title: Parasitic Infections among Children under Five Years in Senegal: Prevalence and Effect on Anaemia and Nutritional Status.
abstract: Although malaria is declining in many countries in Africa, malaria and anaemia remain frequent in children. This study was conducted to assess the relationship between malaria parasitaemia, intestinal worms, and anaemia, in children <5 years living in low transmission area in Senegal. A survey was carried out in 30 villages in the central part of Senegal. A two-level random cluster sampling technique was used to select study participant. Children <5 years were enrolled after informed consent. For each child, blood thick and smear tests were performed, haemoglobin concentration was measured with HemoCue, and stool samples were collected and examined using the Ritchie technique. A total of 736 children were recruited. Malaria parasite prevalence was 1.5% (0.7-2.6); anaemia was found in 53.4% (48.2-58.9), while intestinal parasites and stunting represented 26.2% (22.6-30.2) and 22% (18.6-25.5), respectively. In a logistic regression analysis, anaemia was significantly associated with malaria parasitaemia (aOR= 6.3 (1.5-53.5)) and stunting (aOR = 2 (1.2-3.1)); no association was found between intestinal parasites and anaemia. Malaria and anaemia remain closely associated even when malaria is declining. Scaling up antimalarial interventions may contribute to eliminate malaria and reduce the occurrence of anaemia among children.
authors.affiliation: Université Cheikh Anta DIOP de Dakar, Faculté de Médecine, Pharmacie et Odontologie, Service de Parasitologie Médicale, BP 5005, Dakar, Senegal.
authors.forename: Roger C K
authors.initials: RC
authors.lastname: Tine
authors.affiliation: Université Cheikh Anta DIOP de Dakar, Faculté de Médecine, Pharmacie et Odontologie, Service de Parasitologie Médicale, BP 5005, Dakar, Senegal.
authors.forename: Babacar
authors.initials: B
authors.lastname: Faye
authors.affiliation: Clinique des Maladies Infectieuses, Centre Hospitalier Universitaire de Fann, Senegal.
authors.forename: Cheikh T
authors.initials: CT
authors.lastname: Ndour
authors.affiliation: Université Cheikh Anta DIOP de Dakar, Faculté de Médecine, Pharmacie et Odontologie, Service de Parasitologie Médicale, BP 5005, Dakar, Senegal.
authors.forename: Khadime
authors.initials: K
authors.lastname: Sylla
authors.affiliation: Université Cheikh Anta DIOP de Dakar, Faculté de Médecine, Pharmacie et Odontologie, Service de Parasitologie Médicale, BP 5005, Dakar, Senegal.
authors.forename: Doudou
authors.initials: D
authors.lastname: Sow
authors.affiliation: Université Cheikh Anta DIOP de Dakar, Faculté de Médecine, Pharmacie et Odontologie, Service de Parasitologie Médicale, BP 5005, Dakar, Senegal.
authors.forename: Magatte
authors.initials: M
authors.lastname: Ndiaye
authors.affiliation: Université Cheikh Anta DIOP de Dakar, Faculté de Médecine, Pharmacie et Odontologie, Service de Parasitologie Médicale, BP 5005, Dakar, Senegal.
authors.forename: Jean L
authors.initials: JL
authors.lastname: Ndiaye
authors.affiliation: Department of International Health, Immunology and Microbiology, Faculty of Health Sciences, University of Copenhagen-CSS, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
authors.forename: Pascal
authors.initials: P
authors.lastname: Magnussen
authors.affiliation: Department of International Health, Immunology and Microbiology, Faculty of Health Sciences, University of Copenhagen-CSS, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
authors.forename: Michael
authors.initials: M
authors.lastname: Alifrangis
authors.affiliation: Department of International Health, Immunology and Microbiology, Faculty of Health Sciences, University of Copenhagen-CSS, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
authors.forename: Ib C
authors.initials: IC
authors.lastname: Bygbjerg
authors.affiliation: Department of International Health, Immunology and Microbiology, Faculty of Health Sciences, University of Copenhagen-CSS, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
authors.forename: Oumar
authors.initials: O
authors.lastname: Gaye