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Chen X, Le J, Hu Y. Predicting Schistosomiasis Intensity in Africa: A Machine Learning Approach to Evaluate the Progress of WHO Roadmap 2030. Am J Trop Med Hyg 2024; 111:73-79. [PMID: 38772355 PMCID: PMC11229641 DOI: 10.4269/ajtmh.23-0751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 02/08/2024] [Indexed: 05/23/2024] Open
Abstract
The World Health Organization (WHO) 2030 Roadmap aims to eliminate schistosomiasis as a public health issue, targeting reductions in the heavy intensity of infections. Previous studies, however, have predominantly used prevalence as the primary indicator of schistosomiasis. We introduce several machine learning (ML) algorithms to predict infection intensity categories, using morbidity prevalence, with the aim of assessing the elimination of schistosomiasis in Africa, as outlined by the WHO. We obtained morbidity prevalence and infection intensity data from the Expanded Special Project to Eliminate Neglected Tropical Diseases, which spans 12 countries in sub-Saharan Africa. We then used a series of ML algorithms to predict the prevalence of infection intensity categories for Schistosoma haematobium and Schistosoma mansoni, with morbidity prevalence and several relevant environmental and demographic covariates from remote-sensing sources. The optimal model had high accuracy and stability; it achieved a mean absolute error (MAE) of 0.02, a root mean square error (RMSE) of 0.05, and a coefficient of determination (R2) of 0.84 in predicting heavy-intensity prevalence for S. mansoni; and an MAE of 0.02, an RMSE of 0.04, and an R2 value of 0.81 for S. haematobium. Based on this optimal model, we found that most areas in the surveyed countries have not achieved the target of the WHO road map for 2030. The ML algorithms used in our analysis showed a high overall predictive power in estimating infection intensity for each species, and our methods provided a low-cost, effective approach to evaluating the disease target in Africa set in the WHO road map for 2030.
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Affiliation(s)
- Xinyue Chen
- Department of Epidemiology and Biostatistics, School of Public Health, Fudan University, Shanghai, China; Key Laboratory of Public Health Safety, Ministry of Education, Shanghai, China; Laboratory for Spatial Analysis and Modeling, School of Public Health, Fudan University, Shanghai, China
| | - Jiaxu Le
- Department of Epidemiology and Biostatistics, School of Public Health, Fudan University, Shanghai, China; Key Laboratory of Public Health Safety, Ministry of Education, Shanghai, China; Laboratory for Spatial Analysis and Modeling, School of Public Health, Fudan University, Shanghai, China
| | - Yi Hu
- Department of Epidemiology and Biostatistics, School of Public Health, Fudan University, Shanghai, China; Key Laboratory of Public Health Safety, Ministry of Education, Shanghai, China; Laboratory for Spatial Analysis and Modeling, School of Public Health, Fudan University, Shanghai, China
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2
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Aslan IH, Pourtois JD, Chamberlin AJ, Mitchell KR, Mari L, Lwiza KM, Wood CL, Mordecai EA, Yu A, Tuan R, Palasio RGS, Monteiro AMV, Kirk D, Athni TS, Sokolow SH, N’Goran EK, Diakite NR, Ouattara M, Gatto M, Casagrandi R, Little DC, Ozretich RW, Norman R, Allan F, Brierley AS, Liu P, Pereira TA, De Leo GA. Re-assessing thermal response of schistosomiasis transmission risk: Evidence for a higher thermal optimum than previously predicted. PLoS Negl Trop Dis 2024; 18:e0011836. [PMID: 38857289 PMCID: PMC11207148 DOI: 10.1371/journal.pntd.0011836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Revised: 06/26/2024] [Accepted: 05/23/2024] [Indexed: 06/12/2024] Open
Abstract
The geographical range of schistosomiasis is affected by the ecology of schistosome parasites and their obligate host snails, including their response to temperature. Previous models predicted schistosomiasis' thermal optimum at 21.7°C, which is not compatible with the temperature in sub-Saharan Africa (SSA) regions where schistosomiasis is hyperendemic. We performed an extensive literature search for empirical data on the effect of temperature on physiological and epidemiological parameters regulating the free-living stages of S. mansoni and S. haematobium and their obligate host snails, i.e., Biomphalaria spp. and Bulinus spp., respectively. We derived nonlinear thermal responses fitted on these data to parameterize a mechanistic, process-based model of schistosomiasis. We then re-cast the basic reproduction number and the prevalence of schistosome infection as functions of temperature. We found that the thermal optima for transmission of S. mansoni and S. haematobium range between 23.1-27.3°C and 23.6-27.9°C (95% CI) respectively. We also found that the thermal optimum shifts toward higher temperatures as the human water contact rate increases with temperature. Our findings align with an extensive dataset of schistosomiasis prevalence in SSA. The refined nonlinear thermal-response model developed here suggests a more suitable current climate and a greater risk of increased transmission with future warming for more than half of the schistosomiasis suitable regions with mean annual temperature below the thermal optimum.
