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One Health surveillance involves the analysis of human, animal and environmental samples, recognising their interconnectedness in health systems. Such considerations are crucial to investigate the transmission of many pathogens, including drug-resistant bacteria and parasites. The highest rates of antimicrobial resistance (AMR)-associated deaths are observed in sub-Saharan Africa, where concurrently the waterborne parasitic disease schistosomiasis can be highly endemic in both humans and animals. Although there is growing acknowledgment of significant interactions between bacteria and parasites, knowledge of relationships between schistosomes, microbes and AMR remains inadequate. In addition, newly emergent research has revealed the previously underappreciated roles of animals and the environment in both AMR and schistosomiasis transmission. We consider shared environmental drivers and colonisation linkage in this narrative review, with a focus on extended-spectrum beta-lactamase-mediated resistance among bacteria from the Enterobacteriaceae family, which is exceedingly prevalent and responsible for a high burden of AMR-associated deaths. Then we examine novel findings from Malawi, where the landscapes of AMR and schistosomiasis are rapidly evolving, and make comparisons to other geographic areas with similar co-infection epidemiology. We identify several knowledge gaps that could be addressed in future research, including the need to characterise the impact of intestinal schistosomiasis and freshwater contact on intestinal AMR colonisation, before proposing a rationale for connecting AMR surveillance and schistosomiasis research within a One Health framework. [ABSTRACT FROM AUTHOR]

Background: Human cercarial dermatitis (HCD) is a clinical disease typically caused by skin-penetrative larvae of avian schistosomes. Its geographical epidemiology is firmly tied with that of infected freshwater intermediate snail hosts. To better understand the current distribution of HCD and its level of nuisance in the UK, we undertook a systematic literature review. Methods: Following PRIMSA guidelines, PubMed and Scopus databases were searched with keywords “human cercarial dermatitis” OR “swimmer’s itch” AND “United Kingdom”. Articles about imported cases of HCD, or HCD outside the UK, were not formally included. Results: A total of 30 articles were initially identified. A further two were gained by inspection of all citations. After screening, eight publications were analysed where the location, number of cases and putative avian schistosome species incriminated were tabulated. HCD is mainly found in the south of England, though gaps in evidence and reporting remain across the UK. Conclusions: Despite its noted recent rise in open water swimmers, published literature on HCD across the UK is sparse; this condition is both overlooked and under-reported. We therefore recommend establishing a national database that raises awareness and encourages self-reporting of this nuisance disease. [ABSTRACT FROM AUTHOR]

The Great African Lakes in Uganda (Lake Albert and Lake Victoria) are known habitats to several sympatric species of Biomphalaria , intermediate snail hosts of the human parasite Schistosoma mansoni. However, accurate identification of snails by morphology alone can be problematic, highlighting a need for robust, on-site identification methods, since only certain species have important roles in parasite transmission. This study investigates the conchological variation within Biomphalaria species collected from these two Great East African Lakes. We compared the shell morphologies of Biomphalaria species using landmark-based morphometric techniques and were able to distinguish Biomphalaria species through canonical variate analysis (CVA) of the apical and apertural shell angles. After identification with molecular methods, three Biomphalaria species (B. pfeifferi , B. stanleyi , and B. sudanica), with heterogenous occurrences along the shoreline, were identified at Lake Albert that could be differentiated from one another using CVA of apical and apertural datasets; by contrast, a single Biomphalaria species was identified at Lake Victoria (B. choanomphala). When snails from both lakes were compared together, CVA was able to differentiate all four species using the apical dataset but not the apertural dataset. Of the Biomphalaria species identified, ecological phenotypic variation was only found in B. choanomphala , which exhibited two distinct ecological morphotypes. Furthermore, these two B. choanomphala morphotypes from Lake Victoria overlapped upon analysis of the apical dataset, yet were clearly separated upon analysis of the apertural dataset. Our study demonstrates that landmark-based morphometrics could play a future role in distinguishing sympatric Biomphalaria species in Uganda. [ABSTRACT FROM AUTHOR]

Urogenital schistosomiasis is a waterborne disease transmitted by certain freshwater snails that occurs throughout much of sub-Saharan Africa. Until recently, this disease was attributed solely to Schistosoma haematobium, which was [...]

Throughout sub-Saharan Africa, Biomphalaria pfeifferi snails are freshwater intermediate hosts for Schistosoma mansoni blood flukes, which cause intestinal schistosomiasis (1). Geographic distribution of B. pfeifferi snails delineates actual or potentially [...]

