AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2690-4861/874
Department of Animal and Enviromental Biology, Faculty of Biological Sciences.
*Corresponding Author: Ekechukwu Edwin Chinenye, Department of Animal and Enviromental Biology, Faculty of Biological Sciences.
Citation: Ekechukwu E. Chinenye, (2025), Prevalence of Soil Transmitted Helminthes Among Primary School Children in Orlu Imo State, Nigeria, International Journal of Clinical Case Reports and Reviews, 28(4); DOI:10.31579/2690-4861/874
Copyright: © 2025, Ekechukwu Edwin Chinenye. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 11 June 2025 | Accepted: 24 July 2025 | Published: 25 August 2025
Keywords: prevalence; soil transmitted helminthes ; primary school; children; orlu
The prevalence of soil-transmitted helminthiasis in Nigeria's Orlu Imo State elementary schools was investigated in this study from February 2022 to April 2024. The cross-sectional survey and experimental analysis were the study designs used in this investigation. A total of 750 students were recruited from fifteen primary schools that were chosen at random. They included students from Primary 3, 4, and 5 classrooms, and their ages ranged from 9 to 16. After receiving sufficient training, participants' stool samples were taken every four weeks using a sterile specimen vial. The stool samples were collected, kept with 10% formalin, and processed within 48 hours of collection at the Parasitological Unit, Department of Medical Microbiology and Parasitology, Imo State University Teaching Hospital, Umuna Orlu, Imo State. Frequency and percentage tables, together with ANOVA, were used to enter and analyse the data. The results showed that men participated more than women (420, 56.0%), and that the biggest number of participants were between the ages of 15 and 16 (300, 40.0%), as were those in class 5. There was equal participation from 250 (33.3%) urban, suburban, and rural schools. A total of 404 (53.9%) STHs infections were found in the study, with 112 (44.8%) occurring in urban areas, 126 (50.4%) in suburban areas, and 166 (66.4%) in rural areas. The infection prevalence was higher in males (59.2%), the infection rate decreased with age, and the infection prevalence was higher in children whose parents were farmers (32.2%) and those who lived in mud-plastered or earthen homes (69.3%). In the study, Ascaris lumbricoide (39.1%) and hookworm (41.8%) were more common. Significantly high infection rates were found in the investigated schools.
The poorest and most destitute communities are impacted by soil-transmitted helminth (STH) infections, which are among the most prevalent neglected tropical diseases (NTDs) globally and the most prevalent in Nigeria [1]. It is primarily seen in regions with warm, humid climates with inadequate sanitation and hygiene, including temperate zones in the warmer months. The intestinal nematodes known as soil-transmitted helminths (STH) include the hookworm species Necator americanus, Ancylostoma duodenale, and An. ceylanicum, as well as Ascaris lumbricoides and Trichuris trichiura [2]. These species, which impact more than 1.5 billion people worldwide, are among the most prevalent illnesses in humans. Light infections caused by STHs typically show no symptoms. Malnutrition, poor absorption, cramping, fatigue, and decreased cognitive and physical development are some of the signs of more severe illnesses. STH's burden has significantly decreased; according to the 2016 Global Burden of Disease survey, between 1990 and 2016, the number of disability-adjusted life years attributed to STH decreased by 43–78% [3]. These decreases most likely result from expanded access to self-treatment and the direct effects of scaling up community- or school-based deworming programs.
Children are most at risk for infection, and those living in rural regions with limited access to clean water and sanitary facilities are most vulnerable [4]. These parasite infections have nutritional consequences as well as impaired physical and cognitive development [5]. Lactose intolerance, poor absorption of vitamin A and other nutrients, and stomach pain are all possible outcomes of A. lumbricoides infections. A severe whipworm infection causes inflammation at the intestinal attachment site, which in turn causes colitis and rectal prolapse. Hookworm infections can cause intestinal blood loss, which can lead to iron-deficiency anaemia [6].
