• Title/Summary/Keyword: Zanzibar

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Effectiveness of Mass Drug Administration on Neglected Tropical Diseases in Schoolchildren in Zanzibar, Tanzania

  • Kim, Ju Yeong;Sim, Seobo;Chung, Eun Joo;Rim, Han-Jong;Chai, Jong-Yil;Min, Duk-Young;Eom, Keeseon S.;Mohammed, Khalfan A.;Khamis, Iddi S.;Yong, Tai-Soon
    • Parasites, Hosts and Diseases
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    • v.58 no.2
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    • pp.109-119
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    • 2020
  • Soil-transmitted helminths and Schistosoma haematobium affect more than 3 billion people globally and mainly occur in sub-Saharan Africa. The present study assessed the overall infection status of a 1716-student cohort of schoolchildren in Zanzibar and applied mass drug administration (MDA) to the cohort from 2007 to 2009. Schools in Pemba, Zanzibar, had a much higher prevalence of soil-transmitted helminth infections than those in Unguja, and the Chaani, Ghana, and Machui schools of Unguja exhibited high S. haematobium infection rates. The MDA program only partially controlled parasite infections, owing to high rates of re-infection. The infection rate of S. haematobium across all 10 schools, for example, was only reduced by 1.8%, and even this change not significant, even though the S. haematobium infection rates of the Chaani and Mzambarauni schools were significantly reduced from 64.4 and 23.4%, respectively, at the first screening, to 7.3 and 2.3% at the last screening. The overall infection rate of Ascaris lumbricoides was reduced from 36.0% at the first screening to 22.6% at the last screening. However, the infection rates for both Trichuris trichiura and hookworm were generally unaffected by MDA. In the future, parasite control programs should involve strategically designed MDA schedules and holistic intervention (e.g., sanitation improvement, hygiene behavior changes, and control of intermediated hosts).

Beyond Swahili Myths: Migration and the formation of modern Swahili identity (스와힐리 신화를 넘어서: 이주와 현대적 스와힐리 정체성의 형성)

  • Chang, YongKyu
    • Journal of International Area Studies (JIAS)
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    • v.12 no.4
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    • pp.395-420
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    • 2009
  • Academic discourses on Swahili identity have been focused on either its Bantu or Arabic-originated theories. Both theories, nevertheless, have a common feature: a unilineal origin of Swahili identity. This paper questions on this Swahili identity and argues that Swahili identity has been developed through historical experience and discourses. For this, the paper utilizes Barth's theory of situationalism. Barth(1998(1969)) suggests that maintaining an ethnic identity is a personal or group choice out of multiple layers of social identities according to his or their social environments. Tanzanian Swahili identity is a good case for this analysis. Based on fieldwork conducted at Magomeni and Msasani in Dar es Salaam, a capital of Tanzania, the paper shows that residents in both areas hold strong Swahili identities although they have different social and historical experience. In case of Magomeni, most of the residents came from Zanzibar, a core Swahili cultural area. They trace their original genealogy from Arabia peninsular. Besides, they argue that they speak a proper kiSwahili(Swahili language) distinguishable from inland kiSwahili. On the contrary, residents of Msasani show variety of ethnic identities, far from a proper Swahili. They have adapted Swahili identities since the independence of Tanzania. With the help of strong socialist policies, including a language policy, most of Tanzanian ethnic groups have ignored their own identities and accommodated a national identity, Tanzanian(waTanzania) or Swahili people(waSwahili). Makonde immigrants from Mozambique who consists the majority of residents in Msasani also easily accommodate Swahili identity in the course. Therefore, Makonde have began to rebirth as waSwahili by claiming that they are living in Tanzania and speak kiSwahili as a mother tongue.