Multiple parasite infections and their relationship to self-reported morbidity in a community of rural Cote d'Ivoire

Raso, Giovanna, Luginbuhl, Anne, Adjoua, Cinthia A., Tian-Bi, Norbert T., Silue, Kigbafori D ., Matthys, Barbara, Vounatsou, Penelope, Wang, Yulan, Dumas, Marc-Emmanuel, Holmes, Elaine, Singer, Burton H., Tanner, Marcel, N'Goran, Eliézer K. and Utzinger, Jürg (2004) Multiple parasite infections and their relationship to self-reported morbidity in a community of rural Cote d'Ivoire. International Journal of Epidemiology, 33 5: 1092-1102. doi:10.1093/ije/dyh241

Author Raso, Giovanna
Luginbuhl, Anne
Adjoua, Cinthia A.
Tian-Bi, Norbert T.
Silue, Kigbafori D .
Matthys, Barbara
Vounatsou, Penelope
Wang, Yulan
Dumas, Marc-Emmanuel
Holmes, Elaine
Singer, Burton H.
Tanner, Marcel
N'Goran, Eliézer K.
Utzinger, Jürg
Title Multiple parasite infections and their relationship to self-reported morbidity in a community of rural Cote d'Ivoire
Journal name International Journal of Epidemiology   Check publisher's open access policy
ISSN 0300-5771
Publication date 2004-10
Sub-type Article (original research)
DOI 10.1093/ije/dyh241
Volume 33
Issue 5
Start page 1092
End page 1102
Total pages 11
Place of publication Oxford, England
Publisher Oxford Univ Press
Language eng
Subject 111706 Epidemiology
Formatted abstract
Concomitant parasitic infections are common in the developing world, yet most studies focus on a single parasite in a narrow age group. We investigated the extent of polyparasitism and parasite associations, and related these findings to self-reported morbidity.

Inhabitants of 75 randomly selected households from a single village in western Cote d'Ivoire provided multiple faecal specimens and a single finger prick blood sample. The Kato-Katz technique and a formol-ether concentration method were employed to screen faecal samples for Schistosoma mansoni, soil-transmitted helminths and intestinal protozoa. Giemsa-stained blood smears were analysed for malaria parasites. A questionnaire was administered for collection of demographic information and self-reported morbidity indicators.

Complete parasitological data were obtained for 500/561 (89.1%) participants, similarly distributed among sex, with an age range from 5 days to 91 years. The prevalences of Plasmodium falciparum, hookworms, Entamoeba histolytica/E. dispar, and S. mansoni were 76.4%, 45.0%, 42.2%, and 39.8%, respectively. Three-quarters of the population harboured three or more parasites concurrently. Multivariate analysis revealed significant associations between several pairs of parasites. Some parasitic infections and the total number of parasites were significantly associated with self-reported morbidity indicators.

Our data confirm that polyparasitism is very common in rural Cote d'Ivoire and that people have clear perceptions about the morbidity caused by some of these parasitic infections. Our findings can be used for the design and implementation of sound intervention strategies to mitigate morbidity and co-morbidity.
Keyword Public, Environmental & Occupational Health
Schistosoma mansoni
soil-transmitted helminths
intestinal protozoa
self-reported morbidity indicators
infection intensity
Cote d'Ivoire
Transmitted Helminth Infections
Schistosoma-mansoni Infection
Sub-saharan Africa
Hookworm Infections
Intestinal Parasites
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 120 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 25 Jan 2008, 16:21:59 EST