A cross-sectional study on the prevalence and morbidity of schistosomiasis was
conducted in the main settlement of the municipality of Alhandra, in the southern
coastal region of the state of Paraíba, in 2010. The results of this study were
compared with the results of a previous study conducted in the same area in 1979. The
systematic sampling per family conglomerate included approximately 10% of the
resident population in the urban area of Alhandra. Faecal examinations were performed
using the Kato-Katz method. The clinical forms of the disease were classified in
accordance with FS Barbosa as Type I - intestinal form, Type II - hepatointestinal
form and Type III - hepatosplenic form. The prevalence of the infection in 2010 was
10.05%, whereas in 1979 it was 46.6% among untreated patients. The percentages of the
three clinical forms in 2010 were as follows: 95.3% Type I, 4.6% Type II and 0% Type
III; in 1979, the percentages were 94.4%, 3% and 2.6% for Types I, II and III,
respectively. In 1979, 6.07% of the Biomphalaria glabrata specimens
(the intermediate host in this area) excreted cercariae, where in 2010 only 1.27% of
the specimens caught excreted the parasite.