Comparative helminth infections of man in two rural communities of the Niger Delta, Nigeria.

The intestinal parasitic helminth infections of man in Bonny and Isiokpo communities were studied between May 1992 and March 1994. Of the 2008 stool samples examined from Bonny community, 503 (25.0%) were infected. 305 (26.7%) of these infections were males while 198 (22.9%) were females. Ascaris lumbricoides (24.1%) occurred most frequently, followed by Hookworms (18.0%), Trichuris trichiura (17.3%,) Strongyloides stercoralis (10.1%) and Enterobius vermicularis (0.1%). Peak infection (41.7%) was recorded for the males in (10-14) years age bracket. The use of bush as a toilet facility had the highest parasitic infection (38.3%), followed by that of shoreline (35.3%), pit (33.3%), Bucket (27.8%) and of water closet (7.5%). Degree of infection relative to source of drinking water showed that well water was associated with highest infection (43.3%) while the pipe borne water was the lowest (18.0%). From Isiokpo community 2,462 stool samples were examined for intestinal parasites 1,633 (66.3%) people were infected consisting of 862 (64.8%) males and 771 (68.2%) females. Higher parasitic infection of females in this community was attributed to the cultural and occupational factors. Frequency of occurrence of individual helminth was as follows: A-lumbricoides (64.5%), T. trichiura (59.4%), Hookworms (58.8%), S. stercoralis (25.1%), Hymenolepsis nana (2.9%) and E. vermicularis (0.3%). Prevalence of infection was significantly higher in Isiokpo than in Bonny because the climatic and edaphic factors were conducive to larval development and infectivity. On the contrary, the saline soil and surface water of Bonny community constituted harsh environmental conditions inimical to larval development and infectivity. Observations on parasitic infections in relation to toilet facilities and source of drinking water were similar to those made in Bonny. The study therefore demonstrated that the provision of pipe borne water and water closet facilities in rural Niger Delta communities could reduce helminth infections of man.