Impact of Drought on the Spatial Pattern of Transmission of Schistosoma haematobium in Coastal Kenya

Francis M. Mutuku Department of Environmental Studies, Emory University, Atlanta, Georgia; Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

Search for other papers by Francis M. Mutuku in
Current site
Google Scholar
PubMed
Close
,
Charles H. King Department of Environmental Studies, Emory University, Atlanta, Georgia; Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

Search for other papers by Charles H. King in
Current site
Google Scholar
PubMed
Close
,
Amaya L. Bustinduy Department of Environmental Studies, Emory University, Atlanta, Georgia; Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

Search for other papers by Amaya L. Bustinduy in
Current site
Google Scholar
PubMed
Close
,
Peter L. Mungai Department of Environmental Studies, Emory University, Atlanta, Georgia; Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

Search for other papers by Peter L. Mungai in
Current site
Google Scholar
PubMed
Close
,
Eric M. Muchiri Department of Environmental Studies, Emory University, Atlanta, Georgia; Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

Search for other papers by Eric M. Muchiri in
Current site
Google Scholar
PubMed
Close
, and
Uriel Kitron Department of Environmental Studies, Emory University, Atlanta, Georgia; Division of Vector Borne and Neglected Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

Search for other papers by Uriel Kitron in
Current site
Google Scholar
PubMed
Close
Restricted access

We analyzed temporal changes in spatial patterns of active Schistosoma haematobium infection in different age groups and associated them with ponds infested with Bulinus snails. A major drought between 2001 and 2009 resulted in drying of ponds that were known sources of infection, and we detected very few or no snails in ponds that were infested in the past. The household-level spatial pattern of infection for children of various age groups in 2009 was contrasted with historical data from 2000. The significant local clustering of high- and low-infection levels among school-aged children that occurred in 2000 was absent in 2009. We attribute the disappearance of significant clustering around historical transmission hot spots to a decade-long drought in our study area. The implications of extreme weather and climate conditions on risk and transmission of S. haematobium and their relevance to control strategies are discussed.

Author Notes

*Address correspondence to Francis M. Mutuku, PO Box 5499, Diani 80401, Kenya. E-mail: fmutuku73@gmail.com

Financial support: This work was supported by National Institutes of Health Research Grant R01 TW 008067 funded by the National Institutes of Health/National Science Foundation Ecology of Infectious Diseases Program through the Fogarty International Center.

Authors' addresses: Francis M. Mutuku and Uriel Kitron, Department of Environmental Studies, Emory University, Atlanta, GA, E-mails: fmutuku73@gmail.com and ukitron@emory.edu. Charles H. King, Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, OH, E-mail: chk@case.edu. Amaya L. Bustinduy, Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, OH, and Department of Paediatrics, Great Ormond Street Hospital for Children, London, United Kingdom, E-mail: BustiA@gosh.nhs.uk. Peter L. Mungai, Filariasis-Schistosomiasis Research Unit, Division of Vector Borne Neglected and Tropical Diseases, Case Western Reserve University, Msambweni, Kenya, E-mail: plmungai@yahoo.com. Eric M. Muchiri, Division of Vector Borne Neglected and Tropical Diseases, Ministry of Public Health and Sanitation, Nairobi, Kenya, E-mail: ericmmuchiri@gmail.com.

  • 1.

    Chitsulo O, Engels D, Montresor A, Savioli L, 2000. The global status of schistosomiasis and its control. Acta Trop 77: 4151.

  • 2.

