In sub-Saharan Africa’s endemic areas for urogenital schistosomiasis, male genital schistosomiasis (MGS) can cause significant morbidity. As part of the Hybridization in UroGenital Schistosomiasis investigation, an MGS sub-study examined a cohort of adult men over a calendar year to better ascertain general infection dynamics and putative zoonotic schistosome transmission. During follow-up, demographic, health and socio-economic data were collected through individual questionnaire interviews. Collected urine and semen were analysed using urine filtration, urine and semen microscopy and molecular DNA analyses of semen. Ten participants with reported MGS-associated symptoms had Schistosoma eggs in their urine and semen at 6-month follow-up, with seven at 12 months. Ten out of 11 participants with Schistosoma haematobium eggs on semen microscopy at baseline had persistent infection at 6-month follow-up, together with 6 new participants, giving an MGS prevalence of 84·2% (n = 19). Two also had Schistosoma mattheei eggs co-infection. Four of the 13 participants at 12-month follow-up had S. haematobium eggs in their semen which were persistent at all the time points. Using semen PCR, 14 participants (73·7%) had Schistosoma infection at 6 months, with only 2 participants being infected for first time. Upon DNA analysis, three participants also had hybrid co-infection at this time point. At 12 months, only 6 participants had Schistosoma infection with no hybrids detected. In summary, like S. haematobium and despite praziquantel treatment, both zoonotic and hybrid schistosomes can continue to cause MGS, which pose a further tangible challenge in future management and control measures.

This article investigates medieval medical texts to discover what they have to say about parasites. The principal focus is on intestinal worms found in practica texts written from the 11th to the 15th centuries in Latin in Western Europe. Practica texts deal with illnesses of the human body from head to heel. The chapters on worms occur in discussion of illnesses of the intestines. These practica texts were used in medical education in universities as well as guiding medical practice. Islamicate writings translated from Arabic into Latin influenced western ideas about intestinal worms. Practica texts identify 3 or 4 kinds of intestinal worm depending on size and shape. They are thought to be generated in different parts of the intestine and rectum. Worms are made from matter associated with the humour phlegm which is cold and wet and putrefaction within the body gives life to them. Other parasites of the human body are found close to the skin surface but resemble intestinal worms in the ways they are generated. Areas of argument and dispute arose in learned medical literature. These arguments did not introduce new concepts or research findings but built on analysis of the doctrines of ancient and Islamicate writers. While humoral imbalance is understood to cause worms, recipes from the treatment section usually emphasize the aim of killing and expelling the worms from the body using bitter ingredients like Absinthium (wormwood).

Urogenital schistosomiasis (UGS) caused by zoonotic or hybrid schistosome infection(s) is an emerging public health concern in Malawi, and we describe a 1-year clinical sub-study with 3 inspection time points for female genital schistosomiasis (FGS) upon selecting 86 women with proven UGS. This sub-study was set within a broader 2-year longitudinal ‘Hybridization in UroGenital Schistosomiasis (HUGS)’ investigation. A detailed cervicovaginal examination with a portable colposcope was conducted, examining cervicovaginal lavage (CVL), cervical swab, cervical biopsy and urine with traditional parasitological and molecular diagnostic methods. At baseline, overt FGS by colposcopy was 72.1%, 64.3% by CVL real-time PCR and 51.2% by both colposcopy and CVL-PCR, noting urine-microscopy could often be negative. Human papillomavirus was detected in 31.0% of the cervical swabs, with 8.3% women also FGS positive by colposcopy and real-time PCR. Over the year, FGS prevalence by colposcopy increased by 32.7% during the study to 84.6%, homogenous yellow and grainy sandy patches being very common in the youngest 18–25 age group, where 51.9% were positive. FGS appears widespread locally and we discuss difficulties in its detection without invasive sampling. In addition to the presence of S. haematobium, S. mattheei was noted alongside key concurrent sexually transmitted infections. From our findings, we point out that improved prevention and management of FGS is required, foremost, better availability and regular accessibility to praziquantel treatment is needed. Furthermore, targeted health education, raised community awareness and dovetailing synergistic public health activities within Sexual and Reproductive Health services and local HIV/AIDS programmes could develop an appropriate holistic health intervention package.

The Neptune Islands Group and Western Kangaroo Island Marine Parks were declared as part of South Australia’s representative system of Marine protected areas (MPAs) in 2009. Sanctuary zones, located within these MPAs, prohibited commercial fishing in the state’s Northern Zone Rock Lobster Fishery from 2014. In 2022, dedicated surveys were undertaken both inside and outside two of the sanctuary zones to estimate the relative abundance (catch per unit effort; CPUE) and size of southern rock lobster (Jasus edwardsii). Survey results were then compared to estimates of abundance obtained from long-term commercial fishery-dependent data within each area. The legal-size CPUE by weight of lobsters was 389% and 411% higher inside sanctuary zones of the Neptune Islands Group and Western Kangaroo Island, respectively, compared to outside, based on survey data. Survey catch rates inside the two sanctuary zones were also considerably higher than historical catch rates estimated from commercial fishing data. Lobsters inside both sanctuary zones were larger than those outside in terms of mean weight compared to historical estimates. However, surveys recorded similar mean size in lobsters both inside and outside the Neptune Islands Group sanctuary zone, indicating a possible spillover effect of MPA protection. The Northern Zone Rock Lobster Fishery is currently in a biomass rebuilding phase. The results highlight the productivity potential of temperate reef ecosystems within South Australia in terms of southern rock lobster abundances.

Recent changes to US research funding are having far-reaching consequences that imperil the integrity of science and the provision of care to vulnerable populations. Resisting these changes, the BJPsych Portfolio reaffirms its commitment to publishing mental science and advancing psychiatric knowledge that improves the mental health of one and all.