Schistosomiasis - WordPress.com

Schistosomiasis - WordPress.com

SCHISTOSOMIASIS: AN UNFAMILIAR INFECTIOUS DISEASE Tiffany Jackson, Ph.D. student (Public Health: Epidemiology) Walden University PUBH 8165-1 (Environmental Health) Instructor: Dr. Shana Morrell Spring, 2009 Objectives Educate the general public about Schistosomiasis Enlighten the public about a potential global impact

Convince professionals of the need for public health interventions Why Is It Important? Emerging Infectious Disease ??? Socioeconomic Impact Health Conditions * Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe.org/infect/schisto.html. Schistosomiasis

What Is It? An infection caused by blood flukes How Do People Get It? Contact with contaminated water Where Is It Found? Tropical Climates Centers for Disease Control & Prevention (CDC). (2008, February). Schistosomiasis: Fact Sheet. Retrieved April 3, 2009 from http://www.cdc.gov/ncidod/dpd/parasites/ schistosomiasis/factsht_schistosomiasis.htm. * Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe.org/infect/schisto.html. Types of Schistosoma

Schistosoma mansoni www.tcd.ie Schistosoma japonicum lifesciencedb.jp Schistosoma haematobium www.ym.edu.tw * Hawley, L. B. (2000). High Yield Microbiology and Infectious Diseases. Baltimore, MD and Philadelphia, PA: Lippincott, Williams and Wilkins. * Johnson, A.G.; Ziegler, R.J.; Lukasewycz, O. A and Hawley, L. B. (2002). BRS: Microbiology and Immunology (4 th Ed). Baltimore, MD and Philadelphia, PA: Lippincott, Williams and Wilkins. Life Cycle http://creationwiki.org/File: Schistosomiasis_Life_Cycle.jpg * Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe.org/infect/schisto.html.

* Hawley, L. B. (2000). High Yield Microbiology and Infectious Diseases. Baltimore, MD and Philadelphia, PA: Lippincott, Williams and Wilkins. * Wilson, W. R. and Sande, M. A. (2001). Current Diagnosis & Treatment in Infectious Diseases. United States: McGraw-Hill Disease Syndromes Swimmers Itch (Dermatitis) Katayama Fever Chronic Fibro Obstructive Disease http://www.e-radiography.net/radpath/s/ schistosomiasis1.jpg www.gnntdc.org Bladder Carcinoma path.upmc.edu

roboticoncology.com * Kumar, V; Abbas, A. and Fausto, N. (Eds.).(2007). Robbins and Cotran: Pathologic Basis of Disease. Philadelphia, PA: Elsevier Saunders. * Wilson, W. R. and Sande, M. A. (2001). Current Diagnosis & Treatment in Infectious Diseases. United States: McGraw-Hill. Signs / Symptoms 1. Dermatitis Itchy Papular Rash 2. Katayama Fever

Fever Chills Headache Cough Lymphadenopathy Hepatosplenomegaly 3. Chronic Fibro-Obstruc. Chronic Granulomatous Disease Fibrosis 4. Bladder Carcinoma

Painless Hematuria Frequency Urgency Dysuria * Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe.org/infect/schisto.html. * Kumar, V; Abbas, A. and Fausto, N. (Eds.).(2007). Robbins and Cotran: Pathologic Basis of Disease. Philadelphia, PA: Elsevier Saunders. * Wilson, W. R. and Sande, M. A. (2001). Current Diagnosis & Treatment in Infectious Diseases. United States: McGraw-Hill. Laboratory Findings Parasite Eggs in Feces / Urine Eosinophilia Hematuria

Anemia Abnormal LFTs Increased Creatinine Uremia (Wilson and Sande, 2001 p.872-874) Wilson, W. R. and Sande, M. A. (2001). Current Diagnosis & Treatment in Infectious Diseases. United States: McGraw-Hill. Global Impact ??? Increase Incidence / Prevalence Increase Morbidity / Mortality Increase in Use of Public Health Resources

* Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe. org/infect/schisto.html. * MicrobiologyBytes (Micro). (2007, January). Schistosomiasis. Retrieved May 1, 2009 from http://www.microbiologybytes.com/introduction/Schisto.html Epidemiological Data Occurs in > 200 million worldwide Effects about 500,000 in the U.S. http://www.the-travel-doctor.com/schistosomiasis_files/image006.jpg S. mansoni: : Estimated Morbidity and Mortality

