Sulfadoxine-pyrimethamine (SP) is the standard of care for Plasmodium falciparum malaria chemoprevention among pregnant women, infants and children. Developing alternative chemoprevention products and other prevention products, such as vaccines and monoclonal antibodies, requires significant investment. However, knowledge gaps surrounding the activity of SP and resistance put these investments at risk. Therefore, we reviewed SP’s combined antimalarial action, including the individual antiplasmodial components, other antimicrobial effects, impact on malaria immunity development and continued effectiveness in settings with high SP resistance. We created a roadmap of non-clinical and clinical evidence to better understand the effectiveness of SP for chemoprevention and inform the development of new prevention tools.

Different agencies have emphasized the need to evaluate current serological methods for screening patients with suspected urogenital schistosomiasis. However, there is still a lack of evidence regarding the most appropriate methods for this purpose. Here we assessed the diagnostic efficacy of a newly developed serological technique that utilizes the recombinant protein Sh-TSP-2, applied to the urine and serum of migrants suspected of having urogenital schistosomiasis. The sensitivity, specificity, positive and negative predictive values of an in-house enzyme-linked immunosorbent assay (ELISA) using the recombinant protein Sh-TSP-2 were analysed and compared with other commercial serological methods. Due to the limitations of microscopy as a perfect reference method, a latent class analysis (LCA) and composite reference standard (CRS) approach was used to determine the sensitivity and specificity of each test. According to the LCA model, the commercial tests NovaLisa® and immunochromatography test (ICT) immunoglobulin G–immunoglobulin M (IgG–IgM) presented the highest sensitivity (100%), whereas the Sh-TSP-2 serum ELISA test had 79.2%. The Sh-TSP-2 urine and serum ELISA tests had the highest specificities among the serological methods (87.5 and 75%, respectively). CRS modelling showed that the ICT IgG–IgM, NovaLisa® and Sh-TSP-2 serum tests led in sensitivity at 97.1, 88.6 and 71.4%, respectively, with all tests except that the ICT IgG–IgM test having a specificity >90%. Sh-TSP-2 has been validated as a screening tool for patients suspected of having urogenital schistosomiasis. Although commercial serological tests have shown higher sensitivities, Sh-TSP-2 could be valuable for confirming results from tests with lower specificity. Nevertheless, further studies with larger patient cohorts are necessary to fully verify its potential.

Generalist parasites experience selective pressures from the various host species they infect. However, it is unclear if parasite transmission among host species precludes the establishment of host-specific adaptations and population genetic structure. We assessed the population genetic structure of the vector-transmitted avian haemosporidian parasite Haemoproteus majoris (lineage WW2; n = 34 infections) in a single site in southern Sweden among 10 of its host species. The 2 best-sampled host genera were Phylloscopus (2 species, n = 15 infections) and Sylvia (4 species, n = 15). We designed a sequence capture protocol to isolate 1.13 Mbp (ca. 5%) of the parasite genome and identified 1399 variable sites among the sequenced infections. In a principal components analysis, infections of Phylloscopus and Sylvia species mostly separated along the first 2 principal components. Sites with the highest FST values between the genera were found in genes that have mostly not been implicated in infection pathways, but several sites code for amino acid changes. An analysis of molecular variance confirmed significant variation among host genera, but not among host species within genera. The distribution of Tajima’s D among sequenced loci was negatively skewed, plausibly reflecting a history of bottleneck followed by population expansion. Tajima’s D was lower in infections of Phylloscopus than Sylvia, plausibly because WW2 began infecting Phylloscopus hosts after it was already a parasite of Sylvia hosts. Our results provide evidence of vector-transmitted parasite population differentiation among host species in a single location. Future work should focus on identifying the mechanisms underlying this genetic population structure.

Members of Sinistroporomonorchis Wee, Cutmore, Pérez-del-Olmo & Cribb, 2020 represent a small group of trematodes belonging to the Monorchiidae Odhner, 1911 with 5 species described from mugilid hosts. Specimens consistent with the generic concept of Sinistroporomonorchis were obtained from Floridichthys polyommus (Cyprinodontidae); most of them were juveniles from 4 localities within the Yucatán Peninsula. After a detailed morphological examination including scanning electron microscopy images and a principal component analysis, the specimens collected represented a new species, Sinistroporomonorchis bolini n. sp. The new species can be differentiated by the presence of an overall large pharynx including the proportion of pharynx width to oral sucker width, a uterus arranged in 2 main lateral fields, and by presenting robust caeca. In addition, sequences of the 28S of large subunit of nuclear ribosomal RNA and cox1 of the mitochondrial DNA were obtained. Phylogenetic trees inferred from each dataset, placed all the specimens in a monophyletic clade, confirming that the isolates belonged to the same species. The new species is the sixth described for the genus Sinistroporomonorchis, the fifth described from the Yucatán Peninsula and the first described from a non-mugilid host.

