Intestinal helminths in Akaki town, with special emphasis on the epidemiology of Schistosoma mansoni.

Two thousand, three hundred and nine stool specimens from about 5% of the residents of Akaki were examined by Kato thick smear technique for helminthic infections. The prevalence of various parasites was as follows: Schistosoma mansoni, 1.5%; Ascaris lumbricoides, 40.7%; Trichuris trichiura, 27.5%, Enterobius vermicularis, 2.2%; Taenia saginata, 3.2%; and Hymenolepis nana, 0.6%. Infected Biomphalaria pfeifferi snails were collected from the Fanta Stream, and 12% of the residents along the stream were infected with S. mansoni with an arithmetic mean of 437 eggs per gram of faeces (e.p.g.) as compared to 250 e.p.g. average town-wide, indicating that there was active transmission of S. mansoni. The prevalence of S. mansoni infection was low. It is suggested that it would be easier and more cost effective if control measures were applied at this stage.