Prevalence and Risk Factors for Subclinical Rheumatic Heart Disease Among Primary School Children in Dar es Salaam, Tanzania: A Community Based Cross-Sectional Study.

2021 ◽  
Author(s):  
Parvina Kazahura ◽  
Theophylly L. Mushi ◽  
Pedro Pallangyo ◽  
Mohamed Janabi ◽  
Rodrick Kisenge ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Primary School ◽  
School Children ◽  
Dar Es Salaam ◽  
Primary School Children ◽  
Community Based ◽  
Cross Sectional ◽  
History Of ◽  
Rheumatic Heart

Abstract Background: Rheumatic heart disease (RHD) is the most common acquired heart disease occurring in children and adolescents. RHD is associated with significant morbidity and mortality particularly in low and middle- income countries (LMICs) where the burden is estimated to be higher compared to high income countries. Subclinical RHD is the presence of valvular lesion diagnosed by echocardiography in a person with no clinical manifestation of RHD. This study aimed at determining the prevalence, types and factors associated with subclinical RHD among primary school children in Dar Es Salaam, Tanzania.Methods: We conducted a cross-sectional, descriptive community-based study which recruited primary school children from February to May 2019. A standardized structured questionnaire was used to collect demographic data and information related to prior history of upper respiratory tract infections (URTIs). Anthropometric measurements were taken and chest auscultation and echocardiographic screening were done to all study participants. World Heart Federation echocardiographic classification was used to define the types and prevalence of subclinical RHD. Results: A total of 949 primary school children were enrolled with females being predominant (57.1%). The prevalence of subclinical RHD was 34 per 1000. All the participants had mitral valve disease only whereby 17 had definite disease and 15 had a borderline disease. The associated factors for subclinical RHD were older age of more than 9 years (OR 10.8, 95% CI 1.4-82.2, P=0.02) having three or more episodes of URTI in previous six months (OR 21, 95% CI 9.6-46, P=0.00) and poor hygiene (OR 3, 95% CI 1.3-6.8, P=0.009) Conclusion: Subclinical RHD as detected by echocardiographic screening is prevalent in primary school children, uniformly affects the mitral valve, and is associated with potentially modifiable risk factors. Children with a history of more than three episodes of URTI in six months may represent a particularly high-risk population that should be targeted for RHD.

scholarly journals Prevalence and risk factors for Subclinical Rheumatic Heart Disease among primary school children in Dar es Salaam, Tanzania: a community based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Parvina Titus Kazahura ◽  
Theophylly L. Mushi ◽  
Pedro Pallangyo ◽  
Mohamed Janabi ◽  
Rodrick Kisenge ◽  
...  
Keyword(s):  
Heart Disease ◽  
Primary School ◽  
School Children ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Primary School Children ◽  
Community Based ◽  
Cross Sectional ◽  
History Of ◽  
Rheumatic Heart

Abstract Background Rheumatic heart disease (RHD) is the most common acquired heart disease occurring in children and adolescents. RHD is associated with significant morbidity and mortality particularly in low and middle- income countries (LMICs) where the burden is estimated to be higher compared to high income countries. Subclinical RHD is the presence of valvular lesion diagnosed by echocardiography in a person with no clinical manifestation of RHD. This study aimed at determining the prevalence, types and factors associated with subclinical RHD among primary school children in Dar Es Salaam, Tanzania. Methods A descriptive community-based cross-sectional study was conducted in primary school children from February to May 2019. A standardized structured questionnaire was used to collect demographic characteristics, history of upper respiratory tract infections (URTIs), anthropometric measurements, and chest auscultation findings. Moreover echocardiographic screening was done to all children recruited into the study. World Heart Federation echocardiographic classification was used to define the types and prevalence of subclinical RHD. Results A total of 949 primary school children were enrolled with females being predominant (57.1%). The prevalence of subclinical RHD was 34 per 1000. All the participants had mitral valve disease only whereby 17 had definite disease and 15 had a borderline disease. The associated factors for subclinical RHD were older age of more than 9 years (OR 10.8, 95% CI 1.4–82.2, P = 0.02) having three or more episodes of URTI in previous six months (OR 21, 95% CI 9.6–46, P = 0.00) and poor hygiene (OR 3, 95% CI 1.3–6.8, P = 0.009). Conclusion Subclinical RHD as detected by echocardiographic screening is prevalent in primary school children, uniformly affects the mitral valve, and is associated with potentially modifiable risk factors. Children with a history of more than three episodes of URTI in six months represents a high-risk population that should be targeted for RHD screening.

