After the successful naturalization of the prosobranch mollusk Lithoglyphus naticoides (C. Pfeiffer, 1828) and a number of associated trematodes in the Gorky Reservoir (in 2005-2015) an intensive spread of apophallesis in fish of this water body has been observed. As one of the second intermediate hosts of the trematode causing this disease, Apophallus muehlingi (Jägerskiöld, 1899), a freshwater form of the Black Sea-Caspian kilka Clupeonella cultriventris (Nordmann, 1840) was recorded. The aim of the work is to study the consequences of dispersal of C. cultriventris for the formation of large permanent foci of apophallesis in the Upper Volga. For comparison, data on the spread of this type of "black-spot" disease in the populations of C. cultriventris from the Gorky Reservoir and an unregulated area of the Lower Volga (downstream the cascade of Volga reservoirs, pelagic trawl coordinates from 47°08ʹN, 47°17ʹE to 46°51ʹN, 47°41ʹE) were used. The high rates of occurrence of A. muehlingi metacercariae (the infection prevalence P, %) are recorded in the fall along the entire area of the Gorky Reservoir: from the northernmost site near Rybinsk (58°01ʹN, 39°06ʹE) to the dam area (56°41ʹN, 43°21ʹE). It is found that the distribution pattern of A. muehling metacercariae varies in the sections of the reservoir differing in hydrological characteristics. In the middle (transitional type) section of the reservoir the prevalence of A. muehlingi metacercariae in groups of the smallest Black Sea-Caspian kilka fingerlings (with a body length of up to 45 mm), is close to the maximally possible (30.00-94.49%). In the upper (river-type) section of the reservoir, the prevalence of metacercariae in this group of fish does not exceed 24.39%. The minimum values of this indicator are found in the lower (lake-type) section of the reservoir (6.76-14.84%). Judging by the values of the abundance index and the coefficient of variation in the infection intensity, the aggregation of metacercariae is more pronounced in the groups of faster growing underyearlings and the Black Sea-Caspian kilka yearlings as compared to the groups of the smallest fingerlings. In the Black Sea-Caspian kilka fingerlings samples from the Lower Volga in 2020 reveals no statistically significant differences between the infection prevalence values (13.33-18.11%) in the different size groups. Thus, although the main second intermediate hosts of A. muehlingi are various fish species of the Cyprinidae family, in some cases the presence of C. cultriventris in the water body ecosystem can significantly increase the likelihood of apophallesis spread. In conditions of the Upper Volga, due to the high migration activity of large individuals of the Black Sea-Caspian kilka, a continuous zone of apophallesis can form without clearly defined boundaries between the individual foci of disease.