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Affiliation(s)
- Ibrahim Halil Aslan
- Department of Biology, Stanford University, Stanford, California, United States of America
- Hopkins Marine Station, Stanford University, Pacific Grove, California, United States of America
| | - Julie D. Pourtois
- Department of Biology, Stanford University, Stanford, California, United States of America
- Hopkins Marine Station, Stanford University, Pacific Grove, California, United States of America
| | - Andrew J. Chamberlin
- Hopkins Marine Station, Stanford University, Pacific Grove, California, United States of America
| | - Kaitlyn R. Mitchell
- Department of Biology, Stanford University, Stanford, California, United States of America
- Hopkins Marine Station, Stanford University, Pacific Grove, California, United States of America
| | - Lorenzo Mari
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - Kamazima M. Lwiza
- School of Marine and Atmospheric Sciences, Stony Brook University, New York, New York, United States of America
| | - Chelsea L. Wood
- School of Aquatic and Fishery Sciences, University of Washington, Seattle, Washington, United States of America
| | - Erin A. Mordecai
- Department of Biology, Stanford University, Stanford, California, United States of America
- Woods Institute for the Environment, Stanford University, Stanford, California, United States of America
| | - Ao Yu
- Department of Earth System Science, Stanford University, Stanford, California, United States of America
| | - Roseli Tuan
- Pasteur Institute, São Paulo Health Public Office, São Paulo, Brazil
| | | | | | - Devin Kirk
- Department of Biology, Stanford University, Stanford, California, United States of America
| | - Tejas S. Athni
- Department of Biology, Stanford University, Stanford, California, United States of America
- Harvard Medical School, Boston, Massachusetts, United States of America
| | - Susanne H. Sokolow
- Department of Biology, Stanford University, Stanford, California, United States of America
- Woods Institute for the Environment, Stanford University, Stanford, California, United States of America
| | | | | | | | - Marino Gatto
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - Renato Casagrandi
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - David C. Little
- Institute of Aquaculture, University of Stirling, Stirling, United Kingdom
| | - Reed W. Ozretich
- Institute of Aquaculture, University of Stirling, Stirling, United Kingdom
| | - Rachel Norman
- Computing Science and Mathematics, University of Stirling, Stirling, United Kingdom
| | - Fiona Allan
- Department of Life Sciences, Natural History Museum, London, United Kingdom
| | - Andrew S. Brierley
- Scottish Oceans Institute, School of Biology, University of St. Andrews, St. Andrews, United Kingdom
| | - Ping Liu
- School of Marine and Atmospheric Sciences, Stony Brook University, New York, New York, United States of America
| | - Thiago A. Pereira
- Institute for Stem Cell Biology and Regenerative Medicine, School of Medicine, Stanford University, Stanford, California, United States of America
| | - Giulio A. De Leo
- Department of Biology, Stanford University, Stanford, California, United States of America
- Hopkins Marine Station, Stanford University, Pacific Grove, California, United States of America
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3
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Aslan IH, Pourtois JD, Chamberlin AJ, Mitchell KR, Mari L, Lwiza KM, Wood CL, Mordecai EA, Yu A, Tuan R, Palasio RGS, Monteiro AM, Kirk D, Athni TS, Sokolow SH, N’Goran EK, Diakite NR, Ouattara M, Gatto M, Casagrandi R, Little DC, Ozretich RW, Norman R, Allan F, Brierley AS, Liu P, Pereira TA, De Leo GA. Re-assessing thermal response of schistosomiasis transmission risk: evidence for a higher thermal optimum than previously predicted. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2024:2024.01.04.24300851. [PMID: 38826336 PMCID: PMC11142288 DOI: 10.1101/2024.01.04.24300851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
The geographical range of schistosomiasis is affected by the ecology of schistosome parasites and their obligate host snails, including their response to temperature. Previous models predicted schistosomiasis' thermal optimum at 21.7 °C, which is not compatible with the temperature in sub-Saharan Africa (SSA) regions where schistosomiasis is hyperendemic. We performed an extensive literature search for empirical data on the effect of temperature on physiological and epidemiological parameters regulating the free-living stages of S. mansoni and S. haematobium and their obligate host snails, i.e., Biomphalaria spp. and Bulinus spp., respectively. We derived nonlinear thermal responses fitted on these data to parameterize a mechanistic, process-based model of schistosomiasis. We then re-cast the basic reproduction number and the prevalence of schistosome infection as functions of temperature. We found that the thermal optima for transmission of S. mansoni and S. haematobium range between 23.1-27.3 °C and 23.6-27.9 °C (95 % CI) respectively. We also found that the thermal optimum shifts toward higher temperatures as the human water contact rate increases with temperature. Our findings align with an extensive dataset of schistosomiasis prevalence in SSA. The refined nonlinear thermal-response model developed here suggests a more suitable current climate and a greater risk of increased transmission with future warming for more than half of the schistosomiasis suitable regions with mean annual temperature below the thermal optimum.
