JOURNAL OF PHYSICAL EDUCATION AND RESEARCH (JOPER) VOL. XIII, NO. 1, PP 1762 – 1767, AUGUST, 2007. PUBLISHER DEPARTMENT OF PHYSICAL AND HEALTH EDUCATION, OBAFEMI AWOLOWO UNIVERSITY, ILE-IFE, OSUN STATE, NIGERIA STUDENTS’ KNOWLEDGE ABOUT THE MEANING OF HIV/AIDS BY O.L. Olaitan (M.Ed) DEPARTMENT OF PHYSICAL EDUCATION, UNIVERSITY OF ILORIN, KWARA STATE, NIGERIA ABSTRACT This study investigated knowledge of meaning of HIV/AIDS among students of tertiary institutions in Kwara State Seven hundred subjects were sampled from the five selected tertiary institutions in Kwara State. An instrument tagged knowledge of HIV/AIDS Questionnaire (KHAQ) was used to gather data for the study. A hypothesis formulated was tested using t-test at 0.05 level of significance. The findings revealed that there was no significant difference between male and female students of tertiary institutions in Kwara State on their knowledge of the meaning of HIV/AIDS. Based on the major findings, the researcher recommended that AIDS education should be incorporated in the school curriculum. Also, more and adequate information on knowledge of meaning of HIV/AIDS should be made available to the students of tertiary institutions in Kwara State through Information Technology and Health Education campaigns. INTRODUCTION HIV/AIDS is an unprecedental public health problem facing the entire world. Confirmed cure is neither in sight nor reliable vaccine likely for several years. The only means of curbing the disease is health education, thereby making the infection with HIV/AIDS an urgent problem worldwide with medical, social and economic implications. Mann (1997) said, AIDS was first discovered in the USA in 1981. He further stressed that, retrospective studies indicated that the first cases might have occurred there early as 1978. The geographical and biological origins of the virus causing the disease are not clear. However, it appears that this virus is first of it kinds in modern history that has spread widely among human population (Olaleye, 2000). 2 Orubuloye (1990) emphasized that, in Nigeria, heterosexual intercourse is the predominant mode of transmission. Fawole, et al (1999) opined that adolescents are also a group of high risk in the rapidly growth HIV.AIDs pandemic. This is because an adolescent is a time of rapid growth and development, it is also the time of sexual maturity and the initiation into sexual activity. These author further said that during this period, youths learn to control their lives and make independent decisions. They try out experiences for the first time, and this is often the time for sexual experimentation by some youths. It is often, however, accompanied by lack of knowledge and skill to make healthy choices. Another group at high risk of HIV/AIDS infection according to AlOwaish, et al (2005) include, those with prior history of sexually transmitted diseases (STDs). Screening high risk individuals, such as STD patients, is useful since the related counseling may change their behaviour and keeps them free of HIV infection (Nurse Practitioner, 2005). Nowadays, it is worthy of knowledge to know that, HIV/AIDS spares no professional, racial or religious groups, it attacks actors, actresses, doctors, nurses, laboratory staff, lawyers, teachers, as well as politicians, civil servants, businessmen, sports men and women, and even students, who are leaders of tomorrow. Hence, the need as a matter of urgency to create 3 avenue to have knowledge of HIV/AIDS among students with the view to eliciting positive behavioural changes towards the people who were affected with HIV/AIDS and to involve in health education and promotion in help reduce the rate at which this disease is rapidly growing in our society. HIV connotes human immunodeficiency virus. It is the virus that causes acquire immune deficiency syndrome (AIDS). There are two types of HIV; they are HIV-1 and HIV-2. HIV destroys the body’s immune system leaving the body open to infections that it cannot fight in the normal way, when this happens, a person has AIDS (Rosserr, 2006). Olaleye (2000) said that, the two major types of HIV-1 and HIV-2 could be distinguished genetically and antigenically. He further stressed that, by the last count, at least 12 HIV-1 subtypes and 5 HIV-2 subtypes have been registered with the Gene-Bank. The viruses are highly heterogenous in a variety of biologic, serologic and molecular features. These include: Cellular tropism: Replication kinetics: Level of virus production: Cytopathic effects: Plague or Syncytium-forming ability: Latency: Sensitivity of neutralizing or enhancing antibodies and: Geretics structure. These variables features coupled with the other properties of the virus mentioned earlier make difficult to produce effective vaccine or therapy against the virus. 