Background: Zoonotic fascioliasis and schistosomiasis, caused by trematode parasites transmitted by freshwater snails, are neglected tropical diseases of both medical and veterinary importance. There are critical knowledge gaps regarding the transmission dynamics of these infections in humans and animals, particularly in endemic African
[...] Read more.
Background: Zoonotic fascioliasis and schistosomiasis, caused by trematode parasites transmitted by freshwater snails, are neglected tropical diseases of both medical and veterinary importance. There are critical knowledge gaps regarding the transmission dynamics of these infections in humans and animals, particularly in endemic African communities. Therefore, the current study aimed to determine the burden of human zoonotic schistosomiasis and fascioliasis among different age groups, focusing on the Lake Victoria zone and the Southern Highlands of Tanzania. Methods: A cross-sectional study was conducted among preschool-aged children, school-aged children, and adults. A total of 1557 stool and urine samples were collected, 400 from preschool children, 804 from school-aged children, and 353 from adults. Stool samples were processed using the Kato–Katz technique and the formol-ether concentration method to detect
Schistosoma mansoni and
Fasciola spp., respectively. Urine samples were examined for
Schistosoma haematobium infection using the urine filtration method. Data were analyzed using Stata version 17. The
t-tests or one-way ANOVA were used to assess statistical differences in the mean egg counts of
S. mansoni and
S. haematobium between exposure groups. Results: The overall prevalence of
S. haematobium was 4.9%,
S. mansoni was 1.2% with no significant differences across age groups, but with a statistically significant difference between sexes 1.8%. Males had a higher prevalence of both
S. haematobium and
S. mansoni infections compared to females. The prevalence of
Fasciola infection was 0.9%, with the highest prevalence found in adults (≥18 years). Conclusions: Zoonotic schistosomiasis and fascioliasis are prevalent in the study area, affecting individuals across all age groups. This is the first study to report the presence of
Fasciola infection in both the Lake Victoria zone and the Southern Highlands of Tanzania. These findings call for the Ministry of Health, through the Tanzania NTD Control Program, to recognize fascioliasis as a high-priority disease and include it in the national master plan.
Full article