Helminthiasis and hygiene conditions of schools in Ikenne, Ogun State, Nigeria

Background

A study of the helminth infection status of primary-school children and the hygiene condition of schools in Ikenne Local Government Area of Ogun State, Nigeria was undertaken between November 2004 and February 2005 to help guide the development of a school-based health programme.

Methods and Findings

Three primary schools were randomly selected: two government-owned schools (one urban and the other rural) and one urban private school. No rural private schools existed to survey. A total of 257 schoolchildren aged 4–15 y, of whom 146 (56.8%) were boys and 111 (43.2%) were girls, took part in the survey. A child survey form, which included columns for name, age, sex, and class level, was used in concert with examination of stool samples for eggs of intestinal helminths. A school survey form was used to assess the conditions of water supply, condition of latrines, presence of soap for handwashing, and presence of garbage around the school compound. The demographic data showed that the number of schoolchildren gradually decreased as their ages increased in all three schools. The sex ratio was proportional in the urban school until primary level 3, after which the number of female pupils gradually decreased, whereas in the private school, sexes were proportionally distributed even in higher classes. The prevalence of helminth infection was 54.9% of schoolchildren in the urban government school, 63.5% in the rural government school, and 28.4% in the urban private school. Ascaris lumbricoides was the most prevalent species, followed by Trichuris trichiura, Taenia species, and hookworm in the three schools. Prevalence of infection in the government-owned schools was significantly higher than in the private school (χ ² = 18.85, df = 2, p<0.0005). A survey of hygiene conditions in the three schools indicated that in the two government schools tapwater was unavailable, sanitation of latrines was poor, handwashing soap was unavailable, and garbage was present around school compounds. In the private school, in contrast, all hygiene indices were satisfactory.

Conclusions

These results indicate that burden of parasite infections and poor sanitary conditions are of greater public health importance in government-owned schools than in privately owned schools. School health programmes in government-owned schools, including deworming, health education, and improvement of hygiene conditions are recommended.     

Serological detection of yam viruses in farmers' fields in Ogun State,Nigeria

A field survey was conducted in eight local government areas (LGA) of Ogun state, Nigeria to assess the incidence of viral diseases of yams in the areas. Leaf samples were collected from 90 yam plants which were either symptomatic or asymptomatic. These were bulked into 45 during serological tests and the viruses indexed include yam mosaic virus (YMV); Dioscorea alata bacilliform virus (DaBV) and cucumber mosaic virus (CMV). DaBV was the most prevalent virus on the field with incidence of 48.9% (22/45) followed by YMV which occurred in 42.2% (19/45). CMV had the lowest percentage of incidence; 2.2% (1/45). Of all the LGAs visited, Abeokuta north and Abeokuta south had the highest incidence of YMV and DaBV, respectively. Mixed virus infections were also detected.     

A survey of outdoor and indoor airborne fungal spora in the Redemption City, Ogun State, south-western Nigeria

The concentration and biodiversity of airborne fungi of the Redemption City, an immense campground for Christian faithful and the temporary site of the Redeemer’s University in south-western Nigeria, was studied between February and May 2011 using the culture plate method. The study was undertaken to assess the concentrations of fungal spores and their health implication in this ever-busy environment. Fifteen different sites classified as closed or open were selected. During the experiment, a total of 228 colonies were counted, and 29 fungal species belonging to 26 genera were isolated which include the following: Aspergillus flavus, Aspergillus niger, Bipolaris spp., Chrysosporium spp., Cladosporium spp., Coniothyrium corda, Curvularia spp., Diplodia spp., Fusarium spp., Gliocladium spp., Monilia spp., Mucor spp., Mucor plumbeus, Penicillium spp., Phycomyces spp., Phytophthora spp., Pilobolus spp., Pyrenochaeta spp., Rhizopus stolonifer, Torula spp., Trichoderma spp. and Trichophyton spp. The most frequently occurring fungi were A. niger, C. corda and M. plumbeus, while the least recorded were Torula and Trichophyton species. Majority of the fungi isolated are known allergens; they could also be opportunistic causing various diseases in man. There is therefore a dire need for good sanitation practices within the studied areas of the camp.     

