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WESTERN MINDANAO STATE UNIVERSITY

COLLEGE OF NURSING

compiled by:

JOEZERK JHON P. BIEL

SOIL-TRANSMITTED HELMINTHIASISOVERVIEW

Definition of terms:Helminths- A parasitic worm; an intestinal worm.Helminthiasis- Infestation with or disease caused by parasitic worms.Soil-Transmitted Helminthiasis- Infestation with one or more intestinal parasitic worms (roundworms(Ascaris lumbricoides), whipworms (Trichuris trichiura), or hookworms (Necator americanus and Ancylostomaduodenale)) acquired through soil.

National Center for Disease Prevention and ControlHistorical BackgroundExecutive Order No. 102 dated May 24. 1999 was issued by former President Joseph Ejercito Estradaauthorizing the Department of Health under the leadership of Dr. Alberto G. Romualdez, Jr. to reorganize. The

National Center for Disease Prevention and Control (NCDPC) was established with the release of the Notice ofOrganization, Staffing and Compensation Action NOSCA) by the Department of Budget and Management andissuance of Memorandum Circular no. 157 s. 2000 last October, 2000. NCDPC superseded the Office forPublic Health Services, created under E.O. 119 s. 1987.

NCDPC Programs

1. InfectiousDisease Office

+TB ControlProgram

+Leprosy Control

Program+RTI / HIV / AIDS

Control Program+Vaccine-

preventable diseasecontrol program

+Malaria ControlProgram

+Dengue ControlProgram

+Rabies ControlProgram

+Integrated

helminthiasis controlprogram -

schistosomiasis,filariasis,

+SoilTransmittedHelmenthiasis

+Food and water-borne DiseaseControl Initiative

+Emerging and re-emerging diseaseControl Initiative2. DegenerativeDisease Office

+CardiovascularControl Program

+Cancer ControlProgram

+Diabetes Control

Program+Blindness Control

Program+Asthma and

other COPD ControlInitiative

+Disability Control

Initiative+Bone and other

joint disorders controlInitiative

+Mental DisorderControl Initiative3. Family Healthand NutritionOffice

+Child Health andDevelopmentProgram

+Adolescent

Health andDevelopment

+Health of olderpersons Initiative

+Womens Healthand DevelopmentProgram

+Women and ChildProtection Program

+Health of specialpopulation initiative4. Environmentaland OccupationalHealth Office

+EnvironmentalSanitation Program

+OccupationalHealth Program

+Health ImpactAssessment Initiative

National Center for Disease Prevention and Control

VisionAsias pride in disease prevention and control.

MissionTo lead and synchronize all efforts in disease prevention and control towards healthy families andcommunities through good governance, dynamic partnerships and shared values.

Strategic Objectives, 2010

By the end of 20101. To have at least five models of Philippine bestpractices in disease prevention and controladopted by some Asian countries.2. To become an active and respected member ofinternational network on disease prevention andcontrol efforts.3. To develop all centers for health developmentand at least eight collaborating centers astechnical authority on disease prevention andcontrol.

4. To provide the enabling environment for thenationwide implementation of newly-developedprograms.5. To institutionalize program monitoring andevaluation schemes at the local level to ensurecompliance to public health practice guidelines.6. To increase investments by at least 50% fordisease prevention and control efforts throughlocal government investments, social healthinsurance, grants, loans and other financingschemes.
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DOH Annual CalendarJanuary 2011:Deworming of School Children (Grade 1-6)- Round1

July 2011:Deworming of School Children (Grade 1-6) Round 2October 2011:11 - 15 Garantisadong Pambata Round 3

[1 to 6 years old:Bring them to your nearest Health Center everyGarantisadong Pambata during the months ofApril and October for free deworming.6 to 12 years old:

The deworming is being implemented on themonths ofJune andJanuary in all publicelementary schools.]

SOIL-TRANSMITTED HELMINTHIASIS, NCDPC FAQ

What is soil-transmitted helminthiasis (STH)? Soil-transmitted helminthiasis is an infection or disease caused by soil-transmitted

heminthes. Soil-transmitted infections persist in areas where personal hygiene andenvironmental sanitation practices are poorly carried out and where cases remainuntreated and become continuing sources of infection. A high prevalence ofhelminthiasis is also generally associated with areas that are basically agriculturaland low in the economic and human development scale.

