A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South Africa

Schistosomiasis is caused by infection with trematode flukes of the genus Schistosoma. More than 700 million people worldwide are estimated to be susceptible to infection. In sub-Saharan Africa, schistosomiasis is the second most widespread neglected tropical disease after malaria. This retrospectiv...

Full description

Saved in:
Bibliographic Details
Main Author: Dominic Targema Abaver
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/9/12/293
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846102519264051200
author Dominic Targema Abaver
author_facet Dominic Targema Abaver
author_sort Dominic Targema Abaver
collection DOAJ
description Schistosomiasis is caused by infection with trematode flukes of the genus Schistosoma. More than 700 million people worldwide are estimated to be susceptible to infection. In sub-Saharan Africa, schistosomiasis is the second most widespread neglected tropical disease after malaria. This retrospective investigation evaluated the incidence and impacts of schistosomiasis on communities across three major districts of the Eastern Cape province in South Africa using a cross-sectional retrospective observational analysis of secondary data from patients with microscopically confirmed schistosomiasis between 2019 and 2020. This study focused upon both rural and semi-urban areas, including Bizana, Butterworth, Centane, Elliotdale, Flagstaff, Idutywa, Lusikisiki, Libode, Mqanduli, Port St. Johns, Willowvale, and Mthatha. Data were obtained from three districts—Alfred Nzo, Amatole, and OR Tambo—covering both rural and semi-urban regions. This study included patients of all ages who submitted urine samples for schistosomiasis testing in the specified districts. A simple random sampling method was used to select 337 clinical records from the National Health Laboratory Service (NHLS) of Mthatha. Hospital records from the NHLS Microbiology Department of Mthatha were analyzed. St Barnabas Laboratory had the highest frequency of cases (34.1%), followed by Greenville Depot (17.8%) and Willowvale Laboratory (11.3%). Most cases were in the 10–19 age group (63.4%), followed by those under 10 years of age (24.9%). Male patients constituted 76.4% of the cases, while female patients accounted for 23.6%. Viable ova were observed in 98.2% of the samples. This study highlights a significant prevalence of schistosomiasis in the Eastern Cape province, with a higher incidence in rural areas and among males aged 10–19. These findings underscore the need for targeted public health interventions and continuous monitoring to control and prevent schistosomiasis in this region.
format Article
id doaj-art-b25de5dd89e3498dad4dcd89a9045ad5
institution Kabale University
issn 2414-6366
language English
publishDate 2024-11-01
publisher MDPI AG
record_format Article
series Tropical Medicine and Infectious Disease
spelling doaj-art-b25de5dd89e3498dad4dcd89a9045ad52024-12-27T14:57:09ZengMDPI AGTropical Medicine and Infectious Disease2414-63662024-11-0191229310.3390/tropicalmed9120293A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South AfricaDominic Targema Abaver0HERENDA Program, New Medical School, Walter Sisulu University, Nelson Mandela Drive, Mthatha 5100, Eastern Cape, South AfricaSchistosomiasis is caused by infection with trematode flukes of the genus Schistosoma. More than 700 million people worldwide are estimated to be susceptible to infection. In sub-Saharan Africa, schistosomiasis is the second most widespread neglected tropical disease after malaria. This retrospective investigation evaluated the incidence and impacts of schistosomiasis on communities across three major districts of the Eastern Cape province in South Africa using a cross-sectional retrospective observational analysis of secondary data from patients with microscopically confirmed schistosomiasis between 2019 and 2020. This study focused upon both rural and semi-urban areas, including Bizana, Butterworth, Centane, Elliotdale, Flagstaff, Idutywa, Lusikisiki, Libode, Mqanduli, Port St. Johns, Willowvale, and Mthatha. Data were obtained from three districts—Alfred Nzo, Amatole, and OR Tambo—covering both rural and semi-urban regions. This study included patients of all ages who submitted urine samples for schistosomiasis testing in the specified districts. A simple random sampling method was used to select 337 clinical records from the National Health Laboratory Service (NHLS) of Mthatha. Hospital records from the NHLS Microbiology Department of Mthatha were analyzed. St Barnabas Laboratory had the highest frequency of cases (34.1%), followed by Greenville Depot (17.8%) and Willowvale Laboratory (11.3%). Most cases were in the 10–19 age group (63.4%), followed by those under 10 years of age (24.9%). Male patients constituted 76.4% of the cases, while female patients accounted for 23.6%. Viable ova were observed in 98.2% of the samples. This study highlights a significant prevalence of schistosomiasis in the Eastern Cape province, with a higher incidence in rural areas and among males aged 10–19. These findings underscore the need for targeted public health interventions and continuous monitoring to control and prevent schistosomiasis in this region.https://www.mdpi.com/2414-6366/9/12/293prevalencegeo-mappingschistosomiasisEastern Cape
spellingShingle Dominic Targema Abaver
A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South Africa
Tropical Medicine and Infectious Disease
prevalence
geo-mapping
schistosomiasis
Eastern Cape
title A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South Africa
title_full A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South Africa
title_fullStr A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South Africa
title_full_unstemmed A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South Africa
title_short A Retrospective Study of Urinary Schistosomiasis in the Eastern Cape Province, South Africa
title_sort retrospective study of urinary schistosomiasis in the eastern cape province south africa
topic prevalence
geo-mapping
schistosomiasis
Eastern Cape
url https://www.mdpi.com/2414-6366/9/12/293
work_keys_str_mv AT dominictargemaabaver aretrospectivestudyofurinaryschistosomiasisintheeasterncapeprovincesouthafrica
AT dominictargemaabaver retrospectivestudyofurinaryschistosomiasisintheeasterncapeprovincesouthafrica