Schistosomiasis in the Philippines: Innovative Control Approach is Needed if Elimination is the Goal
Research Institute for Tropical Medicine, Manila 1781, Philippines
Research School of Population Health, Australian National University, Canberra 2601, Australia
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2019, 4(2), 66; https://doi.org/10.3390/tropicalmed4020066
Received: 8 January 2019 / Revised: 20 March 2019 / Accepted: 4 April 2019 / Published: 13 April 2019
(This article belongs to the Special Issue Prospects for Schistosomiasis Elimination)
In 1996, schistosomiasis due to Schistosoma japonicum was declared eradicated in Japan. In the People’s Republic of China, S. japonicum transmission has been interrupted in the major endemic areas in the coastal plains but the disease persists in the lake and marshland regions south of the Yangtze River. The disease remains a public health problem in endemic areas in the Philippines and in isolated areas in Indonesia. Comprehensive multidisciplinary campaigns had led to eradication of schistosomiasis in Japan and have been successful in the interruption of disease transmission in the major endemic regions of the People’s Republic of China. Unfortunately, the integrated measures cannot be duplicated in schistosomiasis endemic areas in the Philippines because of limited resources. The problem is also more complicated due to the topography in the Philippines and transmission is not seasonal as in China. An innovative approach is needed in the Philippines if schistosomiasis elimination is the goal.