Redefining Schistosomiasis haematobium in Light of its Impact on HIV Transmission: An argument for reinvigorated global commitment to Schistosomiasis control

Abstract

This paper argues that Schistosomiasis haematobium infection should be globally reframed as not just a neglected tropical disease, but among the most important cofactors of HIV/AIDS in sub-Saharan Africa; it states that elimination should not be considered an unattainable ideal, but a tremendously effective method of curtailing the HIV/AIDS epidemic in co-endemic regions. First, recently generated epidemiological and clinical evidence that suggests a potential interaction is discussed. Second, the pathophysiological hypothesis supporting this association is elucidated upon. Finally, the WHO-stipulated criteria for priority HIV interventions is introduced, which are adequately satisfied by the four pillars of schistosomiasis elimination programming. This paper claims that if SH can be redefined and integrated into widely-politicized and well-funded HIV-programming to receive the attention it requires, the world could witness not only the elimination of the second deadliest parasitic infection, but an impressive assault on the epidemic that for four decades has devastated the globe.