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Soper DM, Raffel TR, Sckrabulis JP, Froelich KL, McPhail BA, Ostrowski MD, Reimink RL, Romano D, Rudko SP, Hanington PC. A novel schistosome species hosted by Planorbella (Helisoma) trivolvis is the most widespread swimmer's itch-causing parasite in Michigan inland lakes. Parasitology 2022; 150:1-10. [PMID: 36349562 PMCID: PMC10090624 DOI: 10.1017/s0031182022001561] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Revised: 09/29/2022] [Accepted: 10/14/2022] [Indexed: 11/11/2022]
Abstract
Cercarial dermatitis (‘swimmer's itch’; SI), characterized by small itchy bumps caused by schistosome parasites of birds and mammals, is a common problem in Michigan. Research on avian schistosomes began nearly 100 years ago in Michigan inland lakes, yet scientists are still uncovering basic biological information including the identification of local snail and parasite species that cause SI. Previous research primarily focused on lakes in the northern half of Michigan's lower peninsula, although SI occurs throughout the state. We surveyed snails and snail-borne trematodes in lakes across Michigan's lower peninsula and used quantitative polymerase chain reaction analysis of filtered water samples to identify parasites to the species level, including a recently discovered parasite species that uses the snail Planorbella (Helisoma) trivolvis as its intermediate host. Most SI mitigation efforts have focused on a parasite species hosted by the snail Lymnaea catescopium ( = Stagnicola emarginata); however, lymnaeid snails and their associated schistosome species were largely restricted to northern lakes. In contrast, P. trivolvis and its associated parasite species were common in both northern and southern Michigan lakes. A third schistosome species associated with physid snails was also present at low levels in both northern and southern lakes. These results indicate that the recently discovered parasite species and its planorbid snail intermediate host may be more important drivers of Michigan SI than previously thought, possibly due to increased definitive host abundance in recent decades. These results have potentially important implications for SI mitigation and control efforts.
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Affiliation(s)
- D. M. Soper
- Department of Biology, University of Dallas, 1845 E. Northgate Dr, Irving, TX 75062, USA
| | - T. R. Raffel
- Department of Biological Sciences, Oakland University, 118 Library Dr, Rochester Hills, MI 48309, USA
| | - J. P. Sckrabulis
- Department of Biological Sciences, Oakland University, 118 Library Dr, Rochester Hills, MI 48309, USA
| | - K. L. Froelich
- St. Joseph High School, 2521 Stadium Dr, St. Joseph, MI 49085, USA
- Freshwater Solutions LLC, 137 W 15th St, Holland, MI 49423, USA
- School of Public Health, University of Alberta, 357F South Academic Building, Edmonton, Alberta, Canada T6G 1C9
| | - B. A. McPhail
- School of Public Health, University of Alberta, 357F South Academic Building, Edmonton, Alberta, Canada T6G 1C9
| | - M. D. Ostrowski
- Department of Biological Sciences, Oakland University, 118 Library Dr, Rochester Hills, MI 48309, USA
| | - R. L. Reimink
- Freshwater Solutions LLC, 137 W 15th St, Holland, MI 49423, USA
- Office of Campus Ministries, Hope College, Holland, MI 49423, USA
| | - D. Romano
- Department of Biology, University of Dallas, 1845 E. Northgate Dr, Irving, TX 75062, USA
| | - S. P. Rudko
- Public Health Agency of Canada, Agence de la Santé Publique du Canada, 200 René-Lévesque Blvd., Montréal, Québec, Canada H2Z 1X4
| | - P. C. Hanington
- School of Public Health, University of Alberta, 357F South Academic Building, Edmonton, Alberta, Canada T6G 1C9
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2
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Environmental DNA in human and veterinary parasitology - Current applications and future prospects for monitoring and control. Food Waterborne Parasitol 2022; 29:e00183. [DOI: 10.1016/j.fawpar.2022.e00183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 11/04/2022] [Accepted: 11/09/2022] [Indexed: 11/15/2022] Open
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The Tails of Two Avian Schistosomes: Paired Exposure Study Demonstrates Trichobilharzia stagnicolae Penetrates Human Skin More Readily than a Novel Avian Schistosome from Planorbella. Pathogens 2022; 11:pathogens11060651. [PMID: 35745505 PMCID: PMC9228815 DOI: 10.3390/pathogens11060651] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 05/31/2022] [Accepted: 05/31/2022] [Indexed: 12/10/2022] Open
Abstract
