Helminth and snail survey in Harerge region of Ethiopia with special reference to schistosomiasis.

2300 persons from 25 communities in Harerge Administrative Region were examined for intestinal helminths. The overall prevalence rates were: Schistosoma mansoni 19.4%, Ascaris lumbricoides 13.4%, Trichuris trichiura 7.9%, and Taenia species 5.8%. Other parasites found in less than 3% included: Hymenolepis nana, Hymenolepis diminuta, Enterobius vermicularis, Strongyloides stercoralis and hookworms. Three age groups, 5-9, 10-14, and 15-19 years, had approximately similar prevalence (34.9-38.8%), but younger children had heavier egg loads (geometric mean egg output per gram of feces (EPG) of 347, 340 and 248, respectively). Boys had a higher prevalence of egg load than girls (42.4%, 395 EPG vs 26.5%, 277 EPG). Infection rates among Moslems were higher than Christians (45.5 vs 23.7%), but they had smaller egg output (333 vs 412 EPG). The frequency of light, moderate and heavy infections showed a normal distribution at 27, 46 and 27%. Biomphalaria pfeifferi was found to be infected with S. mansoni in Hirna (42/250), Esakly (6/80) and Genda Adem (20/200), the latter two in the Erer valley. Urine samples from 8 localities were negative for S. haematobium infection. The need for further study in several river valleys with agricultural potential is suggested.