Socioenvironmental and nutritional factors associated with Schistosoma mansoni infection among schoolchildren in a public-school at south of Espírito Santo, Brazil / Factores socioambientais e nutricionais associados à infecção por Schistosoma mansoni entre crianças em idade escolar numa escola pública do sul do Espírito Santo, Brasil

Mayna Azevedo Gomes, Danielle Ferreira Vieira, Karen Silva Rangel, Franciso De Paula Careta, Heberth de Paula, Adriana Hocayen De Paula, Gláucia Figueiredo Justo, Fabiane Matos Dos Santos

Abstract


Introduction: Schistosomiasis mansoni is a neglected tropical disease that still needs adequate efforts for its control. This study investigated the factors that may been corroborating to Schistosoma mansoni infection amongst scholar children living in Alegre, Brazil. Methods: A school-based transversal study was conducted with 55 schoolchildren aged 6-10 years enrolled in one full-time municipal school at Alegre-ES. All participants were evaluated by food quality consumed classified according to School Child Diet Index - Ales Index and by anthropometric parameters of nutritional status. A parasitological survey was performed in stool samples from children that accepted to bring them to the school. Results: Ales Index revealed 70.91% (39/55) low-quality feeding, 10.91% (06/55) intermediate-quality feeding and 18.18% (10/55) good-quality feeding. An overall of 3.64% (02/55) malnutrition, 3.64% (02/55) obesity, 9.09% (05/55) overweight and 83.64% (46/55) normal weight were verified by body mass index (BMI)/age. Height/age revealed 5.45% (03/55) short stature-for-age and 94.55% (52/55) adequate stature-for-age. Parasitological survey showed 4.0% (01/25) of children infected with both S. mansoni and Ancylostoma duodenale and another child (01/25) positive only to A. duodenale. There were associations between BMI/age and food quality (P < 0.05); intestinal polyparasitism and schistosomiasis mansoni (P < 0.05) and between the absence of sewage network with the occurrence of S. mansoni infection (P < 0.05). Conclusion: S. mansoni infection still needs to be controlled by efforts that improve environmental safety and may include the access to good-quality feeding and adequate hygienic sanitary conditions, even in areas considered as low endemicity to schistosomiasis mansoni in Brazil.

 

 


Keywords


Schistosoma mansoni, nutritional status, food quality, intestinal polyparasitism, schoolchildren.

References


World Health Organization (WHO) [Internet]. What is schistosomiasis? [accessed on April-01- 357 2019]. Available from: http://www.who.int/schistosomiasis/disease/en/

Sanches M, Knoff M, Gomes DC, Brener B. Checklist of platyhelminth parasites of humans deposited in helminthological collection of the Oswaldo Cruz Institute, Brazil. Neotrop Helminthol. 2016;10(1):73–84.

Hotez PJ. Forgotten people, forgotten diseases: the neglected tropical diseases and their impact on global health and development. 1st ed. Washington: ASM Press; 2008. 215p.

WHO World Health Organization. Schistosomiasis. Wkly Epidemiol Rec. 2010; 18: 158–64.

Pan-American Health Organization / World Health Organization [Internet]. WHO report unprecedented progress against neglected tropical diseases. OPAS, Brasil; 2017 [updated 2017 April 19; cited 2019 April 05]. Available from: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5401:relatorio-daoms-informa-progressos-sem-precedentes-contra-doencas-tropicais-negligenciadas&Itemid=812

Colley DG, Bustinduy AL, Secor WE, King CH. Human schistosomiasis. Lancet. 2014; 383(9936): 2253–64. doi: 10.1016/S0140-6736(13)61949-2.

Zoni AC, Catalá L, Ault SK. Schistosomiasis Prevalence and Intensity of Infection in Latin America and the Caribbean Countries, 1942-2014: A Systematic Review in the Context of a Regional Elimination Goal. PLoS Negl Trop Dis. 2016; 10(3): e0004493. doi: 10.1371/jornal.pntd.0004493.

