Table 6. Impact of praziquantel treatment on prevalence of infection in schools with high or moderate baseline prevalence of S. haematobium and S. mansoni.
S. haematobium | |||
Annual treatment for all people age 5 years and older | Treatment every other year for school-age children only | ||
Baseline S. haematobium prevalence ≥50% | Baseline S. haematobium prevalence 10–49% | Baseline S. haematobium prevalence 10–49% | |
N = 161 schools, 2415 children | N = 72 schools, 1080 children | N = 295 schools, 4425 children | |
Baseline– 2009 | |||
Mean prevalence | 70.3% | 26.5% | 24.7% |
Median prevalence | 66.7% | 23.3% | 20.0% |
Range | 53.3–100% | 13.3–46.7% | 13.3–46.7% |
Follow-up– 2015 | |||
Mean prevalence | 11.3% | 4.8% | 4.19% |
Median prevalence | 6.7% | 0.0% | 0.0% |
Range | 0–100% | 0–6.7% | 0–87% |
S. mansonia | |||
Annual treatment for all people age 5 years and older | Treatment every other year for school-age children only | ||
Baseline S. mansoni prevalence ≥50% | Baseline S. mansoni prevalence 10–49% | Baseline S. mansoni prevalence 10–49% | |
N = 22 schools, 330 children | N = 30 schools, 450 children | N = 42 schools, 630 children | |
Baseline– 2009 | |||
Mean prevalence | 70.9% | 23.8% | 21.1% |
Median prevalence | 76.7% | 20.0% | 16.7% |
Range | 53.3–93.3% | 13.3%-46.7% | 13.3–46.7% |
Follow-up– 2015 | |||
Mean prevalence | 9.1% | 2.0% | 4.6% |
Median prevalence | 0% | 0.0% | 0.0% |
Range | 0–60% | 0–20% | 0–60% |
aFor schools with moderate baseline prevalence of S. mansoni, those receiving annual MDA for all people age 5 years and older had a significantly lower prevalence of S. mansoni in 2015 (Welch’s t-test, p<0.0001) than did those schools receiving MDA every other year (Welch’s t-test, p = 0.02).