Abstract

Schistosomiasis is a severe neglected tropical disease caused by trematodes and transmitted by freshwater snails. Snails are known to be highly tolerant to agricultural pesticides. However, little attention has been paid to the ecological consequences of pesticide pollution in areas endemic for schistosomiasis, where people live in close contact with non-sanitized freshwaters. In complementary laboratory and field studies on Kenyan inland areas along Lake Victoria, we show that pesticide pollution is a major driver in increasing the occurrence of host snails and thus the risk of schistosomiasis transmission. In the laboratory, snails showed higher insecticide tolerance to commonly found pesticides than associated invertebrates, in particular to the neonicotinoid Imidacloprid and the organophosphate Diazinon. In the field, we demonstrated at 48 sites that snails were present exclusively in habitats characterized by pesticide pollution and eutrophication. Our analysis revealed that insensitive snails dominated over their less tolerant competitors. The study shows for the first time that in the field, pesticide concentrations considered “safe” in environmental risk assessment have indirect effects on human health. Thus we conclude there is a need for rethinking the environmental risk of low pesticide concentrations and of integrating agricultural mitigation measures in the control of schistosomiasis.

Highlights

  • Schistosomiasis is a severe neglected tropical disease caused by trematodes and transmitted by freshwater snails

  • Host snails are susceptible to competition from other snails and insects that feed on periphyton, detritus and water plants[15,16,17]

  • The findings suggest that host snails are significantly controlled by antagonistic species in natural habitats but that this ecosystem service is sensitive to anthropogenic impact

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Summary

Introduction

Schistosomiasis is a severe neglected tropical disease caused by trematodes and transmitted by freshwater snails. Tropical regions, characterized by extensive agriculture and heavy rainfalls, are known areas of endemicity of schistosomiasis In such conditions there is a high risk of surface run-off that washes pesticides from agricultural fields into adjacent freshwater systems[23]. Even low levels of agricultural pesticides result in a typical replacement of sensitive macroinvertebrates by more tolerant taxa in mesocosms[28] and in natural streams[29,30] These effects are usually driven by insecticides that are most toxic to many macroinvertebrates[30]. We hypothesized that pesticide pollution may favour highly tolerant snails that host human-pathogenic schistosomes over their more sensitive natural enemies and increase the risk of schistosomiasis transmission

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