Publications by authors named "Lucas Cunningham"

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.

View Article and Find Full Text PDF
Article Synopsis
  • - Human threadworm is a globally distributed parasite affecting over 600 million people, with serious implications for immunosuppressed individuals, yet its prevalence among Fijian migrants in the UK is largely unknown.
  • - A study involving 250 Fijian migrants in the UK revealed a significant rate of gastrointestinal parasites (GIPs), with 35.1% testing positive for threadworm and 6.8% for hookworms, based on comprehensive diagnostic methods.
  • - Findings emphasized the need for specialized parasitological testing, particularly multiplex real-time PCR (rtPCR), which proved more effective than traditional microscopy in diagnosing infections among chronic cases in this population.
View Article and Find Full Text PDF

To shed first light on caprine schistosomiasis and its zoonotic potential in Malawi, we conducted a molecular epidemiological investigation, sampling goats ( = 230) across three districts, using faecal miracidia hatching test. Molecular genotyping of miracidia later revealed the prevalence of to be 0.0 % in Nsanje District ( = 30), 16.

View Article and Find Full Text PDF

Background: Tsetse flies (Glossina) transmit species of Trypanosoma which cause human African trypanosomiasis (HAT) and animal African trypanosomiasis (AAT). Understanding the epidemiology of this disease and controlling the vector rationally requires analysis of the abundance, age structure, infection rates and feeding patterns of tsetse populations.

Methods: We analysed a population of G.

View Article and Find Full Text PDF

Background: We evaluated the results of examining a single faecal sample for gastrointestinal parasites (GIP) using a combination of traditional methods with multiplex qPCR for helminths and protozoa, compared to a reference standard of examining three faecal samples from each person using traditional diagnostic methods alone.

Methods: Three faecal samples were collected at weekly intervals from 596 healthy Nepalese men. Each sample underwent formalin-ethyl acetate (FEA) concentration and light microscopy, and charcoal culture.

View Article and Find Full Text PDF
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.
View Article and Find Full Text PDF
Article Synopsis
  • * Researchers collected demographic and health data, along with urine and semen samples from 22 men, finding high rates of schistosome infection and co-infection with HPV and other STIs.
  • * The study highlights the complex interactions between zoonotic and hybrid schistosomes in causing MGS, illustrating significant challenges for diagnosis and treatment in low-resource areas.
View Article and Find Full Text PDF

Background: Tsetse flies (Glossina sp.) are vectors of Trypanosoma brucei subspecies that cause human African trypanosomiasis (HAT). Capturing and screening tsetse is critical for HAT surveillance.

View Article and Find Full Text PDF
Article Synopsis
  • A study in Malawi found a high prevalence of bovine schistosomiasis in cattle, with around 49.1% infected based on a miracidia hatch test, though there were notable differences in infection rates across different areas.
  • In a specific herd near Lake Malawi, researchers used GPS tracking to monitor infection levels, discovering that while treatment was initially effective, reinfection occurred, especially in younger cattle.
  • The findings highlight the need for a One Health approach to control schistosomiasis, addressing the interconnected issues of human and animal health, particularly in the context of zoonotic disease transmission in areas like Mangochi District.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Animal African trypanosomiasis (AAT) is a significant food security and economic burden in sub-Saharan Africa. Current AAT empirical and immunodiagnostic surveillance tools suffer from poor sensitivity and specificity, with blood sampling requiring animal restraint and trained personnel. Faecal sampling could increase sampling accessibility, scale, and species range.

View Article and Find Full Text PDF

From the safety inside vehicles, Knowsley Safari offers visitors a close-up encounter with captive olive baboons. As exiting vehicles may be contaminated with baboon stool, a comprehensive coprological inspection was conducted to address public health concerns. Baboon stools were obtained from vehicles, and sleeping areas, inclusive of video analysis of baboon–vehicle interactions.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF
Article Synopsis
  • Knowsley Safari conducted a coprological survey in June 2021 to check for liver fluke infections in 330 fecal samples from 18 exotic ungulate species, focusing particularly on vicuñas.
  • The survey found fascioliasis in all five vicuñas, and while the first treatment was inconclusive, a second treatment with triclabendazole proved effective.
  • To improve fluke management in the future, the study recommends regular fecal and snail monitoring, along with timely treatment when necessary.
View Article and Find Full Text PDF

Background: Due to its affordability in disease-affected communities and suitability for field application, microscopy has historically been considered the gold standard for field diagnosis of trypanosomosis in rural settings.