Ecology of the Ogun River estuary,Nigeria

The distribution of benthonic communities (particularly Foraminifera) were studied from fourteen samples obtained from the Ogun River estuary and environs. Ten species of benthonic Foraminifera were identified; two of these constitute over 90% of the total foraminiferal population.Two broad biofacies are recognisable, namely the upper estuarine facies of Ammobaculites and the lower estuarine facies comprising arenaceous and calcereous forms with a preponderance of Ammonia beccarii (Linnaeus).Large populations of few species occur in the lower estuary, an area of weakly saline water with marked salinity fluctuations. The upper estuary on the other hand is sparsely populated and contains tests mainly of arenaeous Foraminifera. A few species are distinctive of particular facies but some are distributed throughout the estuary. Substrate is not a causal ecological factor, because sediments are similar in physical attributes throughout the estuary. Salinity and rate of sedimentation are among the more important factors affecting the distribution of all species. The low-energy nature of the environment is established by the abundance of faecal pellets and the fragility of the tests of the arenaceous Foraminifera.     

Lead levels in some biological samples of auto-mechanics in Abeokuta, Nigeria

Lead levels were determined in the blood, scalp hair and fingernails of 38, all male auto-mechanics (aged 18-45 years) from Abeokuta, South-western Nigeria. The subjects were classified into four sub-groups based on the period of exposure namely: 1-5, 6-10, 11-15, and >16 years. Thirty-two occupationally unexposed subjects (mainly office workers) served as the control. The weight, height and body mass indexes of all subjects were noted, in addition to other information obtained through structured questionnaire. The mean values of blood lead (BPb), hair lead (HPb) and fingernail lead (NPb) of the occupationally exposed subjects (n=38) were 48.50 +/- 9.08 microg/dL, 17.75 +/- 5.16 microg/g, and 5.92 +/- 3.30 microg/g respectively, while the corresponding mean values for these parameters in the control subjects (n = 32) were 33.(,5 +/- 10.09 microg/dL, 14.30 +/- 5.90 microg/g and 5.31 +/- 2.77 microg/g respectively. The differences in BPb and HPb levels of the two groups were statistically significant (P <0.05 and P <0.01 respectively), while that of NPb was not significant. The levels of lead in the biological samples appeared to have no relationship with the number of years on the job. From these results, it was obvious that the higher levels of lead in the biological samples of test subjects, compared with those of the controls were from environmental sources.     

Gill asymmetry in Labeo ogunensis from Ogun river, Southwest Nigeria

Fluctuating asymmetry (FA), often used as indicator of environmental stress, was evaluated in gill rakers and filaments of Labeo ogunensis from Ogun river, Southwest Nigeria. Mean length and weight of 13.68 +/- 1.28 cm and 59.40+17.48 g were respectively recorded. The gill rakers (t = -0.919) and filaments (t = -1.150) from both sides were not significantly different. The gill filaments recorded (0.31 +/- 2.42) higher incidence of fluctuating asymmetry (FA) compared with the gill rakers (0.21 +/- 1.58), signifying developmental interference in the population. Fish size and sex were observed to exert minimal influence on FA.     

Body fat distribution of children and adolescents in Abeokuta,Southwest Nigeria

Excessive central fat in children and adolescents is a risk factor for cardiovascular and metabolic disorders. This study aimed to compare the body fat distribution patterns of children and adolescents in Abeokuta, Nigeria with international reference standards. Five hundred seventy children aged 5 to 19 years were selected from seven schools using multistage random sampling. Weight, height, triceps and subscapular skinfold thickness (TSF, SSF), and circumference at the waist and hips (WC, HC) were measured. Body mass index (BMI), subscapular:triceps skinfold ratio (STR), waist:hip circumference ratio (WHR), and waist: height ratio (WHtR) were derived. Females had higher mean BMI, TSF, SSF, WC, HC, WHR, and WHtR, while males had significantly higher STR. The mean BMI, WC, TSF, and SSF values were lower for our subjects than for African‐American subjects at all ages. On the other hand, in both sexes, STR was higher among Nigerian than African‐American subjects up to 12 years old. Thereafter the values were similar. The mean WC was similar to those reported for African‐American males up to 8 years, and females up to 7 years of age; thereafter, African‐American had higher values. The prevalence of central obesity using WC and WHtR measures was 4.4% and 5.8%, respectively. There is a need to validate each index against serum lipid profiles and other cardiovascular and metabolic risk factors. Am J Phys Anthropol 150:647–654, 2013. © 2013 Wiley Periodicals, Inc.     