The aim was to assess the efficacy of ivermectin vs moxidectin for treating Strongyloides stercoralis infection. Ovid MEDLINE, Embase and Web of Science databases were searched for studies comparing ivermectin and moxidectin from inception to February 2024. The outcomes: elimination of infection or parasitological cure, mortality and serious adverse events. We calculated odds ratios (ORs) with 95% confidence intervals (CIs) for dichotomous data. Heterogeneity was assessed using Chi2 test for statistical heterogeneity and results of the I2 statistic. Two trials met the inclusion criteria that included 821 adult participants. Both studies were conducted in southeast Asia (Cambodia and Laos). Neither trial included immunocompromised patients. The mean age of the participants ranged from 40 to 45 years old, with a similar distribution of males and females. For all participants, S. stercoralis infection was confirmed by Baermann method. The evidence was moderate for parasitological cure rate. Certainty was downgraded by 1 level because of imprecision. Moxidectin was not inferior to ivermectin: OR 0.67, 95% CI 0.36–1.25 (P = 0.21), I2 = 0%, 821 participants. No deaths were reported in either trial. One trial reported mild adverse events. In total, 153/726 (21%) participants had an adverse event. The most reported symptoms were abdominal pain and headache. There is evidence for moderate quality that moxidectin is non-inferior to, and as safe as ivermectin; however, more high-quality and well-designed trials are needed. For patients with some underlying immunosuppressive disorder, or in patients who are very young or very old, current data are insufficient to be recommended.

The nutria was introduced to Europe from South America and kept for the fur industry. This semiaquatic rodent became a well-established species in the Czech Republic; however, it still poses a significant threat to the native fauna, not only as a natural competitor but also as a vector of non-indigenous parasites. Our research aimed to investigate the diversity of endoparasitic helminths in nutria, with a particular focus on assessing the risk posed by helminth species with zoonotic potential. A total of 46 nutria cadavers were collected at 8 locations in the Morava River basin and examined using standard parasitological post-mortem procedures. Additionally, coprological and molecular methods were used to identify the parasites. The presence of 6 helminth species was revealed. The highest prevalence was observed for Strongyloides myopotami (78.3%) and Trichuris myocastoris (37.0%), both of which are host-specific nematodes of nutria. Only 2 trematode taxa were recorded (Echinostoma sp. and a representative of the family Psilostomidae). The presence of alveolar hydatid cysts of Echinococcus multilocularis in the livers of 5 nutria specimens was also recorded. Herein, we provide novel molecular data for each parasite species collected, which is valuable for future phylogenetic analyses. Our findings also demonstrate that nutria in the Czech Republic serve as a carrier of helminths with zoonotic potential, particularly E. multilocularis and S. myopotami. Although the nutria is a relatively new species in local fauna, its synanthropic behaviour raises concerns about potential threats to human health, underscoring the importance of exercising caution when handling these animals.

Gastrointestinal infections constitute a significant global health concern, particularly in tropical and subtropical regions, caused by various pathogens. Among these, Cryptosporidium spp. and Giardia duodenalis are noteworthy due to their zoonotic potential. In Algeria, molecular epidemiological data on cryptosporidiosis and giardiasis are limited. To fill this gap, the present study aimed to examine the transmission dynamics of Cryptosporidium spp., and Giardia duodenalis in various households. A total of 216 samples were collected from the rural Guelma and Souk Ahras provinces, located in the eastern part of Algeria. These included human and animal faeces, as well as water and soil samples. DNA was extracted, followed by nested PCR targeting the SSU rRNA gene to detect Cryptosporidium spp., while the gp60 gene was amplified for subtyping. Detection of G. duodenalis was performed by qPCR targeting the SSU rRNA gene, followed by amplification of tpi, bg and gdh genes for genotyping and subtyping. Several Cryptosporidium species, including C. bovis, C. ryanae, C. andersoni and C. parvum, were identified in human, animal and environmental samples. The zoonotic C. parvum subtype IIaA17G2R1 was detected in human, animal and soil samples. Giardia duodenalis assemblage B was detected in a human sample, while assemblage E was found in cattle and sheep. The current investigation underscores the importance of the One Health approach in addressing issues related to intestinal parasites, highlighting the need for improved surveillance and control measures in rural settings.

