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      Impact of the Three Gorges project on ecological environment changes and snail distribution in Dongting Lake area

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          Abstract

          Background

          The Three Gorges Dam (TGD) is a remarkable, far-reaching project in China. This study was conducted to assess the impact of TGD on changes in the ecological environment, snail distribution and schistosomiasis transmission in Dongting Lake area.

          Methods

          Hydrological data were collected from 12 monitoring sites in Hunan section of Yangtze River before and after TGD was established. Data on snail distribution and human schistosomiasis infection were also collected. Correlation analyses were performed to detect the significance of snail distribution to changes in ecological environmental factors and human schistosomiasis infection.

          Findings

          A series of ecological environmental factors have changed in Dongting Lake area following the operation of TGD. Volume of annual runoff discharged into Dongting Lake declined by 20.85%. Annual sediment volume discharged into the lake and the mean lake sedimentation rate decreased by 73.9% and 32.2%, respectively. From 2003 to 2015, occurrence rate of frames with living snails and mean density of living snails decreased overall by 82.43% and 94.35%, respectively, with annual decrements being 13.49% and 21.29%. Moreover, human infection rate of schistosomiasis had decreased from 3.38% in 2003 to 0.44% in 2015, with a reduction of 86.98%. Correlation analyses showed that mean density of living snails was significantly associated with water level (r = 0.588, p<0.001), as well as the mean elevation range of the bottomland (r = 0.374, p = 0.025) and infection rate of schistosomiasis (r = 0.865, p<0.001).

          Conclusion

          Ecological environmental changes caused by the TGD were associated with distribution of snails, and might further affect the transmission and prevalence of schistosomiasis. Risk of schistosomiasis transmission still exists in Dongting Lake area and long-term monitoring is required.

          Author summary

          Three Gorges Dam (TGD) is a tremendous hydrological project in China, it affects the ecological environment and influences the survival of animals downstream. The Dongting Lake is the first large lake that connects Yangtze River after it flows out of TGD, meanwhile, it accounts for 48% of the total snail habitation in China. Hydrological data from 12 monitoring sites, combined with data on snail distribution and human schistosomiasis infection, were used to assess the impact of TGD on ecological environment changes, snail distribution and schistosomiasis transmission in Dongting Lake area. Based on our analyses, following the establishment of TGD until 2015, the mean density of living snails in Dongting Lake area was under 5 snails/frame, and human infection rate of schistosomiasis declined to below 0.5%. As the impact of TGD on snail distribution and schistosomiasis prevalence in Dongting Lake area is much more complex in the real world, long-term monitoring and in-depth studies are still required.

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          Most cited references30

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          Schistosomiasis and water resources development: systematic review, meta-analysis, and estimates of people at risk.

          An estimated 779 million people are at risk of schistosomiasis, of whom 106 million (13.6%) live in irrigation schemes or in close proximity to large dam reservoirs. We identified 58 studies that examined the relation between water resources development projects and schistosomiasis, primarily in African settings. We present a systematic literature review and meta-analysis with the following objectives: (1) to update at-risk populations of schistosomiasis and number of people infected in endemic countries, and (2) to quantify the risk of water resources development and management on schistosomiasis. Using 35 datasets from 24 African studies, our meta-analysis showed pooled random risk ratios of 2.4 and 2.6 for urinary and intestinal schistosomiasis, respectively, among people living adjacent to dam reservoirs. The risk ratio estimate for studies evaluating the effect of irrigation on urinary schistosomiasis was in the range 0.02-7.3 (summary estimate 1.1) and that on intestinal schistosomiasis in the range 0.49-23.0 (summary estimate 4.7). Geographic stratification showed important spatial differences, idiosyncratic to the type of water resources development. We conclude that the development and management of water resources is an important risk factor for schistosomiasis, and hence strategies to mitigate negative effects should become integral parts in the planning, implementation, and operation of future water projects.
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            The public health significance and control of schistosomiasis in China--then and now.

            The description of schistosomiasis in China dates back more than two millennia. The disease caused social and economic hardship, and the rates of morbidity and mortality were high. In the mid 1950s, when China's population was approximately 600 million, an estimated 11.6 million people were infected with Schistosoma japonicum. Hence, a national control programme was launched, with an emphasis on intermediate host snail control by means of environmental management. Over the past 50 years, the national control programme has made great progress and praziquantel-based morbidity control became the mainstay of control. In 2000, the number of infected people had been reduced to an estimated 694,788, the snail-infested area has been abridged by over 75%, and the disease had been eliminated in five of the 12 previously endemic provinces. Between the mid 1980s and 2003, the criteria of transmission interruption have been reached in 260 counties (60.0%), transmission control has been achieved in 63 counties (14.5%), but the disease was still endemic in the remaining 110 counties (25.4%). Comparison between the number of cases in 2000 and 2003 suggests that schistosomiasis has re-emerged; an estimated 843,011 people were infected with S. japonicum in 2003. Here, we provide a short historical account of the pubic health significance of schistosomiasis in China, highlight the progress made to date with the national control programme, and place particular emphasis on the most recent trends. Finally, we discuss remaining challenges for schistosomiasis control with the ultimate goal of disease elimination.
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              A strategy to control transmission of Schistosoma japonicum in China.

