Assessment of Schistosoma mansoni infection on Nkombo Island, Rwanda

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In Rwanda, Neglected Tropical Disease (NTD) control program was established in 2007 and initial mapping was completed in 2008 before starting mass drug administration (MDA) against schistosomiasis (S.

mansoni) and soil-transmitted helminths (STHs).

This work presents data of S.

mansoni in area which was initially omitted from MDA based on initial mapping.

In 2011, children from Nkombo Island located in a district previously classified as low endemic for S.

mansoni, were screened for S.

mansoni (and STHs) using Kato-Katz method.

Prevalence of S.

mansoni (and STHs) was measured.

In total 331 school children aged 10-19 years were involved.

Prevalence of S.

mansoni was found to be 62.1%, ranging from 28.6% to 77.9% across schools.

Prevalence of S.

mansoni in school children of Nkombo was found high.

Regular MDA with praziquantel to all school-aged children and adults of the Island is warranted.

For effective control, current school-based mapping strategy (WHO guidelines) is insufficient to identify all hot spots, should therefore be revised or supplemented with localized community-based surveys in areas where infection is likely to occur but available data do not indicate MDA.

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