Progress in the control of schistosomiasis in Zimbabwe since 1984.

ABSTRACT

PIP: Health facility utilization surveys in Zimbabwe indicate that schistosomiasis is 1 of the top 10 causes of clinic attendance, especially for children. It is in fact the second most important helminth infection of man. Poor nutrition and work performance in children, and pathological changes in the liver, bladder, and kidneys are associated with schistosomiasis. Various control projects established in Zimbabwe since 1984 are reviewed, beginning with results of the nationwide survey reported by Taylor and Makura assessing levels of Schistosoma haemotobium and Schistosoma mansoni among 14,614 school children from 157 schools around the country. Prevalence was found to range from zero to 97%. While the community and irrigation scheme pilot control projects combined with the overall national strategy should reduce the prevalence and morbidity of schistosomiasis, closer intersectoral cooperation is needed between governmental departments, provinces, and donor agencies, as well as better integration between the schistosomiasis control program and ongoing PHC activities.