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Fig. 2 | Infectious Diseases of Poverty

Fig. 2

From: Moving from control to elimination of schistosomiasis in sub-Saharan Africa: time to change and adapt strategies

Fig. 2

Intense water contact leading to high transmission dynamics of schistosomiasis in Barombi Kotto. Barombi Kotto, a village located in the South-West region of Cameroon, is divided in two parts; a mainland and an island. This photograph shows a view of the island from the shore of the mainland, and illustrates the intense water exposure of populations. There is no school in the island. All children leaving in the island go to school in the mainland. Therefore, they have contact with water at least twice per day, as they must cross the lake out and in. This frequent water exposure leads to rapid and high reinfections with schistosomiasis, that occur even from the same day of treatment in schools. Furthermore, there is no water supply in the island; the whole population relies on water from the lake, and 100% of people are at high risk of infections. The transmission dynamics and reinfection patterns are significantly different between populations from the island and those living on the mainland. Particular attention should be paid to such hotspots that require more regular and intensified interventions

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