Intestinal schistosomiasis and giardiasis co-infection in sub-Saharan Africa: Can a One Health approach improve control of each waterborne parasite simultaneously?

Archer, John, O’Halloran, Lisa, Alsheri, Al-Shehri, Summers, Shannan, Bhattacharyya, Tapan, Kabaterine, Narcis, Atuhaire, Aaron, Adriko, Moses, Arianaitwe, Moses, Stewart, Martyn ORCID: https://orcid.org/0000-0003-1037-7162, LaCourse, James ORCID: https://orcid.org/0000-0001-9261-7136, Webster, Bonnie, Bustinduy, Amaya and Stothard, Russell ORCID: https://orcid.org/0000-0002-9370-3420 (2020) '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, Vol 5, Issue 3, p. 137.

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Abstract

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.

Item Type:	Article
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WA Public Health > Sanitation. Environmental Control > General Sanitation and Environmental Control > WA 670 General works WA Public Health > Water > WA 675 Water. Water supply. Sources WC Communicable Diseases > Tropical and Parasitic Diseases > WC 680 Tropical diseases (General) WC Communicable Diseases > Tropical and Parasitic Diseases > WC 700 Protozoan infections (General) WC Communicable Diseases > Tropical and Parasitic Diseases > WC 810 Schistosomiasis
Faculty: Department:	Biological Sciences > Department of Tropical Disease Biology Education
Digital Object Identifer (DOI):	https://doi.org/10.3390/tropicalmed5030137
Depositing User:	Cathy Waldron
Date Deposited:	27 Aug 2020 10:31
Last Modified:	01 Jun 2021 14:33
URI:	https://archive.lstmed.ac.uk/id/eprint/15378

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