Intestinal worms: causes, symptoms and treatment

Intestinal worms, also known as ‘soil-transmitted helminth infections’, can cause digestive issues and lead to chronic illness if left untreated.

Our deworming programme in Cameroon provides medication to treat and protect schoolchildren like Amina. © Sightsavers/Blick Posey

What are intestinal worms?

Intestinal worms, also called ‘soil-transmitted helminths’, are part of a group of conditions known as neglected tropical diseases (NTDs).

These worm-like intestinal parasites live inside the digestive system and feed off nutrients from their host, causing the infected person to become malnourished and susceptible to disease and chronic illness.

Intestinal worms are one of the most common infections in humans worldwide.

Watch our video to learn more about intestinal worms.

What causes intestinal worms?

Adult worms live in an infected person’s intestine, where they produce thousands of eggs each day. The parasitic infection is spread when these eggs are passed in human faeces and contaminate the soil.

In low-income communities with poor access to clean water and sanitation, the eggs can be ingested through contaminated soil on unwashed vegetables and hands, and contaminated water sources.

1.5 billion people worldwide are infected with intestinal worms

Children aged about five to 14 have a higher risk
of infection

600 million school-age children live in at-risk areas

Source: WHO

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What are the symptoms of intestinal worms?

At first, the signs and symptoms of intestinal worms may be mild or non-existent, but symptoms can include:

  • Diarrhoea and abdominal pain
  • Weakness
  • Malnutrition, which can lead to anaemia
  • Inflammation in the large intestine
  • Intestinal obstruction (blockage in the bowel)

The disease can impair cognitive and physical development, and in severe cases can be life threatening. It can also decrease people’s quality of life in the long term, affecting their employment, fertility and happiness. Children with the infection may be forced to miss school, damaging their education and progression.

In Cameroon, a schoolboy in a classroom has a drink of water after taking deworming medication.

“Children who were usually absent from school because of the infections can now go for the whole year.”

Read our case studies

How are intestinal worms treated?

A health worker holds a pot of pills and pours some out into his hands.

Medication

Treatment for intestinal worms includes a single dose of medication donated by GlaxoSmithKline or Johnson and Johnson. Medication is distributed to large groups of people at schools and community events.

Two volunteers in Kenya wearing blue vests and holding medication.

Volunteers

Specially-trained school teachers play a key role in distributing and administering these crucial treatments to school-age children in areas with an increased risk of contracting parasitic worms.

A close up photo of someone washing their hands.

Hygiene

We teach communities about good hygiene, such as wearing shoes and washing hands with soap. Access to clean water and sanitation is vital to stop intestinal parasites spreading between people.

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A girl wearing a hijab is handed a white tablet to protect her from intestinal worms.
I had stomach pain, but after taking the drugs, my stomach didn’t hurt.
Aisha, a student from Nigeria
A girl wearing a hijab is handed a white tablet to protect her from intestinal worms.

How we’re tackling intestinal worms

Our aim is to control the disease in the countries where we run deworming programmes, including in Cameroon, Democratic Republic of Congo, Nigeria and Guinea.

Through our community and school programmes, we educate local communities about the importance of good hygiene to stop the spread of intestinal worms.

Our School Health Integrated Programming project aims to reduce school absences and boost children’s educational prospects. Since 2016, the project has worked alongside governments in Africa and Asia to improve students’ health and provide deworming treatments. The disease is often treated at the same time as schistosomiasis.

In 2023, we treated more than five million people for intestinal worms, and trained more than 100,000 local volunteers to distribute medication for a range of neglected tropical diseases such as trachoma. With your support, we can reach even more people and protect them from intestinal worms, so they can earn, learn and thrive.

A school student in a classroom is handed a tablet by a health worker, as other health workers and his classmates look on.

How we’re making a difference

Sightsavers works closely with GiveWell to deliver cost-effective treatments that protect children from schistosomiasis and intestinal worms.

Our work with GiveWell

Page last reviewed: January 2025
Next review due: January 2028
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Find out about other diseases we treat

Neglected tropical diseases

More about intestinal worms

A girl wearing a hijab is handed a white tablet to protect her from intestinal worms.
Sightsavers blog

Safeguarding children’s futures: why it’s vital to keep supporting deworming projects

Parasitic diseases can have a severe impact on a child’s health and education. That’s why the world needs to step up funding.

A school student in a classroom is handed a tablet by a health worker, as other health workers and his classmates look on.

Sightsavers’ deworming work gets $16.9 million funding boost

Sightsavers has been awarded $16.9 million to continue and expand its deworming work, after a funding recommendation from US charity evaluator GiveWell.

May 2023
A schoolboy receives medication from a female teacher.

Sightsavers’ deworming work receives extra funding to reach millions of children

Charity evaluator GiveWell has provided a further US$7.8 million to fight intestinal worms and schistosomiasis in Nigeria and Cameroon.

March 2022