Elevated levels of IL-6 in plasma are associated with the severity of visceral leishmaniasis (VL). The clinical manifestations of VL vary among patients, influenced by host factors and the virulence of the Leishmania infantum parasite. Considering that severe VL may result from an exaggerated inflammatory response, this study investigated whether IL-6 could serve as a biomarker to identify pro-inflammatory virulence factors. We conducted a genome-wide association study (GWAS) analysis on L. infantum isolates from patients with VL, whose IL-6 concentrations were measured. The analysis revealed that the relationship between IL-6 levels and clinical outcomes (survival vs mortality) had an area under the curve (AUC) of 0.67 (95% CI 0.52–0.81). A cut-off of 391.7 pg mL−1 for IL-6 was established to conduct a logistic regression analysis. We identified 10 029 single nucleotide variants (SNVs) across 62 genomes, resulting in 6,948 SNVs after filtering, of which 6,341 are located in protein-coding regions. The association analysis with PLINK identified 722 variants, of which 35 showed significant associations, with odds ratios ≥3.3, primarily in coding regions. These findings demonstrate that IL-6 levels tended to be associated with the fatal outcome of VL and highlight 35 novel genetic variants that could serve as potential biomarkers for prognosis. Further research into the biological role of these variants may lead to new therapeutic targets and improve the clinical management of VL, especially in identifying high-risk patients.

The functional diversity structure of a community can be represented as a combination of three additive components (species dominance D, functional redundancy R, and functional diversity Q) (DRQ approach in which different facets of functional differences between species are considered simultaneously). We applied this concept to assemblages of fleas and gamasid mites parasitic on small mammals at continental (across regions of the Palearctic) and regional (across sampling sites in Slovakia) scales and asked: What are the relative effects of host species, biome/habitat type, and geographic locality on the DRQ composition of a parasite assemblage? At the continental scale, regions were partitioned according to predominant biome or geographic position in a continental section. At the regional scale, sampling sites were partitioned according to habitat type or geographic locality. We tested for differences in the functional diversity structure (measured as the DRQ composition) of an ectoparasite assemblage (a) within a host species between biomes/habitat types or continental sections/localities and (b) between host species within a biome/habitat type or a continental section/locality. At both scales, the functional diversity structure of both flea and mite assemblages differed mainly between host species within a biome/habitat or geographic regions/locations, whereas differences in the DRQ composition between biomes/habitats or geographic regions/locations were only detected in a few host species. We compare our results with the results of earlier studies and conclude that the DRQ approach has an advantage over a single diversity metric and allows a better understanding of spatial variation in different facets of ectoparasite diversity.

Echinococcosis lacks sensitive serological diagnostic tools. The echinococcosis-specific antigens Eg95, AgB8/1 and the Em18 gene sequences were fused and expressed as the novel recombinant antigens rAgB8/1-Em18-Eg95 (T3) and rEm18-Eg95 (T2), used for the diagnosis of hydatid disease, prepared into an enzyme-linked immunosorbent reaction (ELISA) kit, and evaluated for their serological diagnostic value. The relative molecular weight of the T3 protein was 88.1 kDa, the purified concentration was 1.5 mg mL−1, and the purity was 80%. The relative molecular weight of T2 protein was 79.9 kDa, the total protein concentration was 0.5 mg mL−1, and the purity was less than 50%. The overall coincidence rate of T2 protein was low, and it was impossible to distinguish between negative and positive sera. The T3 antigen was coated at 1.0 μg mL−1, the cutoff value was 0.5271, and the serum dilution ratio was 1:400. A T3 ELISA kits (96 tests) was constructed to detect the serum of 272 clinically and pathologically confirmed cases. The sensitivity of T3 was 93.8%, and the specificity was 83.3%. The parasite cross-reaction was 30%. Satisfactorily, the Pearson correlation coefficient between the T3 OD value and lesion diameter was 0.707, showing a strong correlation. T3 exhibits better antigenicity than T2, and the prepared T3 ELISA diagnostic kits reached the laboratory diagnostic level of a commercial kits. T3 can distinguish human cystic echinococcosis (CE) and alveolar echinococcosis (AE) more significantly and predict the diameter of lesions according to the OD value, which provides practical value for drug or surgical efficacy.