Caldeira RL, Jannotti-Passos LK, Carvalho OS. Molecular epidemiology of Brazilian Biomphalaria: a review of the identification of species and the detection of infected snails. Acta Trop. 2009; 111(1): 1-6. doi: 10.1016/j.actatropica.2009.02.004.

Ministério da Saúde (MS). Secretaria de Vigilância em Saúde, Departamento de Vigilância Epidemiológica. Vigilância e controle de moluscos de importância epidemiológica: diretrizes técnicas: Programa de Vigilância e Controle da Esquistossomose (PCE). 2nd ed. Brasília: MS; 2008. 178p.

Almeida BR, Ignacchiti MDC, Pereira Júnior OS. Levantamento malacológico de moluscos do gênero Biomphalaria, no distrito de Anutiba – Alegre, ES, Brasil. Revista de Geografia - PPGEO – UFJF, Juiz de Fora. 2016;6(1):71-81.

Massara CL, Peixoto SV, Barros HS, Enk MJ, Carvalho OS, Schall, V. Factors associated with schistosomiasis mansoni in a population from the municipality of Jaboticatubas, State of Minas Gerais, Brazil. Mem Inst Oswaldo Cruz. 2004;99:127-34. doi: 10.1590/s0074- 02762004000900023.

Bethony J, Willians JT, Brooker S, Gazzinelli A, Gazzinelli MF, LoVerde PT et al. Exposure to Schistosoma mansoni infection in a rural area in Brazil. Part III: household aggregation of water contact behavior. Trop Med Intern Health. 2004;9(3):381-9.

Barbosa CS, Silva CB, Barbosa FS. Schistosomiasis: reproduction and expansion of the endemia to the state of Pernambuco in Brazil. Rev Saude Publica. 1996;30(6):609-16.

Instituto Brasileiro de Geografia e Estatística [Internet]. Espírito Santo Alegre; 2016 [accessed on 2016 December]. Available from: http://cidades.ibge.gov.br/xtras/perfil.php?lang=&codmun=320020&search=||infográficos:- informações-completas

Mondini L, Levy RB, Saldiva SRDM, Venâncio SI, Aguiar JA, Stefanini MLR. Prevalência de sobrepeso e fatores associados em crianças ingressantes no ensino fundamental em um município da região metropolitana de São Paulo, Brasil. Cad Saude Publica. 2007;23(8):1825-34.

Castro IRR, Cardoso LO, Engstrom EM, Levy RB, Monteiro CA. Vigilância de fatores de risco para doenças não transmissíveis entre adolescentes: a experiência da cidade do Rio de Janeiro, Brasil. Cad Saude Publica. 2008;24(10):2279-88. doi: 10.1590/S0102-311X2008001000009.

Molina MdelC, Lopéz PM, Faria CP, Cade NV, Zandonade E. Socioeconomic predictors of child diet quality. Rev Saude Publica. 2010;44(5):785-92. doi: 10.1590/S0034-89102010005000036.

World Health Organization [Internet]. Growth reference data for 5-19 years. WHO 2007 [accessed on 2012 September]. Available from: http://www.who.int/growthref/en/

Katz NL, Chaves A, Pelegrino J. A simple device for quantitative stool thick-smear technique in Schistosoma mansoni. Rev Inst Med Trop Sao Paulo. 1972;14:397–00.

Hoffman WA, Pons JA, Janer JL. The sedimentation-concentration method in schistosomiasis mansoni. Puerto Rico J Publ Health. 1934; 9:281-98.

World Health Organization [Internet]. Assessing the Efficacy of Anthelmintic Drugs Against Schistosomiasis and Soil-transmitted Helminthiasis. World Health Organization, Geneva; 2013 [accessed on 2019 April 05]. Available from: https://apps.who.int/iris/handle/10665/79019.

McManus DP, Gray DJ, Li Y, Feng Z, Williams GM, Stewart D, et al. Schistosomiasis in the People’s Republic of China: the era of the Three Gorges Dam. Clin Microbiol Rev. 2010;23(2):442–66. doi: 10.1128/CMR.00044-09.

