Helminth Infection among Children Living in an Urban Area in Tropical Countries: A Systematic Review

Authors

  • Sharifah Saffinas Syed Soffian Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia image/svg+xml https://orcid.org/0000-0003-2721-3084
  • Mazni Baharom Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Siti Maisara Amir Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Nor Izyani Bahari Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia https://orcid.org/0000-0003-1979-216X
  • Mohd Rohaizat Hassan Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia https://orcid.org/0000-0002-4658-6532
  • Syed Sharizman Syed Abdul Rahim Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Mohammad Saffree Jeffree Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia https://orcid.org/0000-0002-0373-4451
  • Abdul Rahman Ramdzan Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia https://orcid.org/0000-0003-1067-7640
  • Azman Atil Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Khalid Mokti Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia https://orcid.org/0000-0003-3547-9923
  • Mohd Faizal Madrim Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Muhammad Aklil Abd Rahim Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia https://orcid.org/0000-0002-1087-4444
  • Zulkhairul Naim Bin Sidek Ahmad Departmemt of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia; Department of Medical Education, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia

DOI:

https://doi.org/10.3889/oamjms.2023.11176

Keywords:

Helminth infection, Children, Urban, Prevalence, Risk factor, Impact

Abstract

Background

 

Neglected tropical diseases (NTDs) are a group of preventable and treatable diseases, in which soil-transmitted helminth (STH) infections are among the most common infections worldwide.  Most affected are the children and this review aims to identify the prevalence, risk factors and impact of STH in an urban area. 

 

Methodology

 

This review was guiding using PRISMA review protocol incorporating the research question of “What is the prevalence, risk factors and impact of helminth infection among urban children in tropical countries?". The databases used in this review include SCOPUS, WEB OF SCIENCE, OVID MEDLINE and PUBMED. The articles used include observational and interventional studies conducted among children aged 18 years and less from 2010 to 2020. The main outcome measure was risk factors of STH infection seen in urban children includes social backgrounds, sanitation and policy.

 

 

Results

 

From the initial 973 articles found in the database searching, only 13 articles selected for qualitative synthesis after exclusion and screening for eligibility done. The overall prevalence of helminth infection among urban children ranges from 4.8-48.9%. The associated factor that influences helminth infection among children living in an urban area are age, male more common than female, low socioeconomic status, low parents’ education level, living in an urban slum or crowded area, low water quality and sanitation practice and poor hygiene practice. The deworming tablets consumption acts as protective factors for helminth infections. The medium haemoglobin value was significantly lower in helminth-infected children compared to uninfected children and the stunting, underweight as well as moderate acute malnutrition were attributable to helminth infections.

 

 

Conclusion

 

The prevalence and intensity of helminthiasis were heterogeneous among urban areas of developing countries, however, the endemicity is still high. Further efforts including healthy policies, continuous national deworming programmes and multi-sectoral partnership are required to reduce the prevalence of helminthiasis in the urban area.

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References

Centre for Disease Control and Prevention. Neglected Transmitted Disease; 2020. Available from: https://www.cdc.gov/globalhealth/ntd [Last accessed on 2022 May 25].

World Health Organization. Soil-Transmitted Helminth Infections. Geneva: World Health Organization; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/soil-transmitted-helminth-infections [Last accessed on 2020 Dec 24].

Freeman MC, Akogun O, Belizario V Jr., Brooker SJ, Gyorkos TW, Imtiaz R, et al. Challenges and opportunities for control and elimination of soil-transmitted helminth infection beyond 2020. PLoS Negl Trop Dis. 2019;13(4):e0007201. https://doi.org/10.1371/journal.pntd.0007201 PMid:30973872 DOI: https://doi.org/10.1371/journal.pntd.0007201

Mekonnen Z, Suleman S, Biruksew A, Tefera T, Chelkeba L. Intestinal polyparasitism with special emphasis to soil-transmitted helminths among residents around Gilgel Gibe Dam, Southwest Ethiopia: A community based survey. BMC Public Health. 2016;16(1):1185. https://doi.org/10.1186/s12889-016-3859-2 DOI: https://doi.org/10.1186/s12889-016-3859-2