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Affiliation(s)
- Ibrahim Halil Aslan
- Department of Biology, Stanford University, Stanford, CA, USA
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Julie D. Pourtois
- Department of Biology, Stanford University, Stanford, CA, USA
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | | | - Kaitlyn R. Mitchell
- Department of Biology, Stanford University, Stanford, CA, USA
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Lorenzo Mari
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - Kamazima M. Lwiza
- School of Marine and Atmospheric Sciences Stony Brook University, New York, NY, USA
| | - Chelsea L. Wood
- School of Aquatic and Fishery Sciences, University of Washington, Seattle, WA, USA
| | - Erin A. Mordecai
- Department of Biology, Stanford University, Stanford, CA, USA
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | - Ao Yu
- Department of Earth System Science, Stanford University, Stanford, CA, USA
| | - Roseli Tuan
- Pasteur Institute, São Paulo Health Public Office, São Paulo, SP, Brazil
| | | | | | - Devin Kirk
- Department of Biology, Stanford University, Stanford, CA, USA
| | - Tejas S. Athni
- Department of Biology, Stanford University, Stanford, CA, USA
- Harvard Medical School, Boston, MA, USA
| | - Susanne H. Sokolow
- Department of Biology, Stanford University, Stanford, CA, USA
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | | | - Nana R. Diakite
- Université Félix Houphouët-Boigny, 22 BP 770, Abidjan 22, Côte d’Ivoire
| | - Mamadou Ouattara
- Université Félix Houphouët-Boigny, 22 BP 770, Abidjan 22, Côte d’Ivoire
| | - Marino Gatto
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - Renato Casagrandi
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - David C. Little
- Institute of Aquaculture, University of Stirling, Stirling, UK
| | | | - Rachel Norman
- Computing Science and Mathematics, University of Stirling, Stirling, UK
| | - Fiona Allan
- Department of Life Sciences, Natural History Museum, London, UK
| | - Andrew S. Brierley
- Scottish Oceans Institute, School of Biology, University of St. Andrews, St. Andrews, UK
| | - Ping Liu
- School of Marine and Atmospheric Sciences Stony Brook University, New York, NY, USA
| | - Thiago A. Pereira
- Institute for Stem Cell Biology and Regenerative Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Giulio A. De Leo
- Department of Biology, Stanford University, Stanford, CA, USA
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
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Scott ME. Helminth-host-environment interactions: Looking down from the tip of the iceberg. J Helminthol 2023; 97:e59. [PMID: 37486085 DOI: 10.1017/s0022149x23000433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023]
Abstract
In 1978, the theory behind helminth parasites having the potential to regulate the abundance of their host populations was formalized based on the understanding that those helminth macroparasites that reduce survival or fecundity of the infected host population would be among the forces limiting unregulated host population growth. Now, 45 years later, a phenomenal breadth of factors that directly or indirectly affect the host-helminth interaction has emerged. Based largely on publications from the past 5 years, this review explores the host-helminth interaction from three lenses: the perspective of the helminth, the host, and the environment. What biotic and abiotic as well as social and intrinsic host factors affect helminths? What are the negative, and positive, implications for host populations and communities? What are the larger-scale implications of the host-helminth dynamic on the environment, and what evidence do we have that human-induced environmental change will modify this dynamic? The overwhelming message is that context is everything. Our understanding of second-, third-, and fourth-level interactions is extremely limited, and we are far from drawing generalizations about the myriad of microbe-helminth-host interactions.Yet the intricate, co-evolved balance and complexity of these interactions may provide a level of resilience in the face of global environmental change. Hopefully, this albeit limited compilation of recent research will spark new interdisciplinary studies, and application of the One Health approach to all helminth systems will generate new and testable conceptual frameworks that encompass our understanding of the host-helminth-environment triad.