Assessment of extracts from some tropical plants in the management of termite (Termitidae: Isoptera) in Ogun State,Nigeria

This study investigated the efficacy of extracts from four plants, namely: Azadirachta indica, Ocimum gratissimum, Vernonia amygdalina and Nicotiana tabaccum at managing the population of termites in the laboratory and in the field. The synthetic insecticide (Chlorpyrifos 0.1%) and water were included in the study as controls. In the laboratory, contact toxicity was conducted by topical application of the treatments to the thorax of soldier termite Macrotermes bellicossus and mortality noted. The repellent action of the treatments was tested by releasing 10 of the termites into the center of Petri dishes lined with treated filter paper. The number of insects present on the control and treatment halves was recorded and the percentage repellence values were computed. The residual effects of the treatments was studied by placing five termites in Petri dishes lined with filter paper that have been treated with the treatments 24 hours prior to its placement and insect mortality was noted. The studies were conducted using complete randomised design with four replicates. Field trial of the treatments was conducted on termitaria that were demolished and disinfested with five liters of the treatments. The results showed that all the treatments caused 95–100% mean insect mortality 10 hours after insect exposure and have repellence values of between 40 and 65%. The residual effects of the treatments caused termite mean mortality of 100% in Chlorpyrifos and N. tabacum-treated surfaces and between 50 and 65% in others. In the field, only A. indica and Chlopyrifos were effective at curtailing termite upsurge and rebuild of termitaria.     

Chemical speciation of some heavy metals and human health risk assessment in soil around two municipal dumpsites in Sagamu,Ogun state,Nigeria

Environmental and health risk posed by heavy metals from municipal landfill cannot be over emphasized. However, the toxicity and fate of metal in the soil is dependent on its chemical form and therefore quantification of the different forms of metal is more meaningful than the estimation of its total concentration. This study investigated the chemical form and potential hazards of heavy metal pollution at two municipal landfills in Sagamu, Ogun state, Nigeria. Soil samples were collected around the landfills and chemical form of Cu, Zn, Cd, Pb, and Fe were studied, using the Tessier Five-step sequential chemical extraction procedure. The results showed that Cu and Fe were speciated into residual fractions with averages of 23.9 and 31.3% respectively, while Cd and Zn were associated with Carbonate fractions with respective averages of 20.3 and 20.6%. The order of mobility and bioavailability of these metals are: Cd > Pb > Cu > Zn > Fe. A comparison of the result of total extractible metals with standard set by USEPA reveals that Cd and Cu level in the dumpsite soils are far above the critical permissible limit of 3.0 and 250 mg kg^?1, respectively which potent a health risk. Assessment of soil pollution level using geoaccumulation index (I_geo) revealed that the landfill was extremely polluted by Cd (I_geo > 5). Pearson correlation and principal component analysis showed that there were no significant correlations (p < 0.05) among all the metals, suggesting that they are all from different anthropogenic sources. The cancer risk ranged from 1.36E?01 to 2.18E?04 and 5.82E?01 to 9.35E?04 for Children and Adult respectively. The level of cancer risk falls above the threshold values (10^?4–10^?6) which US Environmental Protection Agency considered as unacceptable risk. Based on the above findings, it was suggested that environmental management policy should be implemented to decrease the environmental risks.     

