Water demand and schistosomiasis among the Gumau people of Bauchi State, Nigeria.

A helminthological study of stool and urine samples from 1037 people from 4 rural communities in Gumau District of Bauchi State, Nigeria, was carried out using formol-ether concentration and direct centrifugation methods respectively. 39.0% of persons examined were infected. Ova of Ascaris lumbricoides, Schistosoma haematobium and S. mansoni were the most common. Trichuris trichiura, hookworm, tapeworm and Strongyloides stercoralis were also encountered. 17.9% and 10.8% of examined persons had S. haematobium and S. mansoni infections respectively. A significant relationship was found between water demand index (number of persons per well) and infection with S. haematobium (r = 0.95) and S. mansoni (r = 0.88) (P less than 0.01). Such a relationship was not found with other helminth infections. A significant association was also found between distance from a river and prevalence of S. haematobium (r = 0.94) and S. mansoni (r = 0.95) (P less than 0.01), but not with the other helminth infections. These findings suggest that the water demand index may be an important factor in the epidemiology of schistosome infections in rural communities.