What are the three (3) most common soil-transmitted helminthes?1. Ascaris lumbricoides (roundworm)2. Trichuris trichiura (whipworm)3. Hookworm

What are the common signs and symptoms of STH?

abdominal pain and enlargement anemia weight loss malnutrition loss of appetite

What are the effects of STH?1. decreased physical development of children2. decreased physical activities3. decreased performance in school

What is the mode of transmission of STH?1. fecal - oral route for ascaris, trichuris and hookworm (Necator americanus)

2. skin penetration for hookworms (Necator americanus and Ancylostomaduodenale)How can STH be diagnosed?

1. Kato katz technique- determines the intensity of infection2. Direct fecal smear3. Concentration method

How can STH be prevented? Good personal hygiene like washing hands before eating and after using the toilet Clean and safe preparation of food Always use slippers or shoes Proper use of toilet facilities

Environmental sanitationWhat is the treatment of STH? Mebendazole 500 mg for children 1- 12y/o and above

or Albendazole 200 mg for children 1-2 y/o Albendazole 400 mg for children 2 y/o and above

References:+ Garantisadong Pambata Bulitin (updated 3), page 8.+Merriam Websters Collegiate Dictionary 10th Ed., page 539.
http://doh-gov.indanet.com/node/1230http://doh-gov.indanet.com/node/1236http://doh-gov.indanet.com/node/1239http://doh-gov.indanet.com/node/1230http://doh-gov.indanet.com/node/1236http://doh-gov.indanet.com/node/1239


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+ National Objectives for Health, Philippines, 2005-2010, Department of Health, Manila,Philippines.+http://www.afro.who.int/en/clusters-a-programmes/dpc/neglected-tropical-diseases/programme-components/schistosomiasis-and-soil-transmitted-helminthiases-sth-control.html+http://portal.doh.gov.ph/ncdpc/strategic_objectives.html

+http://portal.doh.gov.ph/ncdpc/vision_mission.html+http://portal.doh.gov.ph/ncdpc/programs.html

+http://doh-gov.indanet.com/annual_calendar+http://www.doh.gov.ph/faq/show/478.html+http://www.doh.gov.ph/node/1807.html+http://doh-gov.indanet.com/ncdpc1PIA Press ReleaseMonday, July 04, 2011Luistro orders strengthening of health and nutrition program in schoolsMANILA, July 4 --The Department of Education is coming up with a more comprehensive approach to improve the health and nutrition of school childrenand translate this to better learning outcome, reduced drop-out and improved school retention rate.Through DepEd Order 43 s. 2011 Education Secretary Armin Luistro said the department is strengthening its school health and nutritionprograms and aligning it with other existing activities to come up with one seamless whole.It is very important that our school children are taught disease prevention and the right attitude on health and nutrition to enhancetheir motivation and capacity for learning, Luistro said.Luistro added that these initiatives are in line with the Education For All and Millennium Development Goals of improving educationoutcomes, reducing absenteeism and ensuring that school-aged children remain in school.Luistro also sought the active participation of other government agencies, the local government units, non-government organizations andthe private sector on preventive health care, poverty alleviation, hunger mitigation, and health awareness. Health and nutrition is aconcern that needs the attention of all sectors because it directly impacts our education and economic system, he explained.Thus, DepEd is intensifying its medical, dental and nursing services throughout the year as a preventive measure to protect the students,teachers and non-teaching personnel against diseases.It will also conduct nutritional assessment, including the eating habits of students so that the information gathered can be used to mapout a more responsive health and nutrition intervention. Discussion of nutrition concepts will also be included in the curriculum.The twice a year school-based deworming program will also be continued to prevent soil-transmitted helminthiasis. This is augmented by the conduct ofgood hygiene practice in school such as proper handwashing, wearing of slippers and shoes, drinking of potable water and regularclipping of fingernails.DepEd will also continue its student vision and auditory screening and refer those needing assistance to partner organizations. Visual andauditory problems result to slow learning and eventual dropping out.The oral health care program will also be earnestly pursued through the 7oclock tooth brushing activity. Here, students are taught thehabit of proper oral hygiene as a preventive way of reducing absenteeism.In partnership with the Department of Agriculture, DepEd is set to expand the coverage of Gulayan sa Paaralan aimed at establishingschool gardens as food baskets to provide a ready source of nutritious food for children and school personnel.

