Immuno-epidemiological patterns

Immuno-epidemiological patterns in schistosomiasis infections.

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Age infection curve

Age infection curve

Human populations in areas with endemic schistosomiasis show a characteristic relation between age and infection level. Infection typically rises rapidly during childhood, peaking at around 8 - 15 years of age and then declining with increasing age. The infection intensity is measured as egg output in faeces or urine.

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Age infection curve

Peak shift

A further phenomen has been observed in human schistosomiasis infections, which is called "peak shift". "Peak shift" describes the fact that the peak level of intensity is higher and occurs at a younger age in populations with a higher overall infection intensity when compared with areas of lower infection intensity.The peaks also become more convex at higher levels of overall population infection intensity

Recommended Literature

Mutapi F. (1998) Chemotherapy accelerates the development of acquired immune responses to Schistosoma haematobium infection. 

J Infec Dis 178 (1): 289-93. 

Woolhouse ME. (1998). Patterns in parasite epidemiology: the peak shift. 

Parsitol Today. 14 (10): 428-34. 

Woolhouse ME. (1992). A theoretical framework for the immunoepidemiology of helminth infection. 

Parsite Immunol. 14 (6): 563-78. 

 

Further Information

Publications

Publications of the Parasite Immuno-epidemiology Group

Research Networks

WHO - Schistosomiasis

WHO - TDR programme