Economic Burden of Heart Failure: Investigating Outpatient and Inpatient Costs in Abeokuta,Southwest Nigeria

Background: Heart failure (HF) is a deadly, disabling and often costly syndrome world-wide. Unfortunately, there is a paucity of data describing its economic impact in sub Saharan Africa; a region in which the number of relatively younger cases will inevitably rise. Methods: Heath economic data were extracted from a prospective HF registry in a tertiary hospital situated in Abeokuta, southwest Nigeria. Outpatient and inpatient costs were computed from a representative cohort of 239 HF cases including personnel, diagnostic and treatment resources used for their management over a 12-month period. Indirect costs were also calculated. The annual cost per person was then calculated. Results: Mean age of the cohort was 58.0±15.1 years and 53.1% were men. The total computed cost of care of HF in Abeokuta was 76, 288,845 Nigerian Naira (US$508, 595) translating to 319,200 Naira (US$2,128 US Dollars) per patient per year. The total cost of in-patient care (46% of total health care expenditure) was estimated as 34,996,477 Naira (about 301,230 US dollars). This comprised of 17,899,977 Naira- 50.9% ($US114,600) and 17,806,500 naira −49.1%($US118,710) for direct and in-direct costs respectively. Out-patient cost was estimated as 41,292,368 Naira ($US 275,282). The relatively high cost of outpatient care was largely due to cost of transportation for monthly follow up visits. Payments were mostly made through out-of-pocket spending. Conclusion: The economic burden of HF in Nigeria is particularly high considering, the relatively young age of affected cases, a minimum wage of 18,000 Naira ($US120) per month and considerable component of out-of-pocket spending for those affected. Health reforms designed to mitigate the individual to societal burden imposed by the syndrome are required.     

Bacterial contaminants and their antibiotic susceptibility patterns in ready-to-eat foods vended in Ogun state,Nigeria

Contamination of ready-to-eat (RTE) foods by pathogenic bacteria may predispose consumers to foodborne diseases. This study investigated the presence of bacterial contaminants and their antibiotic susceptibility patterns in three locally processed RTE foods (eko, fufu and zobo) vended in urban markets in Ogun state, Nigeria. Bacteria isolated from a total of 120 RTE food samples were identified by 16S rRNA gene phylogeny while susceptibility patterns to eight classes of antibiotics were determined by the disc diffusion method. Species belonging to the genera Acinetobacter and Enterobacter were recovered from all RTE food types investigated, Klebsiella and Staphylococcus were recovered from eko and fufu samples, while those of Shigella were recovered from eko samples. Enterobacter hormaechei was the most prevalent species in all three RTE food types. Precisely 99% of 149 isolates were multidrug-resistant, suggesting a high risk for RTE food handlers and consumers. Co-resistance to ampicillin and cephalothin was the most frequently observed resistance phenotype. Results demonstrate that improved hygiene practices by food processors and vendors are urgently required during RTE processing and retail. Also, adequate food safety guidelines, regulation and enforcement by relevant government agencies are needed to improve the safety of RTE foods and ensure the protection of consumer health.     

尼日利亚南部阿贝奥库塔地区冈比亚按蚊复合体的形态特征研究（双翅目：蚊科）

对采自尼日利亚南部城市阿贝奥库塔冈比亚按蚊复合体Anopheles gambiae complex的形态特征进行了研究。依据2005年8月至2006年7月灯诱捕获的364个冈比亚按蚊复合体标本,分别对它们的触角、翅、喙、前足、中足和后足6个部位的长度进行了测量,对月平均值进行回归分析,同时利用差异系数（co-efficient of difference,CD）进行近缘分析。分析显示,各特征的长度平均值雨季大于旱季,但是回归分析表明长度变化与季节不显著相关（P>0.05）。差异系数分析结果表明,仅触角长度和翅长显示此复合体为两个不同的种群(CD>1.28),而其他特征值表明为同一种群。因此,该研究结果提示触角长度及翅长对冈比亚按蚊复合体近缘种的区分有重要参考价值。     

Spectrum of heart diseases in a new cardiac service in Nigeria: An echocardiographic study of 1441 subjects in Abeokuta

Background

The recent determination of the complete nucleotide sequence of several Mycobacterium tuberculosis (MTB) genomes allows the use of comparative genomics as a tool for dissecting the nature and consequence of genetic variability within this species. The multiple alignment of the genomes of clinical strains (CDC1551, F11, Haarlem and C), along with the genomes of laboratory strains (H37Rv and H37Ra), provides new insights on the mechanisms of adaptation of this bacterium to the human host.