To address the problem of children coming to school on an empty stomach which affect their school performance, DepEd will implementthe school feeding program where students are provided hot meals following the standard recipes which utilize food grown from the campus food baskets.The other complementary programs for the schools and the community are school-based HIV and AIDS education prevention program, national drugeducation program, traditional and alternative health care, teachers health enhancement program, tuberculosis prevention and controlprogram and psycho-social intervention.(DepEd)

http://www.pia.gov.ph/?m=1&t=1&id=41746

DoH to deworm millions of kids this yearBy Kristine L. AlavePhilippine Daily InquirerFirst Posted 22:01:00 06/16/2008Filed Under: Health,Diseases,ChildrenMANILA, Philippines -- The health department received on Monday 17 million deworming tablets from Feed The Children International (FTCI) for its massdeworming campaign for school-age children.While the incidence of intestinal parasitism among children has gone down in the past years, it still remains a headache for public health officials as it leads

to a host of problems among a vulnerable demographic, Health Secretary Francisco Duque III said.?Parasitism or worm infection remains a public health problem having the widest distribution and the highest prevalence rates,? Duque said.?Children freed of worms in their system have better opportunity of survival,? he added. The health department said studies show children who have beende-wormed gain weight and enjoy improved nutritional status.They are also most likely to become intelligent adults and have better immunity systems that will help them ward off diseases like malaria and tuberculosis,according to the health secretary.In 2004, the prevalence rate of parasitism throughout the country was 67% among children belonging to the 1-5 years age group, the department said.Two years later, in a study conducted by the department, the University of the Philippines, and the United Nations Children?s Fund among children inselected local government units, the prevalence rate was down to 54%.This year?s donation of 17 million Mebendazole tablets is FTCI?s largest. FTCI also donated 3.8 million and 3.5 million Mebendazole tablets in 2006 and2007, respectively.In October 2006, during the first deworming campaign, 6.1 million of the target 11.1 million children aged 1-5 years old were given the tablets.Since last year, children aged 1-12 years old have been targeted for mass deworming. Of the total 58.6 million target children, 30.7 million were dewormed.Duque?s announcement of an intensified deworming campaign came as the department geared up for National Safe Kids Week, which is held every thirdweek of June.This year?s theme, ?INGAT BATA! Always Think of Child Safety: Safe Homes, Safe Schools, and Safe Community," stresses the creation of conditions

conducive to injury prevention.For every 100,000 children, 25 die from injuries from car accidents, falls, poisoning, violence, assaults, drowning and animal bites, according to thedepartment. Those who survive are left with disabilities.Duque said these causes of death could have been prevented had the communities, parents, and schools been mindful of child safety.

PIA Press Release2007/03/17DepEd to intensify deworming program in public schoolsPasig City (17 March) -- Department of Education (DepEd) Secretary Jesli Lapus instructed DepEd regional directors and school health officials to intensifyits deworming program in public schools throughout the country."We recognize the impact of health and nutrition on the learning ability of our students," Lapus said. "Aside from the potentially debilitating health hazards ofintestinal worm infections on our children, it too prevents them from fully participating in school and from gaining the maximum benefits of education."

According to the 2004 National Soil-Transmitted Helminthiases (STH) Prevalence Survey, the most recent and extensive survey conducted to map out theextent of STH infestation in the country, at least 67% of school children are affected by STH, an intestinal worm infection. The survey was conducted by the
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Department of Health (DOH), with the support of DepEd, the University of the Philippines-College for Public Health (UP-CPH) and the United NationsChildren's Fund (UNICEF).STH is found to cause anemia, vitamin C deficiency and malnutrition, especially among school children. This state of ill-health have been found to affect thephysical and mental capabilities of children to learn effectively."The welfare of our students is DepEd's number one concern," Lapus said. "As such, we continue to intensify our initiatives to enhance the learningenvironment in our schools."In response to the growing concern over STH, the DepEd Health and Nutrition Center (DepEd-HNC), in collaboration with the Department of Health (DOH)has intensified the conduct of the deworming program for pre-elementary and elementary students in all public schools nationwide. The dewormingprogram, which started in January of this year, will be done every January and July of each school year until 2010.Through the program, the department expects to reduce that the prevalence of STH among school children to levels below 30%.

Aside from the implementation of the program, the education chief also emphasized the importance of educating teachers and students about the value ofproper personal hygiene, food preparation and other environmental and sanitation measures to reduce STH problems.

"More than just providing treatment for STH, we want to ensure that our teachers and students are well-informed so we can prevent worm infestationnationwide," Lapus added. (DepEd

http://doh-gov.indanet.com/node/434 -purga material
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