Shumbej T, Menu S, Girum T, Bekele F, Gebru T, Worku M, et al. Impact of annual preventive mass chemotherapy for soil-transmitted helminths among primary school children in an endemic area of Gurage zone: A prospective crosssectional study. Res Rep Trop Med. 2019;10:109-18. https://doi.org/10.2147/RRTM.S208473 PMid:31308788 DOI: https://doi.org/10.2147/RRTM.S208473

Lander RL, Lander AG, Houghton L, Williams SM, Costa-Ribeiro H, Barreto DL, et al. Factors influencing growth and intestinal parasitic infections in preschoolers attending philanthropic daycare centers in Salvador, Northeast region of Brazil. Cad Saúde Pública. 2012;28(11):2177-88. https://doi.org/10.1590/S0102-311X2012001100017 PMid:23147959 DOI: https://doi.org/10.1590/S0102-311X2012001100017

Obeng BB, Amoah AS, Larbi IA, de Souza DK, Uh HW, Fernández-Rivas M, et al. Schistosome infection is negatively associated with mite atopy, but not wheeze and asthma in Ghanaian schoolchildren. Clin Exp Allergy. 2014;44(7):965-75. https://doi.org/10.1111/cea.12307 PMid:24641664 DOI: https://doi.org/10.1111/cea.12307

Barry MA, Simon GG, Mistry N, Hotez PJ. Global trends in neglected tropical disease control and elimination: Impact on child health. Arch Dis Child. 2013;98(8):635-41. https://doi.org/10.1136/archdischild-2012-302338 PMid:23793132 DOI: https://doi.org/10.1136/archdischild-2012-302338

Marocco C, Tediosi F, Bangert M, Mupfasoni D, Montresor A. Estimated need for anthelminthic medicines to control soiltransmitted helminthiases in school-aged children, 2020-2030. Infect Dis Poverty. 2020;9(1):48. https://doi.org/10.1186/s40249-020-00656-9 PMid:32381061 DOI: https://doi.org/10.1186/s40249-020-00656-9

Eze P, Agu UJ, Aniebo CL, Agu SA, Lawani LO. Perception and attitudinal factors contributing to periodic deworming of preschool children in an urban slum, Nigeria. BMC Public Health. 2020;20(1):1839. https://doi.org/10.1186/s12889-020-09958-x PMid:33261596 DOI: https://doi.org/10.1186/s12889-020-09958-x

Sahimin N, Abd Khalil NS, Lewis JW, Mohd Zain SN. Post-era mass drug administration: An update on intestinal parasitic infections in urban poor communities in Peninsular Malaysia. Trop Biomed. 2020;37(2):363-71. PMid:33612805

Lockwood C, Munn Z, Porritt K. Qualitative research synthesis: Methodological guidance for systematic reviewers utilizing metaaggregation. Int J Evid Based Healthc. 2015;13(3):179-87. https://doi.org/10.1097/XEB.0000000000000062 PMid:26262565 DOI: https://doi.org/10.1097/XEB.0000000000000062

Hong QN, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, et al. The mixed methods appraisal tool (Mmat) version 2018 for information professionals and researchers. Educ Inform. 2018;34(4):285-91. DOI: https://doi.org/10.3233/EFI-180221

Kattula D, Sarkar R, Ajjampur SS, Minz S, Levecke B, Muliyi J, et al. Prevalence & risk factors for soil transmitted helminth infection among school children in South India. Indian J Med Res. 2014;139(1):76-82. PMid:24604041

Knopp S, Mohammed KA, Stothard JR, Khamis IS, Rollinson D, Marti H, et al. Patterns and risk factors of helminthiasis and anemia in a rural and a peri-urban community in Zanzibar, in the context of helminth control programs. PLoS Negl Trop Dis. 2010;4(5):e681. https://doi.org/10.1371/journal.pntd.0000681 PMid:20485491 DOI: https://doi.org/10.1371/journal.pntd.0000681

