High Schistosoma mansoni Disease Burden in a Rural District of Western Zambia

Mable M. Mutengo Department of Pathology and Microbiology, University of Zambia School of Medicine, Lusaka, Zambia; Department of Pathology and Microbiology, University Teaching Hospital, Lusaka, Zambia; Department of Biochemistry, University of Zimbabwe, Harare, Zimbabwe; Department of Pediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia

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James C. L. Mwansa Department of Pathology and Microbiology, University of Zambia School of Medicine, Lusaka, Zambia; Department of Pathology and Microbiology, University Teaching Hospital, Lusaka, Zambia; Department of Biochemistry, University of Zimbabwe, Harare, Zimbabwe; Department of Pediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia

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Takafira Mduluza Department of Pathology and Microbiology, University of Zambia School of Medicine, Lusaka, Zambia; Department of Pathology and Microbiology, University Teaching Hospital, Lusaka, Zambia; Department of Biochemistry, University of Zimbabwe, Harare, Zimbabwe; Department of Pediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia

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Sandie Sianongo Department of Pathology and Microbiology, University of Zambia School of Medicine, Lusaka, Zambia; Department of Pathology and Microbiology, University Teaching Hospital, Lusaka, Zambia; Department of Biochemistry, University of Zimbabwe, Harare, Zimbabwe; Department of Pediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia

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James Chipeta Department of Pathology and Microbiology, University of Zambia School of Medicine, Lusaka, Zambia; Department of Pathology and Microbiology, University Teaching Hospital, Lusaka, Zambia; Department of Biochemistry, University of Zimbabwe, Harare, Zimbabwe; Department of Pediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia

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Schistosoma mansoni disease is endemic in most parts of rural Zambia, and associated complications are common. We conducted a cross-sectional study among 754 people in rural communities of Kaoma District, western Zambia to determine the burden of S. mansoni infection and associated morbidity. Parasitology and ultrasonography assessments were conducted on consenting participants. The overall prevalence of S. mansoni infection and geometric mean egg count (GMEC) were 42.4% (304) and 86.6 eggs per gram (95% confidence interval = 75.6–99.6), respectively. Prevalence was highest in the age group of 15–19 years old (adjusted prevalence ratio = 1.70, P = 0.017). S. mansoni-related portal fibrosis was detected in 26% of the participants screened. Participants above 39 years old were 2.93 times more likely to have fibrosis than the 7–9 years old age group (P = 0.004). The study highlights the high burden of S. mansoni disease in this area and calls for immediate interventions to avert complications associated with the disease.

Author Notes

* Address correspondence to James Chipeta, University of Zambia School of Medicine, Department of Pediatrics and Child Health, PO Box 50110, Lusaka, Zambia. E-mail: Jameschipeta@smuth-mru.org.zm

Financial support: This study was financed by the Southern African Consortium of Research Excellence (SACORE) Wellcome Trust-supported project. The study is part of the PhD work on immunogenetics of S. mansoni disease by the principal investigator (M.M.M.).

Authors' addresses: Mable M. Mutengo, James Mwansa, and Sandie Sianongo, Department of Pathology and Microbiology, University of Zambia School of Medicine, Lusaka, Zambia, and Department of Pathology and Microbiology, University Teaching Hospital, Lusaka, Zambia, E-mails: mmutengo@yahoo.com, mwansaj@gmail.com, and ssianongo@yahoo.com. Takafira Mduluza, Department of Biochemistry, University of Zimbabwe, Harare, Zimbabwe, E-mail: tmduluza@yahoo.com. James Chipeta, Department of Pediatrics and Child Health, University of Zambia School of Medicine, Lusaka, Zambia, E-mail: Jameschipeta@smuth-mru.org.zm.

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