The study showed that anemia is higher in concurrently infected children than non-infected and single infected. Furthermore, level of hemoglobin was negatively correlated with the number of S. haematobium eggs and malaria parsitemia. Therefore, examination of hemoglobin status in patients co-infected with malaria and schistosomiasis is important to reduce the risk of anemia and to improve health of the community.

Background Urogenital schistosomiasis has been known to be endemic in several lowland areas of Ethiopia. It is caused by Schistosoma haematobium and causes considerable public health problems to schoolchildren. Ethiopia, after mapping the distribution of the disease (2013 to 2015), launched school-based mass deworming program to treat schoolchildren for schistosomiasis and soil-transmitted helminthiasis (STH) across the country since 2015. However, there is no recent information about the prevalence of the disease among schoolchildren in the current study areas. Diagnostic performance of urine filtration method and urinalysis reagent strip is also lacking. Therefore, this study aimed to determine the prevalence of urogenital schistosomiasis in schoolchildren, and to evaluate diagnostic performance of urine filtration and urinalysis reagent strip in Amibara, Kurmuk and Abobo districts, Ethiopia. Methods Across-sectional study was conducted involving 1,171 schoolchildren in Abobo, Amibara and Kurmuk districts from October, 2020 to January, 2021. The study participants were selected using random sampling technique. From each study participant, 10 ml urine samples were collected and examined using urine filtration method and urinalysis reagent strip. Data obtained from the survey were entered into Microsoft Excel 2010 and analysed with SPSS version 20.0. Data was summarized using descriptive statistics. Chi-square, bivariate and multivariable logistic regression and Pearson correlation test were used to measure associations between urogenital schistosomiasis, age, sex and haematuria. Odds ratio was used to measure strengths of association between variables. Agreement between urine filtration method and urinalysis reagent strip was determined using Kappa statistics. P-value < 0.05 at 95% CI was considered as statistically significant. Results Among the 1,171 urine samples from schoolchildren examined by urine filtration method, 143 (12.2%) were S.haematobium egg positive. Out of 143 positive children 126(88.1%) were lightly infected and 17 (11.9%) were heavily infected. Among the total of 1,171 urine samples tested by dipstick, 264(22.5%) were positive for haematuria. Prevalence of urogenital schistosomiasis by both urine filtration and urinalysis reagent strip method was higher in Abobo than Hassoba (Amibara) and Kurmuk (P< 0.001). The number of egg counts (intensity of infections) were significantly correlated with intensity of haematuria (r = 0.6, P < 0.001). Egg-positive children had significantly higher risk of having haematuria compared to S. haematobium egg negative children (OR; 6.96; 95%CI: 4.98, 8.940). Compared to urine filtration method, the sensitivity, specificity, positive predictive value (PPV) and negative predictive values (NPV) of urinalysis reagent strip were 99.3%, 88.1%, 53.8% and 99.8%, respectively. Furthermore, its positive likelihood ratio (PLR) and negative likelihood ratio (NLR) were 8.34 and 0.008, respectively. The accuracy index and diagnostic odds ratio (DOR) of reagent strip were 0.89 and 1054, respectively. The agreement level between urine filtration methods and urinalysis reagent strip for detecting urogenital schistosomiasis was substantial (Kappa = 0.64). Conclusion This study showed that urogenital schistosomiasis was prevalent in schoolchildren in Abobo, Hassoba and Kurmuk districts. Urogenital schistosomiasis prevalence in Hassoba-bure and Kurmuk falls under low category whereas moderate in Abobo and is almost four times compared to Kurmuk and Hassoba-bure. Chemotherapy is needed in schoolchildren in such endemic areas and other measures like access to safe water, improved sanitation, hygiene, and health education should be implemented to control and prevent schistosomiasis effectively. The sensitivity, specificity, positive and negative predictive values of urinalysis reagent strip were higher and could serve as alternative for mass screening of urogenital schistosomiasis, for surveillance and evaluation of schistosomiasis intervention programs.

