The x-axis being either points of Latitude or Longitude, and the y-axis describing frequency of overlap, as points are stacked (Min = 1, Max = 111, Sum = 607, Mean = 6.07, SD = 13.3). The graphs on the right-hand side are showing the distribution of overlapping points of latitude and longitude for all three data sets (vertebrate, invertebrate, and swimmer’s itch cases). Latitude and Longitude are depicted by tick marks on the outer edge of the map. Where the vertebrates and invertebrates overlap is where there is potential for swimmer’s itch transmission. Vertebrate potential host species are depicted by blue diamonds and invertebrate, gastropod potential host species are depicted by a blue ‘x’. This map depicts the distributions of where swimmer’s itch cases have occurred (orange circles), and the potential for where swimmer’s itch could occur based on the presence of host species. The online version of this article (10.1186/s1294-7) contains supplementary material, which is available to authorized users.ĭistribution Map of Our Relative Knowledge of Swimmer’s Itch in Alberta. Recommendations are made towards implementing a systems-thinking approach that incorporates citizen-scientists for future research, management, and policy surrounding swimmer’s itch. This study provides proof-of-concept for the utility of a self-reporting surveillance system for swimmer’s itch in Canada. Swimmer’s itch is a greater environmental health hazard across Canada than previous literature would have alluded. A review and comparison to the literature has highlighted several knowledge gaps surrounding schistosome species, host species and their distributions and contributions towards swimmer’s itch. Species surveys in Alberta revealed 7 new parasite and host records, with potential for swimmer’s itch to occur throughout most of the province based on host distributions. Swimmer’s itch cases were reported from every province except Prince Edward Island. Over 3800 cases of swimmer’s itch were captured across Canada by the self-reporting surveillance system. ![]() We compare the results from our surveys to a historical review of the literature to examine the extent of swimmer’s itch across Canada and identify where future efforts should be focused. We also conducted a 3-year species survey of parasites and intermediate snail hosts within lakes in central Alberta and compiled this data with snail and vertebrate (definitive) host survey data from across Alberta to examine potential for future spread. We examine the human perspective of having contracted swimmer’s itch through a self-reporting surveillance system implemented over a 5-year period. Herein we utilize a mixed-methods approach towards examining the environmental health issue of swimmer’s itch in Canadian lakes from a nation-wide viewpoint, with an example from Alberta. ![]() This study aims to gather relevant information on swimmer’s itch in Canada, from multiple perspectives, including the human experience, parasite and host presence and distributions, and insight from historical perspectives. ![]() Swimmer’s itch is a globally-distributed, allergic condition, of which we know very little regarding local dynamics of transmission. Cercarial dermatitis, colloquially “swimmer’s itch”, is a rash contracted in natural bodies of water, when people are exposed to skin-penetrating, larval flatworm parasites of the family Schistosomatidae, that emerge from aquatic snails.
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