA,, KATSINA,, STATE.
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