A novel schistosome from Planorbella snails currently known as avian schistosomatid sp. C (ASC) was recently described as being capable of causing the papules associated with swimmer’s itch. We conducted a paired study with 24 human volunteers, exposing each of their forearms to five drops of water containing cercariae of ASC or Trichobilharzia stagnicolae, and examined the skin for papules 1–3 days later. A mixed effects model showed that only the parasite species significantly affected the number of papules, while prior experimental exposure, swimming history, and swimmer’s itch experience did not. The total number of papules produced by the two species were very different: ASC produced a total of 2 papules from the 298 cercariae used, compared to 49 papules from 160 T. stagnicolae cercariae, a difference factor of more than 43X, which was comparable to the odds ratio of 45.5 computed using the statistical model. A well-known agent of swimmer’s itch, T. stagnicolae, is able to penetrate human skin more frequently than ASC, likely meaning that ASC is only a minor cause of swimmer’s itch where T. stagnicolae is present. We also completed limited experiments that compared the cercarial behavior of the two species in vitro and in situ. A known stimulant of schistosome cercarial penetration, α-linolenic acid, did not stimulate ASC cercariae to initiate penetration-associated behaviors as frequently as T. stagnicolae. However, when placed on esophageal tissue of the known vertebrate host for ASC, Canada goose (Branta canadensis), ASC cercariae were observed penetrating the esophageal epithelium quickly, whereas T. stagnicolae cercariae did not exhibit any penetration behaviors.
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Loker ES, DeJong RJ, Brant SV. Scratching the Itch: Updated Perspectives on the Schistosomes Responsible for Swimmer's Itch around the World. Pathogens 2022; 11:587. [PMID: 35631108 PMCID: PMC9144223 DOI: 10.3390/pathogens11050587] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 05/09/2022] [Accepted: 05/13/2022] [Indexed: 01/01/2023] Open
Abstract
Although most studies of digenetic trematodes of the family Schistosomatidae dwell on representatives causing human schistosomiasis, the majority of the 130 identified species of schistosomes infect birds or non-human mammals. The cercariae of many of these species can cause swimmer's itch when they penetrate human skin. Recent years have witnessed a dramatic increase in our understanding of schistosome diversity, now encompassing 17 genera with eight more lineages awaiting description. Collectively, schistosomes exploit 16 families of caenogastropod or heterobranch gastropod intermediate hosts. Basal lineages today are found in marine gastropods and birds, but subsequent diversification has largely taken place in freshwater, with some reversions to marine habitats. It seems increasingly likely that schistosomes have on two separate occasions colonized mammals. Swimmer's itch is a complex zoonotic disease manifested through several different routes of transmission involving a diversity of different host species. Swimmer's itch also exemplifies the value of adopting the One Health perspective in understanding disease transmission and abundance because the schistosomes involved have complex life cycles that interface with numerous species and abiotic components of their aquatic environments. Given the progress made in revealing their diversity and biology, and the wealth of questions posed by itch-causing schistosomes, they provide excellent models for implementation of long-term interdisciplinary studies focused on issues pertinent to disease ecology, the One Health paradigm, and the impacts of climate change, biological invasions and other environmental perturbations.
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Affiliation(s)
- Eric S. Loker
- Center for Evolutionary and Theoretical Immunology, Parasites Division, Museum of Southwestern Biology, Department of Biology, University of New Mexico, Albuquerque, NM 87131, USA;
| | - Randall J. DeJong
- Department of Biology, Calvin University, Grand Rapids, MI 49546, USA;
| | - Sara V. Brant
- Center for Evolutionary and Theoretical Immunology, Parasites Division, Museum of Southwestern Biology, Department of Biology, University of New Mexico, Albuquerque, NM 87131, USA;
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McPhail BA, Froelich K, Reimink RL, Hanington PC. Simplifying Schistosome Surveillance: Using Molecular Cercariometry to Detect and Quantify Cercariae in Water. Pathogens 2022; 11:pathogens11050565. [PMID: 35631086 PMCID: PMC9146278 DOI: 10.3390/pathogens11050565] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/05/2022] [Accepted: 05/06/2022] [Indexed: 11/16/2022] Open
Abstract
Avian schistosomes are considered a public health nuisance due to their ability to cause swimmer’s itch when accidentally encountering humans rather than their intended avian hosts. Researchers have been monitoring their presence and abundance through snail collections and cercariometry. Cercariometry methods have evolved over the last several decades to detect individual schistosome species from a single water sample, simplifying the monitoring of these parasites. This methodological evolution coincides with the development of the field of environmental DNA (eDNA) where genetic material is extracted from environmental samples, rather than individual organisms. While there are some limitations with using molecular cercariometry, notably the cost and its inability to differentiate between life cycle stages, it substantially reduces the labor required to study trematode populations. It also can be used in complement with snail collections to understand the composition of avian schistosomes in an environment.
