Apart from malaria, schistosomiasis is the most prevalent parasitic infection in the world. It affects more than 200 million people in 76 tropical and subtropical countries, causing great suffering and resulting in thousands of deaths. Written by world authorities, this book examines many aspects of the biology, pathology, and control of the schistosoma parasite. Ranging in topic from infection in Pharaonic Egypt, through DNA relationships and biological systems, to advances in development of vaccines against the parasite, this book is a comprehensive text written for researchers and medical professionals alike.
Due to their devastating impact on both human and animal health in numerous tropical countries of the world, schistosomes have become one of the most widely studied of parasitic organisms. The tremendous ongoing research and control effort, primarily directed at ridding man of the disease schistosomiasis, involves people from many different disciplines and backgrounds. The intention of this book is to draw together the many interesting advances in knowledge in diverse areas of study which relate to the biology of schistosomes, and to provide a standard and comprehensible text which will be of immediate benefit to advanced students, research workers, clinicians and field workers.
This work provides a unique, comprehensive, and up-to-date review of the biology of the parasitic flatworm, Schistosoma, which is responsible for one of the world's most pervasive infectious diseases, Schistisomiasis. The unusual characteristics of the organism, and the immediacy of its effect on human health, have combined to bring the schistosomes under considerable scrutiny in the field of parasitology. As parasites living within the circulatory systems of their vertebrate hosts, adult schistosomes face problems of reproduction and egg dispersal far beyond those of most animals. Yet despite their many apparent frailties, these organisms have developed mechanisms not only to survive, but to prevail and evolve into dangerous pathogens. This book concentrates on development and reproduction, since they are key to the parasite's existence and are particularly important because the disease in humans is induced by the worms' eggs rather than the organisms themselves. The book will aid those investigators who wish to apply advanced techniques to schistosomes, but who lack familiarity with their fundamental biology. It draws together findings on the main features of schistosome biology, pointing out areas of controversy and special significance, and topics in need of further work. The author is a recognized authority on schistosomiasis. His book will be an invaluable aid to all those involved in studying and treating the disease, including parasitologists, immunologists, molecular biologists, and public health specialists.
Human schistosomiasis is a disease with a rich and well-documented past, and every expectation of an unfortunately long future. These infections were known to the ancient Egyptians and their transmission shows little evidence of slowing down, globally. The good news is that field applicable, and increasingly affordable, chemotherapy has been available for almost 25 years. Using chemotherapy and other means of control, some countries have decreased transmission and made excellent headway against morbidity. The bad news is that the public health problems caused by schistosomiasis are still with us, with the estimated number of cases of schistosomiasis, while shifting geographically, remaining approximately 200 million for the last 30 years. In fact, with the development of field usable ultrasound technology and meta-analyses performed on existing data, there is a new appreciation for the extent of non-lethal morbidity associated with these infections. While the percentage of individuals with severe hepatosplenic disease remains below 10%, recent reassessments of morbidity associated with schistosomiasis indicate that the prevelance of symptoms and the cost in diability-adjusted life years is much greater than was previously, commonly appreciated (Van der Werf, M. J. , et al. 2003, Acta Tropica 86:125-139; Charles H. King, personnel communication). Strong impetus for addressing these issues is provided by the World Health Assembly’s recently passed Resolution 54. 19, which calls for efforts to reduce morbidity caused by schistosomiasis and soil-transmitted helminths in school-aged children, largely through chemotherapy campaigns.
Human schistosomes (blood flukes) are digenetic trematodes that spend the adult part of their life cycle in humans and a further part in aquatic snails. Despite advances in chemotherapy, schistosomiasis is still a significant infection in the populations of several countries in the tropics. This book replaces a previous volume Schistosomiasis: Epidemiology, Treatment and Control (Heinemann, 1982) by Jordan and Webbe. All chapters have been rewritten by internationally renowned workers. Ultrasound, expected to aid identification of early disease in the field and increase our understanding of its evolution, is discussed in a new chapter. Others, each with an extensive bibliography, review the parasites and their snail intermediate hosts, epidemiology, clinical manifestations and pathology, diagnosis, immunology, drugs and patient management and control. Limitations of the role of chemotherapy in morbidity control are discussed and the need for flexibility in control interventions in the varied epidemiological situations is stressed. An interdisciplinary approach may be necessary to reduce transmission by appropriate measures against the snail intermediate host, and to implement public health measures, including the provision of safe water (with many other medical and social benefits) and health education. This comprehensive volume is for public health workers involved in the prevention and control of the disease, for physicians, and for students and teachers of many disciplines. It also provides a reference book for health planners, social anthropologists, health educators, water and sanitary engineers and others engaged in improving health in the tropics. Physicians in temperate countries will also find it a useful reference book as schistosomiasis, often acute, is being diagnosed more frequently in those returning from holidays in endemic areas.
Schistosomes are human parasites distributed worldwide in tropical and sub-tropical latitudes, especially in developing countries and impoverished regions. These neglected tropical disease (NTD) pathogens causes debilitating illnesses, which include hepatosplenomegaly, hepatic fibrosis, haemorrhagic necrotic ulcerations in the intestinal mucosa, urogenital tract diseases, in addition to cardiopulmonary, renal and neurologic lesions due to egg accumulation in the liver, intestines, uro-genital tissues and other sites. Urogenital schistosomiasis is a risk factor for bladder cancer and increases the risk of transmission of HIV infection. Despite extensive effort to control this NTD over the years, deployment on a considerable scale of commercially available drugs in endemic populations has induced the emergence of resistant isolates and raised the need to identify new targets for alternative therapies. Because of the availability of genomes of the three major species of human schistosomiasis, and through advances in functional genomics and live imaging, studies on schistosomes have now come into focus as models to investigate adaptations to parasitism and developmental biology of trematodes and cestodes, and indeed flatworms and Lophotrochozoans, at large. This Research Topic aims at gathering state-of-art essays on schistosome genetics, genetics, pathobiology and immunobiology. It also aims to highlight advances in understanding of the host-parasite relationship, in paradigms that address this NTD, and to discuss new perspectives and advances in chemotherapy and immunoprophylaxis.
According to the author, the book addresses to all the scientists and not only to immunologists or biologists of European countries who are engaged in developing a vaccine, or a diagnostic kit or a new drug against the infection or on schistosome evolution. Even these scientists have to visit endemic countries for field trials or ask their counterparts to collect field data (which this book addresses ). Thus this book is not on molecular fundamentals but on the infection itself; how schistosome species are responding to the drug ; sensitivity and specificity of immunodiagnostic kits, antigen molecules; snail compatibility, production losses; schistosome evolution; schistosome outbreaks; complexities where more than two schistosome species are existing; problem of human schistosomiasis in South Asia etc In fact , all the topics of great interest to international scientists and scientists of endemic countries.
Divided into three sections along the lines of bacteriology, parasitology and virology, this book comprehensively provides a systematic, cross disciplinary approach to the science and control of all zoonoses, written by international specialists in human and veterinary medicine.
This thematic volume provides authoritative, up-to-date reviews pertaining to the epidemiology, public health significance and shifts therein, control (current activities, successes, setbacks), persisting challenges (e.g. sanitation, universal coverage of health services, health-related behavior) of the key parasitic diseases in Southeast Asia. The book also discusses the new tools and approaches for enhanced discovery and control of helminthic diseases. Informs and updates on all the latest developments in the field Contributions from leading authorities and industry experts
