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Waterborne zoonotic helminthiases.
[dracunculiasis]
This
review
deals
with
waterborne
zoonotic
helminths
,
many
of
which
are
opportunistic
parasites
spreading
directly
from
animals
to
man
or
man
to
animals
through
water
that
is
either
ingested
or
that
contains
forms
capable
of
skin
penetration
.
Disease
severity
ranges
from
being
rapidly
fatal
to
low
-grade
chronic
infections
that
may
be
asymptomatic
for
many
years
.
The
most
significant
zoonotic
waterborne
helminthic
diseases
are
either
snail-mediated
,
copepod-mediated
or
transmitted
by
faecal-contaminated
water
.
Snail-mediated
helminthiases
described
here
are
caused
by
digenetic
trematodes
that
undergo
complex
life
cycles
involving
various
species
of
aquatic
snails
.
These
diseases
include
schistosomiasis
,
cercarial
dermatitis
,
fascioliasis
and
fasciolopsiasis
.
The
primary
copepod-mediated
helminthiases
are
sparganosis
,
gnathostomiasis
and
dracunculiasis
,
and
the
major
faecal-contaminated
water
helminthiases
are
cysticercosis
,
hydatid
disease
and
larva
migrans
.
Generally
,
only
parasites
whose
infective
stages
can
be
transmitted
directly
by
water
are
discussed
in
this
article
.
Although
many
do
not
require
a
water
environment
in
which
to
complete
their
life
cycle
,
their
infective
stages
can
certainly
be
distributed
and
acquired
directly
through
water
.
Transmission
via
the
external
environment
is
necessary
for
many
helminth
parasites
,
with
water
and
faecal
contamination
being
important
considerations
.
Human
behaviour
,
particularly
poor
hygiene
,
is
a
major
factor
in
the
re
-emergence
,
and
spread
of
parasitic
infections
.
Also
important
in
assessing
the
risk
of
infection
by
water
transmission
are
human
habits
and
population
density
,
the
prevalence
of
infection
in
them
and
in
alternate
animal
hosts
,
methods
of
treating
sewage
and
drinking
water
,
and
climate
.
Disease
prevention
methods
,
including
disease
surveillance
,
education
and
improved
drinking
water
treatment
are
described
.
Diseases
Validation
Diseases presenting
"particularly poor hygiene"
symptom
dracunculiasis
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