Modeling the effect of chronic schistosomiasis on childhood development and the potential for catch-up growth with different drug treatment strategies promoted for control of endemic schistosomiasis

Gurarie, David; Wang, Xiaoxia; Bustinduy, Amaya L.; King, Charles H.

doi:10.4269/ajtmh.2011.10-0642

Cited by 43Parasites and Host InteractionsChild Nutrition and Water AccessParasitic Diseases Research and Treatment

Modeling the effect of chronic schistosomiasis on childhood development and the potential for catch-up growth with different drug treatment strategies promoted for control of endemic schistosomiasis

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Gurarie, David, Wang, Xiaoxia, Bustinduy, Amaya L., King, Charles H.·2011·The American Society of Tropical Medicine and Hygiene

DOI 10.4269/ajtmh.2011.10-0642PMC PMC3083746

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Abstract

In areas endemic for schistosomiasis having limited healthcare, targeted drug treatment of school-age children is recommended for control of Schistosoma-associated morbidity. However, optimal timing, number, and frequency of treatments are not established. Because longitudinal studies of long-term impact of treatment are few, for current policy considerations we performed quantitative simulation (based on calibrated modeling of Schistosoma-associated disease formation) to project the impact of different school-age treatment regimens. Using published efficacy data from targeted programs, combined with age-specific risk for growth retardation and reinfection, we examined the likely impact of different strategies for morbidity prevention. Results suggest the need for early, repeated treatment through primary school years to optimally prevent the disabling sequelae of stunting and undernutrition. Dynamics of infection/reinfection during childhood and adolescence, combined with early treatment effects against reversible infection-associated morbidities, create a need for aggressive retreatment of preadolescents to achieve optimal suppression of morbidity where drug-based control is used.

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Quantitative studies have suggested that schistosome infections are associated with stunting and undernutrition and that both these effects can be reversed through antihelminthic treatment.
“Quantitative studies have suggested that schistosome infections are associated with stunting and undernutrition and that both these effects can be reversed through antihelminthic treatment [6]”
From Assessing early child development and its association with stunting and schistosome infections in rural Zimbabwean children using the Griffiths Scales of Child Development (2021) · cites this paper as [6]
The Introduction identifies childhood growth stunting and protein-calorie malnutrition as schistosomiasis-associated morbidities. The section on infection-associated morbidity reports improved growth and undernutrition after treatment, but says repeated treatment has the potential to reverse most, not all, growth impairment; it also notes that durable reversal of wasting or stunting has not been well studied. The claim overstates how fully and reliably treatment reverses these effects. (LLM, conf=0.85)
Experimental — accuracy not yet measured
The study findings are consistent with findings from quantitative studies in older children.
“Nonetheless, our findings are consistent with findings from quantitative studies in older children [6].”
From Assessing early child development and its association with stunting and schistosome infections in rural Zimbabwean children using the Griffiths Scales of Child Development (2021) · cites this paper as [6]

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Human schistosomiasis
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“Nonetheless, our findings are consistent with findings from quantitative studies in older children [6].”
BackgroundResult
Schistosoma haematobium infection is associated with alterations in energy and purine-related metabolism in preschool-aged children
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Self-citation
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Schistosomiasis
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Self-citation
Schistosomiasis
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Impact of Schistosomiaisis in Kasansa Health Zone in Democratic Republic of Congo
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Association of Antibodies to Helminth Defense Molecule 1 With Inflammation, Organomegaly, and Decreased Nutritional Status in Schistosomiasis Japonica
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Preschool age participation in mass drug administration: Analyzing the impact on community-wide schistosomiasis control
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Considerations for the Development of Vaccines for Protozoal and Helminth Neglected Tropical Diseases
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Preliminary ultrasonographical observations of intestinal lesions in a community with heavy Schistosoma mansoni infection in Richard Toll, Senegal
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Projecting the Long-Term Impact of School- or Community-Based Mass-Treatment Interventions for Control of Schistosoma Infection
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Self-citation

Authors: Gurarie, D., Wang, X., Bustinduy, A. L., & King, C. H.
Affiliations: Case Western Reserve University (US)
Rainbow Babies & Children's Hospital (US)
ORCID: Gurarie, David
Wang, Xiaoxia
Bustinduy, Amaya L.
King, Charles H.
Venue: The American Society of Tropical Medicine and Hygiene
Publisher: American Society of Tropical Medicine and Hygiene
Published: 2011-05-05
Volume: 84
Issue: 5
Pages: 773-781
ISSN: 0002-9637 (ISSN-L)
1476-1645
DOI: 10.4269/ajtmh.2011.10-0642
PMC: PMC3083746
OpenAlex: W2152739913
Cited by: 43
References: 85
Citations by year: 2026: 4 · 2025: 1 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 6 · 2013: 2 · 2012: 2
FWCI: 2.93
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Tropical Medicine and Hygiene (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
Funders: Case Western Reserve University
National Institutes of Health
Fogarty International Center (R01TW008067)
Topics: Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
Keywords: chronic schistosomiasis, child growth, catch-up growth, stunting, malnutrition, reinfection, infection dynamics, morbidity prevention, Schistosoma, retreatment
MeSH terms: Antiprotozoal Agents, Chronic Disease, Humans, Models, Theoretical, Schistosomiasis, Endemic Diseases

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Modeling the effect of chronic schistosomiasis on childhood development and the potential for catch-up growth with different drug treatment strategies promoted for control of endemic schistosomiasis

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