              Schistosoma japonicum causes an infection involving humans, livestock, and snails and is a significant cause of morbidity in China. We evaluated a comprehensive control strategy in two intervention villages and two control villages along Poyang Lake in the southeastern province of Jiangxi, where annual synchronous chemotherapy is routinely used. New interventions, implemented from 2005 through 2007, included removing cattle from snail-infested grasslands, providing farmers with mechanized farm equipment, improving sanitation by supplying tap water and building lavatories and latrines, providing boats with fecal-matter containers, and implementing an intensive health-education program. During the intervention period, we observed changes in S. japonicum infection in humans, measured the rate of infection in snails, and tested the infectivity of lake water in mice. After three transmission seasons, the rate of infection in humans decreased to less than 1.0% in the intervention villages, from 11.3% to 0.7% in one village and from 4.0% to 0.9% in the other (P<0.001 for both comparisons). The rate of infection in humans in control villages fluctuated but remained at baseline levels. In intervention villages, the percentage of sampling sites with infected snails decreased from 2.2% to 0.1% in one grassland area and from 0.3% to no infection in the other (P<0.001 for both comparisons). The rate of infection in mice after exposure to lake water decreased from 79% to no infection (P<0.001). A comprehensive control strategy based on interventions to reduce the rate of transmission of S. japonicum infection from cattle and humans to snails was highly effective. These interventions have been adopted as the national strategy to control schistosomiasis in China. 2009 Massachusetts Medical Society
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Negl Trop Dis
                PLoS Negl Trop Dis
                plos
                plosntds
                PLoS Neglected Tropical Diseases
                Public Library of Science (San Francisco, CA USA )
                1935-2727
                1935-2735
                6 July 2017
                July 2017
                : 11
                : 7
                : e0005661
                Affiliations
                [1 ]Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
                [2 ]Department of Prevention and Control, Hunan Institute of Schistosomiasis Control, Yueyang, China
                [3 ]Department of Science and Education, Hunan Institute of Schistosomiasis Control, Yueyang, China
                Federal University of Agriculture, NIGERIA
                Author notes

                The authors have declared that no competing interests exist.

                • Conceptualization: FL HT.

                • Data curation: KC.

                • Formal analysis: SM GR KC.

                • Funding acquisition: FL.

                • Investigation: YL GR KC.

                • Methodology: SM HT.

                • Project administration: FL.

                • Resources: YL XH.

                • Supervision: HT.

                • Writing – original draft: FL SM.

                • Writing – review & editing: SM HT XH.

                ‡ These authors share first authorship on this work.

                Author information
                http://orcid.org/0000-0002-4292-5947
                Article
                PNTD-D-16-01842
                10.1371/journal.pntd.0005661
                5500280
                28683113
                3f909bfa-8dd7-4b9c-ad36-c8a09e9b51fc
                © 2017 Li et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 12 October 2016
                : 24 May 2017
                Page count
                Figures: 4, Tables: 4, Pages: 14
                Funding
                Funded by: Governmental public industry special funds for projects
                Award ID: 1261120265002
                Award Recipient :
                Funded by: The National Important Project on Science and Technology
                Award ID: 2012ZX10004909
                Award Recipient :
                This work is supported by Governmental public industry special funds for projects (1261120265002, http://www.mwr.gov.cn/, FL) and The National Important Project on Science and Technology (2012ZX10004-909, http://www.nmp.gov.cn/, FL). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Earth Sciences
                Marine and Aquatic Sciences
                Bodies of Water
                Lakes
                Ecology and Environmental Sciences
                Aquatic Environments
                Freshwater Environments
                Lakes
                Earth Sciences
                Marine and Aquatic Sciences
                Aquatic Environments
                Freshwater Environments
                Lakes
                Biology and Life Sciences
                Organisms
                Animals
                Invertebrates
                Molluscs
                Gastropods
                Snails
                Medicine and Health Sciences
                Parasitic Diseases
                Helminth Infections
                Schistosomiasis
                Medicine and Health Sciences
                Tropical Diseases
                Neglected Tropical Diseases
                Schistosomiasis
                Earth Sciences
                Hydrology
                Surface Water
                Biology and Life Sciences
                Zoology
                Malacology
                Biology and Life Sciences
                Ecology
                Freshwater Ecology
                Ecology and Environmental Sciences
                Ecology
                Freshwater Ecology
                Ecology and Environmental Sciences
                Limnology
                Freshwater Ecology
                Earth Sciences
                Marine and Aquatic Sciences
                Limnology
                Freshwater Ecology
                Biology and Life Sciences
                Ecology
                Disease Ecology
                Ecology and Environmental Sciences
                Ecology
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                Medicine and Health Sciences
                Epidemiology
                Disease Ecology
                Earth Sciences
                Geology
                Petrology
                Sediment
                Earth Sciences
                Geology
                Sedimentary Geology
                Sediment
                Custom metadata
                All relevant data are within the paper and its Supporting Information files.

                Infectious disease & Microbiology
                Infectious disease & Microbiology

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