
A silent health threat is emerging in Kavrepalanchok classrooms
The health landscape of Kavrepalanchok, Nepal, is witnessing a critical shift as microscopic protozoa replace giant helminths as the primary parasitic threat to school-aged children. While national deworming initiatives have successfully slashed overall infection rates from 40% to 13.85% over the last 15 years, a "silent struggle" persists through the environmental transmission of Entamoeba spp., which now accounts for over 60% of cases. The study reveals a direct link between infected children and contaminated soil, water, and vegetables, identifying behavioural triggers like nail-biting and clinical predictors like abdominal pain as key drivers. To bridge the gap toward total elimination, the region must move beyond mass drug administration to a holistic "eco-health" strategy that prioritizes water infrastructure integrity, targeted hygiene education, and active environmental monitoring of local "hotspots."
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