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In Africa, many kids get sick from tiny worms called Schistosoma. These worms can slow children’s growth and development; damage the liver, intestines, and bladder; and sometimes lead to cancer or even death. Schistosoma can keep communities poor by reducing people’s ability to work. Over 800 million people are at risk of infection. People get infected when they play or wash in water filled with certain plants and snails. These plants grow fast because fertilizer from farmers’ fields washes into the water when it rains. We found that removing these plants can reduce Schistosoma. Plants that are removed can be turned into food for animals, compost for farms, or gas for cooking and electricity. This solution helps protect kids from getting sick and can even help to slow climate change. By working together, communities can clean their waterbodies and create a healthier, happier future, which is a win-win for people and nature. 

Schistosomiasis is a devastating parasitic disease in which the infectious stage to humans is released by intermediate host snails. The Senegal River Basin (SRB) is a high-risk area for both urogenital and fecal human schistosomiasis and has extensive rice cultivation. However, occupational risk of schistosomiasis to people working in irrigated rice fields is not well established. We performed intermediate host snail surveys from 2022-2023 in rice fields and irrigation canals throughout the SRB. We discovered human schistosome-shedding snails in rice fields and adjacent irrigation canals during the rice growing and non-growing seasons, establishing a clear occupational exposure risk to rice farmers. Relative to the non-growing season, this risk was higher in the rice growing and harvest season when more people are in the rice fields. Rice-fish co-culturing might reduce this occupational risk to rice farmers if local fish species consume enough snail intermediate hosts to reduceSchistosomatransmission. Our predation trials revealed that localHeterotis niloticusandHemichromisspp. fish consumed significant numbers ofBiomphalaria pfeifferiandBulinusspp. snails, and separate trials revealed that these same snail species exhibited only moderate avoidance and refuge use responses to fish chemical cues. These results indicate that there is exposure toSchistosomaparasites in rice fields in the SRB and introducing local fish to rice fields has promise for reducing this exposure as well as providing a protein source to rice farming families. We encourage future studies to more fully explore the benefits of rice-fish co-culturing in the West Africa.