Findings

The genetic variation found in six M. tuberculosis strains does not involve significant genomic rearrangements. Most of the variation results from deletion and transposition events preferentially associated with insertion sequences and genes of the PE/PPE family but not with genes implicated in virulence. Using a Perl-based software islandsanalyser, which creates a representation of the genetic variation in the genome, we identified differences in the patterns of distribution and frequency of the polymorphisms across the genome. The identification of genes displaying strain-specific polymorphisms and the extrapolation of the number of strain-specific polymorphisms to an unlimited number of genomes indicates that the different strains contain a limited number of unique polymorphisms.

Conclusion

The comparison of multiple genomes demonstrates that the M. tuberculosis genome is currently undergoing an active process of gene decay, analogous to the adaptation process of obligate bacterial symbionts. This observation opens new perspectives into the evolution and the understanding of the pathogenesis of this bacterium.     

An outbreak of schistosomiasis in Atlantic brant geese, Branta bernicla hrota

A heavy infection with schistosomes of the genera Trichobilharzia and Dendritobilharzia was considered the cause of 90% mortality in a group of 40 wild-caught Atlantic brant geese (Branta bernicla hrota) that were maintained in captivity on a fresh-water pond in Aurora, Ontario. Numerous adult worms and eggs were disseminated in many organs throughout the body of all birds examined. The main pathological findings, attributed to both eggs and adults, included emaciation, thrombosis of the caudal mesenteric vein and its branches, fibrinohemorrhagic colitis, and in some birds, heptomegaly. Translocation of brant geese from their natural marine environment to a fresh-water pond may have caused them to be exposed to parasites which they would not normally encounter.     

Aeropalynological study of two selected locations in North-Central Nigeria

Pollen and spores have been found as major biological sources of morbidity among individuals sensitive to respiratory disorders. The aim of the present study was to analyse the deposition rate of atmospheric pollen and fern spores at selected sites in Benue and Plateau states of the North-Central Nigeria between July 2015 and June 2016. This was accomplished by: (1) determining the pollen and fern spore content of each monitoring station; (2) establishing the relationship between total pollen count and meteorological parameters; and (3) comparing the recovered airborne pollen spectra with identified plants in the surrounding vegetation types of the sampling sites. The collection of atmospheric pollen was done using a modified Tauber sampler and plants in the surrounding environment of the sampling sites were enumerated. The residual solution was collected monthly and acetolysed, after which slide preparation and microscopy of the treated residue were done. Meteorological data were obtained from the Nigerian Meteorological Agency, Lagos. The results obtained reveal seasonal distribution patterns of various airborne pollen grains in the study locations. The most abundant pollen types recovered in Plateau State were produced by Syzygium guineense, Tridax procumbens, Alchornea sp., Terminalia sp., Poaceae and Amaranthaceae. Pollen types of Casuarina equisetifolia, Syzygium guineense, Tridax procumbens, Poaceae and Cyperaceae were preponderant in Benue State. Pteris sp., Nephrolepis sp. and a trilete fern spore were also represented in this study. The recovered airborne pollen spectra correspond favourably with some identified plants in the study locations. There was no significant correlation between monthly total pollen count and mean monthly values of meteorological parameters in Benue State. Air temperature and wind speed correlated significantly with monthly total pollen count in Plateau State. It is suggested that the allergenic effect of these abundant pollen types on humans should be further examined.     

