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Am. J. Trop. Med. Hyg., 35(4), 1986, pp. 786-790
Copyright © 1986 by The American Society of Tropical Medicine and Hygiene

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Discrepancies in Outcome of a Control Program for Schistosomiasis Haematobia in Fayoum Governorate, Egypt

Ekram Abdel-Salam*, Pierre A. S. Peters{dagger}, Ahmed E. Abdel Meguid**, Amgad A. E. Abdel Meguid* AND Adel A. F. Mahmoud{dagger}
* Department of Pediatrics, University of Cairo, Egypt
** Ministry of Health, Egypt
{dagger} Division of Geographic Medicine, Case Western Reserve University, Cleveland, Ohio

A large scale mollusciciding and chemotherapy program in the Fayoum area of Egypt was reported to have decreased prevalence of schistosomiasis haematobia from 46% to 7% in approximately 12 years. In order to assess the uniformity of results reported, we have studied the prevalence and intensity of urinary tract disease in a random sample of children aged 6 months–12 years in 3 areas selected on the basis of distance from the main canal supplying Fayoum and where mollusciciding was applied. Only 1 location near the main canal showed low prevalence (2.2%), while in the other 2 areas prevalence was 75.3% and 61.3%. Intensity of infection and disease were significantly more in the latter 2 locations. Following chemotherapy, a marked reduction in prevalence and intensity of infection and reversal of pathology was seen. Since the reported favorable results of the Fayoum project were used to implement a wider control program in southern Egypt, an independent assessment must be included in future plans.

Accepted for publication February 27, 1986.






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Copyright © 1986 by the American Society of Tropical Medicine and Hygiene.