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Affiliation(s)
- M E Scott
- Institute of Parasitology, McGill University (Macdonald Campus), 21,111 Lakeshore Road, Ste-Anne de Bellevue, QuebecH9X 3V9, Canada
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Rohr JR, Sack A, Bakhoum S, Barrett CB, Lopez-Carr D, Chamberlin AJ, Civitello DJ, Diatta C, Doruska MJ, De Leo GA, Haggerty CJE, Jones IJ, Jouanard N, Lund AJ, Ly AT, Ndione RA, Remais JV, Riveau G, Schacht AM, Seck M, Senghor S, Sokolow SH, Wolfe C. A planetary health innovation for disease, food and water challenges in Africa. Nature 2023:10.1038/s41586-023-06313-z. [PMID: 37438520 DOI: 10.1038/s41586-023-06313-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 06/12/2023] [Indexed: 07/14/2023]
Abstract
Many communities in low- and middle-income countries globally lack sustainable, cost-effective and mutually beneficial solutions for infectious disease, food, water and poverty challenges, despite their inherent interdependence1-7. Here we provide support for the hypothesis that agricultural development and fertilizer use in West Africa increase the burden of the parasitic disease schistosomiasis by fuelling the growth of submerged aquatic vegetation that chokes out water access points and serves as habitat for freshwater snails that transmit Schistosoma parasites to more than 200 million people globally8-10. In a cluster randomized controlled trial (ClinicalTrials.gov: NCT03187366) in which we removed invasive submerged vegetation from water points at 8 of 16 villages (that is, clusters), control sites had 1.46 times higher intestinal Schistosoma infection rates in schoolchildren and lower open water access than removal sites. Vegetation removal did not have any detectable long-term adverse effects on local water quality or freshwater biodiversity. In feeding trials, the removed vegetation was as effective as traditional livestock feed but 41 to 179 times cheaper and converting the vegetation to compost provided private crop production and total (public health plus crop production benefits) benefit-to-cost ratios as high as 4.0 and 8.8, respectively. Thus, the approach yielded an economic incentive-with important public health co-benefits-to maintain cleared waterways and return nutrients captured in aquatic plants back to agriculture with promise of breaking poverty-disease traps. To facilitate targeting and scaling of the intervention, we lay the foundation for using remote sensing technology to detect snail habitats. By offering a rare, profitable, win-win approach to addressing food and water access, poverty alleviation, infectious disease control and environmental sustainability, we hope to inspire the interdisciplinary search for planetary health solutions11 to the many and formidable, co-dependent global grand challenges of the twenty-first century.
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Affiliation(s)
- Jason R Rohr
- Department of Biological Sciences, Environmental Change Initiative, Eck Institute of Global Health, University of Notre Dame, Notre Dame, IN, USA.