    Stothard JR, Chitsulo O, Kristensen TK, Utzinger J, 2009. Control of schistosomiasis in sub-Saharan Africa: progress made, new opportunities and remaining challenges. Parasitology 136: 16651675.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    van der Werf MJ, de Vlas SJ, Brooker S, Looman CW, Nagelkerke NJ, Habbema JD, Engels D, 2003. Quantification of clinical morbidity associated with schistosome infection in sub-Saharan Africa. Acta Trop 86: 125139.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    World Health Organization, 2002. Prevention and Control of Schistosomiasis and Soil Transmitted Helminthiasis: Report of a WHO Expert Committee. World Health Organ Technical Report Series 912. Geneva, Switzerland: World Health Organization, 25.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Clennon JA, Mungai P, Muchiri EM, King CH, Kitron U, 2006. Spatial and temporal variations in local transmission of Schistosoma haematobium in Msambweni, Kenya. Am J Trop Med Hyg 75: 10341041.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Rudge JW, Stothard JR, Basáñez M, Mgeni AF, Khamis IS, Khamis AN, Rollinson D, 2008. Micro-epidemiology of urinary schistosomiasis in Zanzibar: local risk factors associated with distribution of infections among schoolchildren and relevance for control. Acta Trop 105: 4554.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Satayathum SA, Muchiri EM, Ouma JH, Whalen CC, King CH, 2006. Factors affecting infection or reinfection with Schistosoma haematobium in coastal Kenya: survival analysis during a nine-year, school-based treatment program. Am J Trop Med Hyg 75: 8392.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    King CH, 2006. Long-term outcomes of school-based treatment for control of urinary schistosomiasis: a review of experience in Coast Province, Kenya. Mem Inst Oswaldo Cruz 101: 299306.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    King CH, Muchiri EM, Ouma JH, Koech D, 1991. Chemotherapy-based control of schistosomiasis haematobia. IV. Impact of repeated annual chemotherapy on prevalence and intensity of Schistosoma haematobium infection in an endemic area of Kenya. Am J Trop Med Hyg 45: 498508.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Muchiri EM, Ouma J, King CH, 1996. Dynamics and control of Schistosoma haematobium transmission in Kenya: an overview of the Msambweni project. Am J Trop Med Hyg 55: 127134.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Sturrock RF, Kinyanjui H, Thiongo FW, Tosha S, Ouma JH, King CH, Koech D, Siongok TK, Mahmoud AAF, 1990. Chemotherapy-based control of schistosomiasis haematobia. 3. Snail studies monitoring the effect of chemotherapy on transmission in the Msambweni area, Kenya. Trans R Soc Trop Med Hyg 84: 257261.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Kariuki HC, Clennon JA, Brady MS, Kitron U, Sturrock RF, Ouma JH, Ndzovu M, Mungai P, Hoffman O, Hamburger J, Pellegrini C, Muchiri EM, King CH, 2004. Distribution patterns and cercarial shedding of Bulinus nasutus and other snails in the Msambweni area, Coast Province, Kenya. Am J Trop Med Hyg 70: 449456.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Clennon JA, King CH, Muchiri EM, Kariuki HC, Ouma JH, Mungai P, Kitron U, 2004. Spatial patterns of urinary schistosomiasis infection in a highly endemic area of coastal Kenya. Am J Trop Med Hyg 70: 443444.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    el Kholy H, Siongok TK, Koech D, Sturrock RF, Houser H, King CH, Mahmoud AAF, 1989. Effects of borehole wells on water utilization in Schistosoma haematobium endemic communities in Coast province, Kenya. Am J Trop Med Hyg 41: 212219.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Ouma JH, Sturrock RF, Klumpp RK, Kariuki HC, 1989. A comparative evaluation of snail sampling and cercariometry to detect Schistosoma mansoni transmission in a large-scale, longitudinal field-study in Machakos, Kenya. Parasitology 99: 349355.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Peters PAS, Kazura JW, 1987. Update on diagnostic methods for schistosomiasis. Maa F, ed. Balliere's Clinical Tropical Medicine and Communicable Diseases, Schistosomiasis. London, United Kingdom: Bailliere Tindall, 419433.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Kitron UD, Higashi GI, 1985. Schistosoma haematobium in Upper Egypt: analysis of dispersion patterns. Am J Trop Med Hyg 34: 331340.

  • 18.

    King CH, Lombardi G, Lombardi C, Greenblatt R, Hodder S, Kinyanjui H, Ouma J, Odiambo O, Bryan PJ, Muruka J, 1988. Chemotherapy-based control of schistosomiasis haematobia. I. Metrifonate versus praziquantel in control of intensity and prevalence of infection. Am J Trop Med Hyg 39: 295305.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Ripley BD, 1976. The second-order analysis of stationary point processes. J Appl Probab 13: 255266.

  • 20.

    Getis A, 1984. Interaction modeling using second-order analysis. Environ Plan A 16: 173183.

  • 21.

    Getis A, Morrison AC, Gray K, Scott TW, 2003. Characteristics of the spatial pattern of the dengue vector, Aedes aegypti, in Iquitos, Peru. Am J Trop Med Hyg 69: 494505.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Getis A, Ord JK, 1992. The analysis of spatial association by use of distance statistics. Geogr Anal 24: 189206.

  • 23.

    Getis A, Ord JK, 1995. Local spatial autocorrelation statistics: distributional issues and an application. Geogr Anal 27: 286306.

  • 24.

    Ord JK, Getis A, 1996. Local spatial statistics: an overview. Longley P, Batty M, eds. Spatial Analysis: Modeling in a GIS Environment. Cambridge, United Kingdom: Geoinformation International, 261277.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Chen D, Getis A, 1998. Point Pattern Analysis. San Diego, CA: Department of Geography, San Diego State University.

  • 26.

    Webbe G, 1962. The transmission of Schistosoma haematobium in an area of Lake Province, Tanganyika. Bull World Health Organ 27: 5985.

  • 27.

    Williams GB, 1907. The rainfall of the British East Africa Protectorate. Geogr J 29: 654660.

  • 28.

    Zein AZ, 1989. Spontaneous reduction in Schistosoma mansoni infection in endemic communities of the lake Tana basin, north-western Ethiopia. Trans R Soc Trop Med Hyg 83: 656658.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Pugh RNH, Gilles HM, 1978. Malumfashi endemic diseases project. III. Urinary schistosomiasis: a longitudinal study. Ann Trop Med Parasitol 72: 471482.

  • 30.

    Chandiwana SK, Makaza D, Taputaira A, 1987. Variations in the incidence of schistosomiasis in the highveld regions of Zimbabwe. Trop Med Parasitol 39: 313319.

  • 31.

    Rollinson D, Stothard JR, Southgate VR, 2001. Interactions between intermediate snail hosts of the genus Bulinus and schistosomes of the Schistosoma haematobium group. Parasitology 123: S245S260.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Clennon JA, King CH, Muchiri EM, Kitron U, 2007. Hydrological modelling of snail dispersal patterns in Msambweni, Kenya and potential resurgence of Schistosoma haematobium transmission. Parasitology 134: 683693.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 1427 1244 405
Full Text Views 391 18 5
PDF Downloads 136 13 3
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save