Control of Schistosoma mansoni transmission: Strategy for using molluscicides on St. Lucia

Control of Schistosoma mansoni transmission: strategy for using molluscicides on St. Lucia. International Journal for Parasitology 3: 795–801. A simplified model, based on previous field studies, is described to summarize the transmission of Schistosoma mansoni on the West Indian Island of St. Lucia by the snail Biomphalaria glabrata. Snail populations in static habitats play little part in transmission but form a reservoir of snails which invade flowing habitats in the dry season. These flowing habitat populations account for most of the transmission: preventing their establishment should greatly reduce transmission. The reasons why a single molluscicide treatment of the static habitat populations is unlikely to achieve this result are discussed and an alternative, practical strategy is suggested. An initial intensive mollusciciding followed by surveillance, coupled with focal mollusciciding of surviving snail colonies, should suppress the static habitat populations sufficiently to prevent the invasion of the flowing habitats. This practical strategy should have a reasonable chance of reducing S. mansoni transmission judging by the results of similar control schemes using molluscicides.