An investigation of the prevalence of intestinal parasites in pre-school children in Ghana.

Evidence for the presence of 11 intestinal parasites in pre-school children from 4 rural villages in Ghana was obtained from an examination of stool samples. Striking differences were detected between the prevalence of some of the 6 common infections in the 4 villages. The prevalence of Ascaris lumbricoides varied from about 76% in one village (Oshiyie, coastal savanna) to apparently 0% in another (Akuma, forest zone). No differences in prevalence for any infection were observed to be sex dependent. Investigation of the relationship between age of the children and prevalence showed that the degree of prevalence of both A. lumbricoides and Trichuris trichiura had essentially levelled off by the time the children were 4 years old. There was no evidence to suggest that the prevalence of either Entamoeba sp. or spp. or hookworm was approaching a maximum value, even in the oldest children. These trends applied across the villages regardless of the differences in prevalence values for the infections. On average, the children of Oshiyie were found to harbour twice as many infections as the children of the other villages. The investigation of the prevalence data revealed evidence of associations between pairs of infections, particularly those involving hookworm and T. trichiura.