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H Birrie

Publications and source records attributed to H Birrie.

24 records · Page 2Linked to original sources
PubMed1989

Schistosomiasis in the Gumara and Ribb irrigation project area, Ethiopia.

A survey of intestinal schistosomiasis and vector snails was conducted in the Gumara and Ribb Irrigation project located on the eastern side of Lake Tana, northwest Ethiopia. Within the project area, stool specimens from 1273 people were examined by the thick smear method. The average infection rate for Schistosoma mansoni was 1.6%. Two localities, Addis Zemen and Yifag, located just outside the project area, were also examined, the former showing an S. mansoni prevalence of 34% (75/223) and the latter 18% (18/101) among school children. In Debre Tabor, the provincial capital 50 km away from the project site at an altitude of 2800 m., five S. mansoni cases were found among 111 school children, but they were considered to be imported cases. The possible establishment of intestinal schistosomiasis in the project area is discussed.

Adolescent↗
PubMed1989

Helminth and snail survey in Harerge region of Ethiopia with special reference to schistosomiasis.

2300 persons from 25 communities in Harerge Administrative Region were examined for intestinal helminths. The overall prevalence rates were: Schistosoma mansoni 19.4%, Ascaris lumbricoides 13.4%, Trichuris trichiura 7.9%, and Taenia species 5.8%. Other parasites found in less than 3% included: Hymenolepis nana, Hymenolepis diminuta, Enterobius vermicularis, Strongyloides stercoralis and hookworms. Three age groups, 5-9, 10-14, and 15-19 years, had approximately similar prevalence (34.9-38.8%), but younger children had heavier egg loads (geometric mean egg output per gram of feces (EPG) of 347, 340 and 248, respectively). Boys had a higher prevalence of egg load than girls (42.4%, 395 EPG vs 26.5%, 277 EPG). Infection rates among Moslems were higher than Christians (45.5 vs 23.7%), but they had smaller egg output (333 vs 412 EPG). The frequency of light, moderate and heavy infections showed a normal distribution at 27, 46 and 27%. Biomphalaria pfeifferi was found to be infected with S. mansoni in Hirna (42/250), Esakly (6/80) and Genda Adem (20/200), the latter two in the Erer valley. Urine samples from 8 localities were negative for S. haematobium infection. The need for further study in several river valleys with agricultural potential is suggested.

Adolescent↗
PubMed1988

Schistosomiasis in Ethiopia.

The literature on schistosomiasis in Ethiopia is reviewed with the objective of bringing together in one paper diverse sources which may not be available to those interested in schistosomiasis. Particular attention is given to the influence of altitude and climate, snail ecology and government economic programs on the distribution of schistosomiasis. Out of 365 communities studied between 1961 and 1986 for Schistosomiasis mansoni, cases were reported from 225 (62%), and in 85 (23%) the prevalence ranged from 10 to 92%. Most transmission sites and S. mansoni infections are in agricultural communities along streams between 1300 and 2000 m altitude infested with Biomphalaria pfeifferi, the major snail intermediate host. S. mansoni transmission above 2200 m and below 800 m is precluded in many parts of Ethiopia by low and high water temperatures, respectively. Schistosomiasis haematobium cases have been reported from 30 of the 54 communities studied, 17 of them with infection rates between 14 and 75%. Endemic S. haematobium appears to be confined in its distribution to lowlands below 800 m altitude. The highly focal distribution of S. haematobium transmission is largely due to the nonsusceptibility of most bulinine snails to the Ethiopian strain of the parasite and low water temperatures in the highlands. Water resources development, resettlement programs, refugee migration and other population movements may result in the spread of endemic S. mansoni. Lack of information on snail host/parasite relationships and the ecology of proven and suspected snail hosts does not permit predictions on the spread of endemic S. haematobium. Past and present schistosomiasis control programs in Ethiopia are reviewed and recommendations made for the national control program.

Adolescent↗
PubMedDate not supplied

Control of Schistosoma mansoni in the Blue Nile Valley of western Ethiopia by mass chemotherapy and focal snail control: a primary health care experience.

A simplified combination of human mass treatment with oxamniquine and focal snail control has been applied in a local Schistosoma mansoni control programme in a primary health care setting in the Dalati and Agallu Metti areas of the Ethiopian Blue Nile Valley. Teams of local health personnel and farmers did the daily work under intermittent supervision. Monthly snail surveys near the major villages disclosed a seasonal pattern with many infected snails during the dry season in upper stagnant sections of tributary rivers (1000-1200 m altitude) with favourable temperatures, and few snails in the rainy season. The highest prevalences and intensities of human infection were found in the 15-19 year age group living in the lower altitudes around 700 m. 5067 individuals (50-80% of the local population) were treated with 20-40 mg oxamniquine per kg body weight during the rainy seasons of 1985 (Dalati) and 1986 (Agallu Metti). In the Dalati area cross sectional surveys in 1985 and 1986, before and after the mass treatment, showed a reduction in prevalence from 42.4% to 11.4%, while in the Agallu Metti area a stratified random sample showed a prevalence reduction from 65.4% in 1986 to 7.8% in 1987 and a reduction in the prevalence of moderate to heavy infection (greater than 100 eggs per gram of stool) from 36.9% to 1.4%. Beginning in 1986 niclosamide was applied focally wherever infected snails were found and the monthly snail surveillance continued until 1989. As a result of this combined approach overall snail infection rates were reduced from 11.2% (Dalati) and 32% (Agallu Metti) to zero and 2% respectively. In 1989 the human prevalence was still only 8.6% in Agallu Metti. This programme has shown that it is feasible to control S. mansoni in these very remote localities through the primary health care system.

Adolescent↗