Schistosomiasis has been reported to be the most common parasitic disease after malaria capable of affecting over 249 million individuals in lower-income countries. The disease is caused by a blood fluke from the genus Schistosoma and can be either chronic or acute in several patients depending on the worm burden. Poor sanitation and lack of potable water are major predisposing factors for the sustained transmission of schistosomiasis in several communities in Africa. In Nigeria, 24 million cases are being reported in all states, with over 100 million individuals at risk of the infection due to the disease being endemic in the region. This disease is made worse when there is a co-infection of urinary tract infections (UTIs) or sexually transmitted diseases (STDs). In Ondo state Nigeria, urinary schistosomiasis is called Atosiaja, blood fluke, or snail fever. The disease is endemic in several communities in Ondo states due to little or no access to clean water which increases the contact of villagers to natural flowing rivers and streams that are natural breeding sites for the intermediate hosts. This systematic review was carried out to evaluate the prevalence of schistosomiasis in communities of Ondo state, Nigeria. The review was conducted through a literature search using two scientific databases which focuses on the prevalence and intensity of schistosomiasis infection in communities of Ondo state covering the period 2017 to 2022. This review looks at the relationship between sustainable development initiatives and the prevalence of schistosomiasis in Ondo state. By addressing critical issues such as water quality, community education and integrated vector management as long-term solutions to reduce the burden of schistosomiasis in Ondo state. This holistic approach will contribute overall to improvements in public health and the environment.
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