| | - Alexandra Sack
- Department of Biological Sciences, Environmental Change Initiative, Eck Institute of Global Health, University of Notre Dame, Notre Dame, IN, USA
| | - Sidy Bakhoum
- Department of Animal Biology, Université Cheikh Anta Diop, Dakar, Senegal
| | - Christopher B Barrett
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, USA
| | - David Lopez-Carr
- Department of Geography, University of California, Santa Barbara, CA, USA
| | - Andrew J Chamberlin
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | | | - Cledor Diatta
- Centre de Recherche Biomédicale Espoir pour la Santé, Saint-Louis, Senegal
| | - Molly J Doruska
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, USA
| | - Giulio A De Leo
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Christopher J E Haggerty
- Department of Biological Sciences, Environmental Change Initiative, Eck Institute of Global Health, University of Notre Dame, Notre Dame, IN, USA
| | - Isabel J Jones
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | - Nicolas Jouanard
- Centre de Recherche Biomédicale Espoir pour la Santé, Saint-Louis, Senegal
- Station d'Innovation Aquacole, Saint-Louis, Senegal
| | - Andrea J Lund
- Emmett Interdisciplinary Program in Environment and Resources, Stanford University, Stanford, CA, USA
- Department of Environmental and Occupational Health, University of Colorado School of Public Health, Anschutz Medical Campus, Aurora, CO, USA
| | - Amadou T Ly
- Centre de Recherche Biomédicale Espoir pour la Santé, Saint-Louis, Senegal
| | - Raphael A Ndione
- Centre de Recherche Biomédicale Espoir pour la Santé, Saint-Louis, Senegal
| | - Justin V Remais
- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA, USA
| | - Gilles Riveau
- Centre de Recherche Biomédicale Espoir pour la Santé, Saint-Louis, Senegal
- Université Lille, CNRS, INSERM, CHU Lille, Institut Pasteur de Lille, U1019-UMR 9017-CIIL-Center for Infection and Immunité of Lille, Lille, France
| | - Anne-Marie Schacht
- Centre de Recherche Biomédicale Espoir pour la Santé, Saint-Louis, Senegal
| | - Momy Seck
- Station d'Innovation Aquacole, Saint-Louis, Senegal
| | - Simon Senghor
- Centre de Recherche Biomédicale Espoir pour la Santé, Saint-Louis, Senegal
| | - Susanne H Sokolow
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | - Caitlin Wolfe
- College of Public Health, University of South Florida, Tampa, FL, USA
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Reitzug F, Ledien J, Chami GF. Associations of water contact frequency, duration, and activities with schistosome infection risk: A systematic review and meta-analysis. PLoS Negl Trop Dis 2023; 17:e0011377. [PMID: 37315020 DOI: 10.1371/journal.pntd.0011377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 05/12/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND Schistosomiasis is a water-borne parasitic disease which affects over 230 million people globally. The relationship between contact with open freshwater bodies and the likelihood of schistosome infection remains poorly quantified despite its importance for understanding transmission and parametrising transmission models. METHODS We conducted a systematic review to estimate the average effect of water contact duration, frequency, and activities on schistosome infection likelihood. We searched Embase, MEDLINE (including PubMed), Global Health, Global Index Medicus, Web of Science, and the Cochrane Central Register of Controlled Trials from inception until May 13, 2022. Observational and interventional studies reporting odds ratios (OR), hazard ratios (HR), or sufficient information to reconstruct effect sizes on individual-level associations between water contact and infection with any Schistosoma species were eligible for inclusion. Random-effects meta-analysis with inverse variance weighting was used to calculate pooled ORs and 95% confidence intervals (CIs). RESULTS We screened 1,411 studies and included 101 studies which represented 192,691 participants across Africa, Asia, and South America. Included studies mostly reported on water contact activities (69%; 70/101) and having any water contact (33%; 33/101). Ninety-six percent of studies (97/101) used surveys to measure exposure. A meta-analysis of 33 studies showed that individuals with water contact were 3.14 times more likely to be infected (OR 3.14; 95% CI: 2.08-4.75) when compared to individuals with no water contact. Subgroup analyses showed that the positive association of water contact with infection was significantly weaker in children compared to studies which included adults and children (OR 1.67; 95% CI: 1.04-2.69 vs. OR 4.24; 95% CI: 2.59-6.97). An association of water contact with infection was only found in communities with ≥10% schistosome prevalence. Overall heterogeneity was substantial (I2 = 93%) and remained high across all subgroups, except in direct observation studies (I2 range = 44%-98%). We did not find that occupational water contact such as fishing and agriculture (OR 2.57; 95% CI: 1.89-3.51) conferred a significantly higher risk of schistosome infection compared to recreational water contact (OR 2.13; 95% CI: 1.75-2.60) or domestic water contact (OR 1.91; 95% CI: 1.47-2.48). Higher duration or frequency of water contact did not significantly modify infection likelihood. Study quality across analyses was largely moderate or poor. CONCLUSIONS Any current water contact was robustly associated with schistosome infection status, and this relationship held across adults and children, and schistosomiasis-endemic areas with prevalence greater than 10%. Substantial gaps remain in published studies for understanding interactions of water contact with age and gender, and the influence of these interactions for infection likelihood. As such, more empirical studies are needed to accurately parametrise exposure in transmission models. Our results imply the need for population-wide treatment and prevention strategies in endemic settings as exposure within these communities was not confined to currently prioritised high-risk groups such as fishing populations.
