Deworming to combat the health and nutritional impact of soil-transmitted helminths
Soil-transmitted helminths are among the most common infections in developing countries. They impair the nutritional status of the people they infect in multiple ways, including:
- feeding on host tissues, including blood, which leads to a loss of iron and protein
- increasing malabsorption of nutrients.
Some soil-transmitted helminths also cause loss of appetite and therefore a reduction of nutrition intake and physical fitness.
The nutritional impairment caused by soil-transmitted helminths is recognized to have a significant impact on growth and physical development. To reduce the worm burden, WHO recommends periodic drug treatment (deworming) of all children living in endemic areas. WHO also recommends health and hygiene education, and the provision of adequate sanitation.
WHO documents
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Preventive chemotherapy in human helminthiasis. Coordinated use of anthelminthic drugs in control interventions: a manual for health professionals and programme managers [pdf 1.58Mb]
Status: published
Publication year: 2006 -
How to add deworming to vitamin A distribution [pdf 651kb]
Status: published
Publication year: 2004 -
Helminth control in school-age children. A guide for managers of control programmes
Status: published
Publication year: 2001 -
Strengthening interventions to reduce helminth infections as an entry point for the development of health promoting schools [pdf 2.89Mb]
Status: published
Publication year: 1996
Evidence
Cochrane review
Systematic reviews
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Impact of hookworm infection and deworming on anaemia in non-pregnant populations: a systematic review.
Smith JL, Brooker S.
Tropical Medicine & International Health, 2010, 15:776–795
doi:10.1111/j.1365-3156.2010.02542.x -
A review and meta-analysis of the impact of intestinal worms on child growth and nutrition.
Hall A et al.
Maternal and Child Nutrition, 2008, 4:118–236
doi:10.1111/j.1740-8709.2007.00127.x