Aim: This works aims to compare the performance of microscopists on bovine trypanosome microscopy by organizing the first comparative assessment on a correct reading of slides by laboratory professionals using the read slide results and a structured interviewer-administered questionnaire in North-central Nigeria.

Methods: Ten participants were addressed, as they were sent a panel of two slides (Slide 1: No Trypanosome present; Slide 2: Trypanosome present) and a questionnaire.

View Article and Find Full Text PDF
Article Synopsis
  • - The freshwater snail genus plays a crucial role in the transmission of schistosome parasites, with a hybrid schistosome recently identified among school children along the Lake Malawi shoreline.
  • - Malacological surveys conducted in 2017 and 2018 collected and analyzed 250 snails from various freshwater sites, revealing at least three distinct taxa in the lake and showcasing new methods for differentiating them.
  • - The study found that 28.30% of the sampled snails tested positive for schistosome DNA, indicating significant changes in the epidemiology of urogenital schistosomiasis related to the diversity of snail species in the area.
View Article and Find Full Text PDF

Background: Tsetse flies (Glossina) transmit Trypanosoma brucei gambiense which causes Gambian human African trypanosomiasis (gHAT) in Central and West Africa. Several countries use Tiny Targets, comprising insecticide-treated panels of material which attract and kill tsetse, as part of their national programmes to eliminate gHAT. We studied how the scale and arrangement of target deployment affected the efficacy of control.

View Article and Find Full Text PDF

Human African Trypanosomiasis (HAT) is a potentially fatal parasitic infection caused by the trypanosome sub-species Trypanosoma brucei gambiense and T. b. rhodesiense transmitted by tsetse flies.

View Article and Find Full Text PDF

Background: This paper reports on the baseline prevalence and associated risk factor findings of a pilot, longitudinal study exploring community-wide treatment of schistosomiasis and soil-transmitted helminthiasis, using albendazole plus praziquantel in the Greater Accra region of Ghana.

Method: From three communities, at least, 658 individuals were enrolled into the study via random household selection. Prevalence and intensity of schistosomiasis and STH infection were determined from stool and urine samples with a questionnaire being administered in order to explore other morbidities and risk factors.

View Article and Find Full Text PDF

Background: In Ghana, pre-school-aged children (PSAC) are at risk of intestinal schistosomiasis and are living in need of praziquantel treatment. To better assess the infection burden within this vulnerable demographic group, we have provided a comparative assessment of the prevalence of Schistosoma mansoni in pre-school-aged children by urine circulating cathodic antigen (CCA) dipsticks, real-time PCR Taqman® faecal assays and Kato-Katz coproscopy.

Methods: In all, 190 pre-school-aged children were sampled from three endemic communities (viz.

View Article and Find Full Text PDF

Background: Large-scale control of sleeping sickness has led to a decline in the number of cases of Gambian human African trypanosomiasis (g-HAT) to <2000/year. However, achieving complete and lasting interruption of transmission may be difficult because animals may act as reservoir hosts for T. b.

View Article and Find Full Text PDF

(1) Current international policy for schistosomiasis and soil-transmitted helminthiasis (STH) control emphasises mass administration of deworming drugs in school-based programmes. However, this approach is insufficient to control the transmission of these diseases, and their burden in non-school cohorts is recognised, albeit under-researched. This research will investigate the feasibility and acceptability of expanding access to praziquantel (PZQ) against schistosomiasis, and albendazole (ALB) against STH, to communities in selected transmission settings in Ghana.

View Article and Find Full Text PDF

With the push towards control and elimination of soil-transmitted helminthiasis and schistosomiasis in low- and middle-income countries, there is a need to develop alternative diagnostic assays that complement the current in-country resources, preferably at a lower cost. Here, we describe a novel high-resolution melt (HRM) curve assay with six PCR primer pairs, designed to sub-regions of the nuclear ribosomal locus. Used within a single reaction and dye detection channel, they are able to discriminate Ancylostoma duodenale, Necator americanus, Strongyloides stercoralis, Ascaris lumbricoides, Trichuris trichiuria and Schistosoma spp.

View Article and Find Full Text PDF

The efforts to control and eradicate polio as a global health burden have been successful to the point where currently only three countries now report endemic polio, and the number of cases of polio continues to decrease. The success of the polio programme has been dependant on a well-developed network of laboratories termed the global polio laboratory network (GPLN). Here we explore collaborative opportunities with the GPLN to target two of the 18 diseases listed as a neglected tropical diseases (NTD) namely soil transmitted helminthiasis (STH) and Schistosomiasis (SCH).

View Article and Find Full Text PDF