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  • Title: Significant changes in gastrointestinal tract parasitic infections in children of St. Kitts over the 9-year period 1982-1991.
    Author: Rawlins SC, Tikasingh ES, Baboolal S, Hector O, Hobsons P, Halliday J, Jones TR.
    Journal: West Indian Med J; 1993 Mar; 42(1):18-21. PubMed ID: 8503208.
    Abstract:
    When 239 (1982) and 361 (1991) five- and nine-year-old children in St. Kitts were assessed for the presence of parasitic infections, there were significant reductions in the prevalence of trichuriasis from 83% to 58%, of ascariasis from 24% to 8.6% and of giardiasis from 15% to 9.4%. Anthelminthic use, which appeared to be the most important responsible intervention tool, remained roughly at the same level at 59-51%. However, the types of anthelminthics used changed over the period. Piperazine citrate, which was used by 66% in 1982, only had 35% usage in 1991. Albendazole which was not used at all in 1982 was taken by 32% of the children in 1991 and at the same time use of laevo-tetramisole increased by 20% from 14%. Suggestions are made for an island-wide mass intervention programme to manage parasitic infections.
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