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Soil-transmitted helminthiasis: a critical but neglected factor influencing school participation of Aboriginal children in rural Malaysia

Published online by Cambridge University Press:  06 February 2012

ABDULHAMID AHMED ,
HESHAM M. AL-MEKHLAFI ,
MOHAMMAD NURUL AZAM ,
INIT ITHOI ,
ABDULELAH H. AL-ADHROEY ,
AWATIF M. ABDULSALAM  and
JOHARI SURIN
ABDULHAMID AHMED*
Affiliation:
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
HESHAM M. AL-MEKHLAFI
Affiliation:
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia Department of Parasitology, Faculty of Medicine and Health sciences, Sana'a University, Sana'a, Yemen
MOHAMMAD NURUL AZAM
Affiliation:
Department of Applied Statistics, Faculty of Economy and Administration, University of Malaya, 50603, Kuala Lumpur, Malaysia
INIT ITHOI
Affiliation:
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
ABDULELAH H. AL-ADHROEY
Affiliation:
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
AWATIF M. ABDULSALAM
Affiliation:
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
JOHARI SURIN
Affiliation:
Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
*
*Corresponding author: Department of Parasitology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. Tel: +6 03 7967 3789. Fax: +6 03 7967 4754. E-mail: [email protected]
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Summary

Soil-transmitted helminthiasis (STH), among the most common neglected tropical diseases, is a major public health problem in Malaysia with a possible impact on the nutritional status and school participation of rural children. This study was carried out among Aboriginal schoolchildren, living in an endemic area for STH in Malaysia, to determine the possible relationship between intestinal helminthiasis and school absenteeism. We also evaluated whether successful treatment of the infection will affect school attendance among the subjects. Stool analysis revealed that more than 90% of the subjects were infected with at least 1 helminth species, with Ascaris lumbricoides and Trichuris trichiura infections being most prevalent. Infection of moderate-to-heavy worm burdens, low level of fathers' education and anaemia were identified as the significant predictors of high absenteeism among the subjects (P<0·05). Following treatment of the infected children, it was found that school absenteeism was reduced significantly (P<0·01). In conclusion, STH continues to have significant impacts on public health, particularly in rural communities with a negatively significant effect on the school participation of Aboriginal children. A school-based de-worming programme should be introduced and incorporated in the current educational assistance targeted towards the Aboriginal communities, under the auspices of the government.

Keywords

soil-transmitted helminthiasisabsenteeismschoolchildrenAborigines
Type
Research Article
Information
Parasitology , Volume 139 , Issue 6 , May 2012 , pp. 802 - 808
Copyright
Copyright © Cambridge University Press 2012