Visceral leishmaniasis (VL) is a tropical disease that can be fatal if acute and untreated. Diagnosis is difficult, the treatment is toxic and prophylactic vaccines do not exist. Leishmania parasites express hundreds of proteins and several of them are relevant for the host's immune system. In this context, in the present study, 10 specific T-cell epitopes from 5 parasite proteins, which were identified by antibodies in VL patients’ sera, were selected and used to construct a gene codifying the new chimeric protein called rCHI. The rCHI vaccine was developed and thoroughly evaluated for its potential effectiveness against Leishmania infantum infection. We used monophosphoryl lipid A (MPLA) and polymeric micelles (Mic) as adjuvant and/or delivery system. The results demonstrated that both rCHI/MPLA and rCHI/Mic significantly stimulate an antileishmanial Th1-type cellular response, with higher production of IFN-γ, TNF-α, IL-12 and nitrite in vaccinated animals, and this response was sustained after challenge. In addition, these mice significantly reduced the parasitism in internal organs and increased the production of IgG2a isotype antibodies. In vivo and in vitro toxicity showed that rCHI is safe for the mammalians, and the recombinant protein also induced in vitro lymphoproliferative response and production of Th1-type cytokines by human cells, which were collected from healthy subjects and treated VL patients. These data suggest rCHI plus MPLA or micelles could be considered as a vaccine candidate against VL.

Brazil has the richest biodiversity of Ergasilidae on Earth, with 76 species in 19 genera. However, several authors suggested that there is still great potential for discoveries, especially regarding genetic data that are still scarce for ergasilids from this region. To expand our knowledge of this taxon, we conducted an integrative study involving morphological (light and scanning electron microscopy) and molecular analyses of ergasilids from fishes sampled in the Pardo River, São Paulo State, Brazil. Two ergasilid species were found, Gamispatulus schizodontis and Rhinergasilus piranhus parasitizing the nostrils of 5 fish species (native and exotic): (i) R. piranhus from Astyanax lacustris; Cyphocharax modestus; Coptodon rendalli; Psalidodon bockmanni; and (ii) G. schizodontis from Serrasalmus maculatus. Additionally, we redescribed R. piranhus herein based on novelties and discrepancies found in the antennules, antennae, body segments and ornamentation of the swimming legs. Novel molecular data of ribosomal (18S and 28S rDNA) and/or mitochondrial (cox 1) genes were provided for both species and the phylogenetic relationships among the ergasilids were tested. Relationships between species/genera are still uncertain in Ergasilidae, but it was possible to verify the formation of 5 well-supported terminal clades – i.e. including a clade formed only by Neotropical species. More molecular data are needed to test this hypothesis, but the clades observed here represent good targets for future taxonomic revisions. The occurrence of R. piranhus specimens in the introduced fish, Co. rendalli can indicate (for the first time) host switching in this parasite species and spillback from native to introduced hosts.

Austropotamobius pallipes complex is an endangered freshwater crayfish species in Europe and the assessment of the health status of its wild populations is essential for conservation purposes. The two microsporidia Astathelohania contejeani and Nosema austropotamobii have been reported to cause in A. pallipes complex a chronic parasitic infection, known as ‘porcelain disease’, which reduces population fitness and leads the host to death. Due to the similar macroscopic signs produced, molecular biology analyses are required to unambiguously distinguish between these microsporidia. Focusing on A. pallipes complex populations located in Northern and Central Italy, the present study provides an evaluation of prevalence and distribution of A. contejeani and N. austropotamobii, and investigates the variables affecting the probability of detecting infected specimens during a survey (e.g. sex, crayfish density, longitude). Microsporidia were identified in 12 populations among the 42 monitored from 2011 to 2017, with an average prevalence of 3.12% for A. contejeani and 3.60% for N. austropotamobii, the latter being reported in a wider area than previously documented (from Lombardy to Liguria Regions). Notably, crayfish co-infected by both microsporidia were also detected in 4 populations. Moreover, it was observed that the probability of detecting a crayfish with a microsporidian infection significantly increased eastwards in the studied area, especially for N. austropotamobii. Our distribution map for microsporidiosis, combined with molecular screening, will be useful for planning breeding and translocation efforts for A. pallipes complex populations.

