Helminthiasis Prevalence Based on GIS along Thai-Cambodian Border in Phusing District, Sisaket Province, Thailand

Abstract

Helminthiasis has been a major public health problem in Southeast Asia, especially in rural areas significant along the Thai national borderline. This research within provincial public health working standard aimed to identify the situation and influent factors along 3 sequential purposes within 3 steps as 1)To explore 5 years situation to get the specific study area, 2)To find out the prevalence of the area, and 3)To excrete the influent factors. The target area of the first step comprised 2 subdistricts, Donrak and Phrai Phattana within 9873 parents who participated in the stool examination program in 2015-2019 under the provincial Public Health Office, of primary school pupils. In the second step specific area were selected via the criteria of 30 percentile of the high border length line which were 2 subdistricts. 469 parents in those did re-examine their stool in the last 3 months in 2019 to compare the 2 sets of the prevalence. In both steps of the analysis, basic data were gender and 6 age ranges (Min = 20 years old, Max > 60 years old).In the final step, influent factors based on the documents and congruence among 6 responsible staffs with an equal number in each, The stool examination was FECT and helminthiasis simple smear in the first 2 steps was in the same standard. In the third one, the excreted factors were supported by theories and 100 percent of the congruence. The results were as 1)In the first step, 15.96% among 9873 subjects were infected. Male (n=893)was statistically significant higher (P<=.05) than female(n=682).The age range mode was 41-50 years old. 2)In the second step, 21 % among 496 subjects were infected. Male(n=37)was statistically significant higher than female(n=13) at .05 level. Age range mode was in  40-50 years old in both subdistricts. 3)In the final step, 3 influent factors were delivered out as the number of water resources and geographical patient location, and fish consuming behavior. The beyond results besides the purposes revealed prevalence of helminthiasis comprised; Opisthorchis viverrini (47.08%), hookworm (28.17%), and Taenia spp (6.91%). This was crucial for further investigation in each type to be able to link into both the public health and helminth professional area.