Children in low-income schools are particularly vulnerable to infections linked to water, sanitation, and hygiene (WASH), including trachoma, soil-transmitted helminths (STH), and bacteria that cause diarrhoeal illnesses [7]. Unhygienic, crowded environments can encourage the spread of viruses and raise the risk of illness for students [8]. In addition to halting the transmission of diseases inside the school domain, improved access to WASH facilities and adequate behaviour modification may also promote healthy WASH practices at home and throughout life [9]. According to the data that is currently available, just 69% of schools globally have access to sanitary facilities, and only 66% have water. The Sustainable Development Goals now incorporate WASH in schools (WinS) targets and indicators [10]. Evidence of impact has been conflicting, despite WinS treatments' biological plausibility to lower illness and, consequently, school absenteeism.
Soil-transmitted helminths (STHs) infect about two billion people globally, with school-aged children having the highest STH morbidity [11]. Faecal exposure, whether by ingesting or skin contact, is directly linked to STH infection. School-aged children's growth and cognitive development can be negatively impacted by persistent, severe infections [12]. Thankfully, periodic chemotherapy, usually with anti-helmintics, can safely and affordably cure a large portion of the morbidity linked to STH infection. Infection rates among untreated children and community members can also be decreased by treating school-aged children, typically through school-based deworming. [13]
Humans can contract a class of parasite disorders known as soil-transmitted helminthes, which are brought on by nematode worms and spread by contaminated soil from human faeces. These are some of the most common illnesses among people in countries in sub-Saharan Africa. According to the most recent estimates, about 2 billion people are afflicted with these parasites. The highest frequency is found in places with hazardous water supplies and poor sanitation.
There has been more coordination and cooperation between the neglected tropical diseases and WASH sectors, according to studies. There are still important policy questions regarding the role of WASH in controlling STH, though, such as (i) whether better access to WASH is a necessary supplement to deworming in order to control and eradicate STH, (ii) what WASH interventions and behaviours are appropriate to accomplish these goals, and (iii) how to best implement those improvements. By lowering exposure to STH infectious phases in the environment, economic growth and easier access to better WASH facilities and services have also probably helped to lower the burden of STH disease. However, far too many people still do not have access to basic WASH services, such as 844 million people who do not have access to a basic water service, 4.5 billion people who do not have access to safely managed sanitation, and 892 million people who continue to defecate in the open [14]. By addressing these disparities, the strain on STH may be lessened and transmission may be interrupted.
Low-income school-age children are particularly vulnerable to infections linked to water, sanitation, and hygiene (WASH), including trachoma, soil-transmitted helminths (STH), and bacteria that cause diarrhoeal illnesses. Pupils are more susceptible to illness in crowded, unhygienic settings, which can aid in the transmission of germs [15]. In addition to halting the transmission of diseases inside the school domain, improved access to WASH facilities and adequate behaviour modification may also promote healthy WASH practices at home and throughout life [16]. The Sustainable Development Goals now incorporate WASH in Schools (WinS) targets and indicators. The majority of community trials that are currently available have assessed sanitation interventions meant to lessen open defecation. Sanitation measures had varying effects on STH infection, according to three trials. Latrine construction campaigns did not appear to have any protective effects against STH infections, according to trials [16].
However, a lot of parasite infections—particularly those caused by helminths—are frequently ignored since they typically show no symptoms or only minor ones. According to preliminary research, intestinal parasites are becoming a bigger issue in Nigeria as the country's economy and access to essential services deteriorate. Imo State has been endemic for soil-transmitted helminthes. Moreover, medication has been the main focus of disease control.
WASH treatments appear to have varying effects depending on the underlying degree of STH infection, with the greatest effects occurring at lower infection levels. This discovery may be explained by the fact that WASH interventions need a longer follow-up period to show results at high levels of illness and environmental contamination—the majority of trials have follow-up periods of 1-2 years. The existence and duration of continuing deworming programs may also have an impact. This demonstrates that WASH measures are crucial to preventing infection rebound when deworming is stopped, but they have little short-term effect on STH infections in the context of ongoing deworming programs, particularly community-wide deworming. More focus should be placed on WASH modelling, which makes use of trial data to increase the predictability of model predictions. The prevalence of soil-transmitted helminthiasis in primary schools in the Orlu area needs to be investigated because there is a lack of research in Imo State on the effects of WASH interventions, which have been shown to be somewhat effective against STH, and the administration of chemotherapy and drugs.