scholarly journals Prevalence of Overweight and Obesity among Primary School Children Aged 8–13 Years in Dar es Salaam City, Tanzania

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Ismail N. Pangani ◽  
Festus K. Kiplamai ◽  
Jane W. Kamau ◽  
Vincent O. Onywera
Keyword(s):  
Public Schools ◽  
Primary School ◽  
School Children ◽  
Primary Schools ◽  
Weight Status ◽  
Age Groups ◽  
Dar Es Salaam ◽  
Overweight And Obesity ◽  
Primary School Children ◽  
Cross Sectional

Background. The understanding of obesity as a growing health problem in Africa and Tanzania in particular is hampered by lack of data as well as sociocultural beliefs in which overweight and obesity are revered. This study sought to determine the prevalence of overweight and obesity among primary school children aged 8–13 years in Dar es Salaam, Tanzania.Method. A cross-sectional analytical research design was used to study overweight and obesity in primary schools in Dar es Salaam, Tanzania. The target population was 150,000 children aged 8–13 years. Stratified random sampling was used to select 1781 children. Weight and height were taken and WHO standards for children were used to determine weight status.Results. Findings showed that the prevalence of overweight and obesity was 15.9% and 6.7%, respectively (N=1781). However, 6.2% of the children were underweight. There were significant differences in mean BMI between children in private and public schools (p=0.021), between male and female (p<0.001), and across age groups of 8–10 and 11–13 years (p<0.001).Conclusion. The prevalence of overweight and obesity among primary school children is significant and requires management and prevention strategies.

scholarly journals Prevalence, infection intensity and associated risk factors of Intestinal Schistosomiasis among primary school Children in Lira District, Northern Uganda

2019 ◽  
Author(s):  
John Paul Byagamy ◽  
Geoffrey Maxwell Malinga ◽  
Harriet Angwech ◽  
Robert Opiro ◽  
Richard Echodu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary School ◽  
School Children ◽  
Primary Schools ◽  
Infection Intensity ◽  
Public Health Education ◽  
Primary School Children ◽  
Cross Sectional ◽  
Intestinal Schistosomiasis ◽  
Associated Risk Factors

Abstract Objective: The aim of this cross-sectional study was to determine the prevalence, infection intensity and associated risk factors of intestinal schistosomiasis among primary school children in Lira district, Uganda. The study was conducted among 532 primary school pupils aged 6-16 years from eight randomly selected primary schools (March-May 2017). Stool samples were collected and examined for schistosomiasis using Odongo-Aginya method. Data on socio-demographic characteristics and risk factors were obtained using questionnaires. Results: The overall prevalence of Schistosoma mansoni was 35.7% indicating a moderate infection. Both males and females were equally affected with S. mansoni . Ogur sub county had highest prevalence (42.1%) than others. Akangi and Akano primary schools both had highest (21.1%) prevalence compared to the others. Individuals aged 14-16 and 10-14 years had heavy infections (mean epg) of 600 and 565 eggs, respectively than those aged 6-9 years. With regard to risk factors, source of drinking water, sub-county location and primary school were associated with infection. Participants who fetch water from spring (85,44.7%) had higher infection than those who fetch from other sources. The study recommends provision of safe water, periodic treatment of school-aged children with praziquantel and public health education to reduce prevalence of S. mansoni .

scholarly journals Elevated blood pressure among primary school children in Dar es salaam, Tanzania: prevalence and risk factors

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Alfa J. Muhihi ◽  
Marina A. Njelekela ◽  
Rose N. M. Mpembeni ◽  
Bikolimana G. Muhihi ◽  
Amani Anaeli ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Primary School ◽  
School Children ◽  
Dar Es Salaam ◽  
Elevated Blood Pressure ◽  
Primary School Children ◽  
Elevated Blood

scholarly journals Risk factors for acute otitis media in primary school children: a case-control study in Central Java, Indonesia