4 The origin of AIDS virus has become a matter of intensive international debate (Health Digest, 2002). Since it was first identified in 1981, there has been a question of where it originated from: AIDS was originally thought to originate from Haiti and later Africa (Oshuntokun, 1986). The Western World argued that, it originated from Africa because the discovery of the AIDS virus resembles a virus found in the African green monkeys (Achalu, 1993). New Scientist (2001) opined that, the virus was discovered in 1983 by Bar-sinoussi et al in France and identified as retrovirus that caused lymphadenopathy. Achalu (1993) intensified that, Soviet Union (Russia) is convinced that AIDS originated from America, claiming that AIDS virus was the product of American Chemical weapon laboratory. AIDS is referred to as a syndrome because the range of manifestations may include a variety of opportunistic infections, neurological disorders, and malignancies (Prath, 2005). Churchill (2004) stressed that, AIDS is a syndrome because of its aggregate of signs, symptoms, or other manifestations considered to constitute the characteristics of a morbid entity; used especially when the cause of condition is unknown. AIDS is a sexually transmitted disease; it can be passed from woman to man, from man to woman, and from man to man (Royce, et al. 2005). AIDS is a deadly disease 5 and the majority of people who become infected with HIV will develop AIDS or dementia or associated neurological diseases within 10 years (Katona, 2003). There is the concern today in Nigeria society about the high prevalence of HIV/AIDS among young and old, male and female, married and singles, most especially among students. The incidence of these problems has been attributed to lack of knowledge of HIV/AIDS among students. Hence, the major problem for this study will be to find out the general knowledge of HIV/AIDS among general knowledge of HIV/AIDS among students of tertiary institutions in Kwara State. Research Questions Do students of tertiary institutions in Kwara State have knowledge of meaning of HIV/AIDS? To guide the study the hypothesis: There will be no significant difference between the knowledge of meaning of HIV/AIDS among male and female students of tertiary institutions in Kwara State was generated. RESEARCH METHODOLOGY A descriptive survey research method was used to achieve the purpose of the study. Isaac (1972) defined a descriptive survey research as the study of existing conditions by collecting and analyzing data, and arriving at some 6 conclusions and recommendations. This research was specifically designed to seek information on knowledge of meaning of HIV/AIDS among student of tertiary institution in Kwara State. For this study, the population comprised all the students of tertiary institutions in Kwara State. The researcher used only the year three students, and the research was based on the approximate population of all the ‘year three’ students of all the tertiary institutions in Kwara State regardless of their sexes. The total population of the ‘year three’ students of these institutions was 6,850. In order to avoid interference and bias proportionate sampling technique was used to select a total number of seven hundred students. This number represented 10.2% of the total population of the ‘year three’ students of all the selected tertiary institutions for the study in Kwara State. The researcher constructed instrument tagged knowledge of HIV/AIDS. Questionnaire (KHAQ) as the main instrument for the study. It consisted or structured items eliciting information from respondents on their knowledge of meaning of HIV/AIDS. The data collected were analysed using mean scores, percentages and standard deviation. These were further being presented in tables. The t-test 7 statistical method was used to test the hypothesis formulated for this study at = 0.05 level of significance. RESULTS AND DISCUSSION Tables one and two dealt with the bio-data of respondents i.e. Age and Sex. TABLE AGE OF RESPONDENTS Frequency Total Percentage (%) Age Male Female 16-20yrs 39 32 71 10.1 21-25yrs 65 57 122 17.4 26-30yrs 107 85 192 27.4 31-35yrs 99 68 167 23.9 36-40yrs 44 40 84 12.0 41yrs & above 36 28 64 9.2 Total 390 310 700 100 Table 1 showed that 27.4% of both male and female and female students in Tertiary Institutions in Kwara State were between 26 and 30years of age, while 23.9% were between 31 and 35years, 17.4% between 21 and 25years, 8 12% between 36 and 40years, 10.1% between 16 and 20years and 9.2% were within the range of 41years and above. TABLE 2: SEX OF RESPONDENTS Sex Frequency Percentage (%) Male 390 55.7 Female 310 44.3 Total 700 100 Table 2 showed that 55.7% of