Study Area
The study was conducted in fifteen (15) primary schools in Orlu Local Government Area, Imo State, Nigeria between February, 2022 and April, 2024. Orlu is the second largest city in Imo State with an estimated population of 420,000 (Nigeria Census, 2006). Its geographical coordinates are 5°47'0E North, 7°2'0N East. The towns in Orlu have different cultural masqurade heritages through which they express their communal attributes, descents and heritages like Mmuowu, Ebuebu, Oghu, Okonko and Okorosha etc. The city is underlain by crystalline pre-Cambrian Basement complex of igneous and metamorphic origin noted for poor groundwater bearing properties. The main occupation of the indigenes is local textile making trading, fishing, farming and pottery. The nature of their occupation and many other environmental factors enhance the growth and development of the disease agents in Orlu. Knowing the dangers posed by disease contractions in relation to these occupations of the people, soil transmitted helminthes presents a serious medical emergency because it may rapidly progress health complications and even death without prompt and appropriate treatment.
Ethical Consideration
This study was approved by the Postgraduate Board of the Department of Animal and Environmental Biology (Zoology) Imo State University, Owerri. Permission was obtained from Orlu L.G.A. Health Unit while informed consent was obtained from Traditional Rulers (Ezes) in the study areas and thereafter, the head teachers of schools selected for the study were visited with authorizing letter from the study supervisor(s). The stool samples of the consented pupils were collected after obtaining parental consent through Parents Teachers Association (PTA).
Advocacy Visits to Schools
This aspect of the study was done immediately after the consent has been obtained from the Local Government Education and Health authorities with introductory letter. The researcher and her team visited the heads of the selected schools. The aim was to create a forum for interaction and to familiarize with them. The objectives of the study were explained to them and their consents were obtained before the start of the study. Then, the research team had an interactive session with the pupils where they were acquainted with the purpose of the study and its benefits to them.
Head teachers and some other teachers were educated intensely to assist the researcher’s team in further explaining to the pupils the purpose of the study, data/specimen collection and administration of drugs.
Study Design
A comprehensive checklist of all the public and private primary schools in Orlu was made/collected from Ministry of Education. A two staged sampling method with random sampling was used to select schools. Each school was assigned a number and random selection was made to choose the schools which formed the study area. Schools in this zone were categorized into three (3); Urban, Semi-urban and Rural following SUBEB criteria.
Stage 1: Fifteen (15) schools (5 each from Urban, Semi-urban and Rural) were chosen.
Stage 2: For each categorization, six (6) schools (2 from each of Urban, Semi-urban and Rural) were selected for WASH Intervention while as others non WASH Intervention (Comparison schools) were left out for other intervention. The selection took into consideration the logistic demands and prevalence status of each school based on baseline data.
Procurement of WASH Materials, Distribution and Training of Personnel
Prior to the commencement of the study WASH materials were bought from the market together with other parasitological materials needed for the study. These included toothpastes, toothbrushes, nail choppers, towels/handkerchief, cotton buds, combs, toilet soaps, water storage vessels/buckets, etc.
These materials were distributed to the six WASH Intervention Schools following the results and then selections. This was complemented by active surveillance and follow up surveys after baseline surveys on soil transmitted helminthes prevalence and health education.
Personnels employed to assist as well as school staff used for the study were trained. Also, the medical laboratory Scientists, Nurse and other recruits were trained on the objectives of the study. Those who assisted in questionnaire administration were also trained on the techniques involved.
Baseline Survey
Pupils in primary schools in Orlu Zone were visited and interviewed about WASH techniques. Water handing hygiene and sanitation practices and use of point-of-use water treatment were the indices solicited for while other practices were observed directly by the researcher.
WASH Intervention in Schools
Starting from April 2022, the teachers in WASH intervention selected schools were trained about hand-washing and sanitation and were provided with instructional materials. This method involved use of exercises and educational games to teach children about link between personal hygiene and health.