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Siwi Pramatama Wijayanti ◽  
Daniel Joko Wahyono ◽  
Dwi Sarwani Sri Rejeki ◽  
Devi Octaviana ◽  
Aris Mumpuni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Primary School ◽  
Otitis Media ◽  
School Children ◽  
Acute Otitis Media ◽  
Primary School Children ◽  
Central Java ◽  
Poor Nutritional Status ◽  
History Of

Background: Acute otitis media (AOM) is the most common disease in young children requiring antibiotic treatment. Information on AOM-related determinant risk factors in primary school children is still limited, particularly in Indonesia. This study aims to identify risk factors related to AOM in primary school children in Banyumas Regency, Central Java, Indonesia.Design and Methods: This is an analytical study with a case-control design in Banyumas Regency, Indonesia. 3574 children from 6 regions of the Banyumas Regency were recruited for the screening of AOM detection, and confirmation of AOM diagnosis was determined by Otolaryngologist. One hundred and twenty-five cases and 125 control were involved in this study. Data collection was carried out using a structured questionnaire focusing on several variables such as household cooking fuel, house environment, smoking exposure, knowledge of parents, and nutrition status. Univariate, bivariate using chi-square and multivariate with regression logistic was conducted for data analysis. Results: This study highlights the risk of household firewood use (p=0.003), poor nutritional status (p=0.009), and a family history of ear infections (p=0.015) with an increased risk of otitis media.Conclusions: Household firewood use, poor nutritional status and family history of ear infection are factors associated with the occurrence of acute otitis media. It is necessary to provide public health education to prevent exposure to fuel at risk for children and to improve their nutritional status.

Intestinal helminth infection and malnutrition among public primary school children in Ibadan, Nigeria

2020 ◽  
Vol 41 (1) ◽  
pp. 49-55
Author(s):  
C. Nnolim ◽  
T.A. Adekeye ◽  
H.O. Awobode
Keyword(s):  
Risk Factors ◽  
Primary School ◽  
School Children ◽  
Primary Schools ◽  
Strongyloides Stercoralis ◽  
Primary School Children ◽  
Intestinal Helminth ◽  
Local Health ◽  
Cross Sectional ◽  
Helminth Infections

Intestinal helminthiasis associated with malnutrition in children remains endemic in developing countries despite considerable efforts at control. This study was carried out to determine the current prevalence status and the risk factors associated with intestinal helminth infections among primary school children in Ibadan. A cross-sectional study was undertaken among 5-16 year old pupils, from 7 primary schools in Ibadan, Oyo State. Microscopic examination of stool for ova was carried out using a formol-ether concentration technique. Predisposing risk factors were determined from questionnaire data while anthropometric indices consisting of weight, height and age were the measured indicators of the nutritional status. Of the 485 pupils examined, 187(38.6%) had helminth infections and the parasites identified were Ascaris lumbricoides (35.9%), Strongyloides stercoralis (12.4%), hookworm (8.5%), Enterobius vermicularis (4.9%), Schistosoma mansoni (3.5%) and Trichuris trichiura (0.4%). More male pupils (52.9%, p = 0.05) than females (47.1%) had infections. Pupils aged between 9-12 years (p = 0.02) had highest (49.2%) infection rates. Infections were recorded in 13(18.57%) of 70 pupils treated with levamisole by the local health centres 2 weeks prior to this study. Wearing of footwear, parent’s occupation, drinking water sources, family size and toilet type were risk factors significantly associated (p<0.05) with infection in this study. The  overall prevalence of wasting, stunting and underweight were 24.4%, 28.8% and 7.8% respectively, there was however, no statistical relationship (p>0.05) between the prevalence of infection and malnutrition. Intestinal helminthiasis is still prevalent in schoolchildren despite targeted  chemotherapy. It is therefore suggested that chemotherapy should include all children in the communities along with continuous enlightenment to ensure the disruption of parasite transmission. Keywords: Intestinal helminths; school children; malnutrition; Ibadan; chemotherapy.

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