Mbuh JV, Ntonifor NH, Ojong J. The epidemiology of soiltransmitted helminth and protozoan infections in South-West Cameroon. J Helminthol. 2012;86(1):30-7. https://doi.org/10.1017/S0022149X1000091X PMid:21281528 DOI: https://doi.org/10.1017/S0022149X1000091X

Odiere MR, Opisa S, Odhiambo G, Jura WG, Ayisi JM, Karanja DM, et al. Geographical distribution of schistosomiasis and soil-transmitted helminths among school children in informal settlements in Kisumu City, Western Kenya. Parasitology. 2011;138(12):1569-77. https://doi.org/10.1017/S003118201100059X PMid:21679486 DOI: https://doi.org/10.1017/S003118201100059X

Rosewell A, Robleto G, Rodriguez G, Barragne-Bigot P, Amador JJ, Aldighieri S. Soil-transmitted helminth infection and urbanization in 880 primary school Children in Nicaragua, 2005. Trop Doct. 2010;40(3):141-3. https://doi.org/10.1258/td.2010.090425 PMid:20555043 DOI: https://doi.org/10.1258/td.2010.090425

Said K, Hella J, Knopp S, Nassoro T, Shija N, Aziz F, et al. Schistosoma, other helminth infections, and associated risk factors in preschool-aged children in urban Tanzania. PLoS Negl Trop Dis. 2017;11(11):e0006017. https://doi.org/10.1371/journal.pntd.0006017 PMid:29108003 DOI: https://doi.org/10.1371/journal.pntd.0006017

Staudacher O, Heimer J, Steiner F, Kayonga Y, Havugimana JM, Ignatius R, et al. Soil-transmitted helminths in Southern highland Rwanda: Associated factors and effectiveness of school-based preventive chemotherapy. Trop Med Int Health. 2014;19(7):812-24. https://doi.org/10.1111/tmi.12321 PMid:24750543 DOI: https://doi.org/10.1111/tmi.12321

Abera B, Alem G, Yimer M, Herrador Z. Epidemiology of soiltransmitted helminths, Schistosoma mansoni, and haematocrit values among schoolchildren in Ethiopia. J Infect Dev Ctries. 2013;7(3):253-60. https://doi.org/10.3855/jidc.2539 PMid:23493004 DOI: https://doi.org/10.3855/jidc.2539

Lwanga F, Kirunda BE, Orach CG. Intestinal helminth infections and nutritional status of children attending primary schools in Wakiso District, Central Uganda. Int J Environ Res Public Health. 2012;9(8):2910-21. https://doi.org/10.3390/ijerph9082910 PMid:23066405 DOI: https://doi.org/10.3390/ijerph9082910

Muñoz-Antoli C, Gozalbo M, Pavón A, Pérez P, Toledo R, Esteban JG. Enteroparasites in preschool children on the pacific region of Nicaragua. Am J Trop Med Hyg. 2018;98(2):570-5. https://doi.org/10.4269/ajtmh.17-0551 PMid:29260648 DOI: https://doi.org/10.4269/ajtmh.17-0551

Von Huth S, Kofoed PE, Holmskov U. Prevalence and potential risk factors for gastrointestinal parasitic infections in children in Urban Bissau, Guinea-Bissau. Trans R Soc Trop Med Hyg. 2019;113(9):trz032. https://doi.org/10.1093/trstmh/trz032 PMid:31034044 DOI: https://doi.org/10.1093/trstmh/trz032

Balen J, Raso G, Li YS, Zhao ZY, Yuan LP, Williams GM, et al. Risk factors for helminth infections in a rural and a peri-urban setting of the Dongting Lake area, people’s republic of China. Int J Parasitol. 2011;41(11):1165-73. https://doi.org/10.1016/j.ijpara.2011.07.006 PMid:21854780 DOI: https://doi.org/10.1016/j.ijpara.2011.07.006

