Move over Chutes & Ladders: Schisto & Ladders has educational value plus worms
News
Chutes & Ladders has been a beloved board game in the U.S. since the 1940s — adapted from an ancient Indian game that aimed to teach moral lessons.
Kids in Nigeria are now playing a version called “Schisto & Ladders.” It too aims to teach — about how to prevent a disease called schistosomiasis. It’s a parasitic
infection caused by a worm that infects humans via skin contact with infested waters.
Details
An unlucky player might land on a square that says “playing in a river” That puts you at risk for this tropical disease — and sends your game token down a worm instead of a chute.
Nigerian researcher and educator Cynthia Umunnakwe is one of the developers of the game — it’s part of an arsenal of creative approaches to warding off the illness. Known locally at “Atosi Aja” or Bloody Urine, the disease not only causes blood in the urine but has other short-term symptoms such as fever and rash. If untreated, it can cause major organ and neurological damage, infertility and even bladder cancer. In Nigeria, it is associated with higher rates of bladder cancer in young people.
Known as a Neglected Tropical Disease because of the lack of funding to fight it, schistosomiasis is a serious challenge for impoverished communities. There are over 200 million cases across sub-Saharan Africa. School age children are at the greatest risk of infection because they like to play in the water and their immune systems aren’t fully developed.
Analysis
Though effective medication exists, the issue is persistent in areas with a lack of easy access to testing, treatment and clean water so people don’t rely on local bodies of water for drinking and bathing. Awareness of its transmission is also an issue. Touching infested water, even just a splash, can risk infection, as microscopic larvae swimming along the surface are able to wriggle through skin.
The game, created in 2014 by a team led by Professor of Parasitology Uwem Ekpo of Akwa Ibom State University, follows the classic pattern: Roll a dice to advance up a winding path to the top of the colorful board. A player could land on a square that sends them up a ladder or sliding down a Schisto worm (which takes the place of the traditional chute). An example of a positive square is “eat before taking medicine” – the right thing to do for someone who’s infected and sends the player up a ladd
They trademarked their name.
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