Publications by authors named "James E LaCourse"

Background: Intestinal schistosomiasis was confirmed endemic in Mangochi District, Malawi, in May of 2018 following an unexpected encounter with discreet populations of Biomphalaria spp. freshwater snails during routine malacological surveillance activities. Since then, only limited malacological surveillance of Biomphalaria has been carried out, and so the distribution of Biomphalaria populations in this area is currently unclear.

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Article Synopsis
  • Researchers studied intestinal schistosomiasis caused by Schistosoma mansoni in children living along the southern shoreline of Lake Malawi, five years after a disease outbreak, using advanced diagnostic techniques.
  • They utilized various methods including microscopy and real-time PCR on fecal and urine samples to assess infection rates and found that the prevalence of S. mansoni varied greatly based on the diagnostic tool used.
  • The study highlighted that while fecal-egg microscopy had very low sensitivity, the point-of-care test showed moderate sensitivity depending on how results were interpreted, also revealing notable DNA presence of another species, S. haematobium, in the samples.
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Schistosomiasis is a neglected tropical disease (NTD) caused by infection with parasitic trematodes of the genus that can lead to debilitating morbidity and mortality. The World Health Organization recommend molecular xenomonitoring of spp. freshwater snail intermediate hosts of to identify highly focal intestinal schistosomiasis transmission sites and monitor disease transmission, particularly in low-endemicity areas.

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Almost all human giardiasis infections are caused by Giardia duodenalis assemblages A and B. Differentiation between human infections with these assemblages, as well as between single-assemblage (A or B) and mixed-assemblage (A and B) infections, is therefore needed to better understand the pathological impact of infection with either, or both, assemblages. We assessed the prevalence of G.

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Reliable diagnosis of human helminth infection(s) is essential for ongoing disease surveillance and disease elimination. Current WHO-recommended diagnostic assays are unreliable in low-endemic near-elimination settings and typically involve the invasive, onerous and potentially hazardous sampling of bodily fluids such as stool and blood, as well as tissue via biopsy. In contrast, diagnosis by use of non-invasive urine sampling is generally painless, more convenient and low risk.

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Background: Water-borne parasitic diseases associated with poverty still blight the lives of African school children. In Uganda, intestinal schistosomiasis is still common along the shoreline of Lake Albert, despite ongoing control, and co-infection with giardiasis and malaria is poorly described. To shed light on putative interactions between diseases, a prospective cross-sectional parasitological survey was undertaken in five primary schools.

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