scrring Schistosomiasis

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Screening of asymptomatic persons is not recommended. As with many endemic parasitic diseases, opportune treatment will not be effective in the long term, without primary prevention (environmental control)to prevent repeated re-exposure. Screening should be seen as an adjunct to environmental control and education of the public to minimize exposure and to promote self-referral for gross haematuria (early detection).in many cases,
the population will not have the option of avoiding exposure, for economic reasons ; broad environmental control measures will almost always be required. Enquiry regarding history of haematuria has been used as an initial screen in adults, although gross inspection of urine is more accurate, especially in children ,followed by testing of urine for blood with reagent strips in the case of those found positive on initial screening (mott et al., 1985)

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