the students in the population used for the study were males, while 44.3 were females. TABLE 3: STUDENTS’ RESPONSES ON KNOWLEDGE OF MEANING OF HIV/AIDS Item Frequency Percentage % Positive Negative Positive Negative Q1 567 133 81.0 19.0 Q2 630 70 90.0 10.0 Q3 501 199 71.57 28.43 Q4 415 285 59.29 40.71 Q5 460 240 65.72 34.29 Q6 419 281 59.86 40.14 Mean (X) 489.67 201.33 71.242 8.76 9 TABLE 4: HYPOTHESIS 1 TESTING ON KNOWLEDGE OF MEANING OF HIV/AIDS BY SEX N = 700 VARIABLES Mean (X) SD Calc. t value Decision of Ho Male 16.17 4.12 0.284 Female 16.85 4.21 a = 0.05 Accepted Critical T.value = 1.960 Since the calculated value of 0.284 was less than the critical value of 1.960 at the significant level of 0.05, the null hypothesis was therefore accepted. This means that there was no significant difference between male and female students of tertiary institutions in Kwara State on their knowledge of meaning of HIV/AIDS. DISCUSSION OF FINDINGS The analysis revealed that students had knowledge of the meaning of HIV/AIDs as Acquired Immune Deficiency Syndrome, this is in line with Giraldo (2002), Chin (2004) and Olaleye (2000) that AIDS means Acquired Immune Deficiency Syndrome. So also, they had knowledge that HIV means Human Immunodeficiency virus, this was in line with that Achalu (1993) who said that HIV means Human Immunodeficiency virus. They were knowledgeable 10 that AIDS virus resembles a virus found in African green monkeys, this conformed with Achalu (1993) that, the western world argued that, it originated from Africa because the discovery of the AIDS virus resembles a virus found in the African green monkeys. They were knowledgeable that AIDS might develop into mental illness, this was supported by Katona (2003) that AIDS is a deadly disease and the majority of people who become infected with HIV will develop AIDS or dementia or associated neurological diseases within 10 years. Some of them had knowledge that AIDS however, is not a new disease, this is contrary to Oshuntokun (1986) that AIDS virus was first identified in 1981, but in line with Maggiore (2006) that AIDS is a new name given by the Centers for Disease Control (CDC) to a collection of 29 familiar illnesses and conditions including yeast infection, herpes, diarrhea some pneumonias, certain cancers, salmonella and tuberculosis. And they were knowledgeable that AIDS is a syndrome, this was in line with Prath (2005) that AIDS is referred to as a syndrome because of the range of manifestations might include a variety of opportunistic infections, neurological disorders and malignancies. Also, Churchill (2004) stressed that AIDS is a syndrome because of its aggregate of signs, symptoms or other manifestations. 11 Through the data analysis, the respondents have generally good knowledge of the meaning of HIV/AIDS. In the hypothesis testing however it was shown that no significant difference existed in the knowledge of both male and female on the meaning of HIV/AIDS. This might be due to the fact that, both male and female students were exposed to the same environment and academic curricula. CONCLUSIONS AND RECOMMENDATIONS It was concluded that the subjects had better knowledge of the meaning of HIV/AIDS. On the basis of the researcher findings it is hereby recommended that, more and adequate information knowledge about HIV/AIDS should be made available to the students of tertiary institutions in Kwara State and the entire populace gardless of age, sex, marital status, religious group, occupation, etc. also, Health Education as a subject should be intensified in our primary and secondary schools in Nigeria. 12 REFERENCE Achalu, E.I. (1993). AIDS and other sexually transmitted disease: what everyone should know (2nd eds.), Lagos: Simarch Nigeria. Lt.d. Al- Owaish, R.A.Anwar, S. Sharma, P. & Shah, SF (2000), HIV/AID prevalence among male patients in Kwuwait. Saudi Medical Journal. September, 21, 9:852-859 Chin J. (1991). Present and future dimension of the HIV/AIDS pandemic: Science Challenging AIDS Proc. 7th Int. Conference on AIDS Florence, Based: Karger PP 33-50. Churchill, L. (1989). Churchill’s Illustrated medical dictionary (2nd eds.) New York: Churchill-Livingstone publishers. Fawole, O.I: Asuzu, M.O. & Oduntan, O. (1999) Survey of knowledge, attitudes and sexual practices relating to HIV infections/AIDS among Nigerian secondary school students. African Journal of Reproductive Health, 3, 16-23. Health Digest (2002). AIDS: Is there a cure? Health Digest. 2, 2 3, 12. Isaac, S. (1972). Handbook of research and evaluation. Publication Quarterly, 42, 164-172. Katona, C.L.E. (2003). Dementia Disorders: Advance and prospects: AIDS and Dementia (8th Eds.), London: Chapman & Hall Ltd. Maggiore, C. (2006), What if everything you thought you knew about AIDS was wrong? (4th eds.), California: The American Foundation for AIDS Alternative publishers. Mann, J. (1997). AIDS, World Health Forum, 8, 361-370. New Scientist (2001). AIDS as a Retrovirus, New Scientist 8, 49-59. 