In these schools, water and sanitation facilities were provided near toilets for hand-washing and classrooms for drinking. The water station consisted of 60L plastic buckets with a lid and tap placed on a standing chair (Plate 1). Schools were provided with toilet soaps. School children were adequately taught on hygiene and prevention of water-related diseases. Class-based method was employed to provide knowledge that improved the pupils’ knowledge, skills and behaviours related to health and hygiene. Hygiene kits (toothpaste, toothbrush, soaps, towels/ handkerchiefs, nail choppers, combs and cotton buds) were given to pupils. Also, information, education and communication (IEC) materials (posters) were produced and shared to assist in hygiene promotion and learning. Each school was made to form a water and sanitation committee. The membership were; head teacher, one parent-teacher association (PTA) member and a member of the research team who head and oversees all WASH-related activities in the school. They had two days training workshop to improve their skills in pupil hygiene promotion .
Between May 2022 and July 2022, research team visited the intervention schools and a follow up survey was done in August 2022 and February 2023; pupils were interviewed using questionnaires.
WASH Intervention Impact Assessment
The study was carried out between March and August, 2023. In this study, data were collected from six (6) public primary schools or the intervention schools that has completed the WASH intervention. Other schools which had not received the WASH intervention (comparison schools) were to be/forthcoming beneficiary schools. All schools both intervention and comparison schools included boys and girls from classes 3 to 5 (aged 9 to 15 years).
After intervention schools had received WASH intervention for more than 6 months prior to the impact assessment. The impact of WASH intervention within the schools was based on a number of variables such as the status of water and sanitation facilities, hygiene knowledge and behaviour. In addition, pupils’ households were selected randomly and visited to assess if WASH intervention in schools had any effect on household members hand-washing attitudes. Observations were equally made about water storage vessels, hand-washing facilities, toilets and stored drinking water.
Study Population/Sample Size
Fifteen primary schools were randomly selected from Orlu between May and July, 2023. The study area were divided into 3 zones (Urban, Sub-Urban and Rural) according to State Universal Basic Education Board (SUBEB) criteria. Five (5) schools were selected from Urban, 5 from sub-urban and 5 from rural areas respectively. A total of 750 pupils were recruited. The pupils’ age ranged from 9 to 14 years and included Primary 3, 4 and 5 classes.
A multistage sample technique was employed to determine the population. In the first place, the schools were stratified according to their location i.e. urban, suburban and rural schools. Also, the pupils were classified by their class levels. Then, 5% of each stratum were selected for the study (Nwanna et al., 1981).
Therefore, the sample size of this study equals 750 primary school pupils.
Selection Schools for the Survey
Urban Schools
Community Primary School, Umuna
Premier Primary School, Amaifeke
People’s Primary School, Ihioma
Excel Primary School, Umuna
IMSUTH Primary School, Orlu
Sub-Urban Schools
Central School, Umuowa
Premier School Umuowa
Central School, Owerre-ebeiri
Central School, Okporo
Community School Eziachi
Rural Schools
Community School Mgbe
Community School Umutanze
Community School Umudioka
Community School Obibi-Ochasi
State Primary School Ogbueru
Inclusion and Exclusion Criteria
Inclusion Criteria
Primary school children with ages from 9 to 14 years whose parents/guardians/ school teachers were willing to participate in the study and are living in the communities under study for at least six (6) months were included in the study.
Exclusion Criteria
Primary school children who are seriously ill and not attending school at the time of the study were excluded for the study. Also, preschool-aged children (less than 9 years) and children older than 16 years attending schools in the communities under study were not included in this study.
Water and Sanitation Facilities Survey
This was made in each school following protocol. The protocol included number/condition of toilets, water sources and availability, hand-washing facilities and waste disposal.
Observation of Pupils’ Hand-washing
School children hand-washing after toilet use was checked for each school without the knowledge of teachers and heads. They were not informed so that they would not prompt pupils to wash their hands. The researcher stayed motionless at a place and watched how pupils clean their hands after toilet use.
Survey on Hygiene and Sanitation
School children in each class were given a questionnaire, which was explained to them. Also, another set of questionnaire was given to them to give to adult family member to fill and return.
