HEALTH EDUCATION

TREMATODES ::

Liver fluke and schistosoma are included in this group Liver fluke is 20 mm to 30 mm long and is heart shaped sheep is the host of liver fluke 

    Schistosoma is l cm long it produces infection in the intestine bladder ureter and kidney 

Infection can be easily prevented by avoiding drinking or bathing in infected rivers and tanks Copper sulphate can be used for sterilizing water infected persons should be treated under the supervision of a medical doctor 

Helminths and drugs of choice ::

worm Round worm (ascaris lumbricoides) 

First choice : piperazine (75 mg/kg) Levamisole (2.5 mg/kg single dose ) 

Second choice : Pyrantel palmoate (11 mg /kg single dose ) Mebendazole (100 mg twice a day for 3 days ) 

2.Hook worm :;(necator americans ) 

first choice :: Bephenium (5 gms single dose) pyratel palmoate (11 mg /kg single dose) 

second choice :: mebendazole (100 mg twice a day for 3 days) Thiabendazole (25 gm/kg twice for 2 days) 

3.whip worm : (Trichuris trichiura ) 

First choice :: mebendazole 

second choice :: Thiabendazole 

4.Thread worm : (strongyloides stercoralis ) 

first choice :: Thiabendazole 

second choice :: Mebendazole 

5.pin worm :(Enterobius vermicularis ) 

first choice :: pyrantel palmoate 

second choice :: piperazine mebendazole 

6.Tape worms (Taenia saginata ) 

first choice :; niclosamine (2 gm for adults ) 500 mg /gm for children 

Second choice :: Diclorophen (2-3 gm for adults 1-2 gm for children every 8 hrs for 3 days )