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References

REFERENCES

Al-Mekhlafi, H. M. S., Atiya, A. S., Lim, Y. A. L., Mahdy, A. K. M., Ariffin, W. A. W., Abdullah, H. C. and Surin, J. (2007). An unceasing problem: soil-transmitted helminthiases in rural Malaysian communities. Southeast Asian Journal of Tropical Medicine and Public Health 38, 998–1007.Google ScholarPubMed
Al-Mekhlafi, H. M., Mahdy, M. A. K., Atiya, A. S., Ariffin, W. A., Al-Mekhlafi, A. M., Amran, A. A. and Surin, J. (2011). Nutritional and socioeconomic determinants of cognitive function and educational achievement of Aboriginal schoolchildren in rural Malaysia. British Journal of Nutrition 106, 1100–1106.CrossRefGoogle ScholarPubMed
Al-Mekhlafi, H. M. S., Norhayati, M., Azlin, M., Nor Aini, U., Shaik, A., Fatmah, M. S., Ismail, M. G., Firdaus-Ahmad, Aisah, M. Y., Rozlida, A. R. and Norhayati, M. (2005). Malnutrition and soil-transmitted helminthiases among Orang Asli children in Selangor, Malaysia. Asia Pacific Journal of Clinical Nutrition 14, 188–194.Google ScholarPubMed
Al-Mekhlafi, H. M., Surin, J., Atiya, A. S., Ariffin, W. A. W., Mahdy, A. K. M. and Abdullah, H. C. (2008). Pattern and predictors of soil-transmitted helminth re-infection among Aboriginal schoolchildren in rural peninsular Malaysia. Acta Tropica 107, 200–204.CrossRefGoogle Scholar
Bendel, R. B. and Afifi, A. A. (1977). Comparison of stopping rules in forward regression. Journal of the American Statistical Association 72, 46–53.Google Scholar
Bleakley, H. (2007). Disease and Development: Evidence from Hookworm Eradication in the American South. Quarterly Journal Economics 122, 73–117.CrossRefGoogle ScholarPubMed
Bobonis, G. J., Miguel, E. and Sharma, C. P. (2006). Iron deficiency anaemia and school participation. Journal of Human Resources Development 41, 692–721.CrossRefGoogle Scholar
Brooker, S., Peshu, N., Warn, P. A., Masobo, M., Guyatt, H., Marsh, K. and Snow, R. W. (1999). The epidemiology of hookworm infection and its contribution to anaemia among pre-school children on the Kenyan Coast. Transactions of the Royal Society of Tropical Medicine and Hygiene 93, 240–246.CrossRefGoogle ScholarPubMed
Davis-Kean, P. E. (2005). The influence of parent education and family income on child achievement: The indirect role of parental expectations and the home environment. Journal of family Psychology 19, 294–304.CrossRefGoogle ScholarPubMed
Dreyfuss, M. L., Stoltzfus, R. J., Jaya, B. S., Elizabeth, K. P., Steven, C. L., Subarna, K. K., Sharada, R. S., Joanne, K., Albonico, M., Keith, P. and West, J. R. (2000). Hookworms, malaria and vitamin A deficiency contribute to anaemia and iron deficiency among pregnant women in the plains of Nepal. Journal of Nutrition 55, 2527–2536.CrossRefGoogle Scholar
Hotez, P. J. and Kamath, A. (2009). Neglected tropical diseases in sub-saharan Africa: Review of their prevalence, distribution and disease burden. PLoS Neglected Tropical Diseases 3, 412.CrossRefGoogle ScholarPubMed
Raj, M. S., Sein, K. T., Khairul Anuar, A. and Mustaffa, B. E. (1997). Effect of intestinal helminthiasis on school attendance by early primary schoolchildren. Transactions of the Royal Society of Tropical Medicine and Hygiene 91, 131–132.CrossRefGoogle ScholarPubMed
Miguel, E. A. and Kremer, M. (2003). Worms: identifying impacts on education and health in the presence of treatment externalities. Econometrica 72, 159–217.CrossRefGoogle Scholar
Ngui, R., Ishak, S., Chuen, C. S., Mahmud, R. and Lim, Y. A. L. (2011). Prevalence and risk factors of intestinal parasitism in rural and remote West Malaysia. PLoS Neglected Tropical Diseases 5, e974.CrossRefGoogle ScholarPubMed
Nokes, C. and Bundy, D. A. P. (1993). Compliance and absenteeism in schoolchildren: implications for helminth control. Transactions of the Royal Society of Tropical Medicine Hygiene 87, 148–152.CrossRefGoogle Scholar
Nokes, C. and Bundy, D. A. P. (1994). Does helminth infection affect mental processing and academic achievement? Parasitology Today 10, 14–18.CrossRefGoogle Scholar
Nokes, C., Grantham-McGregor, S. M., Sawyer, A. W., Cooper, E. S., Robinson, B. A. and Bundy, D. A. P. (1992). Moderate-to-heavy infections with Trichuris trichiura affect cognitive function in Jamaican schoolchildren. Parasitology 104, 539–547.CrossRefGoogle Scholar
Nor Aini, U., Al-Mekhlafi, H. M. S., Azlin, M., Shaik, A., Sa'iah, A., Fatmah, M. S., Ismail, M. G., Ahmad Firdaus, M. S., Aisah, M. Y., Rozlida, A. R. and Norhayati, M. (2007). Serum iron status in Orang Asli children living in endemic areas of soil-transmitted helminthes. Asia Pacific Journal of Clinical Nutrition 16, 724–730.Google Scholar
Norhayati, M., Zainudin, B., Mohammad, C. G., Oothuman, P., Azizi, O. and Fatmah, M. S. (1997). The prevalence of Trichuris, Ascaris and Hookworm infection in Orang Asli children. Southeast Asian Journal of Tropical Medicine and Public Health 28, 161–168.Google ScholarPubMed
Simeon, D. T., Grantham-McGregor, S. M., Callender, J. E. and Wong, M. S. (1995). Treatment of Trichuris trichiura infections improves growth, spelling scores and school attendance in some children. Journal of Nutrition 125, 1875–83.CrossRefGoogle ScholarPubMed
Stoltzfus, R. J., Chwaya, H. M., Tielsch, J. M., Schulze, K. J., Albonico, M. and Savioli, L. (1997). Epidemiology of iron deficiency anaemia in Zanzibari schoolchildren: the importance of hookworms. American Journal of Clinical Nutrition 65, 153–159.CrossRefGoogle ScholarPubMed
UPHOLD (2005). Baseline Indicators of School Health and Nutrition in Lowero and Nakaseke Districts. Ugandan Program for Human and Holistic Development, Kampala, Uganda.Google Scholar
Watkins, W. E., Cruz, J. R. and Pollitt, E. (1996). The effects of deworming on indicators of school performance in Guatemala. Transactions of the Royal Society of Tropical Medicine and Hygiene 90, 156–161.CrossRefGoogle ScholarPubMed
World Health Organization (1991). Basic Laboratory Methods in Medical Parasitology. World Health Organization, Geneva, Switzerland.Google Scholar
World Health Organization (2001). Iron Deficiency Anaemia: Assessment, Prevention, and Control. World Health Organization, Geneva, Switzerland.Google Scholar
World Health Organization (2004). Training Manual on Diagnosis of Intestinal Parasites. World Health Organization, Geneva, Switzerland.Google Scholar
World Health Organization (2005). Deworming for Health and Development. Report of the Third Global Meeting of the Partners for Parasite Control. World Health Organization, Geneva, Switzerland.Google Scholar
Zulkifli, A., Anuar, A. K., Atiya, A. S. and Yano, A. (2000). The prevalence of malnutrition and geohelminth infections among primary schoolchildren in rural Kelantan. Southeast Asian Journal of Tropical Medicine and Public Health 31, 339–345.Google ScholarPubMed