Mycoflora and Occurrence of Aflatoxin B 1 in Dried Yam Chips from Markets in Ogun and Oyo States,Nigeria

Seventy-six samples of dried yam chips locally called elubo isu were purchased in 2000 from markets in Ogun and Oyo States of southwestern Nigeria. The samples were assessed for pH, moisture content, associated fungi and aflatoxin B1 contamination. The pH of samples ranged from 5.6 to 6.1,while the moisture contents varied from 6.8 to 14.5% in Ogun samples, and 7.1 to 13.6% in samples from Oyo. Aspergillus and Penicillium were the two prevalent genera of fungi, and the number of colony forming units per gram of these two genera in the yam chips studied exceeded the tolerance limit in foodstuffs. The other fungal genera isolated included Botryodiplodia, Cladosporium, Fusarium, Rhizopus, Mucor, Aureobasidium and Paecilomyces. The two most frequent fungal species were A. niger and A. flavus. Thin layer chromatographic analysis showed that 17 samples or 22% contained aflatoxin B1 beyond the detection limit (5 ppb), but only three samples or 4% had toxin level above 30 ppb, the tolerance level in food for human consumption. The mean concentration of aflatoxin B1 in positive samples was 27.1 ppb.     

Mass administration of medicines in changing contexts: Acceptability,adaptability and community directed approaches in Kaduna and Ogun States,Nigeria

Nigeria has the highest burden of NTDs in sub-Saharan Africa. Commitments to reach the control and elimination of many Neglected Tropical Diseases (NTDs), particularly those amenable to preventive chemotherapy (onchocerciasis, schistosomiasis, soil transmitted helminths, lymphatic filariasis and trachoma) by 2020 are detailed in the London declaration. Strategies to reach targets build on existing approaches, one of which is the use of community directed intervention (CDI) methods to deliver the mass administration of medicines (MAM). However, treatment using this approach has been inconsistent and there are questions about the acceptability and adaptability of these interventions during periods of programmatic, social, and political change. This paper explores the current strengths and weaknesses of CDI approaches in MAM delivery. We consider the acceptability and adaptability of existing MAM approaches to ensure equity in access to essential treatments. Using qualitative methods, we explore implementer perspectives of MAM delivery. We purposively selected programme implementers to ensure good programmatic knowledge and representation from the different levels of health governance in Nigeria. Data collection took place across two States (Kaduna and Ogun). Our results indicate that CDI approaches have underpinned many historic successes in NTD programme acceptance in Nigeria, specifically in Kaduna and Ogun State. However, our results also show that in some contexts, factors that underpin the success of CDI have become disrupted presenting new challenges for programme implementers. Capturing the tacit knowledge of health implementers at varying levels of the health system, we present the current and changing context of MAM delivery in Kaduna and Ogun States and consolidate a platform of evidence to guide future programme delivery and research studies. We situate our findings within the broader NTD literature, specifically, in identifying how our findings align to existing reviews focused on factors that shape individual acceptance of MAM.     

The prevalence, intensity and clinical signs of urinary schistosomiasis in Imo state, Nigeria

Urine samples were assayed for urinary schistosomiasis in four local government areas (LGA) of Imo State, Nigeria between May 1998 and September 2000. A total of 3504 persons were sampled, with 880 (25.1%) being positive for urinary schistosomiasis, based on records of eggs of Schistosoma haematobium. The prevalence of S. haematobium infection differed in the various LGAs, with Oguta (38.9%) and Owerri-West (10.4%) showing the highest and the lowest values, respectively. Prevalence was higher in males (67.4%) than in females (32.6%) and in subjects 11-20 years of age (31.5%), while prevalence varied among different occupational groups, with farmers ranking the highest (41.6%). Visible haematuria was the predominant symptom (P<0.05). Of 880 persons positive for eggs of S. haematobium, 452 (51.4%) had visible haematuria, followed by suprapubic pains 214 (24.3%) and painful micturition 97 (11.0%). Although 367 (10. 5%) of the sampled subjects with eggs of S. haematobium showed no visible haematuria, 513 (14.6%) clearly demonstrated haematuria.     

Frequency of human toxocariasis in Jos, Plateau State, Nigeria

The enzyme-linked immunosorbent assay (Elisa) was used to examine sera of 104 children and adults in Jos, Plateau State, Nigeria for anti-toxocaral antibodies, out of which 31 (29.8%) were reactive. The seropositive rates were 30.4% for adults, 29.6% for children, 34% for females and 25.9% for males. However, the differences were not significant by age and sex. A highly significant association (p < 0.001) was observed between seropositivity and geography but none between seropositivity and dog ownership (p > 0.05).