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Affiliation(s)
- Fabian Reitzug
- Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
| | - Julia Ledien
- Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
| | - Goylette F Chami
- Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
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Haggerty CJE, Delius BK, Jouanard N, Ndao PD, De Leo GA, Lund AJ, Lopez-Carr D, Remais JV, Riveau G, Sokolow SH, Rohr JR. Pyrethroid insecticides pose greater risk than organophosphate insecticides to biocontrol agents for human schistosomiasis. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2023; 319:120952. [PMID: 36586553 DOI: 10.1016/j.envpol.2022.120952] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 12/22/2022] [Accepted: 12/23/2022] [Indexed: 06/17/2023]
Abstract
Use of agrochemicals, including insecticides, is vital to food production and predicted to increase 2-5 fold by 2050. Previous studies have shown a positive association between agriculture and the human infectious disease schistosomiasis, which is problematic as this parasitic disease infects approximately 250 million people worldwide. Certain insecticides might runoff fields and be highly toxic to invertebrates, such as prawns in the genus Macrobrachium, that are biocontrol agents for snails that transmit the parasites causing schistosomiasis. We used a laboratory dose-response experiment and an observational field study to determine the relative toxicities of three pyrethroid (esfenvalerate, λ-cyhalothrin, and permethrin) and three organophosphate (chlorpyrifos, malathion, and terbufos) insecticides to Macrobrachium prawns. In the lab, pyrethroids were consistently several orders of magnitude more toxic than organophosphate insecticides, and more likely to runoff fields at lethal levels according to modeling data. At 31 water contact sites in the lower basin of the Senegal River where schistosomiasis is endemic, we found that Macrobrachium prawn survival was associated with pyrethroid but not organophosphate application rates to nearby crop fields after controlling for abiotic and prawn-level factors. Our laboratory and field results suggest that widely used pyrethroid insecticides can have strong non-target effects on Macrobrachium prawns that are biocontrol agents where 400 million people are at risk of human schistosomiasis. Understanding the ecotoxicology of high-risk insecticides may help improve human health in schistosomiasis-endemic regions undergoing agricultural expansion.
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Affiliation(s)
- Christopher J E Haggerty
- Department of Biological Sciences, Environmental Change Initiative, Eck Institute of Global Health, University of Notre Dame, Notre Dame, IN, USA
| | - Bryan K Delius
- Duquesne University, Department of Biological Sciences, Pittsburgh, PA, USA
| | - Nicolas Jouanard
- Centre de Recherche Biomédicale Espoir pour La Santé, Saint-Louis, Senegal; Station D'Innovation Aquacole, Saint-Louis, Senegal
| | - Pape D Ndao
- Station D'Innovation Aquacole, Saint-Louis, Senegal; Université Gaston Berger (UGB), Route de Ngallèle, BP 234, Saint-Louis, Senegal
| | - Giulio A De Leo
- Hopkins Marine Station, Stanford University, Pacific Grove, CA, USA
| | - Andrea J Lund
- Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz, Aurora, CO, USA
| | - David Lopez-Carr
- Human-Environment Dynamics Lab, Department of Environmental Studies, UCSB, Santa Barbara, CA, USA
| | - Justin V Remais
- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA, USA
| | - Gilles Riveau
- Centre de Recherche Biomédicale Espoir pour La Santé, Saint-Louis, Senegal; University of Lille, CNRS, INSERM, CHU Lille, Institut Pasteur de Lille, U1019-UMR 9017-CIIL, Center for Infection and Immunity of Lille, Lille, France
| | - Susanne H Sokolow
- Woods Institute for the Environment, Stanford University, Stanford, CA, USA
| | - Jason R Rohr
- Department of Biological Sciences, Environmental Change Initiative, Eck Institute of Global Health, University of Notre Dame, Notre Dame, IN, USA; Marine Science Institute, University of California, Santa Barbara, CA, USA.
