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The development of schistosomiasis mansoni in an immunologically naive immigrant population in Masongaleni, Kenya

Published online by Cambridge University Press:  01 August 1998

J. H. OUMA
Affiliation:
Division of Vector Borne Diseases, Ministry of Health, PO Box 20750, Nairobi, Kenya
A. J. C. FULFORD
Affiliation:
Division of Microbiology and Parasitology, Department of Pathology, University of Cambridge, Tennis Court Road, Cambridge CB2 1QP, UK
H. C. KARIUKI
Affiliation:
Division of Vector Borne Diseases, Ministry of Health, PO Box 20750, Nairobi, Kenya
G. KIMANI
Affiliation:
Kenya Medical Research Institute, PO Box 54840, Nairobi, Kenya
R. F. STURROCK
Affiliation:
London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
G. MUCHEMI
Affiliation:
Institute of Primate Research, National Museums of Kenya, P.O. Box 24481, Karen, Nairobi, Kenya
A. E. BUTTERWORTH
Affiliation:
47, The Footpath, Coton, Cambridge CB3 7PX
D. W. DUNNE
Affiliation:
Division of Microbiology and Parasitology, Department of Pathology, University of Cambridge, Tennis Court Road, Cambridge CB2 1QP, UK

Abstract

The relocation of several thousand members of the Kamba tribe from the Kyulu Hills to the Thange valley near Masongaleni in Kenya provides an excellent opportunity to study the development of the immune response to schistosomiasis mansoni in a population with little or no previous experience of the infection. An adjacent, well-established Kamba community with similar patterns of water contact provides a suitable endemic control population. The immigrants were, uniquely, examined shortly after their arrival in the endemic area, while the prevalence of infection was still low. At this time faecal egg counts peaked atypically around 30 years of age. Over the next 12–18 months infection increased rapidly, especially among teenagers, producing a pattern of infection more typical of endemic communities. This substantially narrows estimates of the time required to develop the important determinants of the age–intensity profile, supporting the notion that changes related to age per se, rather than duration of infection, dominate. Age-dependent factors might include behaviour or physiology, including immune response. This paper provides the background for continuing longitudinal studies on the development of immunological responses to this parasite.

Type
Research Article
Copyright
1998 Cambridge University Press

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