Evidence map›Paper›PMID 25275467›Full record

ArticlePLoS neglected tropical diseases2014

Sources and distribution of surface water fecal contamination and prevalence of schistosomiasis in a Brazilian village.

Rafael Ponce-Terashima, Amber M Koskey, Mitermayer G Reis, Sandra L McLellan, Ronald E Blanton

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Rafael Ponce-TerashimaMercer University School of Medicine, Macon, Georgia, United States of America; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America.
Amber M KoskeySchool of Freshwater Sciences, Great Lakes Water Institute, University of Wisconsin, Milwaukee, Wisconsin, United States of America.
Mitermayer G ReisLaboratory of Pathology and Molecular Biology, Gonçalo Moniz Research Center, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Sandra L McLellanSchool of Freshwater Sciences, Great Lakes Water Institute, University of Wisconsin, Milwaukee, Wisconsin, United States of America.
Ronald E BlantonCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America.
University of Wisconsin–Milwaukee · USCase Western Reserve University · USCenter for Global Health · USFundação Oswaldo Cruz · BR

Funding

Microbial Community Profiles Identify New Indicators of Waterborne PathogensR01AI091829 · NIAID · UNIVERSITY OF WISCONSIN MILWAUKEE · PI MCLELLAN, SANDRA L. · 2011 to 2019
$3.1M
Recurrent treatment: Effect on rural and urban S. mansoni population structureR01AI069195 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI BLANTON, RONALD E · 2007 to 2011
$1.8M
NIAID NIH HHS R01 AI069195NIAID NIH HHS R01 AI091829
6 · The paper itself

Abstract

backgroundThe relationship between poor sanitation and the parasitic infection schistosomiasis is well-known, but still rarely investigated directly and quantitatively. In a Brazilian village we correlated the spatial concentration of human fecal contamination of its main river and the prevalence of schistosomiasis.

methodsWe validated three bacterial markers of contamination in this population by high throughput sequencing of the 16S rRNA gene and qPCR of feces from local residents. The qPCR of genetic markers from the 16S rRNA gene of Bacteroides-Prevotella group, Bacteroides HF8 cluster, and Lachnospiraceae Lachno2 cluster as well as sequencing was performed on georeferenced samples of river water. Ninety-six percent of residents were examined for schistosomiasis.

findingsSequence of 16S rRNA DNA from stool samples validated the relative human specificity of the HF8 and Lachno 2 fecal indicators compared to animals. The concentration of fecal contamination increased markedly along the river as it passed an increasing proportion of the population on its way downstream as did the sequence reads from bacterial families associated with human feces. Lachnospiraceae provided the most robust signal of human fecal contamination. The prevalence of schistosomiasis likewise increased downstream. Using a linear regression model, a significant correlation was demonstrated between the prevalence of S. mansoni infection and local concentration of human fecal contamination based on the Lachnospiraceae Lachno2 cluster (r2 0.53) as compared to the correlation with the general fecal marker E. coli (r2 0.28).

interpretationFecal contamination in rivers has a downstream cumulative effect. The transmission of schistosomiasis correlates with very local factors probably resulting from the distribution of human fecal contamination, the limited movement of snails, and the frequency of water contact near the home. In endemic regions, the combined use of human associated bacterial markers and GIS analysis can quantitatively identify areas with risk for schistosomiasis as well as assess the efficacy of sanitation and environmental interventions for prevention.

Indexed as

AnimalsBacteriaBrazilFecesHumansRNA, BacterialRNA, Ribosomal, 16SSanitationSchistosomiasisWater MicrobiologyWater PollutionWater SupplyRNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID25275467
PMCPMC4183440
OpenAlexW1965820889

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.