Marine parasites remain understudied in South Africa with little information available on their diversity and the effects these parasites may have on their hosts. This is especially true for parasitic copepods within the family Ergasilidae. Among the 4 genera known in Africa, Ergasilus Nordmann, 1832 is the most speciose with 19 reported species. However, this represents only 12% (19/163) of the global diversity. Furthermore, only 5 known African species are reported from marine environments, and only 1 is reported from the South African coastline. Given the rich biodiversity along this coastline, a high marine parasite diversity could be expected from these shores. As a case study, the Evileye blaasop, Amblyrhynchote honckenii (Bloch), a marine and brackish fish species, was screened for parasites along the South African coastline. This resulted in the discovery of 2 species of Ergasilus new to science (Ergasilus arenalbus n. sp. and Ergasilus chintensis n. sp.), which makes them the second and third ergasilid species reported for tetraodontid pufferfishes worldwide. Although genetically distinct, the 2 newly described species clustered in the same subclade within the Ergasilidae based on 18S rDNA, 28S rDNA and COI mtDNA phylogenies. The newly described species differ morphologically from each other, and their respective congeners based on the size and armature of the antenna; body segmentation; and general ornamentation throughout the entire body. The addition of these 2 new species from a single host species indicates that South Africa's marine fishes contain most probably a hidden parasitic copepod diversity that is worth exploring.

Parasite species interactions, host biology traits, and external environmental factors can drive co-occurrence patterns between parasite species. We investigated co-occurrence patterns between three ectoparasite species (mite (Neotrombicula harperi), and fleas (Orchopeas caedens and Ceratophyllus vison)) of North American red squirrels (Tamiasciurus hudsonicus). We evaluated (1) whether ectoparasites of red squirrels exhibit non-random co-occurrence patterns, and (2) the contribution of host and external environmental factors to parasite co-occurrence. Bayesian ordination and regression analysis (boral) revealed random associations between parasite species pairs when accounting for host and external environmental factors. However, the mite N. harperi exhibited a negative association with the flea O. caedens and positive association with the flea C. vison linked to temporal patterns of occurrence. Our data suggests that parasites of the investigated population of red squirrels tend to form associations based on temporal trends in infestation rather than species interactions. Further experimentation should investigate the role of additional factors on parasite co-occurrence patterns, such as temperature, precipitation, and humidity.

This study presents the first detection of Taenia omissa metacestodes in guanaco (Lama guanicoe) within the Chilean Patagonia, marking the southernmost record of natural infection in an intermediate host on the continent. Taenia omissa was found in the continental part of the Magallanes region where the top predators are pumas (Puma concolor). Conversely, all metacestodes found in guanacos collected from Tierra del Fuego Island, where no pumas exist, were identified solely as Echinococcus granulosus sensu stricto. Additionally, this research highlights a tissue preference of T. omissa for liver, contrasting with E. granulosus, which predominantly affects the lungs in guanacos. We also report the infection of T. pisiformis in 1 guanaco. Our findings emphasize the need for accurate identification of metacestodes during meat inspection in an area where T. omissa and E. granulosus overlap. This research also contributes to increase the knowledge of parasite–host dynamics in wildlife and underscores the importance of considering broader spectrum intermediate hosts in the epidemiology of parasitic infections.

Wood mice (Apodemus sylvaticus) and bank voles (Myodes glareolus) are often employed as natural study models in infectious disease ecology. Yet the identities of some elements of their parasite fauna have been subject to long-standing confusion. One instance of this relates to 2 nominal species of the capillariid nematode genus Aonchotheca: Aonchotheca annulosa (Dujardin, 1845) and A. murissylvatici (Diesing, 1851). Through literature review, analysis of recorded host- and site-specificity and tracing of taxonomic precedence, it is possible to confirm that A. annulosa is a valid species with a spicule c. 1000 microns long, a small intestinal site of infection and a wide host range centred in murine rodents (with A. sylvaticus the most common host). On the other hand, tracing the provenance of A. murissylavtici through to the works of the early naturalists reveals it is best assigned as a nomen nudum (lacking sufficient establishing description) or a junior synonym of A. annulosa and does not have precedence for the other Aonchotheca morphotype commonly found in Eurasian rodents. The first description consonant with this other morphotype, which has a short spicule (200–250 microns in length) and occurs primarily in the stomach of bank voles and other cricetids, was as Capillaria halli by Kalantarian in 1924. We thus recommend the suppression of A. murissyvatici in favour of Aonchotheca halli (Kalantarian, 1924) for this gastric-specialist short-spicule morphotype, particularly as the use of the A. murissylvatici name and its variants has previously been associated with substantial inconsistency and misidentification with A. annulosa.