13 Nurse practitioners (2005), Sexually transmitted diseases and HIV infection. Clinicians handbook of clinical preventive services. Nurse Practitioners, 20, 66-71. Olaleye, O.D. (2000). The HIV/AIDS plague: A threat of continuous human existence, A monthly guest lecture. Faculty of veterinary medicine, University of Ibadan, Ibadan. March 29. Orubuloye, I.O.; Oadawell J.O. & Cadwell, P. (1990). Changes in nature and levels of sexual networking in an African society: A destabilization of the traditional Yoruba system. Health Trans Review. 5, 35, 12-16. Oshuntokun, B.O. (1986). HIV and AIDS: Healthcare 1, 16. Pratt, R.J. (2005). HIV and AIDS: A strategy for nursing care. (4th eds.). London: Edward Arnold publications. Royce, R.A.; Sena, A; Cates, W & Cohen M (2005). Sexual transmission of HIV, New England Journal of Medincine, 15, 1075-1078. Warden, M.H. (1992). Epidemiology of AIDS. WHO-EM/AIDS. 14-E. WCTO/WHO/UNESCO/ILO (1995). Consensus statement on AIDS in schools. World Conmsultation of Teachers’ Organisation (WCTO) in Association with World Health Organisation (WHO), United National Educational Scientific & Cultural Organisation (UNESCO) and International Labour Organisation (ILO), 3. WHO (1994). HIV and infant feeding: Essential issues for decision making (Draft Policy Guidelines) Geneva: World Health Organisation (WHO). WHO/UNAIDS (1997), Revised recommendations for the selection and use of HIV antibody tests. Weekly Epidemiology Record. 72, 2, 81-88. 14 AFRICAN JOURNAL OF EDUCATIONAL STUDIES (AJES) VOL. 4, NO. 1, PP. 134 – 140. MARCH, 2006 PUBLISHER. THE FACULTY OF EDUCATION, UNIVERSITY OF BOTSWANA, GABORONE, BOTSWANA HEAD LICE INFESTATION AMONG PRIMARY SCHOOL CHILDREN IN IBADAN OYO STATE, NIGERIA ____________________ Olaitan, O. Lanre DEPARTMENT OF PHYSICAL EDUCATION, UNIVERSITY OF ILORIN, KWARA STATE, NIGERIA 15 ABSTRACT The study was to determine the incidence of head lice infestation among primary school children in Oyo State, Nigeria. A total of 360 pupils were chosen as subjects from 12 primary schools in Ibadan, Oyo State using a proportional random sampling technique, while a structured questionnaire was used as the tool for gathering data from the subjects. Research hypotheses formulated were analyzed using inferential statistics of chisquare (X2) at α = 0.05 level of significance. The findings revealed that head lice infestation prevailed among primary school children in Oyo State, and the prevalence was influenced by sex, family size, working parents, and the number of rooms in the family residence. It was recommended among others that, parents should always take good care of their children’s personal hygiene, teachers should involve in health inspection of the school children and government should establish a school to help in monitoring the health status of the school environment and the school children. Introduction Head louse infestation is an infestation of the head with pediculus humanus var capitis (Cumbescot, 2000). The insects are harbored on the scalp and may lead to severe itching. The intense scratching may cause excoriations, secondary bacteria infection, oedema and adenopathy. Also, they may transmit serious epidemic diseases such as epidemic typhus, trench fever and relapsing fever (Benenson 1998). Pediculosis also has social and psychological impact on infested children and their parents. Such an impact leads to restraint in seeking advice from healthcare providers, which leads to underestimation of the magnitude of the problem. Juranek (2000) asserted that outbreaks of pediculosis generally takes place during periods of 16 economic crisis or wars, as happening in the second world war, pediculosis was rare in the post second world war period but since 1970s it has increased considerably Sarov, Neuman & Herman, (2004); Chunge (2004); Sinniah, Sinniah & Rejeswar (2003) and Dagnew & Erwin (1991) reported that sex influences head lice infestation with higher prevalence in girls than boys. But lack of significant association between sex and head lice infestation was reported in three countries, Kenya, Saudi Arabia and Israel (Chunge, 2004, Boyle, 2003 Mumcuoglu, Kiaus & Kafka (1994). Ramussen (2004) highlighted that lice are spread more rapidly in large families living in crowded conditions where bed-sharing and poor hygiene exist. While Tampline, Nash & Almond (1991) reported that most children with head lice infestation are children of working parents. They further said that most parents are too busy and occupied due to their job schedule. Significant relationships between head lice infestation and crowding was reported by many workers (Sarov, Neuman & Herman, 2004; Sulaiman & Fatima, 1988; Sinniah, Sinniah & Rejewari, 2003; Sulaman & Jabeen, 1989, and Ray & Tandon, (2000). Purpose of the Study The study was to investigate the prevalence of head lice among primary school children in Oyo State, Nigeria. 