Prevalence of Schistosoma japonicum in bovines and Oncomelania hupensis quadrasi from ricefields surrounding Lake Mainit, Philippines

Transmission-Blocking Vaccines against Schistosomiasis Japonica

Control of schistosomiasis japonica, endemic in Asia, including the Philippines, China, and Indonesia, is extremely challenging. Schistosoma japonicum is a highly pathogenic helminth parasite, with disease arising predominantly from an immune reaction to entrapped parasite eggs in tissues. Females of this species can generate 1000-2200 eggs per day, which is about 3- to 15-fold greater than the egg output of other schistosome species. Bovines (water buffalo and cattle) are the predominant definitive hosts and are estimated to generate up to 90% of parasite eggs released into the environment in rural endemic areas where these hosts and humans are present. Here, we highlight the necessity of developing veterinary transmission-blocking vaccines for bovines to better control the disease and review potential vaccine candidates. We also point out that the approach to producing efficacious transmission-blocking animal-based vaccines before moving on to human vaccines is crucial. This will result in effective and feasible public health outcomes in agreement with the One Health concept to achieve optimum health for people, animals, and the environment. Indeed, incorporating a veterinary-based transmission vaccine, coupled with interventions such as human mass drug administration, improved sanitation and hygiene, health education, and snail control, would be invaluable to eliminating zoonotic schistosomiasis.

Prevalence of Angiostrongylus cantonensis in definitive and intermediate hosts collected from agricultural areas in Ampayon, Butuan City, Southern Philippines

Angiostrongyliasis is a parasitic disease and a leading cause of human eosinophilic meningoencephalitis caused by rat lungworm Angiostrongylus cantonensis. This parasite infects a wide range of animal hosts, including snails and rats, which plays a significant role in zoonotic transmission. The study was conducted to determine the prevalence of A. cantonensis infection in freshwater snails and definitive rat hosts in the agricultural area in Ampayon, Butuan City, Philippines. A total of 54 rat samples and 719 snail individuals were collected in June and July 2020. An overall 2.36% prevalence rate of A. cantonensis snail infection was recorded, consisting of Pomacea canaliculata and Melanoides tuberculata, with a prevalence rate of 4.05% and 1.38%, respectively. Results revealed an overall prevalence of 38.9% in rat infection. Rattus tanezumi (48.48%) showed a higher infection than Rattus norvegicus (23.80%). Higher infection rates were found in rice field environments than residential houses, with 44.12% and 30% prevalence rates, respectively. Moreover, male rats showed higher infection rates (50%) than female rats (26.92%). Among age classes, adult rats had significantly higher infection rates (48.57%) than juvenile rats (21.05%). Correlation analysis showed a significant positive correlation between A. cantonensis infection intensity to the body length (r = 0.603; p = 0.001) and body weight (r = 0.715; p = 0.000) of rats. The study exemplifies the critical role of intermediate and definitive hosts for angiostrongyliasis. Infected freshwater snails and rats in rice fields make these agricultural areas a venue for A. cantonensis emergence. Integrated actions, health education campaigns, surveillance, hygiene, and good farming practices will help prevent the potential risk of the transmission of angiostrongyliasis in the area.

The prevailing infection of Schistosoma japonicum and other zoonotic parasites in bubaline reservoir hosts in the ricefield of lake ecosystem: the case of Lake Mainit, Philippines

Bovines are important reservoir hosts of schistosomiasis, placing humans and animals in rice fields areas at risk of infection. This study reported the prevailing infection of zoonotic parasites from bovine feces in the rice fields adjacent to Lake Mainit, Philippines. Formalin Ethyl Acetate Sedimentation was performed on 124 bovine fecal samples from rice fields and documented eggs and cysts from seven parasites: Schistosoma japonicum, Fasciola gigantica, Ascaris sp., Strongyloides sp., Balantidium coli, coccidian oocyst and a hookworm species. Among these parasites, F. gigantica harboured the highest infection with a 100% prevalence rate, followed by hookworms (51.61%), B. coli (30.64%) and S. japonicum (12.09%), respectively. The intensity of infection of S. japonicum eggs per gram (MPEG = 4.19) among bovines is categorized as ‘light.’ Bovine contamination index (BCI) calculations revealed that, on average, infected bovines in rice fields excrete 104 750 S. japonicum eggs daily. However, across all ricefield stations, bovines were heavily infected with fascioliasis with BCI at 162 700 F. gigantica eggs per day. The study reports that apart from the persistent cases of schistosomiasis in the area, bovines in these rice fields are also heavily infected with fascioliasis. The study confirms the critical role of bovines as a reservoir host for continued infection of schistosomiasis, fascioliasis and other diseases in the rice fields of Lake Mainit. Immediate intervention to manage the spread of these diseases in bovines is recommended.

First bovine vaccine to prevent human schistosomiasis - a cluster randomised Phase 3 clinical trial

OBJECTIVE

Schistosomiasis is a neglected tropical parasitic disease caused by blood flukes of the genus Schistosoma. Schistosoma japonicum is zoonotic in China, the Philippines, and Indonesia, with bovines acting as major reservoirs of human infection. The primary objective of the trial was to examine the impact of a combination of human mass chemotherapy, snail control through mollusciciding, and SjCTPI bovine vaccination on the rate of human infection.

METHODS

A 5-year phase IIIa cluster randomized control trial was conducted among 18 schistosomiasis-endemic villages comprising 18,221 residents in Northern Samar, The Philippines.

RESULTS

Overall, bovine vaccination resulted in a statistically significant decrease in human infection (relative risk [RR] = 0.75; 95% confidence interval [CI] = 0.69 to 0.82) across all trial follow-ups. The best outcome of the trial was when bovine vaccination was combined with snail mollusciciding. This combination resulted in a 31% reduction (RR = 0.69; 95% CI = 0.61 to 0.78) in human infection.

CONCLUSION

This is the first trial to demonstrate the effectiveness of a bovine vaccine for schistosomiasis in reducing human schistosome infection. The trial is registered with Australian New Zealand Clinical Trials Registry (ACTRN12619001048178).