At risk of infection 393 Infected 54 Diarrhoea during previous 2 weeks 0.78 (0.0-7.8) Blood in stool during previous 2 weeks 4.4 (3.0-8.3) Hepatomegaly (mid-sternal line) 8.5 Splenomegaly [6.3] Ascites [0.29] Haematemesis (ever) [0.93] Haematemesis (deaths/year) [0.13] * World Health Organization (WHO). (2009). Schistosomiasis: Epidemiology. Retrieved May 1, 2009 from http://www.who. int/schistosomiasis/ epidemiology/ table/ en/ index.html S. haematobium: Estimated

Morbidity and Mortality At risk of infection 436 Infected 112 Haematuria during previous 2 weeks 71 (52-89) Dysuria during previous 2 weeks 32 (17-55) Minor bladder morbidity (detected by ultrasound) 76 (67-92) Major bladder morbidity (detected by ultrasound) 24 (15-31) Moderate hydronephrosis 9.6 Major hydronephrosis 9.6

Non-functioning kidney [1.7] Non-functioning kidney (deaths/year) [0.15] Bladder cancer (deaths/year) Males [0.011] Females [0.0023] * World Health Organization (WHO). (2009). Schistosomiasis: Epidemiology. Retrieved May 1, 2009 from http://www.who. int/schistosomiasis/ epidemiology/ table/ en/ index.html Whats Being Done Now Prevention Methods Treatments Environmental Regulations

* Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe. org/infect/schisto.html. * Madramootoo, C. A.; Johnston, W. R. and Willardson, L.S. (Ed.) (1997). Management of Agricultural Drainage Water Quality. Rome: Food and Agricultural Organization (FAO). * Trevor, A. J.; Katzung, B. G. and Masters, S. B. (Ed. 7th). (2005). Pharmacology: Examination and Board Review. New York: Lange Medical Books / McGraw-Hill. *Wilson, W. R. and Sande, M. A. (2001). Current Diagnosis & Treatment in Infectious Diseases. United States: McGraw-Hill What Needs to Be Done Increase Public Education / Awareness Better Water Treatment More Collaborative Efforts * Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe. org/infect/schisto.html.

Bibliography For more information on Schistosomiasis refer to the following resources: Centers for Disease Control and Prevention: Division of Parasitic Diseases (www.cdc.gov/ncidod/dpd/parasites/Schistosomiasis/) Directors of Health Promotion and Education (www.dhpe.org/infect/schisto.html) Global Health Council (http://www.globalhealth.org/news/article/2086) U.S. National Library of Medicine and the National Institutes of Health: Medline Plus (www.nlm.nih.gov/medlineplus/ency/article/001321.htm) World Health Organization (www.who.int/topics/schistosomiasis/en/) References

Centers for Disease Control & Prevention (CDC). (2008, February). Schistosomiasis: Fact Sheet. Retrieved April 3, 2009 from http://www.cdc.gov/ncidod/dpd/parasites/ schistosomiasis/ factsht_schistosomiasis.htm. Directors of Health Promotion & Education. (2005). Schistosomiasis. Retrieved April 5, 2009 from http://www.dhpe. org/infect/schisto.html. Hawley, L. B. (2000). High Yield Microbiology and Infectious Diseases. Baltimore, MD and Philadelphia, PA: Lippincott, Williams and Wilkins. Johnson, A.G.; Ziegler, R.J.; Lukasewycz, O. A and Hawley, L. B. (2002). BRS: Microbiology and Immunology (4 th Ed). Baltimore, MD and Philadelphia, PA: Lippincott, Williams and Wilkins. Kumar, V; Abbas, A. and Fausto, N. (Eds.).(2007). Robbins and Cotran:

Pathologic Basis of Disease. Philadelphia, PA: Elsevier Saunders. MicrobiologyBytes (Micro). (2007, January). Schistosomiasis. Retrieved May 1, 2009 from http://www.microbiologybytes.com/introduction/Schisto.html References Cont. Moeller, D. W. (2005). Environmental Health (3rd ed.). Boston: Harvard University Press. Madramootoo, C. A.; Johnston, W. R. and Willardson, L.S. (Ed.) (1997). Management of Agricultural Drainage Water Quality. Rome: Food and Agricultural Organization (FAO). Trevor, A. J.; Katzung, B. G. and Masters, S. B. (Ed. 7 th). (2005). Pharmacology: Examination and Board Review. New York: Lange

Medical Books / McGraw-Hill. Wilson, W. R. and Sande, M. A. (2001). Current Diagnosis & Treatment in Infectious Diseases. United States: McGraw-Hill. World Health Organization (WHO). (2009). Schistosomiasis: Epidemiology. Retrieved May 1, 2009 from http://www.who. int/schistosomiasis/epidemiology/table/en/index.html

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