17 Research Questions 1. What is the prevalence of head lice infestation among the urban and rural primary school children in Ibadan, Oyo State, Nigeria? 2. What is the prevalence of head lice infestation among primary school boys and girls in Ibadan, Oyo State, Nigeria? 3. Does family size have any effect on the prevalence of head lice infestation among primary school children in Ibadan, Oyo State, Nigeria? 4. Does mother’s occupation have any effect on the prevalence of head lice infestation among primary school children in Ibadan, Oyo State, Nigeria? 5. Does number of rooms in the family residence have any effect on the head lice infestation among he primary school children in Ibadan, Oyo State, Nigeria? Research Hypotheses 1. There is no significant effect of family size on the prevalence of head lice infestation among primary school children in Ibadan, Oyo State, Nigeria. 18 2. There is no significant effect of mother’s occupation on the prevalence of head lice infestation among children in Ibadan, Oyo State, Nigeria. 3. There is no significant effect of the number of rooms in the family residence on head lice infestation among primary school children in Ibadan, Oyo State, Nigeria. Methodology The study area is located within Ibadan, the largest city in Nigeria. The population of the study area is a heterogeneous group of both urban and rural people. It is a developed area with a mixture of all socioeconomic hierarchies of Nigeria. The rural area is referred to as less-city without pipeborne water supply, no standard government hospital, no access to telephone services of any network and with not more than one secondary school. While the urban area is totally served by public water distribution and partially by liquid waste disposal systems and can be considered a good representative of the Nigerian population. Twelve primary schools were sampled, 6 each from both urban and rural areas. Thirty pupils in each of the 12 schools were examined for head lice with a total number of 360 pupils. A team consisting of a Health Educator, 2 Nurses and 2 Sanitarians examined the children. 19 Children were examined within their schools. The standard examination procedure was performed according to Andrews & Tonkin (1999). A purposely designed, structured questionnaire was completed for each infested child. The questionnaire provided information on the family size, parental occupation and the number of rooms in the family residence. Also, age and sex of the pupils were recorded. Data were analyzed by using percentage and inferential statistics of Chi-square (X2) for the hypotheses formulated at a = 0.05 level of significance. Results and Discussion The overall prevalence of head lice was found to be 16.7% (60 of 360). The prevalence of pediculosis capitis was higher among rural primary school children 20% (36 of 180) than urban primary school children 13.13% this is in line with Rook, et al (2201) that prevalence of head lice was reported to be 15.2% among school children of industrial areas in Britain. It was higher among the rural school boys 58.3% (21 of 36), than rural school girls 41.7% (15 of 36) also higher among urban school boys 54.2% (13 of 24), than urban school girls 45.8% (11 of 24), all these are contrary to Sarov, et al (2004); Sinniah, et al (2003). Dagnew & Erwin (1991) that sex influence head lice infestation with higher prevalence in girls than boys (see Table 1 & 2 below): 20 Table 1: Prevalence of head lice among urban and rural primary school children in Oyo State, Nigeria. Groups Urban No. (%) Rural No. (%) Total Infested 24(13.3%) 36(20%) 60 Non-infested 156(86.7%) 144(80%) 300 Total 180(100%) 180(100%) 360 Table 2: Distribution of head lice infestation among urban and rural primary school boys and girls in Oyo State, Nigeria. Groups Urban No. (%) Rural No. (%) Total Boys 13(54.2%) 21(58.3%) 34 Girls 11 (45.8%) 15 (41.7%) 26 Total 24 (100%) 36 (100%) 60 In the hypotheses testing, the effects of family size, mother’s occupation and number of rooms in family residence on the prevalence of head lice infestation are summarized in table 3 below. Table 3: Chi-square (X2) result on the effect of family size, mother’s occupation and number of rooms in the family home on the prevalence of head lice infestation among primary school in Ibadan Oyo State, Nigeria. N = 60. Variable Infested % Calc. 