Pupils Absenteeism
To ascertain whether the WASH intervention impacted on the pupils absenteeism, data from weekly absenteeism reports from SUBEB and Ministry of Education were consulted. Also, results from two (2) non-WASH intervention schools located not more than 10km radius to the intervention schools were collected and compared
Sample Collection and Parasitological Examination
The stools from the pupils for both WASH intervention and non-intervention (comparison) schools were collected as described during prevalence survey report. The fecal samples were preserved using 10% formalin and taken to the Parasitological Unit Laboratory, Department of Medical Microbiology and Parasitology, Imo State University Teaching Hospital Umuna Orlu, Imo State. Samples were processed within 48hours of collection. Parasitological examination was done by formal ether sedimentation technique
Data obtained was entered and analyzed using frequency and percentage tables. Descriptive statistics was used to compute prevalence, incidence and impact of WASH Interventions. All analyses were done using standard mean deviation.
Table 1 shows the socio-demographic characteristics of the study subjects. The investigation revealed that males 420(56.0%) participated more in the study than their female 330(44.0%) counterparts with age 15-16 years 300(40.0%) recording the highest participation, followed by age 12-14 years with 250(33.3%) while ages 9-11 years 200(26.7%) as the least participants. Also, 300(40.0%) of those in class 5 showed more interest in the study as well as those in class 4, then those in class 3 were the least. There were no different in the number of participants from urban, suburban and rural.
Participants according to their parents’ occupation revealed that traders 285(38.0%) were more, followed by farmers 241(32.1%), civil servants 127(16.9%) and then artisans 97(12.9%). In relation to type of dwelling observed that those living in stone walls with cement 673(89.7%) recorded highest participation while mud-plastered earthen were only 77(4.3%). In same vein, 718(95.7%) owned latrine, only 32(10.3%) do not own latrine. Those without latrine make use of open defecation (4.3%) while those with latrine, 476(63.5%) use water-cistern while 242(32.3%) use pit latrine. Majority 512(68.35) make use of pipe borne water while 238(31.7%) spring water.
| Variables | Frequency (N = 750) | Percentage (%) |
| Gender | ||
| Male | 420 | 56.0 |
| Female | 330 | 44.0 |
| Age (in years) | ||
| 9-11 | 200 | 26.7 |
| 12-14 | 250 | 33.3 |
| 15-16 | 300 | 40.0 |
| Class Level | ||
| Class 3 | 200 | 26.7 |
| Class 4 | 250 | 33.3 |
| Class 5 | 300 | 40.0 |
| Location of School | ||
| Urban | 250 | 33.3 |
| Sub-urban | 250 | 33.3 |
| Rural | 250 | 33.3 |
| Parents’ Occupation | ||
| Trader | 285 | 38.0 |
| Civil Servant | 127 | 16.9 |
| Farmer | 241 | 32.1 |
| Artisans | 97 | 12.9 |
| Type of Dwelling | ||
| Stone walls with cement | 673 | 89.7 |
| Mud-plastered, earthen | 77 | 10.3 |
| Latrine availability | ||
| Yes | 718 | 95.7 |
| No | 32 | 4.3 |
| Type of Latrine | ||
| Pit | 242 | 32.3 |
| Water cistern | 476 | 63.5 |
| Open defecation | 32 | 4.3 |
| Water source | ||
| Pipe borne water | 512 | 68.3 |
| Spring water | 238 | 31.7 |
Table 1: Socio-demographic Characteristics of the study participants.