Gyang VP, Chuang TW, Liao CW, Lee YL, Akinwale OP, Orok A, et al. Intestinal parasitic infections: Current status and associated risk factors among school aged children in an archetypal African urban slum in Nigeria. J Microbiol Immunol Infect. 2019;52(1):106-13. https://doi.org/10.1016/j.jmii.2016.09.005 PMid:28711437 DOI: https://doi.org/10.1016/j.jmii.2016.09.005

Asady A, Ismail S, Jalil MA, Pakeer O. Soil transmitted helminth infection among children admitted to hospital Tengku Ampuan Afzan, Kuantan, Pahang. Int Med J Malaysia. 2019;18(2):107-12. https://doi.org/10.31436/imjm.v18i2.89 DOI: https://doi.org/10.31436/imjm.v18i2.89

Van Soelen N, Mandalakas AM, Kirchner HL, Walzl G, Grewal HM, Jacobsen M, et al. Effect of Ascaris Lumbricoides specific IgE on tuberculin skin test responses in children in a high-burden setting: A cross-sectional community-based study. BMC Infect Dis. 2012;12:211. https://doi.org/10.1186/1471-2334-12-211 DOI: https://doi.org/10.1186/1471-2334-12-211

Darlan DM, Alexandra TS. Tala ZZ. Soil transmitted helminth infections in medan: A cross-sectional study of the correlation between the infection and nutritional status among elementary school children. Family Med Prim Care Rev. 2017;19(2):98-103. https://doi.org/10.5114/fmpcr.2017.67860 DOI: https://doi.org/10.5114/fmpcr.2017.67860

Indah BP, Indraningrat AA, Arwati H, Dachlan YP. Short communication: Prevalence and risk factors of soil-transmitted helminth infection among farmers in Gelgel Village, Klungkung District, Bali, Indonesia. Biodivers J Biol Divers. 2020;21(4):1535-40. https://doi.org/10.13057/biodiv/d210434 DOI: https://doi.org/10.13057/biodiv/d210434

Tekalign E, Bajiro M, Ayana M, Tiruneh A, Belay T. Prevalence and intensity of soil-transmitted helminth infection among rural community of Southwest Ethiopia: A community-based study. Biomed Res Int. 2019;2019:3687873. https://doi.org/10.1155/2019/36878732 PMid:31915688 DOI: https://doi.org/10.1155/2019/3687873

Belyhun Y, Medhin G, Amberbir A, Erko B, Hanlon C, Alem A, et al. Prevalence and risk factors for soil-transmitted helminth infection in mothers and their infants in Butajira, Ethiopia: A population based study. BMC Public Health. 2010;10:21. https://doi.org/10.1186/1471-2458-10-21 PMid:20085635 DOI: https://doi.org/10.1186/1471-2458-10-21

Anuar TS, Salleh FM, Moktar N. Soil-Transmitted helminth infections and associated risk factors in three Orang asli tribes in Peninsular Malaysia. Sci Rep. 2014;4:410. https://doi.org/10.1038/srep04101 PMid:24525479 DOI: https://doi.org/10.1038/srep04101

Novianty S, Dimyati Y, Pasaribu S, Pasaribu AP. Risk factors for soil-transmitted helminthiasis in preschool children living in Farmland, North Sumatera, Indonesia. J Trop Med. 2018;2018:6706413. https://doi.org/10.1155/2018/6706413 PMid:29849666 DOI: https://doi.org/10.1155/2018/6706413

Abraham D, Kaliappan SP, Walson JL, Rao Ajjampur SS. Intervention strategies to reduce the burden of soil-transmitted helminths in India. Indian J Med Res. 2018;147(6):533-44. https://doi.org/10.4103/ijmr.IJMR_881_18 PMid:30168484 DOI: https://doi.org/10.4103/ijmr.IJMR_881_18

