Abstract

BackgroundAccurate identification of schistosome species infecting intermediate host snails is important for understanding parasite transmission, schistosomiasis control and elimination. Cercariae emerging from infected snails cannot be precisely identified morphologically to the species level. We used molecular tools to clarify the distribution of the Schistosoma haematobium group species infecting bulinid snails in a large part of Côte d’Ivoire and confirmed the presence of interspecific hybrid schistosomes.MethodsBetween June 2016 and March 2017, Bulinus snails were sampled in 164 human-water contact sites from 22 villages of the northern and central parts of Côte d’Ivoire. Multi-locus genetic analysis (mitochondrial cox1 and nuclear ITS) was performed on individual schistosome cercariae shed from snails, in the morning and in the afternoon, for species and hybrid identification.ResultsOverall, 1923 Bulinus truncatus, 255 Bulinus globosus and 1424 Bulinus forskalii were obtained. Among 2417 Bulinus screened, 25 specimens (18 B. truncatus and seven B. globosus) shed schistosomes, with up to 14% infection prevalence per site and time point. Globally, infection rates per time point ranged between 0.6 and 4%. Schistosoma bovis, S. haematobium and S. bovis × S. haematobium hybrids infected 0.5%, 0.2% and 0.4% of the snails screened, respectively. Schistosoma bovis and hybrids were more prevalent in B. truncatus, whereas S. haematobium and hybrid infections were more prevalent in B. globosus. Schistosoma bovis-infected Bulinus were predominantly found in northern sites, while S. haematobium and hybrid infected snails were mainly found in central parts of Côte d’Ivoire.ConclusionsThe data highlight the necessity of using molecular tools to identify and understand which schistosome species are transmitted by specific intermediate host snails. The study deepens our understanding of the epidemiology and transmission dynamics of S. haematobium and S. bovis in Côte d’Ivoire and provides the first conclusive evidence for the transmission of S. haematobium × S. bovis hybrids in this West African country.Trial registration ISRCTN, ISRCTN10926858. Registered 21 December 2016; retrospectively registered (see: http://www.isrctn.com/ISRCTN10926858)

Highlights

  • Accurate identification of schistosome species infecting intermediate host snails is important for understanding parasite transmission, schistosomiasis control and elimination

  • The separate sexes of the adult schistosomes enable interactions between male and female worms within their definitive hosts, while the asexual reproduction within the intermediate host snail gives rise to clonal larvae facilitating exposure and potential infection of definitive mammalian hosts that are in contact with the water [3, 4]

  • Most of the positive snails found within this study were transmitting S. bovis (44%) or S. haematobium × S. bovis hybrids (36%), while far fewer snails were transmitting S. haematobium (20%)

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Summary

Introduction

Accurate identification of schistosome species infecting intermediate host snails is important for understanding parasite transmission, schistosomiasis control and elimination. There are 25 recognised Schistosoma species all of which have a two-host life-cycle with asexual reproduction occurring in a specific freshwater or amphibious snail and a sexual stage within the blood vessels of the definitive mammalian host [2]. Freshwater or amphibious snails constitute a crucial component for the transmission of Schistosoma species [5], with different snail species involved in the transmission of specific schistosome species or species groups. Clarifying the interplay between these organisms, at a local/fine scale level, is vital for our understanding and monitoring of schistosome transmission and for the application of snail control interventions to support schistosomiasis control and elimination [7,8,9]

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