Letter: Aerial application of a molluscicide to a marsh.
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Surveys of snails occurring at water contact points used by rural people in Rhodesia show that transmission of Schistosoma haematobium is very high during the spring and early summer seasons. Although infected snails are found in all seasons, fewest occur in winter and during the heavy rains. It is suggested that the bionomics of this parasite depends on pre-rain transmission because destruction of infected snails during winter reduces the reservoir of infection in the area and also the level of parasitaemia in local schoolchildren.
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Concluding results of a 10-year schistosomiasis control programme in Cul de Sac valley, Saint Lucia, are described. After an area-wide mollusciciding campaign (1970-75), and a surveillance/treatment programme supplemented with selective population chemotherapy in 1975 and 1976, prevalence rates of Schistosoma mansoni were reduced to low levels. To prevent a resurgence of transmission a cost effective routine focal mollusciciding programme, suitable for public health implementation was evaluated from 1977 to 1981. Streams and main collector drains in banana fields, considered to be potential S. mansoni transmission sites, were treated every four weeks with Bayluscide 6076 emulsifiable concentrate (Clonitralide). Snail populations were effectively controlled in the treated areas but large numbers were present where no treatment was given. Only 0 X 06% of sentinel snails became infected. Prevalence of infection in the human population remained low (over-all 5%) and intensity of infection at a level not normally associated with schistosomal disease. Since control started 10 years earlier the level of potential contamination has fallen by 92% in high transmission areas. The four-year programme cost US+12,909 of which 54% was for molluscicide, 27% for labour and 19% for transport, equipment and sundries. The average annual cost per head of population was US+0 X 46.
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This paper describes the design of a study on immunity to reinfection after treatment of children with Schistosoma mansoni infections, the initial observations on transmission that led to the selection of the study population, the effects of treatment, and the results of immunological tests carried out before and at five weeks after treatment. Iietune village in Machakos District, Kenya, was selected on the basis of high prevalence and intensities of infection in a small preliminary survey, a stable population living in a small area amenable to detailed study, and a lack of previous intervention in the area. Subsequent observations over a pretreatment period of one year confirmed that prevalence and intensities of infection among children attending the local primary school were high. This was associated with extensive contact of members of the community with water-bodies shown to contain large numbers of infected snails. Analysis of pretreatment intensities of infection and water contact patterns in the schoolchildren allowed the selection of 129 children showing a broad scatter between: (a) high intensity, low water contact, and predicted to be non-immune, and (b) low intensity, high water contact, and predicted to be immune. These children were treated with oxamniquine, 30 mg/kg in divided doses. Five weeks after treatment, 70% of children showed apparent complete cure, and the over-all reduction in geometric mean egg output was 98.9%. Since these children represented only a small proportion of the whole community, there was no obvious reduction in transmission, as reflected by snail infection rates, during the following five-month period. Thus, we are in a position to determine whether successfully treated children do or do not become reinfected in a high transmission environment in which it will be possible to make direct estimates of exposure. Immunological tests carried out immediately before treatment were consistent with a pattern of high exposure leading to the early expression of immune responses in most infected children. Eosinophil levels were elevated in 61% of the children, all of whom showed detectable levels of antibodies against adult worm and egg antigens, as measured by ELISA. In addition, all patients showed antibodies capable of mediating eosinophil-dependent killing of schistosomula. At five weeks after treatment, eosinophil counts and anti-adult worm antibody levels had risen, whereas anti-egg antibodies remained grossly unchanged. The wide variation in the levels of responses shown by different individuals will allow us to test whether such responses are associated with resistance to reinfection during the follow-up period.
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A simplified combination of human mass treatment with oxamniquine and focal snail control has been applied in a local Schistosoma mansoni control programme in a primary health care setting in the Dalati and Agallu Metti areas of the Ethiopian Blue Nile Valley. Teams of local health personnel and farmers did the daily work under intermittent supervision. Monthly snail surveys near the major villages disclosed a seasonal pattern with many infected snails during the dry season in upper stagnant sections of tributary rivers (1000-1200 m altitude) with favourable temperatures, and few snails in the rainy season. The highest prevalences and intensities of human infection were found in the 15-19 year age group living in the lower altitudes around 700 m. 5067 individuals (50-80% of the local population) were treated with 20-40 mg oxamniquine per kg body weight during the rainy seasons of 1985 (Dalati) and 1986 (Agallu Metti). In the Dalati area cross sectional surveys in 1985 and 1986, before and after the mass treatment, showed a reduction in prevalence from 42.4% to 11.4%, while in the Agallu Metti area a stratified random sample showed a prevalence reduction from 65.4% in 1986 to 7.8% in 1987 and a reduction in the prevalence of moderate to heavy infection (greater than 100 eggs per gram of stool) from 36.9% to 1.4%. Beginning in 1986 niclosamide was applied focally wherever infected snails were found and the monthly snail surveillance continued until 1989. As a result of this combined approach overall snail infection rates were reduced from 11.2% (Dalati) and 32% (Agallu Metti) to zero and 2% respectively. In 1989 the human prevalence was still only 8.6% in Agallu Metti. This programme has shown that it is feasible to control S. mansoni in these very remote localities through the primary health care system.