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Affiliation(s)
- Brooke A. McPhail
- School of Public Health, University of Alberta, 357 South Academic Building, 116 St. and 85th Ave., Edmonton, AB T6G 2R3, Canada; (B.A.M.); (K.F.)
| | - Kelsey Froelich
- School of Public Health, University of Alberta, 357 South Academic Building, 116 St. and 85th Ave., Edmonton, AB T6G 2R3, Canada; (B.A.M.); (K.F.)
- Freshwater Solutions LLC, 137 W 15th St., Holland, MI 49423, USA;
- Saint Joseph High School, 2521 Stadium Dr., Saint Joseph, MI 49085, USA
| | - Ronald L. Reimink
- Freshwater Solutions LLC, 137 W 15th St., Holland, MI 49423, USA;
- Office of Campus Ministries, 110 E. 12th St. Hope College, Holland, MI 49423, USA
| | - Patrick C. Hanington
- School of Public Health, University of Alberta, 357 South Academic Building, 116 St. and 85th Ave., Edmonton, AB T6G 2R3, Canada; (B.A.M.); (K.F.)
- Correspondence:
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Nasreen T, Hussain NA, Ho JY, Aw VZJ, Alam M, Yanow SK, Boucher YF. Assay for Evaluating the Abundance of Vibrio cholerae and Its O1 Serogroup Subpopulation from Water without DNA Extraction. Pathogens 2022; 11:pathogens11030363. [PMID: 35335687 PMCID: PMC8953119 DOI: 10.3390/pathogens11030363] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 03/14/2022] [Accepted: 03/14/2022] [Indexed: 11/16/2022] Open
Abstract
Cholera is a severe diarrheal disease caused by Vibrio cholerae, a natural inhabitant of brackish water. Effective control of cholera outbreaks depends on prompt detection of the pathogen from clinical specimens and tracking its source in the environment. Although the epidemiology of cholera is well studied, rapid detection of V. cholerae remains a challenge, and data on its abundance in environmental sources are limited. Here, we describe a sensitive molecular quantification assay by qPCR, which can be used on-site in low-resource settings on water without the need for DNA extraction. This newly optimized method exhibited 100% specificity for total V. cholerae as well as V. cholerae O1 and allowed detection of as few as three target CFU per reaction. The limit of detection is as low as 5 × 103 CFU/L of water after concentrating biomass from the sample. The ability to perform qPCR on water samples without DNA extraction, portable features of the equipment, stability of the reagents at 4 °C and user-friendly online software facilitate fast quantitative analysis of V. cholerae. These characteristics make this assay extremely useful for field research in resource-poor settings and could support continuous monitoring in cholera-endemic areas.
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Affiliation(s)
- Tania Nasreen
- Department of Biological Sciences, University of Alberta, Edmonton, AB T6G 2E9, Canada; (T.N.); (N.A.S.H.)
| | - Nora A.S. Hussain
- Department of Biological Sciences, University of Alberta, Edmonton, AB T6G 2E9, Canada; (T.N.); (N.A.S.H.)
| | - Jia Yee Ho
- Singapore Centre for Environmental Life Sciences Engineering (SCELSE), National University of Singapore, Singapore 637551, Singapore; (J.Y.H.); (V.Z.J.A.)
- Saw Swee Hock School of Public Health, National University Health System, National University of Singapore, Singapore 117549, Singapore
| | - Vanessa Zhi Jie Aw
- Singapore Centre for Environmental Life Sciences Engineering (SCELSE), National University of Singapore, Singapore 637551, Singapore; (J.Y.H.); (V.Z.J.A.)
