Intestinal Schistosomiasis and Giardiasis Co-Infection in Sub-Saharan Africa: Can a One Health Approach Improve Control of Each Waterborne Parasite Simultaneously?
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Authors
Archer, JohnO’Halloran, Lisa
Al-Shehri, Hajri
Summers, Shannan
Bhattacharyya, Tapan
Kabaterine, Narcis B
Atuhaire, Aaron
Adriko, Moses
Arianaitwe, Moses
Stewart, Martyn
LaCourse, E James
Webster, BL
Bustinduy, Amaya L
Stothard, J Russell
Issue date
2020-08-25Submitted date
2020-07-06Subject Terms
One HealthSchistosoma mansoni
Giardia duodenalis
Water, sanitation and hygiene (WASH)
Uganda
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Show full item recordAbstract
Both intestinal schistosomiasis and giardiasis are co-endemic throughout many areas of sub-Saharan Africa, significantly impacting the health of millions of children in endemic areas. While giardiasis is not considered a neglected tropical disease (NTD), intestinal schistosomiasis is formally grouped under the NTD umbrella and receives significant advocacy and financial support for large-scale control. Although there are differences in the epidemiology between these two diseases, there are also key similarities that might be exploited within potential integrated control strategies permitting tandem interventions. In this review, we highlight these similarities and discuss opportunities for integrated control of giardiasis in low and middle-income countries where intestinal schistosomiasis is co-endemic. By applying new, advanced methods of disease surveillance, and by improving the provision of water, sanitation and hygiene (WASH) initiatives, (co)infection with intestinal schistosomiasis and/or giardiasis could not only be more effectively controlled but also better understood. In this light, we appraise the suitability of a One Health approach targeting both intestinal schistosomiasis and giardiasis, for if adopted more broadly, transmission of both diseases could be reduced to gain improvements in health and wellbeing.Citation
Archer J, O’Halloran L, Al-Shehri H, Summers S, Bhattacharyya T, Kabaterine NB, Atuhaire A, Adriko M, Arianaitwe M, Stewart M, LaCourse EJ, Webster BL, Bustinduy AL, Stothard JR. Intestinal Schistosomiasis and Giardiasis Co-Infection in Sub-Saharan Africa: Can a One Health Approach Improve Control of Each Waterborne Parasite Simultaneously? Tropical Medicine and Infectious Disease. 2020; 5(3):137. https://doi.org/10.3390/tropicalmed5030137Publisher
MDPI AGType
Journal ArticleItem Description
Copyright: ©2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). The attached file is the published version of the article.NHM Repository
ISSN
2414-6366EISSN
2414-6366ae974a485f413a2113503eed53cd6c53
10.3390/tropicalmed5030137
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