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Epidemiological study and sanitary problems in a village in the east central part of madagascar


, : Epidemiological study and sanitary problems in a village in the east central part of madagascar. Archives de l'Institut Pasteur de Madagascar 48(1): 151-162

Health problems were evaluated in a village in eastern Madagascar, where a development program was undertaken. Inhabitants (217) underwent physical examination, and laboratory tests were performed (blood smear-thick drop, Emmel test, stool test for parasites and enteroviruses). The epidemiologic investigation revealed the prevalence of malaria (39.4%), intestinal schistosomiasis (59.9%), ascaridiasis (61.3%), hookworm (29.9%), trichuriasis (19.8%) and sickle cell anemia (4.80%). The signs and symptoms were analyzed, particularly spleen enlargement, which was due to schistosomiasis. The local transmission pattern of schistosomiasis was investigated and according to the malacological findings, seemed to be intermittent. The local hookworm was identified as Necator americanus. A sanitary program designed for local needs is recommended.

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