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    Bilharziology (BLOOD FLUKES) with Anouk N. Gouvras

    en-usJanuary 19, 2021

    Podcast Summary

    • An Early Interview with a Bilharzia ExpertSchistosomiasis, caused by parasitic worms, affects over 250 million people worldwide and is particularly prevalent in sub-Saharan Africa. This early Ologies episode features an interview with Dr. Anouk Goovrast, a bilharzia expert, discussing the history and recent research on this neglected tropical disease.

      This early Ologies episode, recorded in 2017 before the podcast existed in its current format, was initially discarded due to the host's inexperience and technical difficulties. However, it's being shared now for long-time listeners as a piece of podcast history. The episode features an interview with Dr. Anouk Goovrast, a bilharziologist and communications manager for the Global Schistosomiasis Alliance. Schistosomiasis is a parasitic disease caused by the parasitic worms schistosoma, which infects over 250 million people worldwide, particularly in sub-Saharan Africa. The interview covers various aspects of schistosomiasis, including the history of its study and recent research. Despite the rough production quality, this lost episode offers valuable insights into the world of parasitology and the work of those dedicated to understanding and combating parasitic diseases.

    • Schistosomes: Flatworms with Unusual Mating HabitsSchistosomes are flatworms that cause diseases in humans, mostly through female egg production. They form paired relationships, with females depending on males for survival.

      Schistosomes are flatworms that live in the blood systems of mammals, including humans. The males and females form paired relationships, with the females producing eggs while the males feed and protect them. The females cannot produce eggs without being paired with a male. Schistosomes are mostly monogamous, but males can have multiple females in their "groove." Females may leave a male if they find another mate who is less related to them. Mating is done through chemical cues. Schistosomes are flatworms that cause diseases such as intestinal schistosomiasis, which can lead to severe organ damage over time. Only a few of the over 25 recognized species infect humans. Despite their unusual lifestyle, these worms are not empowering for the females, as they are entirely dependent on the males for survival.

    • Parasitic infections and their health complicationsParasitic infections, such as schistosomiasis, can cause severe health complications including cancer, organ failure, and sterility. Understanding their biology and control is essential for effective interventions and treatments.

      Parasitic infections, such as those caused by schistosomes, can lead to severe health complications. These infections can affect various organs, including the liver, lungs, spleen, and urogenital system, potentially leading to cancer, organ failure, and sterility. Schistosomiasis, for instance, can result in bladder cancer, kidney failure, and increased HIV transmission. Parasitology, specifically the study of schistosomes, drew the speaker's interest due to its complexities and the potential for controlling these diseases. The speaker's fascination with parasites began in a general biology lecture, where they learned about a parasite transmitted by insect bites. This led the speaker to pursue a master's degree in parasites and their biology and control at the Liverpool School of Tropical Medicine. Parasitic infections differ from bacterial infections in that parasites live within their host organisms and can cause long-term damage. Parasites like schistosomes can lead to gradual illnesses and can be fatal if left untreated. Understanding the biology and control of these parasites is crucial for developing effective interventions and treatments.

    • Parasites in an ongoing battle with their hostsParasites cause harm but can also have positive uses, as they and their hosts engage in an ongoing evolutionary arms race

      Parasites are organisms that live at the expense of others, causing harm but not necessarily killing their hosts outright. They have evolved specific survival strategies, with the host and parasite engaging in an ongoing evolutionary arms race. The Red Queen hypothesis describes this constant battle, with the parasite finding new ways to infect and the host finding new ways to resist. While parasites can cause significant harm and trauma, they also have potential positive uses, such as in scientific research and potential applications in medicine.

    • Origins of confiscated animals revealed through parasitesParasites in confiscated animals can indicate their wild or farmed origins. Some parasites have beneficial effects, like controlling crop-damaging insects, while others can lead to reduced allergic reactions to certain conditions.

      The confiscation of certain animals, such as chameleons, raises questions about their origin - wild or domestically bred. Parasites found in these animals can provide clues to their past. For instance, chameleons carrying parasites unique to their native habitats are likely to have been poached. On the positive side, some parasites can control insects damaging crops. The manipulation of the host immune system by parasites like worms and blood flukes can lead to reduced allergic reactions to conditions like IBS, Crohn's disease, asthma, and eczema. Research is ongoing to develop safe medicines based on these immune system-dampening properties. However, intentionally infecting oneself with parasites is not recommended due to potential complications and risks, especially during pregnancy.

    • Schistosomiasis: A Complex Parasitic Disease with a Two-Host Life CycleSchistosomiasis is a parasitic disease with serious health consequences, transmitted through contaminated water, involving a complex two-host life cycle. Prevention and control efforts focus on reducing snail populations to interrupt the transmission cycle.