Table 2 revealed overall prevalence of soil transmitted helminthes 112(44.8%) urban, 126(50.4%) suburban and 166(66.4%) rural. From the result, rural recorded highest prevalence, followed by suburban then urban; people’s Primary School, Ihioma recorded highest prevalence of
STHs 26(52.0%), Community School Eziachi was highest 31(62.0%) among suburban while State Primary School Ogbueru 40(80.0%) was highest among the schools in rural area. Statistical analysis showed that there was no significant difference in the prevalence of soil transmitted helminthes among primary school children (P>0.05)
| Schools | No. Exam. | No. Infected (%) |
| Urban Schools | ||
| Community Primary School, Umuna | 50 | 22(44.0) |
| Premier Primary School, Amaifeke | 50 | 21(42..0) |
| People’s Primary School, Ihioma | 50 | 26(52.0) |
| Excel Primary School, Umuna | 50 | 23(46.0) |
| IMSUTH Primary School, Orlu | 50 | 20(40.0) |
| Subtotal | 250 | 112(44.8) |
| Sub-Urban Schools | ||
| Central School, Umuowa | 50 | 19(38.0) |
| Premier School Umuowa | 50 | 24(48.0) |
| Central School, Owerre-ebeiri | 50 | 30(60.0) |
| Central School, Okporo | 50 | 22(44.0) |
| Community School Eziachi | 50 | 31(62.0) |
| Subtotal | 250 | 126(50.4) |
| Rural Schools | ||
| Community School Mgbe | 50 | 33(66.0) |
| Community School Umutanze | 50 | 33(66.0) |
| Community School Umudioka | 50 | 28(56.0) |
| Community School Obibi-Ochasi | 50 | 32(64.0) |
| State Primary School Ogbueru | 50 | 40(80.0) |
| Subtotal | 250 | 166(66.4) |
| Grand Total | 750 | 404(53.9) |
Table 2: Overall prevalence of soil transmitted helminthes among primary school children
(P>0.05, P=0.5)
Figure 5: Overall prevalence of soil transmitted helminthes among primary school children in the study areas
Figure 6: Overall prevalence of soil transmitted helminthes among primary school children in the study area (Urban)
Figure 6.5: Prevalence of soil transmitted helminthes among primary school children in the study area (Semi-Urban)
Figure 8: Prevalence of soil transmitted helminthes among primary school children in the study area (Rural)
Table 3 shows prevalence of STHs in relation to gender; and it was observed that males 239(59.2%) were highest against their female 165(40.8%) counterparts. Statistical analysis showed that there was no significant difference in the prevalence of soil transmitted helminthes relation to gender among primary school children (P>0.05).
The prevalence and severity of STHs infection among school-age children in Imo State's Orlu Local Government Area, ranging from 9 to 16, were reported in this study. In tropical nations, STH infections pose a serious threat to public health. In third-world countries, intestinal parasite infections remain a significant health concern, in contrast to affluent nations where effective control, urbanisation, and other socioeconomic variables have improved circumstances for the fall in prevalence. In many developing nations, soil-transmitted helminthic diseases in particular have been identified as significant public health issues [17, 18, 19].
53.9% of schoolchildren in this sample had an overall STH infection prevalence. With an overall incidence of intestinal parasitism of 48.4%, the work's findings are comparable to the study conducted on soil-transmitted helminth infections: the nature, aetiology, and burden of the illness [20,21]. Based on the aforementioned results, it is feasible to conclude that, as suggested by [22], there is a high chance of finding 50 or more schoolchildren with at least one intestinal helminth if 100 of them had their stool analysed. Additionally, our study's findings regarding the prevalence of STHs were corroborated by research done in Ethiopia, Nigeria, and the Ecuadorian Amazon [23]. However, the prevalence of STHs infection was higher than that of a research done in Jimma, where it was 20.9% [24,25] and equivalent to 32.5% [26] in Cameroon. In reality, a number of investigations in the research area have long confirmed the endemicity of intestinal parasitosis, with varying reports of prevalence [27]. 404 of the 750 schoolchildren who were screened had intestinal parasite infections, either one or multiple. This demonstrates the widespread prevalence of helminthic infections, particularly soil-transmitted infections, in elementary schools.
The findings indicated a significant frequency of soil-transmitted helminthes (STH) in school-aged children, making STH infection a serious public health concern in the research area. Children in the research area were more likely to get STH infections if they followed the practices of not wearing shoes, washing their hands before eating, and being between the ages of 9 and 16. Deworming, when combined with other strategies like health education and better sanitation and hygiene, keeps the level of infection caused by chemotherapy lower and finally helps to eradicate helminth infections in the study region.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