Specimens of Cloacina artemis, C. expansa, C. hera, C. hermes, C. hestia, C. magnipapillata, C. obtusa and C. selene, which occur in both of the closely related species of grey kangaroos, Macropus fuliginosus and M. giganteus, were found to differ genetically based on sequence data derived from the internal transcribed spacers (ITS-1, ITS-2) of ribosomal DNA. The extent of differences varied from a single base pair in C. expansa, to 32 in C. hestia. In the case of C. hera, C. hestia and C. magnipapillata, separate genotypes were found in M. fuliginosus and M. giganteus. With C. artemis, C. expansa, C. obtusa and C. selene, nematode genotypes did not correspond with host distributions. In C. hermes, two genotypes were detected but they were not related phylogenetically. The data provide evidence suggestive of genetic differentiation in most of the nematode species potentially associated with host speciation, but with differing degrees of genetic differentiation and different associations with the two host species possibly related to changes in the geographical distribution of the hosts over time.

Nosemosis, caused by microsporidian parasites of the genus Nosema, is considered a significant health concern for insect pollinators, including the economically important honeybee (Apis mellifera). Despite its acknowledged importance, the impact of this disease on honeybee survivorship remains unclear. Here, a standard laboratory cage trial was used to compare mortality rates between healthy and Nosema-infected honeybees. Additionally, a systematic review and meta-analysis of existing literature were conducted to explore how nosemosis contributes to increased mortality in honeybees tested under standard conditions. The review and meta-analysis included 50 studies that reported relevant experiments involving healthy and Nosema-infected individuals. Studies lacking survivorship curves or information on potential moderators, such as spore inoculation dose, age of inoculated bees, or factors that may impact energy expenditure, were excluded. Both the experimental results and meta-analysis revealed a consistent, robust effect of infection, indicating a threefold increase in mortality among the infected group of honeybee workers (hazard ratio for infected individuals = 3.16 [1.97–5.07] and 2.99 [2.36–3.79] in the experiment and meta-analysis, respectively). However, the meta-analysis also indicated high heterogeneity in the effect magnitude, which was not explained by our moderators. Furthermore, there was a serious risk of bias within studies and potential publication bias across studies. The findings underscore knowledge gaps in the literature. It is stressed that laboratory cage trials should be viewed as an initial step in evaluating the impact of Nosema on mortality and that complementary field and apiary studies are essential for identifying effective treatments to preserve honeybee populations.

Soil-transmitted helminth (STH) infections afflict people worldwide, especially in tropical and subtropical regions. Strongyloides stercoralis is distinctive from other STH nematodes by its complex life cycle features of autoinfection, parthenogenesis, and environmental reproduction. This scoping review aims to identify the structures, features, and techniques employed in existing STH models, emphasizing their potential application in describing S. stercoralis infection dynamics. A comprehensive search was conducted in the Medline, Embase, and Scopus databases for studies published until 14 June 2024. A total of 47 studies presenting a new model or novel adaptation of an existing model to human STH infection transmission were identified: only one described S. stercoralis transmission in humans. The identified models were predominantly deterministic and focused on the dynamics of mean worm load within hosts and the infectiousness of the environmental reservoir. One model addressed transmission in multi-host scenarios, as not all STH transmission cycles involve multiple hosts. Models were frequently used to simulate the effectiveness of mass drug administration, including drug efficacy and treatment coverage, while water, sanitation, and hygiene (WASH), health education, and vaccination were less explored. Given the limitation of individual-level data, compartmental models may be a reasonable starting point for S. stercoralis transmission. For a comprehensive understanding, incorporating parasite life cycle features into the model, exploring multi-host dynamics, including a diverse range of host heterogeneities, and assessing the impact of climatic factors like rainfall and land surface temperature on parasite survival in the environment may be beneficial, especially in settings where their importance is notable.