21 Df Crt. Decision X2 value No (fe) Ho1 Ho2 * Family size <4 1 (20) 1.7 .5-8 26 (20) 43.3 >9 33 (20) 55.0 Working 4 (30) 6.7 Non- 56 (30) 93.3 1-2 32 (15) 53.3 3-4 19 (115) 31.7 5-6 7 (15) 11.7 >7 2 (15) 3.3 Value on Ilo 28.3 2 5.99 Rejected 45.1 1 3.84 Rejected 35.9 3 7.81 Rejected Mother’s occupation working Ho3 * Number of rooms Total *60 P <0.05 Table 3 shows that, in hypotheses 1, there existed a significant effect of family size on the prevalence of head lice among primary school children in Ibadan, Oyo State, Nigeria. Since the calculated X2 value of 28.8 is greater than the critical valve of 5.99 with the degree of freedom 2 at α = 0.05 level, the null hypotheses was rejected. This may be explained thus, the smaller the family size, the less the head lice infestation prevalence within the family. 22 This is in line with Ramusen (2004) who opined that, lice are spread more rapidly in large families living in crowded conditions, where bed-sharing and poor hygiene exist. Hypotheses 2 was also rejected, because the calculated X2 value of 45.1 is greater than the critical value of 3.84 at the degree of freedom 1 at α = 0.05 level of significant effect of mother’s occupation on the prevalence of head lice among the primary school children in Ibadan, Oyo State, this corroborates Tampling, et al (1991) that most children with head lice infestation are children of working parents. This may be because their parents are too busy to take care of their children, the nature of work may also contribute to the prevalence among the children. For hypothesis 3, the calculated X2 value of 35.9 is greater than the critical of 7.81 at α = 0.05 with the degree of freedom 3, thus reject the null hypothesis, which means, there existed a significant effect of number of rooms in family residence on the prevalence of head lice infestation among primary school children in Ibadan, Oyo State, Nigeria. This finding corroborates those of Sarov, et al (2004); Bhariga, et al (2002) Awahmukalah et al (1999); Suleman & Jabeen (2003); Ray & Tandon (2000) and Ramussen (2004) that overcrowding and bed-sharing in a room may account for easy transmission of pedicullosis. This may be, because the 23 head lice can move freely from one person to another person through the use of same comb, dress and other materials of such nature. Conclusion and Recommendations The findings of this study clearly showed that parents need to involve themselves more in ensuring personal hygiene for their children. This is because of the primary school children are not mature enough but rather too young to take care of themselves. The teachers should take steps through inspection of the school children’s healthful living, to ensure that they tidy up their hair, especially for school boys to cut their hairs regularly, and for the school girls to comply with the prescribed hairstyle by the school authority. Any pupils that default should be excluded and given due punishment, so that such pupils don’t transmit the head lice or the likes to others. Parents should plan their family, not to have more children than they can cater for. Moreso, they should also take proper care of their house to make the rooms, beds and bedding tidy and lice-free. Above all, Government, should establish a functional school health services unit in every school to monitor the health status of the children and even the school environment. 24 References Andrews, J.R.H & Tonkin, S.L. (1999). Scabies and pediculosis in Tokelau Island children in New Zealand. Journal of Research in Social Health, 119, 214-218. Awahmukalah, D.S. Dinga, J.S. Nchako Njikam, J. (1999). Pediculosis Among Urban and Rural School children in Kumba, Meme division South – West Cameroons, Parasitologia, 42, 261-268. Benenson, A.S. (1998) Control of Communicable diseases in man 24th Edition), Washington, DC; American Public Health Association. Bhariga, S.C. Kanwar, A.J. Singh, G. (2002). Pediculosis capits in Benghzi, & Libya: a school survey. International Journal of Dermatology, 37: 265269. Bayle, P. (2003). Pilot study of the prevalence of head lice infestation in a Population of Saudi Arabian Children. Family Practitioners, 6: 258-262. Burauge, G. Ornazabal, J.I. & Martinez, I. (2004). Pediculosisi capitis: Epidemiologic study of 23, 624 school children in Bilbao. Rev Sanid Hig publica (Madr), 84:94-97. Chunge, R.N. (2004). A study of head lice among primary school children in Kenya. 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Head Infestation in some urban localities of North west frontier province, Pakistan. Annals of Tropical Medical Parasitology, 83:539-547. Tampling, M, Nash J. & Almond, R. (1991). How to recognize and manage pediculosis reactions. London; Oxford University press. 26