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Summary Vector-Borne Disease Notes

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Disease notes for the 15 main vector-borne diseases, including distribution, statistics, life cycle/transmission cycle, symptoms, diagnosis, treatment & control - perfect for revision/posters - also includes a template so you can add your own diseases! Diseases included are: African trypanosomiasi...

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  • March 20, 2021
  • 16
  • 2020/2021
  • Summary
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kennedyella
Disease Name: Schistosomiasis (‘Bilharziasis’)


Key Points:
 Infection occurs when skin comes into contact with contaminated
fresh water in which snail vectors are living
 3 main parasite species: S. haematobium (urogenital), S. japonicum
& S. mansoni (intestinal)



Distribution Statistics
 Africa (S. mansoni, S. intercalatum, S.  Estimated 200,000 deaths globally in 2000
haematobium)  At least 290.8 million people require
 Asia (S. japonicum, S. mekongi) preventative treatment in 2018, out of which
 South America (S. mansoni) 97.2 million were treated



Life Cycle
1. Eggs released from human’s hatch & release miracidia into water which
penetrate snail intermediate hosts
2. Cercariae are produced in the snail which are released into water to
penetrate the skin of the human host when swimming/bathing/fishing
3. Cercariae lose their tails during penetration & become schistosomulae
4. Migrate via venous circulation to the lungs, heart & then develop in the liver
into adults
5. Adults exit the liver via the portal vein system, where male and female
worms copulate & reside in the mesenteric venules (species specific)
6. Females deposit eggs in the small venules of the portal/perivesical systems
7. Eggs move towards intestine or bladder/ureters (species specific) & are
eliminated from the body, often re-contaminating the water



Signs & Symptoms Diagnosis
 Haematuria (blood in urine), blood in stool  Faecal microscopy (faecal smear or kato-katz
 Hepatosplenomegaly, growth stunting method)
 Chronic infection can lead to liver fibrosis or  Urine filtration for S. haematobium
bladder cancer  Serology
 Lateral flow test (CCA urine for S. mansoni)
 Rectal/bladder snip
Treatment & Control

 Treatment with praziquantel (impacts adult
worms only, have to retreat)
 Mass drug administration of at-risk
populations to stop the spread of infection
 Environmental control – molluscicides
 Improved water, sanitation, & hygiene
 Health education – reduce amount of people
coming into contact with infected water



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