Massoni ACLT, Oliveira AFB, Chaves AMB, Sampaio FC, Rosenblatt A. Fatores socioeconômicos relacionados ao risco nutricional e sua associação com a freqüência de defeitos do esmalte em crianças da cidade de João Pessoa, Paraíba, Brasil. Cad Saude Publica. 2007;23:2928-37.

Monteiro CA, Conde WL. Tendência secular da desnutrição e da obesidade na infância na cidade de São Paulo (1974-1996). Rev Saude Publica. 2000;34:52-61.

Veiga GV, Burlandy L. Indicadores socioeconômicos, demográficos e estado nutricional de crianças e adolescentes residentes em um assentamento rural do Rio de Janeiro. Cad Saude Publica. 2001;17:1465-72.

Teixeira JC, Heller L. Aspectos epidemiológicos da esquistossomose hepatoesplênica no Estado de Pernambuco, Brasil. Rev Bras Epidemiol. 2004;7:270-78.

Ministério da Saúde (MS). Secretaria Atenção à Saúde, Departamento de Atenção Básica. Guia Alimentar Para a População Brasileira: Promovendo a Alimentação Saudável. 1st ed. Brasília:MS; 2008. 210p.

Conceição SIO, Santos CJN, Silva AAM, Silva JS, Oliveira TC. Consumo alimentar de escolares das redes pública e privada de ensino em São Luís, Maranhão. Rev Nutr. 2010;23: 993-04.

Paula DV, Botelho LP, Zanirati VF, Lopes ACS, Santos LC. Avaliação nutricional e padrão de consumo alimentar entre crianças beneficiárias e não beneficiárias de programas de transferência de renda, em escola municipal do município de Belo Horizonte, estado de Minas Gerais, Brasil, em 2009. Epidemiol Serv Saude. 2012;21:385-94.

Neves OMD, Brasil ALD, Brasil LMBF, Taddei JAAC. Antropometria de escolares ao ingresso no ensino fundamental na cidade de Belém, Pará, 2001. Rev Bras Saude Mater Infant. 2006;6:39-46.

Cagliari MPP, Paiva AA, Queiroz D, Araujo ES. Consumo alimentar, antropometria e morbidade em pré-escolares de creches públicas de Campina Grande, Paraíba. Nutrire Rev Soc Bras Aliment Nutr. 2009; 34(1): 29-43.

Muhsen K, Levine MM. Systematic Review and Meta-analysis of the Association Between Giardia lamblia and Endemic Pediatric Diarrhea in Developing Countries. Clin Infect Dis. 2012;55:271-93.

Brito LL, Barreto ML, Silva RCR, Assis AMO, Reis MG, Parraga I , et al. Risk factors for iron-deficiency anemia in children and adolescents with intestinal helminthic infections. Rev Panam Salud Publica. 2003;14:422-31.

Munisi DZ, Buza J, Mpolya EA, Kinung'hi SM. Schistosoma mansoni Infections, Undernutrition and Anaemia among Primary Schoolchildren in Two Onshore Villages in Rorya District, North-Western Tanzania. PLoS ONE. 2016;11:1-15.

Tsuyuoka R, Bailey JW, Guimarães AMD’AN, Gurgel RQ, Cuevas LE. Anemia and intestinal parasitic infections in primary school students in Aracaju, Sergipe, Brazil. Cad Saude Publica. 1999;15:413-21.

Ferreira H, Lala ERP, Monteiro MC. Hospitalização de crianças causada por parasitoses intestinais e sua relação com desnutrição. Rev Soc Bras Enferm Pediatr. 2006;6:47-54.

Silva RCR, Barreto ML, Assis AM, Santana ML, Parraga IM, Reis MG, et al. The Relative Influence of Polyparasitism, Environment, and Host Factors on Schistosome Infection. Am J Trop Med Hyg. 2007;77:672–75.

Silva NL, Santos LCGB, Ferreira KBAN, Noberto DS, Freitas MCC, Santos RFEP, et al. Schistosomiasis: a negligenced disease in the state of Alagoas. Bra J Hea Rev. 2019;2(3):1562–67.




DOI: https://doi.org/10.34119/bjhrv3n5-282

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