Deworming pills dramatically improve children's schooling in poor countries.

Verdict: contested

Contested

An influential study found big attendance gains; Cochrane reviews of broader trials find little effect on health or learning.

What the evidence shows

Miguel & Kremer (2004) ran a randomized deworming programme in Kenyan schools and found it sharply cut absenteeism, partly through 'spillover' benefits to untreated children nearby. The study became a foundation of the effective-altruism case for deworming as a cheap way to boost education, channelling large donations.

But the broader medical literature is far less rosy. Cochrane reviews (Taylor-Robinson et al.) of many mass-deworming trials found little or no effect on weight, haemoglobin, cognition, school attendance, or performance. A high-profile re-analysis of the original Kenya data also revised some findings. Both sides remain active, with disputes over methods, spillovers, and worm prevalence. The strong 'deworming transforms schooling' claim is genuinely contested — the flagship result has not clearly generalised.

Sources

  1. Miguel, E., & Kremer, M. (2004). Worms: Identifying impacts on education and health in the presence of treatment externalities.

    Econometrica, 72(1), 159–217

    A randomized school deworming programme in Kenya sharply reduced absenteeism, including spillover benefits to nearby children.

    DOI: 10.1111/j.1468-0262.2004.00481.x
  2. Taylor-Robinson, D. C., Maayan, N., Soares-Weiser, K., Donegan, S., & Garner, P. (2015). Deworming drugs for soil-transmitted intestinal worms in children: effects on nutritional indicators, haemoglobin, and school performance.

    Cochrane Database of Systematic Reviews, (7), CD000371

    Across many trials, mass deworming showed little or no effect on nutrition, haemoglobin, cognition, or school performance.

    DOI: 10.1002/14651858.CD000371.pub6