Journal
TRENDS IN PARASITOLOGY
Volume 33, Issue 10, Pages 799-812Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.pt.2017.06.002
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Funding
- Mon Kaen University, Thailand
- Thailand Research Fund (TRF) under the TRF Senior Scholar [RTA 5680006]
- National Research Council of Thailand
- Ecohealth Emerging Infectious Diseases Initiative (EcoEID) [Canada's International Development Research Centre]
- Foreign Affairs, Trade and Development Canada (through the Global Health Research Initiative)
- Australian Agency for International Development
- Higher Education Research Promotion and National Research University Project of Thailand, Office of the Higher Education Commission, through the Health Cluster (SHeP-GMS)
- Grand Challenges Canada [0221-01]
- National Institute of Allergy and Infectious Diseases (NIAID) [P50A1098639]
- National Health Security Office, Thailand
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The liver fluke Opisthorchis viverrini (Ov) is endemic in Southeast Asia where more than 10 million people are estimated to be infected. The infection is associated with several hepatobiliary diseases, including cholangiocarcinoma (CCA). Northeast Thailand is a hotspot for Ov transmission, and, despite extensive public health prevention campaigns led by the government, the prevalence of Ov infection is still high. High infection rates result from cultural and ecological complexities where wet-rice agrarian habitats, centuries-old raw-food culture, and the parasite's complex biology combine to create an ideal transmission arena. Here we review the state of our knowledge regarding the social-ecological determinants underlying Ov transmission. We also describe an integrative research rationale for liver fluke control better aligned with sustainable health development.
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