Schistosomiasis In China

       University of California, Berkeley

Methods

Hydrology

Landscape Genetics

Genetic Analysis

Geographic Information Systems (GIS) and Remote Sensing (RS)
 
GPS/Tracking

Field Epidemiology

Molecular detection / Cercariometry
 
Snail Sampling 

Stochastic Individual-Based Modeling
 

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Hydrology

Three Gorges Dam from: http://www.eoearth.org/article/Three_Gorges_Dam,_ChinaWe use lumped parameter rainfall-runoff and Geographic Infrormation Systems (GIS) -based hydrological modeling techniques to characterize inter-village hydrological transport between sites in our study area. We use remotely sensed digital elevation models to map and characterize hydrological pathways.  Combining these data with direct measures of parasite diffusion and snail dispersal, we aim to predict:

(a) Dispersal among sites upstream and downstream within a watershed,

(b) Dispersal among distant sites within a watershed.

(c) Dispersal among sites straddling watershed boundaries. 

We have good information on the transport of cercariae via hydrological connectivity from previous studies in the Xichang area of China.  We have an elevation model from SRTM for the entire study region, which may be refined to look at more detailed watersheds than simple inter-village slopes, as used in Xichang, for the purposes of defining inter-village hydrological connectivity.

Publications: Hydrology

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Landscape Genetics    

Landscape genetics is an emerging field integrating  landscape ecology, population genetics, and spatial statistics to better understand how physical, biological, and chemical variation in the landscape shape genetic diversity and structure.  We are currently applying landscape genetic tools to model the influence of landscape variables such as riparian habitat quality, topography, and hydrology on snail migration and parasite diffusion.  We are employing a geographic information systems hydro-model to delineate potential migration corridors, accounting for topographic barriers and landscape variation that may facilitate or impede gene flow between study sites. 

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Genetic Analysis         

To estimate gene flow in both snail intermediate host and different parasite life-stage populations, we are using established panels of molecular markers (AFLP and msats, respectively). We apply genotype assignment methods to analyze recent gene flow; these techniques derive information about migration within the last few generations from transient disequilibrium at individual multilocus genotypes of migrants or their recent offspring. We apply frequency methods to estimate long-term gene flow; these methods test hypotheses about an event based on the expected frequency of that event happening over a large number of trials, and are based in simplified models of population structure. These two classes of techniques provide information about gene flow on different timescales, and are thus complementary.          

Publications: Genetic Analysis

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Geographic Information Systems (GIS) and Remote Sensing (RS)

Remote sensing and GIS technology promise to aid the identification of new areas of potential snail habitat and sites with high potential for disease transmission, based on image analysis and specification of land-cover features associated with agriculture and human habitation.  GIS analyses will also aid in understanding hydrological connectivity and land use changes that may be associated with social connectivity. Remote sensing and GIS have been used effectively in the study of several infectious diseases including malaria, Lyme disease, and rift valley fever (Wood, Washino et al. 1991; Dister, Beck et al. 1993; Beck, Rodriguez et al. 1994; Washino and Wood 1994; Glass, Schwartz et al. 1995; Linthicum, Bailey et al. 1997).  Our work includes the establishment of a GIS to manage field epidemiological data  (Spear et al, 1998), and the creation of new GPS-based protocols for mapping snail density (Seto et al, 2001).  An early remote sensing study in our group found that it is possible to use Landsat TM data to identify the habitat of the Oncomelania snail in the Anning River Valley of Sichuan (Seto et al, 2002), and in Poyang Lake in the Lower Yangtze River Valley (Seto et al, 2007, Davis, et al, 2003, Wu et al, 2002, Seto et al, 2002).  Recent studies in our group have quantified snail densities via remote sensing (Xu, et al, 2004, Xu, et al, 2006).  Most recently GIS methods are being used to map social and hydrological pathways to understand parasite diffusion and disease re-emergence.

