02325nas a2200349 4500000000100000008004100001260001200042653002300054653001500077653002400092653001100116653004100127100001300168700001700181700001600198700001400214700002000228700001700248700001500265700001300280700001700293700001400310700001500324700001400339700001600353700001600369245016800385856004700553490000600600520135500606022001401961 2020 d c08/202010aGiardia duodenalis10aOne Health10aSchistosoma mansoni10aUganda10awater, sanitation and hygiene (WASH)1 aArcher J1 aO'Halloran L1 aAl-Shehri H1 aSummers S1 aBhattacharyya T1 aKabaterine N1 aAtuhaire A1 aAdriko M1 aArianaitwe M1 aStewart M1 aLaCourse J1 aWebster B1 aBustinduy A1 aStothard RJ00aIntestinal Schistosomiasis and Giardiasis Co-Infection in Sub-Saharan Africa: Can a One Health Approach Improve Control of Each Waterborne Parasite Simultaneously? uhttps://www.mdpi.com/2414-6366/5/3/137/htm0 v53 a
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.
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