caa a22 4500 445378514 CHVBK 20180317143010.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s10393-011-0687-9 doi (NATIONALLICENCE)springer-10.1007/s10393-011-0687-9 Schistosomiasis in Lake Malaŵi Villages [Elektronische Daten] [Henry Madsen, Paul Bloch, Peter Makaula, Happy Phiri, Peter Furu, Jay Stauffer Jr.] Historically, open shorelines of Lake Malaŵi were free from schistosome, Schistosoma haematobium, transmission, but this changed in the mid-1980s, possibly as a result of over-fishing reducing density of molluscivore fishes. Very little information is available on schistosome infections among people in lake-shore communities and therefore we decided to summarise data collected from 1998 to 2007. Detailed knowledge of the transmission patterns is essential to design a holistic approach to schistosomiasis control involving the public health, fisheries and tourism sectors. On Nankumba Peninsula, in the southern part of the lake, inhabitants of villages located along the shores of Lake Malaŵi have higher prevalence of S. haematobium infection than those living in inland villages. Overall prevalence (all age classes combined) of urinary schistosomiasis in 1998/1999 ranged from 10.2% to 26.4% in inland villages and from 21.0% to 72.7% in lakeshore villages; for school children prevalence of infection ranged from 15.3% to 57.1% in inland schools and from 56.2% to 94.0% in lakeshore schools. Inhabitants on the islands, Chizumulu and Likoma, also have lower prevalence of infection than those living in lakeshore villages on Nankumba Peninsula. This increased prevalence in lakeshore villages is not necessarily linked to transmission taking place in the lake itself, but could also be due to the presence of more numerous typical inland transmission sites (e.g., streams, ponds) being close to the lake. Temporal data witness of intense transmission in some lakeshore villages with 30-40% of children cleared from infection becoming reinfected 12months later (also lakeshore village). The level of S. mansoni infection is low in the lakeshore communities. Findings are discussed in relation to fishing in the lake. International Association for Ecology and Health, 2011 Schistosomiasis nationallicence Over-fishing nationallicence S. haematobium nationallicence Lake Malaŵi nationallicence Madsen Henry DBL Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Thorvaldsensvej 57, 1871, Frederiksberg C, Denmark aut Bloch Paul DBL Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Thorvaldsensvej 57, 1871, Frederiksberg C, Denmark aut Makaula Peter Research for Health Environment and Development, Mangochi, Malaŵi aut Phiri Happy Research for Health Environment and Development, Mangochi, Malaŵi aut Furu Peter DBL Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Thorvaldsensvej 57, 1871, Frederiksberg C, Denmark aut Stauffer Jr. Jay School of Forest Resources, Penn State University, 16802, University Park, PA, USA aut EcoHealth Springer-Verlag 8/2(2011-06-01), 163-176 1612-9202 8:2<163 2011 8 10393 https://doi.org/10.1007/s10393-011-0687-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10393-011-0687-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Madsen Henry DBL Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Thorvaldsensvej 57, 1871, Frederiksberg C, Denmark aut NATIONALLICENCE 700 1- Bloch Paul DBL Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Thorvaldsensvej 57, 1871, Frederiksberg C, Denmark aut NATIONALLICENCE 700 1- Makaula Peter Research for Health Environment and Development, Mangochi, Malaŵi aut NATIONALLICENCE 700 1- Phiri Happy Research for Health Environment and Development, Mangochi, Malaŵi aut NATIONALLICENCE 700 1- Furu Peter DBL Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Thorvaldsensvej 57, 1871, Frederiksberg C, Denmark aut NATIONALLICENCE 700 1- Stauffer Jr Jay School of Forest Resources, Penn State University, 16802, University Park, PA, USA aut NATIONALLICENCE 773 0- EcoHealth Springer-Verlag 8/2(2011-06-01), 163-176 1612-9202 8:2<163 2011 8 10393 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer