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Schistosomiasis

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Schistosomiasis

Schistosomiasis, also known as snail fever, bilharzia, and Katayama fever is a neglected tropical disease caused by parasitic flatworms called schistosomes. It affects both humans and animals. It affects the urinary tract or the intestines. Symptoms include abdominal pain, diarrhea, bloody stool, or blood in the urine. Those who have been infected for a long time may experience liver damage, kidney failure, infertility, or bladder cancer. In children, schistosomiasis may cause poor growth and learning difficulties. Schistosomiasis belongs to the group of helminth infections. Schistosomiasis is spread by contact with fresh water contaminated with parasites released from infected freshwater snails. Diagnosis is made by finding the parasite's eggs in a person's urine or stool. It can also be confirmed by finding antibodies against the disease in the blood. Methods of preventing the disease include improving access to clean water and reducing the number of snails. In areas where the disease is common, the medication praziquantel may be given once a year to the entire group. This is done to decrease the number of people infected, and consequently, the spread of the disease. Praziquantel is also the treatment recommended by the World Health Organization (WHO) for those who are known to be infected. The disease is especially common among children in underdeveloped and developing countries because they are more likely to play in contaminated water. Schistosomiasis is also common among women, who may have greater exposure through daily chores that involve water, such as washing clothes and fetching water. Other high-risk groups include farmers, fishermen, and people using unclean water during daily living. In 2019, schistosomiasis impacted approximately 236.6 million individuals across the globe. Each year, it is estimated that between 4,400 and 200,000 individuals succumb to it. The illness predominantly occurs in regions of Africa, Asia, and South America. Approximately 700 million individuals across over 70 nations reside in regions where the disease is prevalent. In tropical regions, schistosomiasis ranks as the second most economically significant parasitic disease, following malaria. Schistosomiasis is classified as a neglected tropical disease.

Infobox

Other names
Bilharzia, snail fever, Katayama fever
Pronunciation
mw- /ˌʃɪstəsəˈmaɪəsɪs, -toʊ-, -soʊ-/
Specialty
Infectious disease
Symptoms
Abdominal pain, diarrhea, bloody stool, blood in the urine
Complications
Liver damage, cirrhosis, kidney failure, infertility (both male and female), bladder calcification, urethral obstruction, nephrotic syndrome, bladder cancer
Causes
Schistosomes from freshwater snails
Diagnostic method
Finding eggs of the parasite in urine or stool, antibodies in blood
Prevention
Access to clean water
Medication
Praziquantel
Frequency
252 million (2015)
Deaths
4,400–200,000

Tables

Schistosoma species and endemic regions[12] · Epidemiology
Intestinal
Intestinal
Type of infection
Intestinal
Species
Schistosoma mansoni
Location
Africa, Middle East, Caribbean, Brazil, Venezuela, Suriname
Intestinal
Intestinal
Type of infection
Intestinal
Species
Schistosoma japonicum
Location
China, Indonesia, Philippines
Intestinal
Intestinal
Type of infection
Intestinal
Species
Schistosoma mekongi
Location
Cambodia, Laos
Intestinal
Intestinal
Type of infection
Intestinal
Species
Schistosoma guineensis
Location
Central Africa rain forest
Intestinal
Intestinal
Type of infection
Intestinal
Species
Schistosoma intercalatum
Location
Central Africa rain forest
Urogenital
Urogenital
Type of infection
Urogenital
Species
Schistosoma haematobium
Location
Africa, Middle East, Corsica
Type of infection
Species
Location
Intestinal
Schistosoma mansoni
Africa, Middle East, Caribbean, Brazil, Venezuela, Suriname
Intestinal
Schistosoma japonicum
China, Indonesia, Philippines
Intestinal
Schistosoma mekongi
Cambodia, Laos
Intestinal
Schistosoma guineensis
Central Africa rain forest
Intestinal
Schistosoma intercalatum
Central Africa rain forest
Urogenital
Schistosoma haematobium
Africa, Middle East, Corsica

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