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Senghor B, Mathieu-Begné E, Rey O, Doucouré S, Sow D, Diop B, Sène M, Boissier J, Sokhna C. Urogenital schistosomiasis in three different water access in the Senegal river basin: prevalence and monitoring praziquantel efficacy and re-infection levels. BMC Infect Dis 2022; 22:968. [PMID: 36581796 PMCID: PMC9801593 DOI: 10.1186/s12879-022-07813-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 10/26/2022] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Urogenital schistosomiasis is a neglected tropical disease most prevalent in sub-Saharan Africa. In the Senegal river basin, the construction of the Diama dam led to an increase and endemicity of schistosomiasis. Since 2009, praziquantel has frequently been used as preventive chemotherapy in the form of mass administration to Senegalese school-aged children without monitoring of the treatment efficacy and the prevalence after re-infection. This study aims to determine the current prevalence of urogenital schistosomiasis (caused by Schistosoma haematobium), the efficacy of praziquantel, and the re-infection rates in children from five villages with different water access. METHODS The baseline prevalence of S. haematobium was determined in August 2020 in 777 children between 5 and 11 years old and a single dose of praziquantel (40 mg/kg) was administered to those positive. The efficacy of praziquantel and the re-infection rates were monitored 4 weeks and 7 months after treatment, respectively, in 226 children with a high intensity of infection at baseline. RESULTS At the baseline, prevalence was low among children from the village of Mbane who live close to the Lac de Guiers (38%), moderate among those from the villages of Dioundou and Khodit, which neighbor the Doue river (46%), and very high at Khodit (90.6%) and Guia (91.2%) which mainly use an irrigation canal. After treatment, the observed cure rates confirmed the efficacy of praziquantel. The lowest cure rate (88.5%) was obtained in the village using the irrigation canal, while high cure rates were obtained in those using the lake (96.5%) and the river (98%). However, high egg reduction rates (between 96.7 and 99.7%) were obtained in all the villages. The re-infection was significantly higher in the village using the canal (42.5%) than in the villages accessing the Lac de Guiers (18.3%) and the Doue river (14.8%). CONCLUSION Praziquantel has an impact on reducing the prevalence and intensity of urogenital schistosomiasis. However, in the Senegal river basin, S. haematobium remains a real health problem for children living in the villages near the irrigation canals, despite regular treatment, while prevalence is declining from those frequenting the river and the Lac de Guiers. Trial registration ClinicalTrials.gov, NCT04635553. Registered 19 November 2020 retrospectively registered, https://www. CLINICALTRIALS gov/ct2/show/NCT04635553?cntry=SN&draw=2&rank=4.
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Affiliation(s)
- Bruno Senghor
- grid.418291.70000 0004 0456 337XCampus International IRD-UCAD de Hann, Vectors-Tropical and Mediterranean Infections (VITROME) Laboratory, 1386 Dakar, Senegal
| | - Eglantine Mathieu-Begné
- grid.121334.60000 0001 2097 0141Host Pathogen Environments Interactions (IHPE) Laboratory, CNRS, IFREMER, University of Montpellier, University of Perpignan via Domitia, Perpignan, France
| | - Olivier Rey
- grid.121334.60000 0001 2097 0141Host Pathogen Environments Interactions (IHPE) Laboratory, CNRS, IFREMER, University of Montpellier, University of Perpignan via Domitia, Perpignan, France
| | - Souleymane Doucouré
- grid.418291.70000 0004 0456 337XCampus International IRD-UCAD de Hann, Vectors-Tropical and Mediterranean Infections (VITROME) Laboratory, 1386 Dakar, Senegal
| | - Doudou Sow
- grid.442784.90000 0001 2295 6052Department of Parasitology-Mycology, UFR of Health Sciences, University Gaston Berger, 234, Saint-Louis, Senegal
| | - Bocar Diop
- grid.442784.90000 0001 2295 6052Laboratory of Biological and Agronomic Sciences and Modelling of Complex Systems, UFRS2ATA, Gaston Berger University of Saint-Louis, Saint-Louis, Senegal
| | - Mariama Sène
- National Schistosomiasis Control Program (NSCP), Ministry of Health, Dakar, Senegal
| | - Jérôme Boissier
- grid.121334.60000 0001 2097 0141Host Pathogen Environments Interactions (IHPE) Laboratory, CNRS, IFREMER, University of Montpellier, University of Perpignan via Domitia, Perpignan, France
| | - Cheikh Sokhna
- grid.418291.70000 0004 0456 337XCampus International IRD-UCAD de Hann, Vectors-Tropical and Mediterranean Infections (VITROME) Laboratory, 1386 Dakar, Senegal ,grid.5399.60000 0001 2176 4817VITROME, IRD, SSA, AP-HM, IHU-Mediterranean Infection, Aix-Marseille Univ, Marseille, France
