Proceedings of the National Academy of Sciences of the United States of America
| Autor: | Kevin D. Lafferty, Evan A. Fiorenza, Bonnie L. Webster, Raphael A. Ndione, Susanne H. Sokolow, Fiona Allan, Nicolas Jouanard, Simon Senghor, Giulio A. De Leo, Julia C. Buck, Chelsea L. Wood, Joanne P. Webster, Gilles Riveau, Ana E. Garcia-Vedrenne, Jason R. Rohr, Muriel Rabone, Andrea J. Lund, Lydie Bandagny, Grant D. Adams, Skylar R. Hopkins, Anne-Marie Schacht, Isabel J. Jones, Merlijn Jocque, Armand M. Kuris, Andrew J Chamberlin |
|---|---|
| Přispěvatelé: | Biological Sciences |
| Rok vydání: | 2019 |
| Předmět: |
Satellite Imagery
Bulinus 030231 tropical medicine Schistosomiasis Snail Disease Vectors World health law.invention 03 medical and health sciences 0302 clinical medicine bilharzia law biology.animal parasitic diseases medicine Animals Humans Urogenital Schistosomiasis ecological levers for infectious disease control Ecosystem 030304 developmental biology Population Density Spatial Analysis 0303 health sciences Multidisciplinary Ecology biology spatial ecology fungi Intermediate host urogenital schistosomiasis Vegetation Biological Sciences medicine.disease Senegal snail control 3. Good health Fishery Transmission (mechanics) PNAS Plus Habitat |
| Zdroj: | Proceedings of the National Academy of Sciences of the United States of America |
| ISSN: | 1091-6490 0027-8424 |
| Popis: | Significance Schistosomiasis is a parasitic disease that affects ∼206 million people globally. The World Health Organization recently endorsed control of the freshwater snails that host schistosome infectious stages, and here, we show how to better target those snail control efforts. Schistosomiasis infection occurred on a local scale at our study sites in northwestern Senegal, suggesting that small-scale interventions can suppress transmission. However, snail clusters were so ephemeral that attempts to target them for removal would be inefficient. Instead, we found easy-to-measure environmental proxies that were more effective than snail variables at predicting human infections, including area of snail habitat within the site and total site area. Our work indicates that satellite- or drone-based precision mapping could efficiently identify high-transmission areas. Recently, the World Health Organization recognized that efforts to interrupt schistosomiasis transmission through mass drug administration have been ineffective in some regions; one of their new recommended strategies for global schistosomiasis control emphasizes targeting the freshwater snails that transmit schistosome parasites. We sought to identify robust indicators that would enable precision targeting of these snails. At the site of the world’s largest recorded schistosomiasis epidemic—the Lower Senegal River Basin in Senegal—intensive sampling revealed positive relationships between intermediate host snails (abundance, density, and prevalence) and human urogenital schistosomiasis reinfection (prevalence and intensity in schoolchildren after drug administration). However, we also found that snail distributions were so patchy in space and time that obtaining useful data required effort that exceeds what is feasible in standard monitoring and control campaigns. Instead, we identified several environmental proxies that were more effective than snail variables for predicting human infection: the area covered by suitable snail habitat (i.e., floating, nonemergent vegetation), the percent cover by suitable snail habitat, and size of the water contact area. Unlike snail surveys, which require hundreds of person-hours per site to conduct, habitat coverage and site area can be quickly estimated with drone or satellite imagery. This, in turn, makes possible large-scale, high-resolution estimation of human urogenital schistosomiasis risk to support targeting of both mass drug administration and snail control efforts. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|