Introduction: Urogenital schistosomiasis is one of public health problems in lowland areas of Ethiopia. The disease is caused by Schistosoma haematobium. Freshwater Bulinus snails are intermediate hosts for the parasite transmission. The aim of the study was to assess intermediate host snails of urogenital schistosomiasis, human water contact behavior and physico-chemical characteristics of Alwero Dam reservoir. Methods: Bulinus snails were sampled from 12 sites of Alwero Dam. Bulinus snails were collected, identified and examined for natural schistosome infections. A total of 206 people were interviewed to determine human water contact behavior. The water temperature, pH, dissolved oxygen, total dissolved solid, salinity and conductivity of the water were determined. Results: Of 1125 Bulinus snails collected, 72 (6.4%) were infected with echinostome cercariae but none of them were infected with schistosome cercariae. The abundance of Bulinus species did not show significant variation across seasons ( P = .61). Occurrence of Bulinus species was significantly higher in stony substratum than sandy substratum ( P = .01). Of the total 206 participants, 119 (57.8%) had water contact activities like washing clothes, bathing or swimming. Majority of respondents (70.0%) reported that they visited the dam reservoir once or twice a week, while 16.5% and 13.6% reported that they visited the dam 3 to 5 times a week and daily, respectively. Moreover, 72.3% of the respondents had reported they had history of urogenital schistosomiasis infection. The mean water temperature, pH, dissolved oxygen, total dissolved solid, electric conductivity, and salinity of the dam water was 28.6°C, 7.07, 5.75 mg/l, 90.0 ppm, 124.8 µS/cm, and 50.0 ppm, respectively. Conclusion: At Alwero Dam, Bulinus snails were highly abundant and the human water contact activities were frequent. Therefore, the community awareness creation should be made to reduce water contact with snail infested water to prevent risk of urogenital schistosomiasis infection.

Background: Land use and land cover change significantly affects biodiversity, abundance and distribution of intermediate snail host fauna. In Omo-Gibe river basin the extent of land-use change is high due to anthropogenic activities leading to habitat change of freshwater snail intermediate hosts. Most intermediate snail hosts of human Schistosome parasites belong to two genera, Biomphalaria and Bulinus. In Addition, Lymnea spp. is another important host of Fasciola which causes fasciolasis in domestic animals and human. This study aims to assess the effects of land-use on the distribution and abundance of freshwater snail intermediate hosts and cercariae infection rates of fresh water intermediate snail hosts in Omo-Gibe River basin, Ethiopia.Methods: This study was conducted in Omo-Gibe river basin in 130 sampling sites which include rivers, lakes, dams, stream, wetlands and irrigation ditches. At each site data on land use, anthropogenic activities, freshwater snail abundance and species diversity, and water samples were collected. Snails were collected from each sampling sites using a scoop (20cm x 30cm) with a mesh size of 300µm. Snails were sorted by genus on Enamel pan using forceps and preserved in labeled vials containing 75% ethanol. Live snails collected from the same habitat were sorted carefully and put in clean plastic buckets half filled with water. Afterwards, snails were provided with fresh lettuce leaves and maintained in the laboratory. Snails were then identified morphologically to family, genus and to species level. Each snail was examined for cercaria shedding by placing in a petri dish containing water and exposed to the sun for 2 hours. Cercariae were morphologically identified by microscopy. ArcGIS software of version 10.3.1 was used to map snail distribution and data were analysed using SPSS version-20.Results: The results obtained in this study shows clearly that land use change affect the distribution and abundance of fresh water snails in Omo-Gibe river basin. Fresh water snails were more abundant in farmland and settlement areas. Of the total 2,559 freshwater snails collected from 130 surveyed sites in Omo-Gibe river basin, 1749 (68.34%) belongs to medically important snail species. Biomphalaria spp.914 (35.7%),, Lymnea spp.439 (17.1%),, Physa spp. 343(13.4%) and Bulinus spp 53 (2%)). Sphaeriidae group accounted for 810 (31.6%) of the collected specimens. Biomphalaria pfeifferi was the predominant species of the total snail sampled from lakes, wetlands, rivers and irrigation ditches. Biomphalaria pfeifferi was the most infected snail species by different cercariae. Bulinus globosus and L.natalensis were infected by more than one and same type of cercariae. However, none of B. sudanica and P. acuta specimens was infected by trematode.Conclusions: The results of this study revealed that land use change altered the abundance, distribution and diversity of medically important fresh water snails in the study area. In general medically important freshwater snails which include: Biomphalaria spp, Bulinus spp and Lymnaea spp were collected from lakes, rivers, wetlands, irrigation ditches.. The medically important snail species found infected by cercaria are L. natalensis, B. pfeifferi and B. globosus. Biomphalaria pfefferi was the predominant species and highly infected by cercariae. Higher infection rate was observed in snails collected in Farmland (16.59%) and Grassland (36.6%).