(c).
Study area | Age of group | Sample (size) | Study design | Helminth type | Outcome for malaria diseases in coinfection | Ref. |
---|---|---|---|---|---|---|
Senegal (Niakhar and Bambey) | Children, mean 6.6 years | 105 | Prospective case-control | A. lumbricoides | Prevalence of A. lumbricoides infection was higher in cases of severe malaria | [123] |
Northern Senegal |
Children aged 6–15 years | 512 | Cohort | S. mansoni | The incidence rate of malaria attacks was higher among S. mansoni-infected individuals carrying the highest worm loads. In contrast, the rate of malaria attacks were lower in medium grade S. mansoni infections | [124] |
Ghana (Kumasi) |
Women (15–48 years) mean 26.8 years |
746 | Cross-sectional | A. lumbricoides, T. trichiura, S. stercoralis, and E. vermicularis | Coinfection resulted in increased risks of anemia, low birth weight, and small for gestational age infants | [125] |
Ethiopia (Alaba Kulito) |
Children <5 years, children 5–14 years, and adults ≥15 years | 1802 acute febrile patients | case-control | Hookworm, A. lumbricoides, and T. trichiura |
Coinfection is associated with higher anaemia prevalence and low weight status than single infection with Plasmodium in children | [126] |
Kenya (Makueni) |
Primary school children 4–17 years |
(221 and 228) | Cross-sectional | S. mansoni | Hepatosplenomegaly due to proinflammatory mechanism exacerbated by schistosomiasis | [127] |
Kenya (Mangalete) | Children 4–17 years |
79 | Cross-sectional | S. mansoni | Hepatosplenomegaly is associated with low regulatory and Th2 response to Schistosome antigens | [128] |
Zimbabwe (Burma Valley) | Children 6–17 years | 605 | 12-month followup of a cohort of children | Schistosome | Increased prevalence of malaria parasites and had higher sexual stage malaria parasite in children coinfected with schistosomiasis | [129] |
Cameroon (Bolifamba) |
9 months to 14 years | 425 children |
A. lumbricoides, T. trichiura, and hookworm |
Coinfections in which heavy helminth loads showed high P. falciparum parasite loads compared with coinfections involving light helminth burden | [130] |