TY - JOUR KW - Neglected tropical diseases (NTDs) KW - Soil-Transmitted Helminths (STHs) KW - Ecuador KW - Rural communities AU - Romero-Sandoval N AU - Ortiz-Rico C AU - Sánchez-Pérez HJ AU - Valdivieso D AU - Sandoval C AU - Pástor J AU - Martín M AB -

BACKGROUND:
Rural communities in the Amazonian southern border of Ecuador have benefited from governmental social programmes over the past 9 years, which have addressed, among other things, diseases associated with poverty, such as soil transmitted helminth infections. The aim of this study was to explore the prevalence of geohelminth infection and several factors associated with it in these communities.

METHODS:
This was a cross sectional study in two indigenous communities of the Amazonian southern border of Ecuador. The data were analysed at both the household and individual levels.

RESULTS:
At the individual level, the prevalence of geohelminth infection reached 46.9% (95% CI 39.5% to 54.2%), with no differences in terms of gender, age, temporary migration movements or previous chemoprophylaxis. In 72.9% of households, one or more members were infected. Receiving subsidies and overcrowding were associated with the presence of helminths.

CONCLUSIONS:
The prevalence of geohelminth infection was high. Our study suggests that it is necessary to conduct studies focusing on communities, and not simply on captive groups, such as schoolchildren, with the object of proposing more suitable and effective strategies to control this problem.

BT - BMJ open DO - 10.1136/bmjopen-2016-013626 LA - eng N2 -

BACKGROUND:
Rural communities in the Amazonian southern border of Ecuador have benefited from governmental social programmes over the past 9 years, which have addressed, among other things, diseases associated with poverty, such as soil transmitted helminth infections. The aim of this study was to explore the prevalence of geohelminth infection and several factors associated with it in these communities.

METHODS:
This was a cross sectional study in two indigenous communities of the Amazonian southern border of Ecuador. The data were analysed at both the household and individual levels.

RESULTS:
At the individual level, the prevalence of geohelminth infection reached 46.9% (95% CI 39.5% to 54.2%), with no differences in terms of gender, age, temporary migration movements or previous chemoprophylaxis. In 72.9% of households, one or more members were infected. Receiving subsidies and overcrowding were associated with the presence of helminths.

CONCLUSIONS:
The prevalence of geohelminth infection was high. Our study suggests that it is necessary to conduct studies focusing on communities, and not simply on captive groups, such as schoolchildren, with the object of proposing more suitable and effective strategies to control this problem.

PB - British Medical Journal Publishing Group PY - 2017 EP - e013626 T2 - BMJ open TI - Soil transmitted helminthiasis in indigenous groups. A community cross sectional study in the Amazonian southern border region of Ecuador. UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353281/pdf/bmjopen-2016-013626.pdf VL - 7 ER -