Published: 23 May 2025, 07:24 pm
Parasitic worm infections, though often invisible, are a common and concerning issue affecting countless children across Bangladesh. Despite the frequent lack of obvious symptoms, these infections can silently impact a child's health, nutrition, and development. Maintaining good hygiene is crucial in prevention, but even with precautions, children can become infected through various means.
To ensure a healthy and thriving childhood, medical experts stress the importance of routine deworming—even in the absence of symptoms.
According to Dr Tasnuva Khan, Paediatric Consultant at Srinagar Upazila Health Complex in Munshiganj, worms residing in the intestines can cause internal bleeding and iron deficiency (anaemia), which may go unnoticed for months or years. In female children, this can result in severe anaemia during adolescence, affecting growth and energy levels.
These parasites also compete with the host for essential nutrients, often leading to malnutrition even in children with otherwise adequate diets.
Worms and their eggs are transmitted through human faeces. In areas where sanitation is poor, the following vectors increase risk:
Source | Mode of Transmission |
---|---|
Contaminated soil | Direct skin contact (walking barefoot or playing) |
Raw or improperly washed fruits/veggies | Ingestion of eggs or larvae present on the surface |
Dirty fingernails | Hand-to-mouth contact |
Shared toilets or unhygienic latrines | Faecal-oral contamination |
While many children show no outward signs, some may experience:
Loss of appetite
Abdominal pain or bloating
Vomiting or diarrhoea
Itching around the anus (common with pinworms)
In rare cases: intestinal obstruction requiring surgery
If a child frequently experiences these symptoms, consult a physician.
To minimise risk, establish and enforce hygiene practices:
Wash hands with soap before meals and after using the toilet
Keep fingernails short and clean
Wash raw fruits and vegetables thoroughly
Wear sandals or shoes outside—avoid walking barefoot
Allow children to play in mud occasionally for development, but follow up with proper cleaning
Let children explore and enjoy their childhood freely. Instead of overprotecting, use routine deworming as a safety net.
The World Health Organization (WHO) recommends mass deworming in regions with high prevalence of parasitic infections. In Bangladesh, the government facilitates deworming in schools, usually biannually.
Group | Should Receive Deworming? |
---|---|
Children aged 1 year and above | ✅ Yes |
Pregnant women (in first trimester) | ❌ No |
Breastfeeding mothers | ✅ Yes (after first few weeks) |
Adults in the household | ✅ Yes |
Infants under 1 year | ❌ No |
Those with drug allergies | ❌ No |
Best practice: All household members should take deworming medicine on the same day for effective prevention.
Worm infestations are not merely an inconvenience; they are a hidden barrier to a child's health, education, and future potential. Routine deworming, combined with hygiene education, is a simple and effective intervention every parent can embrace. Prevention today will lead to healthier, happier tomorrows.
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