RESUMEN
BACKGROUND: Despite control efforts, human schistosomiasis remains prevalent throughout Africa, Asia, and South America. The global schistosomiasis burden has changed little since the new anthelmintic drug, praziquantel, promised widespread control. METHODOLOGY: We evaluated large-scale schistosomiasis control attempts over the past century and across the globe by identifying factors that predict control program success: snail control (e.g., molluscicides or biological control), mass drug administrations (MDA) with praziquantel, or a combined strategy using both. For data, we compiled historical information on control tactics and their quantitative outcomes for all 83 countries and territories in which: (i) schistosomiasis was allegedly endemic during the 20th century, and (ii) schistosomiasis remains endemic, or (iii) schistosomiasis has been "eliminated," or is "no longer endemic," or transmission has been interrupted. PRINCIPAL FINDINGS: Widespread snail control reduced prevalence by 92 ± 5% (N = 19) vs. 37 ± 7% (N = 29) for programs using little or no snail control. In addition, ecological, economic, and political factors contributed to schistosomiasis elimination. For instance, snail control was most common and widespread in wealthier countries and when control began earlier in the 20th century. CONCLUSIONS/SIGNIFICANCE: Snail control has been the most effective way to reduce schistosomiasis prevalence. Despite evidence that snail control leads to long-term disease reduction and elimination, most current schistosomiasis control efforts emphasize MDA using praziquantel over snail control. Combining drug-based control programs with affordable snail control seems the best strategy for eliminating schistosomiasis.
Asunto(s)
Reservorios de Enfermedades/parasitología , Control de Infecciones/métodos , Moluscocidas/farmacología , Esquistosomiasis/prevención & control , Caracoles/efectos de los fármacos , África/epidemiología , Animales , Asia/epidemiología , Salud Global , Humanos , Schistosoma/fisiología , Esquistosomiasis/epidemiología , Esquistosomiasis/parasitología , Esquistosomiasis/transmisión , Caracoles/crecimiento & desarrollo , Caracoles/parasitología , América del Sur/epidemiologíaRESUMEN
Trematode communities in populations of estuarine snails can reflect surrounding animal diversity, abundance, and trophic interactions. We know less about the potential for trematodes to serve as bioindicators in other habitats. Here, we reanalyze data from 2 published studies concerning trematodes, 1 in the Chilean rocky intertidal zone and the other from the East African rift lake, Lake Tanganyika. Our analyses indicate that trematodes are more common in protected areas and that in both habitats they are directly and positively related to surrounding host abundance. This further supports the notion that trematodes in first intermediate hosts can serve as bioindicators of the condition of free-living animal communities in diverse ecosystems.
Asunto(s)
Biodiversidad , Bivalvos/parasitología , Caracoles/parasitología , Trematodos/fisiología , África Oriental , Animales , Braquiuros/fisiología , Chile , Ecosistema , Enfermedades de los Peces/parasitología , Peces , Agua Dulce , Interacciones Huésped-Parásitos , Conducta Predatoria , Infecciones por Trematodos/parasitología , Infecciones por Trematodos/veterinariaRESUMEN
Measuring biodiversity is difficult. This has led to efforts to seek taxa whose species richness correlates with the species richness of other taxa. Such indicator taxa could then reduce the time and cost of assessing the biodiversity of the more extensive community. The search for species richness correlations has yielded mixed results, however. This may be primarily because of the lack of functional relationships between the taxa studied. Trematode parasites are highly promising bioindicators. Diverse assemblages of larval trematode parasites are easily sampled in intermediate host snails. Through their life cycles these parasites are functionally coupled with the surrounding free-living diversity of vertebrate and invertebrate animals. It has been shown that larval trematodes in snails correlate positively with bird diversity and abundance. Here, we explore whether trematodes also correlate with standard measures of fishes, and large and small benthos, for 32 sites in three wetlands. We found associations between trematodes and benthic communities that were not consistent across wetlands. The associations were, however, consistently positive for large benthic species richness and density. Some of the contrasting associations between trematode and benthos may be explained by negative associations between large and small benthos. We found no associations with fish communities (probably because of the inadequacy of standard "snapshot" sampling methods for highly mobile fishes). The results support further exploration of trematodes as bioindicators of diversity and abundance of animal communities.