Abstract

Grand Etang lake in Guadeloupe is a focus of intestinal schistosomiasis characterized by the virtual absence of human contact and the presence of a heavily infested rat population. The lake, with a surface area of 0.03 km2, is situated in rain forest at an altitude of 450 m. Originally it contained an extensive belt of the floating plant Pistia stratiotes which provided a favourable habitat for Biomphalaria glabrata, the intermediate host snail of Schistosoma mansoni. In 1974 and 1975, a low prevalence (about 3%) of S. mansoni was observed in B. glabrata while a high prevalence (about 60%) was recorded in rats. The rat population was infected with another trematode, Ribeiroia guadeloupensis, which requires two intermediate hosts, B. glabrata and the fish Tilapia mossambica. In 1976, the prosobranch snail, Ampullaria glauca, was accidentally introduced into the lake. By 1980, this snail had spread over half of the lake and had caused marked regression of the P. stratiotes layer. Concomitantly, the population of B. glabrata declined to such a point that in 1985 only a small colony remained in the northern section of the lake. The consequences of these changes are reflected in a rapid decline of S. mansoni in the rat population from 61.3% in 1980 to 34.8% in 1981, 6.5% in 1982, 2.8% in 1983, 11.6% in 1984, and 0% in 1985 and 1986.

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