Schistosomiasis transmission in Lake Malawi

Schistosomiasis (bilharziasis) transmission due to Schistosoma haematobium has for many years been known to occur along protected shorelines in Lake Malawi, but the recent finding that transmission also can also occur along open shorelines with sandy sediment has had a detrimental effect on tourism to Lake Malawi. The present paper shows that transmission, as evidenced from presence of intermediate hosts, along open shorelines is occurring in the southern part of the Lake. Relatively simple precautions can be taken to ensure minimal risk of attracting schistosome infection, and the schistosomiasis risk should not deter people from visiting and diving in Lake Malawi.