- Saw Swee Hock School of Public Health, National University Health System, National University of Singapore, Singapore 117549, Singapore
| | - Munirul Alam
- Centre for Communicable Diseases, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B), Dhaka 1212, Bangladesh;
| | - Stephanie K. Yanow
- School of Public Health, University of Alberta, Edmonton, AB T6G 2E9, Canada;
- Department of Medical Microbiology and Immunology, University of Alberta, Edmonton, AB T6G 2E9, Canada
| | - Yann F. Boucher
- Singapore Centre for Environmental Life Sciences Engineering (SCELSE), National University of Singapore, Singapore 637551, Singapore; (J.Y.H.); (V.Z.J.A.)
- Saw Swee Hock School of Public Health, National University Health System, National University of Singapore, Singapore 117549, Singapore
- Correspondence:
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de Lange O, Youngflesh C, Ibarra A, Perez R, Kaplan M. Broadening Participation: 21st Century Opportunities for Amateurs in Biology Research. Integr Comp Biol 2021; 61:2294-2305. [PMID: 34427632 DOI: 10.1093/icb/icab180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 08/03/2021] [Indexed: 01/30/2023] Open
Abstract
The modern field of biology has its roots in the curiosity and skill of amateur researchers and has never been purely the domain of professionals. Today, professionals and amateurs contribute to biology research, working both together and independently. Well-targeted and holistic investment in amateur biology research could bring a range of benefits that, in addition to positive societal benefits, may help to address the considerable challenges facing our planet in the 21st century. We highlight how recent advances in amateur biology have been facilitated by innovations in digital infrastructure as well as the development of community biology laboratories, launched over the last decade, and we provide recommendations for how individuals can support the integration of amateurs into biology research. The benefits of investment in amateur biology research could be many-fold, however without a clear consideration of equity, efforts to promote amateur biology could exacerbate structural inequalities around access to and benefits from STEM. The future of the field of biology relies on integrating a diversity of perspectives and approaches-amateur biology researchers have an important role to play.
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Affiliation(s)
| | - Casey Youngflesh
- University of California Los Angeles, Department of Ecology and Evolutionary Biology
| | - Ana Ibarra
- Stanford University, Department of Bioengineering
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Muhamad Khair NK, Lee KE, Mokhtar M. Community-based monitoring for environmental sustainability: A review of characteristics and the synthesis of criteria. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2021; 289:112491. [PMID: 33813302 DOI: 10.1016/j.jenvman.2021.112491] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 03/20/2021] [Accepted: 03/24/2021] [Indexed: 06/12/2023]
Abstract
Community-based monitoring is increasingly recognised as one solution to sustainable environmental management. However, the development of community-based monitoring has led to confusion or misconceptions regarding other similar initiatives. Through a review of the characteristics and synthesising criteria of effective community-based monitoring, this article addresses how to distinguish community-based monitoring from other forms of community engagement research. A review of relevant community-based monitoring literature identifies the characteristics of and knowledge gaps in procedures and governance structures. Additionally, evidence of common benefits, challenges and lessons learned for successful community-based monitoring are deliberated. As an outcome of the review, the article synthesises a set of community-based monitoring criteria as follows: (1) efficacy of initiatives, (2) technicality aspects, (3) feedback mechanisms and (4) sustainability. These synthesised criteria will be instrumental in designing customised community-based monitoring initiatives for environmental sustainability.
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Affiliation(s)
- Nur Khairlida Muhamad Khair
- Research Centre for Sustainability Science & Governance (SGK), Institute for Environment and Development (LESTARI), Universiti Kebangsaan Malaysia, 43600, UKM Bangi, Selangor, Malaysia
| | - Khai Ern Lee
- Research Centre for Sustainability Science & Governance (SGK), Institute for Environment and Development (LESTARI), Universiti Kebangsaan Malaysia, 43600, UKM Bangi, Selangor, Malaysia; Centre for Research and Instrumentation Management (CRIM), Universiti Kebangsaan Malaysia, 43600, UKM Bangi, Selangor, Malaysia; Jeffrey Sachs Center on Sustainable Development, Sunway University, No.5, Jalan Universiti, Selangor, Malaysia.