Background Complications of urogenital schistosomiasis include acute inflammatory and chronic fibrotic changes within the urogenital tract. Disease burden of this neglected tropical disease is often underestimated, as only active, urine egg-patent Schistosoma infection is formally considered. Previous studies have focussed on short-term effects of praziquantel treatment on urinary tract pathology, demonstrating that acute inflammation is reversible. However, the reversibility of chronic changes is less well studied. Methods Our study compared, at two time points 14 y apart, urine egg-patent infection and urinary tract pathology in a cohort of women living in a highly endemic area having intermittent praziquantel treatment(s). In 2014 we matched 93 women to their findings in a previous study in 2000. Results Between 2000 and 2014 the rate of egg-patent infection decreased from 34% (95% confidence interval [CI] 25 to 44) to 9% (95% CI 3 to 14). However, urinary tract pathology increased from 15% (95% CI 8 to 22) to 19% (95% CI 11 to 27), with the greatest increase seen in bladder thickening and shape abnormality. Conclusions Despite praziquantel treatment, fibrosis from chronic schistosomiasis outlasts the presence of active infection, continuing to cause lasting morbidity. We suggest that future efforts to eliminate persistent morbidity attributable to schistosomiasis should include intensified disease management. [ABSTRACT FROM AUTHOR]

Intestinal schistosomiasis is hyperendemic in many sub-Saharan African countries. In Uganda, it is endemic at both Lake Albert (LA) and Lake Victoria (LV) and caused by S. mansoni that uses Biomphalaria snails as obligatory intermediate snail hosts. To shed light on local patterns of infection, we utilised two PCR-based methods to detect S. mansoni within Biomphalaria spp. as collected at the Ugandan shorelines of Lake Albert and Lake Victoria from 2009–2010. Overall, at our Lake Albert sites, the mean infection prevalence was 12.5% (15 of 120 snails), while at our Lake Victoria sites the prevalence was 5% (3 of 60 snails). At our Lake Albert sites, the highest infection prevalence of 13.3% (8 of 60 snails) was at Walukuba, while at our Lake Victoria sites, the highest infection prevalence of 10% (2 of 20 snails) was at Lwanika. Three species of Biomphalaria, B. pfeifferi, B. stanleyi and B. sudanica, were identified at our Lake Albert collection sites, while only a single species, B. choanomphala, was identified at our Lake Victoria collection sites. Biomphalaria stanleyi (2 of 20 snails; 15%) had the highest infection prevalence, followed by B. sudanica (5 of 60 snails; 13.3%), B. pfeifferi (4 of 40 snails; 10%) and B. choanomphala (3 of 60 snails; 5%). Of the Biomphalaria species identified, B. choanomphala had the highest haplotype (gene) diversity score, followed by B. stanleyi, B. sudanica and B. pfeifferi. Sites with a higher mean prevalence of S. mansoni infection had higher intra-species haplotype diversity scores than sites with a lower mean prevalence. The wet seasons (LA: 13.3%; LV: 8.7%) had a consistently higher mean infection prevalence of S. mansoni than the dry seasons (LA: 9.5%; LV: 5%) for all species and all sites tested at both Lake Albert (n = 480) and Lake Victoria (n = 320), though the difference was not statistically significant. Author summary: Human schistosomiasis is a parasitic disease caused by the intravascular trematode genus Schistosoma. The disease is contracted through contact with contaminated freshwater sources infested with snails, which serve as the intermediate host for the parasite's larval form. Schistosoma mansoni causes the intestinal form of the disease and utilises Biomphalaria as its intermediate snail host. To better understand the prevalence of S. mansoni infection, molecular detection methods can be used to monitor the levels and patterns of infection within Biomphalaria populations. In this study, the authors examined the prevalence of S. mansoni infection within Biomphalaria snails collected from six sites along the Ugandan shorelines of Lake Albert and Lake Victoria from 2009 to 2010. The study revealed that infection was more prevalent at Lake Albert compared to Lake Victoria. Different species of Biomphalaria snails were found at each lake, with some species having a higher infection prevalence than others. The study also investigated the impact of seasonality on infection prevalence, with the wet seasons having an overall higher prevalence of infection compared to the dry seasons, although the difference was not statistically significant. This research enhances our understanding of S. mansoni infection patterns among African Biomphalaria snails. [ABSTRACT FROM AUTHOR]

The giant liver fluke, Fascioloides magna, common in North America and introduced into Europe in the 19th century, is an underappreciated model system for epidemiological studies on biological invasions, interactions with other native parasites and for health impact assessments within both definitive and intermediate snail host populations. Owing to its first contemporary appearance in Europe and then its subsequent spread, fascioloidosis has become a fluke-livestock/wildlife-snail combination of increasing interest for veterinarians, parasitologists and population geneticists. Here, we present a description of its recent epidemiology, biogeography and biology, inclusive of host species lists. Special emphasis is placed upon known definitive hosts of F. magna within Europe and considerations upon this fluke's local intermediate snail hosts. This helps us envisage plausible future epidemiological scenarios for further expansion across Europe, potentially even invasion into the UK. In line with others who draw attention upon needs for better systematic monitoring of putative risk-areas of fluke transmission, we close by highlighting why better surveillance of F. magna across continental Europe, and neighbouring territories, is justified. [ABSTRACT FROM AUTHOR]