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Satellite Imagery-Based Identification of High-Risk Areas of Schistosome Intermediate Snail Hosts Spread after Flood. REMOTE SENSING 2022. [DOI: 10.3390/rs14153707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Snail intermediate host monitoring and control are essential for interrupting the parasitic disease schistosomiasis. Identifying large-scale high-risk areas of snail spread after floods has been greatly facilitated by remote sensing imagery. However, previous studies have usually assumed that all inundation areas carry snails and may have overestimated snail spread areas. Furthermore, these studies only used a single environmental factor to estimate the snail survival risk probability, failing to analyze multiple variables, to accurately distinguish the snail survival risk in the snail spread areas. This paper proposes a systematic framework for early monitoring of snail diffusion to accurately map snail spread areas from remote sensing imagery and enhance snail survival risk probability estimation based on the snail spread map. In particular, the flooded areas are extracted using the Sentinel-1 Dual-Polarized Water Index based on synthetic aperture radar images to map all-weather flooding areas. These flood maps are used to extract snail spread areas, based on the assumption that only inundation areas that spatially interacted with (i.e., are close to) the previous snail distribution regions before flooding are identified as snail spread areas, in order to reduce the misclassification in snail spread area identification. A multiple logistic regression model is built to analyze how various types of snail-related environmental factors, including the normalized difference vegetation index (NDVI), wetness, river and channel density, and landscape fractal dimension impact snail survival, and estimate its risk probabilities in snail spread area. An experiment was conducted in Jianghan Plain, China, where snails are predominantly linearly distributed along the tributaries and water channels of the middle and lower reaches of the Yangtze River. The proposed method could accurately map floods under clouds, and a total area of 231.5 km2 was identified as the snail spread area. The snail survival risk probabilities were thus estimated. The proposed method showed a more refined snail spread area and a more reliable degree of snail survival risk compared with those of previous studies. Thus, it is an efficient way to accurately map all-weather snail spread and survival risk probabilities, which is helpful for schistosomiasis interruption.
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Deep Learning Segmentation of Satellite Imagery Identifies Aquatic Vegetation Associated with Snail Intermediate Hosts of Schistosomiasis in Senegal, Africa. REMOTE SENSING 2022. [DOI: 10.3390/rs14061345] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Schistosomiasis is a debilitating parasitic disease of poverty that affects more than 200 million people worldwide, mostly in sub-Saharan Africa, and is clearly associated with the construction of dams and water resource management infrastructure in tropical and subtropical areas. Changes to hydrology and salinity linked to water infrastructure development may create conditions favorable to the aquatic vegetation that is suitable habitat for the intermediate snail hosts of schistosome parasites. With thousands of small and large water reservoirs, irrigation canals, and dams developed or under construction in Africa, it is crucial to accurately assess the spatial distribution of high-risk environments that are habitat for freshwater snail intermediate hosts of schistosomiasis in rapidly changing ecosystems. Yet, standard techniques for monitoring snails are labor-intensive, time-consuming, and provide information limited to the small areas that can be manually sampled. Consequently, in low-income countries where schistosomiasis control is most needed, there are formidable challenges to identifying potential transmission hotspots for targeted medical and environmental interventions. In this study, we developed a new framework to map the spatial distribution of suitable snail habitat across large spatial scales in the Senegal River Basin by integrating satellite data, high-definition, low-cost drone imagery, and an artificial intelligence (AI)-powered computer vision technique called semantic segmentation. A deep learning model (U-Net) was built to automatically analyze high-resolution satellite imagery to produce segmentation maps of aquatic vegetation, with a fast and robust generalized prediction that proved more accurate than a more commonly used random forest approach. Accurate and up-to-date knowledge of areas at highest risk for disease transmission can increase the effectiveness of control interventions by targeting habitat of disease-carrying snails. With the deployment of this new framework, local governments or health actors might better target environmental interventions to where and when they are most needed in an integrated effort to reach the goal of schistosomiasis elimination.
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