Arta Suryantari SA, Satyarsa AB, Hartawan GN, Parastuta KY, Sudarmaja IM. Prevalence, intensity and risk factors of soil transmitted helminths infections among elementary school students in Ngis village, Karangasem district, Bali. Indones J Trop Infect Dis. 2019;7(6):137. https://doi.org/10.20473/ijtid.v7i6.9952 DOI: https://doi.org/10.20473/ijtid.v7i6.9952

Steinmann P, Utzinger J, Du ZW, Zhou XN. Multiparasitism. A neglected reality on global, regional and local scale. Adv Parasitol. 2010;73:21-50. https://doi.org/10.1016/S0065-308X(10)73002-5 PMid:20627138 DOI: https://doi.org/10.1016/S0065-308X(10)73002-5

Molla E, Mamo H. Soil-transmitted helminth infections, anemia and undernutrition among schoolchildren in Yirgacheffee, South Ethiopia. BMC Res Notes. 2018;11(1):585. https://doi.org/10.1186/s13104-018-3679-9 PMid:30103797 DOI: https://doi.org/10.1186/s13104-018-3679-9

Osazuwa F, Ayo OM, Imade P. A significant association between intestinal helminth infection and anaemia burden in children in rural communities of Edo state, Nigeria. N Am J Med Sci. 2011;3(1):30-4. https://doi.org/10.4297/najms.2011.330 PMid:22540060 DOI: https://doi.org/10.4297/najms.2011.330

De Gier B, Ponce MC, Van De Bor M, Doak CM, Polman K. Helminth infections and micronutrients in school-age children: A systematic review and meta-analysis. Am J Clin Nutr. 2014;99(6):1499-509. https://doi.org/10.3945/ajcn.113.069955 PMid:24740209 DOI: https://doi.org/10.3945/ajcn.113.069955

Cruz AA, Cooper PJ, Figueiredo CA, Alcantara-Neves NM, Rodrigues LC, Barreto ML. Global issues in allergy and immunology: Parasitic infections and allergy. J Allergy Clin Immunol. 2017;140(5):1217-28. https://doi.org/10.1016/j.jaci.2017.09.005 PMid:29108604 DOI: https://doi.org/10.1016/j.jaci.2017.09.005

Maizels RM. Regulation of immunity and allergy by helminth parasites. Allergy. 2020;75(3):524-34. https://doi.org/10.1111/all.13944 PMid:31187881 DOI: https://doi.org/10.1111/all.13944

Ahmed A, Al-Mekhlafi HM, Al-Adhroey AH, Ithoi I, Abdulsalam AM, Surin J. The nutritional impacts of soiltransmitted helminths infections among Orang asli schoolchildren in rural Malaysia. Parasit Vectors. 2012;5(1):119. https://doi.org/10.1186/1756-3305-5-119 PMid:22704549 DOI: https://doi.org/10.1186/1756-3305-5-119

Girum T, Wasie A. The effect of deworming school children on anemia prevalence: A systematic review and metaanalysis. Open Nurs J. 2018;12(1):155-61. https://doi.org/10.2174/1874434601812010155 PMid:30197721 DOI: https://doi.org/10.2174/1874434601812010155

Sungkar S, Ridwan AS, Kusumowidagdo G. The effect of deworming using triple-dose albendazole on nutritional status of children in Perobatang village, Southwest Sumba, Indonesia. J Parasitol Res. 2017;2017:5476739. https://doi.org/10.1155/2017/5476739 PMid:29250439 DOI: https://doi.org/10.1155/2017/5476739

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Published

2023-01-06

How to Cite

1.
Soffian SSS, Baharom M, Amir SM, Bahari NI, Hassan MR, Rahim SSSA, Jeffree MS, Ramdzan AR, Atil A, Mokti K, Madrim MF, Rahim MAA, Ahmad ZNBS. Helminth Infection among Children Living in an Urban Area in Tropical Countries: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2023 Jan. 6 [cited 2024 Nov. 22];11(F):134-42. Available from: https://oamjms.eu/index.php/mjms/article/view/11176

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