TITLE

Rubella seroprevalence among primary and pre- primary school pupils at Moi's Bridge location, Uasin Gishu District, Kenya

AUTHOR(S)
Kombich, Janeth J.; Muchai, Paul C.; Tukei, Peter; Borus, Peter K.
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9, p269
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Rubella is an infectious and generally mild childhood viral disease. The disease is of public health importance because infection acquired during early pregnancy often results in foetal abnormalities that are classified as congenital rubella syndrome (CRS). The burden of rubella infection in most developing countries in not well documented because of limited epidemiological data. However, availability of an effective vaccine has made it necessary to have all the countries with no routine vaccination schedule to evaluate the burden of disease in order to make informed decisions on rubella vaccination and strategy. To address this gap we conducted a study to determine age-specific rubella seroprevalence rates and related risk factors among primary and pre-primary school children in Uasin Gishu district, Moi's Bridge location of Kenya. Methods: Subjects of the study were 498 pupils from seven primary schools aged 4-20 years. Questionnaire surveys with blood sampling were conducted between January to July 2005. Samples were tested for rubella specific IgG antibody using ELISA test kit (Enzygnost® Behring, Germany). Results: Overall, rubella seropositivity rate was 80% and it increased with age from 59% (among ages 4-6 years) to 94% (ages 14-20 years). Multivariate logistic regression analysis model, showed that age of child and ownership of a television set which is a proxy measure of socio-economic status of family were significantly associated with rubella seropositivity. The odds of rubella seropositivity in a child older than 13 years was more than that in children younger than 7 years (OR = 3.8 95% CI 2.56-5.78). The odds of rubella seropositivity in a child whose family did not own a television set was 3 times higher than that of child whose family owned a set (OR 3.06, 95% CI 1.17-7.97). Conclusion: The study provides important and highly useful information on rubella age specific seroprevalence rates in Kenya. Advancing age was found to be associated with increased risk of rubella. Low socio-economic factors suggest an increased risk of infection in certain categories of society, and control measures need to target this. Overall, the findings can also be used by policy makers to model introduction of routine rubella vaccination in the country and also other developing countries facing similar challenges. More than half of the children got infected in preprimary and efforts to control rubella should target pre-school children. These data provides pre-vaccination information that can be used to guide immunization strategy as well as to determine success of an immunization programme.
ACCESSION #
44171486

 

Related Articles

  • Methods and representativeness of a European survey in children and adolescents: the KIDSCREEN study. Berra, Silvina; Ravens-Sieberer, Ulrike; Erhart, Michael; Tebé, Cristian; Bisegger, Corinna; Duer, Wolfgang; von Rueden, Ursula; Herdman, Michael; Alonso, Jordi; Rajmil, Luis // BMC Public Health;2007, Vol. 7, p182 

    Background: The objective of the present study was to compare three different sampling and questionnaire administration methods used in the international KIDSCREEN study in terms of participation, response rates, and external validity. Methods: Children and adolescents aged 8-18 years were...

  • Nutrition and Health Survey of Taiwan Elementary School Children 2001-2002: research design, methods and scope. Su-Hao Tu; Yung-Tai Hung; Hsing-Yi Chang; Chi-Ming Hang; Ning-Sing Shaw; Wei Lin; Yi-Chin Lin; Su-Wan Hu; Yao-Hsu Yang; Tzee-Chung Wu; Ya-Hui Chang; Shu-Chen Su; Hsiao-Chi Hsu; Keh-Sung Tsai; Ssu-Yuan Chen; Chih-Jung Yeh; Wen-Harn Pan // Asia Pacific Journal of Clinical Nutrition;2007 Supplement, Vol. 16, p507 

    The "Nutrition and Health Survey of Taiwan's Elementary School Children (2001-2002)" was to investigate the nutritional status, influential dietary and non-dietary factors, health and development, and school performance, as well as the inter-relationships among these factors. The survey adopted...

  • An analysis of socio-demographic patterns in child malnutrition trends using Ghana demographic and health survey data in the period 1993--2008. Amugsi, Dickson A.; Mittelmark, Maurice B.; Lartey, Anna // BMC Public Health;2013, Vol. 13 Issue 1, p199 

    Background A small but growing body of research indicates that progress in reducing child malnutrition is substantially uneven from place to place, even down to the district level within countries. Yet child malnutrition prevalence and trend estimates available for public health planning are...

  • SOME GOOD NEWS.  // hfm (Healthcare Financial Management);Feb2007, Vol. 61 Issue 2, p11 

    The article reports on the 16th annual report of Health Resources and Services Administration on the health status of America's children. According to the report, there has been an increasing rate of prenatal care in the U.S. since 1990. The report shows that there is an increase by 20% since...

  • Children in Tibet suffer from chronic malnutrition.  // Tibetan Review: The Monthly Magazine on all Aspects of Tibet;Jan2008, Vol. 43 Issue 1, p4 

    The article reports on the result of the health survey in Tibet, China which reveals that almost half of the children suffer from malnutrition that is detrimental to their health. César Chelala, an international medical consultant, urges the need for new public health and social policies to...

  • Association between parity and dentition status among Japanese women: Japan public health center-based oral health study. Masayuki Ueno; Satoko Ohara; Manami Inoue; Shoichiro Tsugane; Yoko Kawaguchi // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background Several studies have shown that parity is associated with oral health problems such as tooth loss and dental caries. In Japan, however, no studies have examined the association. The purpose of this study was to determine whether parity is related to dentition status, including the...

  • Inquéritos de saúde e uso de serviços materno-infantis em três municípios da Grande São Paulo. de Carvalho, Wladithe Organ; Cesar, Chester Luiz Galvão; Carandina, Luana; de Azevedo Barros, Marilisa Berti; Alves, Maria Cecília Goi Porto; Goldbaum, Moisés // Revista Panamericana de Salud Publica;Nov2008, Vol. 24 Issue 5, p314 

    Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboão da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil,...

  • Impact of methodological shortcuts in conducting public health surveys: results from a vaccination coverage survey. Luman, Elizabeth T.; Sablan, Mariana; Stokley, Shannon; McCauley, Mary M.; Shaw, Kate M. // BMC Public Health;2008, Vol. 8, p99 

    Background: Lack of methodological rigor can cause survey error, leading to biased results and suboptimal public health response. This study focused on the potential impact of 3 methodological "shortcuts" pertaining to field surveys: relying on a single source for critical data, failing to...

  • Perceptions of State Government stakeholders & researchers regarding public health research priorities in India: An exploratory survey. Kaur, Prabhdeep; Chitra, Grace A.; Mehendale, Sanjay M.; Katoch, Vishwa M. // Indian Journal of Medical Research;Feb2014, Vol. 139 Issue 2, p231 

    Public health research has several stakeholders that should be involved in identifying public health research agenda. A survey was conducted prior to a national consultation organized by the Department of Health Research with the objective to identify the key public health research priorities as...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics