SCHISTOSOMIASIS IN NAG HAMMADY CITY, RELATIONSHIP BETWEEN INFECTION AND ANEMIA AMONG CHILDREN AND YOUTH, QENA GOVERNORATE, EGYPT.

The highest prevalence of schistosomiasis is usually found in school-age children and youth, where it represents the main cause of iron deficiency anemia. Study was done on 859 patients; their age from 5-18 years old at Nag Hammady at the period from July 2013 to July 2014 all of them had subjective history of contact or swimming in water canals. Urine was examined for urinary schistosomiasis by concentration and positive cases were subjected to urine analysis by Nucleopore filtration technique, S. haematobium was 30.96%, while stool samples were macroscopically examined mainly for enterobiasis and gravid segments and then were microscopically examined as stained direct smear and by sedimentation and Kato-Katz techniques. The intestinal parasites other than intestinal schistosomiasis were not encountered and the pure S. mansoni was 0.69% of examined patients. The overall pure schistosomiasis was 31.66%. Iron deficiency anemia was 27.7% in non-infected cases and in schistosomiasis patients iron deficiency anemia were found in 43.38% with statistically significant (P value=0.001).