Beasley N M, Hall A, Tomkins A M, Donnelly C, Ntimbwa P, Kivuga J, Kihamia C M, Lorri W, Bundy D A
Partnership for Child Development, Wellcome Trust Centre for the Epidemiology of Infectious Disease, Oxford University, South Parks Road, OX1 3PS, Oxford, UK.
Acta Trop. 2000 Oct 2;76(3):223-9. doi: 10.1016/s0001-706x(00)00101-7.
The health of 227 children enrolled at primary school was compared with that of 214 non enrolled children living in rural Tanga, Tanzania. No consistent difference was observed with respect to prevalence and intensity of parasitic infection (hookworm, T. trichiura, A. lumbricoides, S. haematobium and P. falciparum). Since enrolled children were as commonly and as heavily infected as non enrolled children, treatment of enrolled children would be effective in reducing transmission throughout the total population. Non enrolled children were more stunted (P=0.0001) and wasted (P=0.0001) than enrolled children and also tended to be more anaemic (P=0.080) showing that poor nutrition is not only associated with delayed enrolment but continues to be associated with non enrolment throughout the school age years. Given that treatment has the greatest impact on the most malnourished children, additional measures to extend treatment to non enrolled children would be justified.
对坦桑尼亚坦噶农村地区227名小学入学儿童和214名未入学儿童的健康状况进行了比较。在寄生虫感染（钩虫、鞭虫、蛔虫、血吸虫和恶性疟原虫）的患病率和感染强度方面，未观察到一致的差异。由于入学儿童与未入学儿童的感染情况同样普遍且严重，因此对入学儿童进行治疗将有效减少整个人口中的传播。未入学儿童比入学儿童发育迟缓更严重（P = 0.0001）且消瘦更严重（P = 0.0001），并且也更易贫血（P = 0.080），这表明营养不良不仅与入学延迟有关，而且在整个学龄期都与未入学有关。鉴于治疗对营养不良最严重的儿童影响最大，将治疗扩展到未入学儿童的额外措施是合理的。