      Schistosomiasis is a complex parasitic disease with a two-host life cycle involving humans or mammals and a specific snail species. Humans get infected when they come into contact with contaminated water, and the parasites enter the body through the skin. The parasites then travel to various parts of the body, pair up, and produce eggs. These eggs are released into the water and enter the snail, where they multiply and eventually develop into a form that can infect humans again. During fieldwork in affected areas, researchers not only have the opportunity to study the disease and its transmission but also contribute to efforts to control it. This includes controlling the snail population to prevent further infection. The disease can have serious health consequences, and it's important for travelers to take precautions when visiting areas where it's prevalent. The speaker shared a personal story of a museum staff member who contracted the disease and even brought a preserved specimen to the museum. The parasite's complex life cycle is fascinating but also poses a significant public health challenge. Understanding this cycle is crucial for developing effective control strategies and preventing the spread of schistosomiasis.

    • Schistosomes Overcome Snail Immunity for ReproductionSchistosomes infect snails with weaker immune systems to reproduce, experts take precautions during field work, potential drug resistance raises concerns, ongoing research crucial for understanding drug mechanism

      The parasitic worms known as schistosomes have evolved to overcome the immune systems of certain snail species, allowing them to reproduce inside the snails. These worms cannot survive long in water and will infect any snail they can, but only those with weaker immune systems will allow the worms to successfully reproduce. To avoid getting infected during field work, experts like the speaker wear protective clothing and carefully collect certain snail species, while also working with schools to identify and treat infected children. However, the ongoing use of a single drug to treat schistosomiasis raises concerns about potential drug resistance, making ongoing research crucial. The drug, originally developed for malaria, works by disrupting the calcium channels of adult schistosome worms, causing them to die, but the exact mechanism is still being researched.

    • The Complex Battle Against Neglected Tropical DiseasesMerck's free drug distribution saved billions, but 200,000 still die yearly. Research into alternative therapies faces challenges, and neglected diseases receive little funding and attention.

      The fight against neglected tropical diseases, such as schistosomiasis, is ongoing and complex. Merck's free distribution of the drug to treat this parasitic infection has saved billions of lives since 2007, but still, 200,000 people die annually. Research into alternative therapies, like using hamsters, faces financial and ethical challenges. Neglected tropical diseases, which affect over a billion people each year, receive little funding and attention due to the gradual impact on health and the populations they primarily affect. Anouk's research focuses on identifying and controlling the snail species that carry the parasite, training local researchers, and using dead specimens from museums to better understand the parasite's diversity and the effectiveness of potential vaccines. The use of dead specimens in research is crucial as laboratory strains do not fully reflect the parasite's diversity in the field, potentially leading to ineffective vaccines.

    • Parasites' adaptability makes dealing with them challengingDespite precautions, parasitic diseases can still affect even experts, highlighting the importance of consistent adherence to safety measures

      Parasites are highly adaptable organisms, which can make dealing with them challenging. During a conversation with a worm expert, it was discussed how even scientists can fall ill to parasitic diseases despite taking precautions. The expert shared her personal experience of contracting malaria despite taking preventative measures, highlighting the importance of consistency in following safety protocols. Malaria, a parasitic disease, can have a long incubation period before symptoms appear, making it crucial to remain vigilant even after feeling better. The expert's team was initially skeptical about her illness due to her recent travel history, but a blood test confirmed her diagnosis. This conversation underscores the importance of adhering to safety measures, especially when traveling to areas with high parasitic disease prevalence.

    • Finding Relief and Growth in Unexpected CircumstancesDespite challenges, seek knowledge, stay curious, and find relief and growth in unexpected circumstances. A helpful tip for maintaining cleanliness: use a razor blade to scrape off soap scum in the shower.

      Even in the face of seemingly insurmountable challenges or unexpected circumstances, there is always a chance for relief, growth, and even a silver lining. The speaker shares her experience of being diagnosed with malaria and the relief she felt upon receiving the diagnosis, despite the initial shock. This experience underscores the importance of seeking knowledge and answers, even when it means traveling far from home or asking difficult questions. Additionally, the speaker imparts a practical life hack for dealing with soap scum in the shower using the edge of a razor blade. Overall, this episode encourages listeners to approach challenges with curiosity, resilience, and a sense of adventure, while also offering a helpful tip for maintaining cleanliness.

    • Maintaining a healthy routine during uncertain timesStay positive, wear masks, prioritize self-care physically and mentally to boost productivity and well-being.

      Maintaining a healthy routine, even during challenging times, can make a significant difference in our lives. The speaker shared how they managed to keep up with their hygiene and productivity despite having a less active month. They encouraged the listener to adopt similar habits and offered life hacks. It's essential to remember to stay positive, wear masks, and prioritize our well-being as we navigate through uncertain times. The speaker also mentioned various scientific fields, but the main message was the importance of taking care of ourselves, both physically and mentally.

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