The original EPI 123 Schistosomiasis Research Project reports which include the correct population estimates can be downloaded from this site.

This study is from the Schistosomiasis Research Project; Ministry of Health and Population, Egypt and USAID, Cairo. 

The project was the vision of Dr. F. DeWolfe Miller. The design of the project was by Dr. Miller, Dr. Medhat El Sayed, and Dr. Maha Talaat.

Other participating American and Egyptian investigators are included in the individual documents.

The EPI 123 Schistosomiasis Study was the largest epidemiological investigation on schistosomiasis under taken in Egypt or elsewhere ever. The objectives and methods of the study are given in the Introduction and Methods documents below which can be downloaded.

Although this study was the largest epidemiologic study of schistosomiasis ever carried out in Egypt, the study was implemented in different regions of Egypt by different teams headed by local investigators. There were eight local PIs in all. As pointed out in the Methods, the local PIs were given a plan for sampling and standardized methods developed by the Core Team leaders Drs. Miller, El Sayed, and Talaat. These methods were to be implemented in a described uniform manner throughout the study. This did not happen in all cases. For example, the data from Ismailia and Minofiya were not collected according to the sample drawn specifically for each of these two governments. The documents for Ismailia and Minofiya are linked below and indicate how the data from these studies can be interpreted. 

The rationale for creating this site was that the publication of the study in the American Journal of Tropical Medicine and Hygiene in 2000 was badly flawed. The analysis of the data in the supplement to the publications - do not reflect the sample design and the correct weighted estimates. Accordingly, the results and estimates published in the 2000 Supplement have flawed estimates. Prior to publication, the Egyptian project director handed over the raw data to GT Strickland at the University of Maryland who did not have the training and resources to conduct the analysis the study that it was intended. Strickland had no hand in the creation, design, or implementation of this large and historic project. It was unethical for the Egyptian director to give and for Strickland to receive these data and subsequently move the data out of Egypt to the USA. 

The two lead articles cited below show and document how these flaws occurred. If the peer reviewers for the American Journal of Tropical Medicine and Hygiene had read these two leading articles before reading the following reports in the supplement they would have seen this flaw.  Although this was pointed out to the editor James Kazura in a letter to him regarding this issue, my request not to publish flawed data was dismissed.

El-Khoby T, Hussein MH, Galal N, Miller FD. Epidemiology 1, 2, 3: origins, objectives, organization, and implementation. Am J Trop Med Hyg 2000 Feb;62(2 Suppl):2-7 

Hussein MH, El-Sayed MK, Talaat M, El Badawy A, and Miller FD.  Epidemiology 1, 2, 3: Study and sample design. Am J Trop Med Hyg 2000 Feb;62(2 Suppl):8-13.-  

IF YOU DOWNLOAD A DOCUMENT PLEASE SEND ME A MESSAGE TO MY EMAIL ADDRESS dewolfe@hawaii.edu
Thank You

In order to download a document from the EPI 123, study right click on the topic and choose "save target as" and a Web page box will appear and then click on "save file". Select the subdirectory you want to save the file in and click OK.

To download reports on EPI 123 background and methods click on
 Reprint of Introduction
 Reprint of Methods 

To download reports on schistosomiasis in the Nile Delta governorate of Kafr El Sheikh go to KES
To download reports on schistosomiasis in the Nile Delta governorate of Gharbiya go to Gharbiya
To download reports on schistosomiasis in the Nile Delta governorate of Minufiya go to Minufiya
To download reports on schistosomiasis in the Nile Delta governorate of Qalubiya go to Qalubiya
To download reports on schistosomiasis in the Nile Delta governorate of Ismailia go to Ismailia
To download reports on schistosomiasis in Upper Egypt governorate of Fayoum go to Fayoum
To download reports on schistosomiasis in Upper Egypt governorate of Minya go to Minya
To download reports on schistosomiasis in Upper Egypt governorate of Assyut go to Assyut
To download reports on schistosomiasis in Upper Egypt governorate of Qena go to Qena