The effect of Schistosoma mansoni infection of the productivity of cane cutters on a sugar estate in Tanzania.

In an attempt to justify future snail control on an irrigated sugar estate in Tanzania, the effects of Schistosoma mansoni infection on the productivity of apparently healthy cane cutters were investigated. The bonus earnings of cane cutters who were found to be infected with S. mansoni were compared, retrospectively, with earnings of uninfected cane cutters during the years 1968-69. For one 6-month period a more detailed study was made to correlate bonus earnings with actual output in tons of cane cut. It was found that in the four 6-month periods the mean bonus earnings of the uninfected cane cutters exceeded the mean bonus earnings of the infected men by 11.0%, 11.4%, 6.0%, and 13.7%, respectively. In all except the third period these differences were statistically significant. After treatment for S. mansoni infection, the workers were able to improve their earnings relative to both infected and uninfected workers. In a more detailed study of some of the workers during the third 6-month period, it was discovered that a 4% difference in bonus earnings represented a 1% difference in output. Taking into account the variations of bonus earnings it was estimated that the overall difference in productivity between infected and uninfected workers was 3-5%.