Publications: GIS/RS

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GPS/Tracking

Water contact questionnaires, self-reported contact diaries, and direct observation are all typical methods for assessing water contact behaviors that may be associated with schistosomiasis transmission.  However, such methods are problematic due to poor recall for surveys and diaries, and altered behavior for observational studies.  Ultimately, we would like to know where, when and the intensity of water contact behaviors and their relationship to parasites in the environment.  Global positioning system (GPS) receivers may be used for personal time-activity monitoring to assess these relationships.  By monitoring study subjects with GPS vests, it was possible to create hourly time-activity maps, which were subsequently used in interviews to ascertain the timing and location of water-contacts. We found that individuals averaged more than one water contact per day, and were surprisingly mobile, with a large number of study participants spending time outside of their village. Such mobility suggests the need for further research into social patterns that may facilitate the spread of parasites, and contribute to sustained transmission (Seto, et al., 2007).

Publications: GIS/RS

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Field Epidemiology

Field epidemiologic studies have played an important role in all our work, whether it be parameterization and calibration of our mathematical model, understanding the spatial and temporal determinants of infection risk and re-emergence, identifying effective strategies for sustainable local control, and elucidation of the roles that parasite diffusion and social and hydrological factors play in transmission.  Much of our work has environmental epidemiology, emphasizing the role that environmental factors play in allowing for and mediating transmission.  Studies from our first field site in Xichang, Sichuan established the importance of risk factors that operate at the village level (Spear et al, 2004).  Kinship analysis further reinforced this notion, showing that after adjusting for village of residence, additive genetic factors at the household and individual-level were not responsible for intensity of infection (Seto et al, 2005).  Most recently, our field epidemiologic data has led to a better parameterization of individual-level exposure that has shown to be correlated with both infection status and intensity of infection (Seto et al, 2007, Lee and Seto, in review).  This has allowed for a better understanding of within-village risk.  Other work has explored the linkage between schistosomiasis and cancer (Qiu et al, 2005), and how variation in egg counts may be used to estimate the distribution of work burdens for different at-risk populations (Hubbard et al, 2002).

 

Publications: Field Epidemiology

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Molecular Detection / Cercariometry

The current method for estimating the spatial variation in cercarial concentration in village water bodies is to expose mice to potentially infective surface water at different points along a water course for a total exposure period of 10 hours.  Because the exposures are integrated over multiple days, reasonable information is gained on the relative hazard of each location if the timing of the assays is reasonably coincident , yet the method has extremely limited temporal and spatial resolutions (Spear et al, 2004). In response, we have pioneered a highly sensitive and specific  PCR assay for the detection of genomic cercarial DNA in water samples (Driscoll, 2005).

We have also developed methods for determining the decay rates for cercariae infectivity with distance by conducting cercarial release experiments (Lowe et al, 2005).  These decay functions, along with a remote sensing-derived digital elevation model were used in a spatial dynamic model that assessed intervillage hydrologic connections for approximately 200 villages in Xichang (Xu et al, 2006).

Publications: Cercariometry , Genetic analysis

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Snail Sampling

We have created a protocol for performing geographically randomized snail surveys for schistosomiasis research using the global positioning system (GPS) (Seto et al, 2001). This protocol differs from traditional surveys in its ability to accurately map and measure the spatial distribution of snail habitat. The protocol was used to map irrigation ditches, the primary habitat for Oncomelania hupensis, in two residence areas in Sichuan Province, China.  We have also explored the habitat of the snail in both the Anning River Valley and Poyang Lake (Seto et al, 2002, Seto et al, 2002)  We have also developed a novel, longitudinal mark-recapture for for Oncomelania hupensis, the intermediate host for Schistosoma japonicum, to better understand the population dynamics of the intermediate host (Remais et al, 2007). Snail density, recruitment and death rates were estimated monthly and environmental variables recorded continuously, at three sites in a mountainous region of southwestern China. We have incorporated these snail population parameters from field surveys into a mathematical population dynamics model, with the objective of informing control decisions

Publications: Snail ecology

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Stochastic Individual-Based Modeling

We use this model to explore the efficacy of various surveillance strategies.  A stochastic model enables us to simulate all events in the population relevant to the dynamics of the transmission of the disease: the acquisition of a new worm by an individual (infection events), the death of a worm (death events), the introduction in the village of an infected individual or animal, and the introduction of snails or larval stages of the parasite through the irrigation system (introduction events). The ability to account for the stochasticity linked to the discrete nature of the worm population, often called demographic stochasticity is especially important in the context of an early epidemic when that parasite population is still very small. 

Publications: Transmission modeling

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