Browsing by Author "Kogi, Ezekiel"
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Item Edaphic and climatic factors infuence on the distribution of soil transmitted helminths in Kogi East, Nigeria(Nature portfolio, 2021-04-21) Yaro, Clement Ameh; Kogi, Ezekiel; Luka, Sodangi AbdulkarimThe need for a reliable risk map in the control of soil-transmitted helminths (STHs) in Kogi East, North Central Nigeria is very important. This study was carried out to determine the effect of environmental risk factors on geospatial distribution of STHs. Epidemiological data were obtained from a district-wide survey conducted in 2018 in Kogi East. Edaphic and climatic factors were downloaded as spatial layers from international recognised health data resources centres. A total of 24 environmental factors were used in determining the risk map of STHs using MaxEnt tool. The predicted high-risk areas of A. lumbricoides, hookworms and S. stercoralis were the central part of Kogi East covering parts of Dekina, Ofu, Igalamela-Odolu, Olamaboro and Omala LGAs with probability of 0.8 to 1.00. Among the factors investigated; Temperature [mean diurnal temperature range (BIO2), temperature annual range (BIO7) and maximum temperature of the warmest month (BIO5)], precipitation [precipitation of the wettest quarter (BIO16)], and soil clay contents were the five factors that exerted most significant influence on the geospatial distribution of STHs in Kogi East, Nigeria. Public health control programmes on STHs should target high-risk areas by including them in mass drug administration, health education as well as provision of water, sanitation and hygiene infrastructures.Item Impact of School-Based Health Education Intervention on the Incidence of Soil-transmitted Helminths in Pupils of Rural Schools, Kogi East, North Central Nigeria.(Preprints, 2020-11-05) Yaro, Clement Ameh; Kogi, Ezekiel; Luka, Sodangi AbdulkarimBackground: The negative impact of soil-transmitted helminths (STHs) in Nigeria is enormous posing serious public health issues. This study was undertaken to investigate the impact of health education intervention on re-infection of STHs in pupils of rural schools of Kogi East, North Central Nigeria. Methods: A cross-sectional survey was carried out in 45 schools to determine the prevalence of STHs in the 9 local government areas of Kogi East. Stool samples were collected and examined for STHs. A total of 10 schools with the highest prevalence were selected for the follow-up study, 5 schools were dewormed and given health education (DHE) intervention while the other 5 schools were dewormed only (DO). Reassessment of schools for re-infection was carried out for a period of 12 months. Data obtained were analyzed using descriptive statistics. Student t-test was used to make comparison between interventions in the incidence of infections. Analysis was carried out at p<0.05.Results: Re-infection with STHs was observed from the 7th month of both interventions. In the 36th week (9th month), incidence observed in schools given DHE schools (4.79%, 8 pupils) were higher than in DO schools (3.19%, 5 pupils), no significant difference (t = -0.840, p = 0.426) between the interventions. Also, at the 48th week (12 th month), no significant difference (t = -0.346, p = 0.738) between the DHE schools (7.19%, 12 pupils) and DO schools (6.37%, 10 pupils). Hookworms had the highest incidence in DHE (6.6%, 11 pupils) and DO (6.4%, 10 pupils) schools among the STHs. A. lumbricoides incidence was low and was observed in a school given DHE (0.6%, 1 pupil). S. stercoralis was not observed throughout. At 48th (12 th month), an incidence of 6.37% was observed compared to 32.03% prevalence at baseline in the DO schools and an incidence of 7.11% and prevalence of 36.09% in the DHE schools. Significant difference(p<0.05) exist between baseline and intervention. Conclusion: Non-dewormed individuals at the community levels may have contributed to the poor performance of health education. Community-based deworming should be encouraged alongside improvement in the water, sanitation and hygiene infrastructures at both school and home.