(Primary Health Care)
Teaching Materials for Primary Health Care Awareness
be a deadly disease. It is widespread and many people are at risk of
catching the disease.
How can the
By reading these sheets
Doing what is written on them
Showing the sheets to your friends, families and anyone else you
think might be at risk
Trying to make people speak about Bilharzia and how they can
prevent the disease from spreading
FOLLOWING THE ABOVE YOU WILL BE HELPING REDUCE THE RISKS OF CATCHING THIS
What is Bilharzia?
start by asking a few simple questions
where do you wash - in
a pond, slow moving water or in fast moving water?
Where do you get your water?
Do you put your rubbish in or near the water which you use for
drinking and cooking?
Do you wash and bathe at the same place as you get your water from?
Do people go to the toilet in or near the water they also use for
cooking and drinking?
How do you collect your water?
carefully about your answers, for they will show how great your risk is of
suffering from this serious disease.
YOU PUT YOUR RUBBISH IN OR NEAR THE WATER WHICH YOU USE FOR DRINKING, THEN
YOU ARE AT RISK OF CATCHING THIS DISEASE.
YOU COLEECT YOUR WATER FROM A POND, OR SLOW MOVING STREAM, THEN YOU MAY
ALSO BE AT RISK FROM THIS DISEASE.
THINGS TO THINK ABOUT
draw your drinking water from a
You use the same place
place than that where you
to get BOTH
drinking water and for
throwing away your
bathe in a different
You bathe in the same
where you draw your
as you get your
drinking water from
wash in a moving
You wash in a pond, or in still
Letís start to look at the
people in your family or village
are any of them suffering from stomach pains and swelling of the
are any of them passing blood in their urine when they go to the
do any of them always feel tired, or easily fall asleep and have
very little energy when awake
of your family or friends have these symptoms, then they might be
suffering from Bilharzia
should try to see a doctor, pharmacist, birth assistant or anyone who has
some medical training as quickly as possible.
does Bilharzia affect us?
small worm getting inside our bodies causes the disease. It likes living
inside of us and lays its eggs inside you.
The eggs leave your body when you
go to the toilet Ė both urine and solid
eggs then wait for someone else to come along and come into contact with
them. Someone can do this by:
drinking the water into which you have been to the toilet
washing in that water
bathing in that water
standing in the water
It is then that the eggs
pass into YOUR body
will work their way into your stomach and grow into adults, who lay more
eggs and so the whole cycle begins again. Your body will not like having
these worms inside it and you will become ill Ė so get help quickly
games to play
Think of where you live
and draw a picture of where you or one of your family gets the water you
drink from. Does the water flow quickly or slowly.
Draw a picture of
yourself and put a big arrow pointing at your stomach.
Make some pictures, or
draw them on your slate that show how the small worms get into you stomach
can we do about Bilharzia?
many things which can be done to help prevent the spreading of this
think about stopping the eggs getting into the water Ė how can we do
eggs get into the water by people placing their rubbish in the water or by
going to the toilet in the same water as they will use for drinking. So,
try to tell people to find somewhere else to empty their rubbish or go to
the toilet. Why not encourage people to burn their rubbish as far away
from the drinking water source as possible.
Try to stop
people putting rubbish near the drinking water supply and also remember
that going to the toilet in or near your drinking water supply is
water so as it is safe to drink
of the water in a clean pot on the fire and boil it for as long as you
can. Then let it cool. Whilst the cooling is taking place try to find a
clean piece of cloth and cover the top of the pot with it. Make certain
that the boiled water is kept in a clean place and do NOT
mix it with any water that has NOT been
If you can
find a clean piece of very fine cloth and an old pair of tights are
perfect for this (once they have been washed!) pour the cooled water
through the cloth. This will help filter out the eggs and make the water
safer to drink. If you can do both of these, that is boil and filter your
water, then you will be
helping everyone who drinks the water to stay fitter and happier.
3 You must try not to touch
water before you have boiled and filtered it
stand, sit or bathe is water that might be hiding some eggs in it then you
might become ill. It is not easy to fetch water and not put your feet in
the water. Why not try to build a small platform out into the stream,
river or pond and ONLY collect
water by standing on this platform. Then you will NOT be in direct contact with the water. You can drop the bucket
into the water by tying a piece of string or rope to it, and then it
wonít float away. By doing this you are safe whilst collecting water.
You MUST NOT touch the unboiled
and filtered water, or you might become ill.
to do when you are washing
want to wash yourself remember some simple rules. Try to use water that
has been cleaned. If this is not possible try to use water that has been
drawn from a fast flowing stream or river. Once you have used the water
pour it away. DONíT let
someone else use your water.
places to get water from are:
a bore hole
IF YOU FOLLOW THESE SIMPLE RULES YOU CAN HELP YOU, YOUR FAMILY, FRIENDS
AND OTHERS NOT TO CATCH THIS DISEASE. IT CAN BE FATAL.
think about the main points of our prevention campaign again.
Stop the eggs getting into the water. This will break the cycle of
By doing this you will help people not to catch this dangerous
The fewer people carrying the eggs the less the chance that others
will catch the disease
CAN DO SOMETHING POSITIVE TO STOP THE SPREAD OF BILHARZIA
like to discuss some ideas with the older members of your family or
community. Ask them about:
Asking everyone where they think they are at risk of catching this
Asking them about trying to get as much of their water supply from
rainfall. They can do this by using plastic buckets or other clean
containers. Remember to filter this water as some insects may have landed
in it. It is always safest to BOIL
water before using it for cooking and washing
At school try to think of some songs, posters, poems and even
little plays that help you and friends tell others of the dangers of
Bilharzia and how it can be stopped.