| | - Mazlin Mokhtar
- Research Centre for Sustainability Science & Governance (SGK), Institute for Environment and Development (LESTARI), Universiti Kebangsaan Malaysia, 43600, UKM Bangi, Selangor, Malaysia; Jeffrey Sachs Center on Sustainable Development, Sunway University, No.5, Jalan Universiti, Selangor, Malaysia
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9
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Pennance T, Archer J, Lugli EB, Rostron P, Llanwarne F, Ali SM, Amour AK, Suleiman KR, Li S, Rollinson D, Cable J, Knopp S, Allan F, Ame SM, Webster BL. Development of a Molecular Snail Xenomonitoring Assay to Detect Schistosoma haematobium and Schistosoma bovis Infections in their Bulinus Snail Hosts. Molecules 2020; 25:E4011. [PMID: 32887445 PMCID: PMC7116084 DOI: 10.3390/molecules25174011] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 08/26/2020] [Accepted: 08/26/2020] [Indexed: 12/20/2022] Open
Abstract
Schistosomiasis, a neglected tropical disease of medical and veterinary importance, transmitted through specific freshwater snail intermediate hosts, is targeted for elimination in several endemic regions in sub-Saharan Africa. Multi-disciplinary methods are required for both human and environmental diagnostics to certify schistosomiasis elimination when eventually reached. Molecular xenomonitoring protocols, a DNA-based detection method for screening disease vectors, have been developed and trialed for parasites transmitted by hematophagous insects, such as filarial worms and trypanosomes, yet few have been extensively trialed or proven reliable for the intermediate host snails transmitting schistosomes. Here, previously published universal and Schistosoma-specific internal transcribed spacer (ITS) rDNA primers were adapted into a triplex PCR primer assay that allowed for simple, robust, and rapid detection of Schistosoma haematobium and Schistosoma bovis in Bulinus snails. We showed this two-step protocol could sensitively detect DNA of a single larval schistosome from experimentally infected snails and demonstrate its functionality for detecting S. haematobium infections in wild-caught snails from Zanzibar. Such surveillance tools are a necessity for succeeding in and certifying the 2030 control and elimination goals set by the World Health Organization.
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Affiliation(s)
- Tom Pennance
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
- School of Biosciences, Cardiff University, Cardiff CF10 3AX, UK;
- London Centre for Neglected Tropical Disease Research (LCNTDR), London W2 1PG, UK
| | - John Archer
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
- London Centre for Neglected Tropical Disease Research (LCNTDR), London W2 1PG, UK
| | - Elena Birgitta Lugli
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
| | - Penny Rostron
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
| | - Felix Llanwarne
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
- London Centre for Neglected Tropical Disease Research (LCNTDR), London W2 1PG, UK
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - Said Mohammed Ali
- Public Health Laboratory–Ivo de Carneri, P.O. Box 122 Chake-Chake, Pemba, Tanzania; (S.M.A.); (A.K.A.); (K.R.S.); (S.M.A.)
| | - Amour Khamis Amour
- Public Health Laboratory–Ivo de Carneri, P.O. Box 122 Chake-Chake, Pemba, Tanzania; (S.M.A.); (A.K.A.); (K.R.S.); (S.M.A.)
| | - Khamis Rashid Suleiman
- Public Health Laboratory–Ivo de Carneri, P.O. Box 122 Chake-Chake, Pemba, Tanzania; (S.M.A.); (A.K.A.); (K.R.S.); (S.M.A.)
| | - Sarah Li
- Schistosomiasis Resource Centre, Biomedical Research Institute, 9410 Key West, Rockville, MD 20850, USA;
| | - David Rollinson
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
- London Centre for Neglected Tropical Disease Research (LCNTDR), London W2 1PG, UK
| | - Jo Cable
- School of Biosciences, Cardiff University, Cardiff CF10 3AX, UK;
| | - Stefanie Knopp
- Swiss Tropical and Public Health Institute, Socinstrasse 57, 4002 Basel, Switzerland;
- University of Basel, Petersplatz 1, 4001 Basel, Switzerland
| | - Fiona Allan
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
- London Centre for Neglected Tropical Disease Research (LCNTDR), London W2 1PG, UK
| | - Shaali Makame Ame
- Public Health Laboratory–Ivo de Carneri, P.O. Box 122 Chake-Chake, Pemba, Tanzania; (S.M.A.); (A.K.A.); (K.R.S.); (S.M.A.)
| | - Bonnie Lee Webster
- Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UK; (E.B.L.); (P.R.); (F.L.); (D.R.); (F.A.); (B.L.W.)
- London Centre for Neglected Tropical Disease Research (LCNTDR), London W2 1PG, UK
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