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ObjectiveTo assess the impact of a decade of biennial mass administration of praziquantel on schistosomiasis in school-age children in Burkina Faso.MethodsIn 2013, in a national assessment based on 22 sentinel sites, 3514 school children aged 7–11 years were checked for Schistosoma haematobium and Schistosoma mansoni infection by the examination of urine and stool samples, respectively. We analysed the observed prevalence and intensity of infections and compared these with the relevant results of earlier surveys in Burkina Faso.FindingsS. haematobium was detected in 287/3514 school children (adjusted prevalence: 8.76%, range across sentinel sites: 0.0–56.3%; median: 2.5%). The prevalence of S. haematobium infection was higher in the children from the Centre-Est, Est and Sahel regions than in those from Burkina Faso’s other eight regions with sentinel sites (P < 0.001). The adjusted arithmetic mean intensity of S. haematobium infection, among all children, was 6.0 eggs per 10 ml urine. Less than 1% of the children in six regions had heavy S. haematobium infections – i.e. at least 50 eggs per 10 ml urine – but such infections were detected in 8.75% (28/320) and 11.56% (37/320) of the children from the Centre-Est and Sahel regions, respectively. Schistosoma mansoni was only detected in two regions and 43 children – i.e. 1 (0.31%) of the 320 from Centre-Sud and 42 (8.75%) of the 480 from Hauts Bassins.ConclusionBy mass use of preventive chemotherapy, Burkina Faso may have eliminated schistosomiasis as a public health problem in eight regions and controlled schistosome-related morbidity in another three regions.

BackgroundBurkina Faso is endemic with soil-transmitted helminth infections. Over a decade of preventive chemotherapy has been implemented through annual lymphatic filariasis (LF) mass drug administration (MDA) for population aged five years and over, biennial treatment of school age children with albendazole together with schistosomiasis MDA and biannual treatment of pre-school age children through Child Health Days. Assessments were conducted to evaluate the current situation and to determine the treatment strategy for the future.Methodology/Principal FindingsA cross-sectional assessment was conducted in 22 sentinel sites across the country in 2013. In total, 3,514 school age children (1,748 boys and 1,766 girls) were examined by the Kato-Katz method. Overall, soil-transmitted helminth prevalence was 1.3% (95% CI: 1.0–1.8%) in children examined. Hookworm was the main species detected, with prevalence of 1.2% (95% CI: 0.9–1.6%) and mean egg counts of 2.1 epg (95% CI: 0–4.2 epg). Among regions, the Centre Ouest region had the highest hookworm prevalence of 3.4% (95% CI: 1.9–6.1%) and mean egg counts of 14.9 epg (95% CI: 3.3–26.6 epg). A separate assessment was conducted in the Centre Nord region in 2014 using community-based cluster survey design during an LF transmission assessment survey (TAS). In this assessment, 351 children aged 6–7 years and 345 children aged 10–14 years were examined, with two cases (0.6% (95% CI: 0.2–2.1%)) and seven cases (2.0% (95% CI: 1.0–4.1%)) of hookworm infection was identified respectively. The results using both age groups categorized the region to be 2% to <10% in STH prevalence according to the pre-defined cut-off values.Conclusions/SignificanceThrough large-scale preventive chemotherapy, Burkina Faso has effectively controlled STH in school age children in the country. Research should be conducted on future strategies to consolidate the gain and to interrupt STH transmission in Burkina Faso. It is also demonstrated that LF TAS provides one feasible and efficient platform to assess the STH situation for post LF MDA decision making.

Schistosomiasis is the most important waterborne disease in Sub-Saharan Africa. Transmission is governed by the spatial distribution of specific freshwater snails that act as intermediate hosts and human water contact patterns. In developing countries, such as Burkina Faso it remains a serious health problem, which management face important gaps. The main of theses gaps is the lack of reliable information about prevalence. Then, this study has been undertaken in order to determine the prevalence of schistosomiasis in the Centre and Plateau Central regions in Burkina Faso. A cross-sectional descriptive study was conducted in the Plateau Central and Centre regions of Burkina Faso to assess the status of schistosomiasis and intestinal worms among school age children. 1,455 school-age children were selected to participate to the study. Results shows that prevalence of Schistosoma haematobium in the Plateau Central and Centre regions were 4% and 0.6% respectively, with an overall prevalence of 2.3% (95% CI: 1.5% -3.1%) in two regions. The following intestinal parasites were found in stools with various prevalence: Schistosoma mansoni 0.1% (95% CI: 0% -0.3%) and Ancylostoma duodenale 0.1% (95% CI: 0% -0.2%). The prevalence of urinary schistosomiasis in the Centre and Plateau Central regions had been greatly reduced from the previous level in the published data since the large-scale population treatment initiated in 2004. The study confirmed the success in controlling the disease by preventive chemotherapy. However, the progress toward its elimination requires that the implementation of a monitoring and evaluation system focused on sentinel sites, and aiming at quantifying the impact of treatment, be gradually coupled with a monitoring system to identify any outbreak of residual transmission.