Giardiasis and Poor Vitamin A Status among Aboriginal School Children in Rural Malaysia

Hesham M. Al-Mekhlafi Department of Parasitology, Department of Social and Preventive Medicine, Department of Pediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Medical Parasitology, Faculty of Medicine and Health Sciences, University of Sana'a, Sana'a, Yemen

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Johari Surin Department of Parasitology, Department of Social and Preventive Medicine, Department of Pediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Medical Parasitology, Faculty of Medicine and Health Sciences, University of Sana'a, Sana'a, Yemen

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Atiya A. Sallam Department of Parasitology, Department of Social and Preventive Medicine, Department of Pediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Medical Parasitology, Faculty of Medicine and Health Sciences, University of Sana'a, Sana'a, Yemen

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Ariffin W. Abdullah Department of Parasitology, Department of Social and Preventive Medicine, Department of Pediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Medical Parasitology, Faculty of Medicine and Health Sciences, University of Sana'a, Sana'a, Yemen

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Mohammed A. K. Mahdy Department of Parasitology, Department of Social and Preventive Medicine, Department of Pediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; Department of Medical Parasitology, Faculty of Medicine and Health Sciences, University of Sana'a, Sana'a, Yemen

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A cross-sectional study was carried out on 241 primary schoolchildren in Pahang, Malaysia to update their vitamin A status and to investigate the association of poor vitamin A status with their health and socioeconomic factors. All children were screened for intestinal parasitic infections. Blood samples were collected and vitamin A status was assessed. Socioeconomic data were collected by using pre-tested questionnaires. The results showed that 66 (27.4%) children had low serum retinol levels (< 0.70 μmol/L). Giardiasis and severe ascariasis were significantly associated with low serum retinol levels (P = 0.004 and P = 0.018, respectively). Logistic regression confirmed the significant association of giardiasis with low serum retinol (odds ratio = 2.7, 95% confidence interval = 1.3–5.5). In conclusion, vitamin A deficiency is still a public health problem in rural Malaysia. Vitamin A supplementation and treatment of intestinal parasitic infections should be distributed periodically to these children to improve their health and nutritional status.

Author Notes

*Address correspondence to Hesham M. Al-Mekhlafi, Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia. E-mail: halmekhlafi@yahoo.com

Financial support: This study was supported by research grants from the University of Malaya, Kuala Lumpur, Malaysia (research code PS178/2007B).

Authors' addresses: Hesham M. Al-Mekhlafi, Johari Surin, and Mohammed A. K. Mahdy, Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, E-mails: halmekhlafi@yahoo.com, joharisurin@um.edu.my, and alsharaby9@yahoo.com. Atiya A. Sallam, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, E-mail: atiya.absallam@gmail.com. Ariffin W. Abdullah, Department of Pediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, E-mail: wanariff@ummc.edu.my.

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