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022			_a 2049-9957
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_cDLC
041			_aEnglish
100			_aNadine Rujeni _945030
222			_a Schistosomiasis Soil-transmitted helminths Control Epidemiology Rwanda
245			_aSchistosomiasis and soil-transmitted helminthiasis in Rwanda _b an update on their epidemiology and control
260			_aMwanza: _bBioMed Central & _bTanzania Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c01 March 2017
300			_aPages 1-11
490			_v Source Infectious diseases of poverty Volume 6 Issue 1
520			_aAbstract Even though Rwanda lies within a region that has a high prevalence of schistosomiasis and soil-transmitted helminth (STH) infections, epidemiological information regarding these infections in the country remains scarce. The present review attempts to compile the available data on schistosomiasis and STHs, from 1940 to 2014, to provide an insight on the epidemiological profile of these infections. This information will, in turn, support the design and implementation of sustainable control measures. The available records indicate that only Schistosoma mansoni and all the major species of STHs are endemic in Rwanda. In 2008, the national prevalence of S. mansoni was reported to be 2.7%, ranging from 0 to 69.5%, and that of STH infections was 65.8% (diagnosed using the Kato-Katz technique). The prevalence of these infections varies from one district to another, with schoolchildren remaining a highly affected group. The main control approach is mass drug administration using albendazole and praziquantel, mostly targeting school-aged children in school environments. In 2008, adult individuals living in areas with a prevalence of S. mansoni ≥30% were also included in the mass drug administration programme. However, despite Rwanda achieving an almost 100% coverage of this programme in 2008–2010, the transmission of S. mansoni and STHs continues to take place, as illustrated by the most recent surveys. If Rwanda is to achieve sustainable control and elimination of schistosomiasis and STHs, there is a need to revise the country’s control strategy and adopt an integrated control approach that involves a combination of measures.
700			_a Domenica Morona _922989
700			_a Eugene Ruberanziza _945031
700			_a Humphrey D Mazigo _922835
856			_uhttps://doi.org/10.1186/s40249-016-0212-z
942			_2ddc _cVM
999			_c19256 _d19256