الفهرس 
Epidemiology of sohistosomiasisOnly 14 pages are availabe for public view
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Abstract
fhe aLB of our ri&ld st~~ was to oa~ OD • clL41coep14emtologlosl
study ~tBtl~rE18B18 i~ the central and
seoeraL &avern~ent~l hospltmlB in K811o~La GoTeruorat. to
find o~t t~e prevalence of BLlha~l~Bls ~hiah ls of value
~or t~ture planning ~f the oont~l ~rogramB.
So cur BtUdy _as Qondueted OD d1ff_rent &rDUpB of
popula~ion vi.iting th. medical out patient c11~lcM of theBe
hosp 1te is irt’l!l6peet ive t e the 11” cClllpls1nt a.
In eRQh of theee hOBplta181 200 PSt1eDtS of different
ages and sexes .ere subjeoted to the fDllow1~g studlesl
- Complete clinical e~.
C~plete ur~n8 Bnd stool Bnalysls using rUe sed1ment-
.t1~n method for urine and the aadLmentation meth~d
tor Bt”:lOl’!h
RectAl biopsy Wae done to CBBeB .•••Lth.!rLlbArsLel b.ep--
stomegaly nc~ ~Bgaing ova in urine and stool&o
Liver function tssts will be dnne ~nla fur caS86 witb
Bilharzlal hepatomegaly tD aSaSSS th& aeve~lty of
liver af’:fee1: 1on ~
Ou:r Raul tJi. revflsled that there 1138 dlf’ference in
preTslence in ~rbQn aresa preB.nting b, Raser ge~ersl
T ,
hospital in ShQ’braend oth.er rUral areas present in! by
otber hoapit&ls which 8howed a ~lgb prevalence of B11-
ban,iash.’lit !’oul:I,d also the.t ’the lIiean pn .•a..lel:lCle af :BUbarz-
1861B in K~ltob1. was 8.6~ tor pure S. ~ae~tGb1u..24.9’
tor pure B. manson1; J..~5’tDr mixed 1~feet1on a~~ J.75~
ftlr those 11’1th Bilha:r:r.lal bltpatOlllegel;r.
”We fuund that mal&.I!IbaTe: 8 great prey-.lence of soh1-
atosomi&als (69.J% for p~re s. ba.mBto~l~~ 71.4~ ror
pure s. mansoni~ 59.6~ ·£~r D1~&d 1nfeotion and 65% far
CaDeS with Bilbar&1&1 hepatDmegaly than the temslea. This
1s because males Ora ~cre aetiv. and more in cuntaot with
c.ane.l water Bad farming than :female:J.•
~18~. we f~~nd that yoang age groUpB from 5~25 ~eara
old b~ve a great prevalence than older ages abDVR 25 years
old e~ept i~ cmses with ~epatomagaly where we t~und that
ages abeve 25 lsare old have a g%$Bt prevalence ·o~ hapatcmsgal:
r (60%).
C8S&B w1th BllnarziRl hepato.eg81y~ 2).), Dr them
were pBselng S. m&n8oni ova ~n etoaLs~ the ~ther 76.7%
were nDt passing OT$ 1n ur1ne and et~~ls but proved ~o be
Bilha~i81 by rectal biopsy sh~ing S. wBnaoai nVB. The
mBjority of pstients ~1tb Bilbarz1al hep8tome~ly had
palpable spleec (9J.))%). Some of them with &BclteB and
other algD9 Dr liver cell fAilure.So. to cb~trol this major health h&~8rd we muat plan
for h~altb QdQCAtLon And 8.n1t.t1o~. ~Dnt~ol nt ansLle.
t~Btment of oaeea, provision of pDtable .ater, coverage
of rural a8otors by rural h••lth un1ts and centres and
la8t17 urbBnL~t1jn and tndu~tr1alizat1on of large vl11-
agee.