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Molluscicides are crucial for the control of schistosomiasis. The need to use plant molluscicides has received increased interest as an inexpensive technology because of the high cost of synthetic compounds for snail control in the endemic areas of poor nations of the world. Laboratory screening of Nigerian medicinal plants has shown that some of these contain chemicals which are among the most potent natural molluscicides available today. Field trials have been carried out on Tetrapleura tetraptera, locally known as Aridan, which is widely distributed in West Africa and can be collected and processed locally for the control of schistosomiasis. Research efforts in identifying botanical molluscicides, such as Aridan, should be encouraged by strong support, both from the Government and the private sector, in a current period of economic depression.
The evolution of the C.E.B.A.S-AQUARACK project including results of the scientific frame program was frequently presented at the IAA Man in Space Symposia 1989 and 1991 and the IAF/IAA congresses since 1990. C.E.B.A.S. (Closed Equilibrated Biological Aquatic System) is a combined animal/plant system for long-term multi-generation experiments with aquatic organisms in ground laboratories and in a space station. For short-term missions a miniaturized version was developed which fits into a spacelab middeck locker together with all surrounding equipment. The latest development is an optimized prototype with a total volume of about 11 liters which consists of a main animal tank (Zoological Component) with integrated bacteria filter, a semibiological coarse filter, an illuminated higher plant container (Botanical Component) and combined small animal and electrode compartment. A silastic tubing gas exchanger in a closed side-loop serves as an emergency unit in case of the malfunction of the Botanical Component and the water is driven through the system by rotatory pumps. It is operative for several weeks in closed state. This C.E.B.A.S. Mini-Module also represents an aquatic artificial ecosystem in which basic scientific problems of component interactions and system theory can be solved with the side aspects of combined production of animal and plant food in bioregenerative life support systems. The paper presents details of the current status of the hardware development and data about the function of the fully biological life support of the system, e. g. mid-term registrations of water parameters. Moreover, morphological and physiological data of the experimental animals (-the teleost fish Xiphophorus helleri-) and plants (-a tropical Ceratophyllum species-) demonstrate the biological stability of the system. These are used to elaborate first details of population interactions and inter-dependencies as a basis of a disposed comprehensive system analysis which is the essential precondition for the design of possible aquatic modules for bioregenerative life support systems.
Based on the experiences made with the Closed Equilibrated Biological Aquatic System (C.E.B.A.S.) which was primarily developed for long-term and multi-generation experiments with aquatic animals and plants in a space station highly effective fresh water recycling modules were elaborated utilizing a combination of ammonia oxidizing bacteria filters and higher plants. These exhibit a high effectivity to eliminate phosphate and anorganic nitrogen compounds and are, in addition, able to contribute to the oxygen supply of the aquatic animals. The C.E.B.A.S. filter system is able to keep a closed artificial aquatic ecosystem containing teleost fishes and water snails biologically stable for several month and to eliminate waste products deriving from degraded dead fishes without a decrease of the oxygen concentration down to less than 3.5 mg/l at 25 degrees C. More advanced C.E.B.A.S. filter systems, the BIOCURE filters, were also developed for utilization in semiintensive and intensive aquaculture systems for fishes. In fact such combined animal-plant aquaculture systems represent highly effective productions sites for human food if proper plant and fish species are selected. The present papers elucidates ways to novel aquaculture systems in which herbivorous fishes are raised by feeding them with plant biomass produced in the BIOCURE filters and presents the scheme of a modification which utilizes a plant species suitable also for human nutrition. Special attention is paid to the benefits of closed aquaculture system modules which may be integrated into bioregenerative life support systems of a higher complexity for, e.g., lunar or planetary bases including some psychological aspects of the introduction of animal protein production into plant-based life support systems. Moreover, the basic reproductive biological problems of aquatic animal breeding under reduced gravity are explained leading to a disposition of essential research programs in this context.
Haemolymph plasma from the pulmonate snail Helix pomatia contains a constituent, not yet identified, which causes activation of vertebrate complement via the alternative complement pathway in fluid phase. The activation of vertebrate complement by snail plasma is closely analogous to the activation caused by cobra venom factor (CVF), the snake's C3b, with one notable exception; the snail factor requires vertebrate C3 for the formation of C3 convertase which cobra venom factor does not. Our results do not allow any definite conclusion on the exact mechanism but we favour the idea that the haemolymph contains a complement-like protein which functions as an opsonin in the snail, and which can interact with vertebrate alternative complement pathway components.
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