Schistosomiasis remains a public health concern in Zambia. Urinary schistosomiasis caused by Schistosoma haematobium is the most widely distributed infection. The aim of the current study was to determine the prevalence and risk factors of urinary schistosomiasis and identify the strain of S. haematobium among children in the Siavonga and Lusaka districts in Zambia. Urine samples were collected from 421 primary school children and S. haematobium eggs were examined under light microscopy. A semi-structured questionnaire was used to obtain information on the socio-demographic characteristics and the potential risk factors for urinary schistosomiasis. DNA of the parasite eggs was extracted from urine samples and the internal transcribed spacer gene was amplified, sequenced and phylogenetically analysed. The overall prevalence of S. haematobium was 9.7% (41/421) (95% CI: 7.16–13.08), male participants made up 6.2% (26/232) (95% CI: 4.15–9.03), having a higher burden of disease than female participants who made up 3.5% (15/421) (95% CI: 2.01–5.94). The age group of 11–15 years had the highest overall prevalence of 8.3% (35/421) (5.94–11.48). Participants that did not go fishing were 0.008 times less likely to be positive for schistosomiasis while participants whose urine was blood-tinged or cloudy on physical examination and those that lived close to water bodies were 9.98 and 11.66 times more likely to test positive for schistosomiasis, respectively. A phylogenetic tree analysis indicated that S. haematobium isolates were closely related to pure S. haematobium from Zimbabwe and hybrids of S. haematobium × S. bovis from Benin, Senegal and Malawi. The current study shows that urinary schistosomiasis is endemic in the study areas and is associated with water contact, and S. haematobium isolated is closely related to hybrids of S. bovis × S. haematobium strain, indicating the zoonotic potential of this parasite.
: Urinary schistosomiasis caused by the parasite Schistosoma haematobium is the most common form of schistosomiasis. This parasite has a high potential for genetic exchange within parasite populations giving rise to the genetic diversity that is important for its survival. Genetic differ-ences may lead to some parasite strains being more immunogenic which may have a negative impact on management and control of schistosomiasis. Therefore, understanding these genetic differences in the parasite may lead to better management of the disease. A literature search was done on PubMed, African Journals online and Google scholar using predefined search terms such as urinary schistosomiasis, S. haematobium, genetic diversity in sub-Saharan Africa in com-bination with Boolean operators (AND, OR). The search included studies published from 2000-2020 that emphasised on genetic diversity of Schistosoma haematobium in sub-Saharan Africa. Sixteen studies from 18 sub-Saharan African countries that met the inclusion criteria were se-lected. Most studies conducted in these countries showed a high genetic diversity of Schistosoma haematobium studies with microsatellite markers being the most commonly used method for ge-netic diversity determination. Fisher’s exact test showed that the distribution of genetic diversity in sub-Saharan African regions was not statistically significant (p=0.768). The highest number of studies on genetic diversity of Schistosoma haematobium were conducted in West Africa with Ni-geria and Zimbabwe in Southern Africa conducting the most studies, 4/36 (11%) each. Results obtained show the need for continued monitoring of genetic variations in Schistosoma haemato-bium in sub- Saharan Africa. This will aid in understanding the epidemiology of disease, ad-vancing novel treatment and vaccine strategies.
Background: Ocimum fimbriatum Briq. var. fimbriatum is used traditionally in Zambia for its aphrodisiac effect, but there is no scientific evidence to support this use. Therefore, this study aimed to validate the aphrodisiac effects of the plant's root extract in rats. Study Design: This was an experimental study in which sixty Wister rats (30 males and 30 females) were separated into 5 groups of 12 rats and treated with different doses of the extract. Methods: The root extracts were administered at single oral doses of 100, 200, and 400 mg/kg to 30 male rats. Distilled water and sildenafil served as controls. Female rats were treated with 0.1 mg/kg diethylstilbesterol and paired to the male rats.Mounting frequency, intromission, ejaculation, and latency periods were monitored using recording cameras. Recordings were analyzed visually and expressed as mean ± standard error. Results: The root extract produced significant dosedependent increases in mounting, intromission, and ejaculation frequencies and latency periods, compared to negative controls. The 400 mg/kg dose produced highest number of mounts (31.33 ± 0.49, p= 0.001), intromissions (24.17 ± 0.60, p= 0.001) and ejaculations (7.67 ± 0.33, p= 0.001) compared to negative controls. At this dose, latency periods for mounting (3.00 ± 0.37min, p= 0.001) and intromission (2.1 ± 0.32 min, p= 0.001) were shortest, while the latency periods for ejaculation (6.33 ± 0.56 min, p=0.001) were longest. Conclusion: Root extract of Ocimum fimbriatum exerted significant aphrodisiac effects in rats and justifies traditional use of the plant. Further studies are required to elucidate the active principles and mechanisms involved in this effect.