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the claim

Schistosomiasis infections are associated with water contact and open defecation.

the verdict
SUPPORTED
the evidence backs this
Recorded sources
10 sources for · 0 against

Counts group repeated records of the same source within each side. They do not measure evidence strength or source independence.

Is it true that schistosomiasis infections are associated with water contact and open defecation?

Yes. Multiple epidemiological studies and reviews confirm that schistosomiasis transmission is strongly driven by freshwater contact activities and inadequate sanitation practices such as open defecation.

Verdict: SUPPORTED · 10 sources for, 0 against · Last checked

The analysis

The retrieved literature extensively documents that schistosomiasis is a water-borne/water-based disease linked directly to freshwater contact (such as swimming, bathing, fishing, and domestic use) and poor sanitation/hygiene practices, including defecating or urinating in water bodies. All relevant papers support this established epidemiological consensus, and none refute it.

Evidence for · 10
1997
Identifies water-contact patterns such as bathing, fishing, and crossing streams as significant risk factors for Schistosoma mansoni infection.
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SILVA, A. A. M. d., CUTRIM, R. N. M., ALVES, M. T. S. S. d. B. e., COIMBRA, L. C., TONIAL, S. R., & BORGES, D. P. (1997). Water-contact patterns and risk factors for Schistosoma mansoni infection in a rural village of Northeast Brazil. doi.org. https://doi.org/10.1590/s0036-46651997000200005

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More for · 9
2018
Notes that human modification of landscapes and water resource management increase exposure and transmission of schistosomiasis.
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Jones, I., Lund, A., Riveau, G., Jouanard, N., Ndione, R. A., Sokolow, S. H., & Leo, G. A. D. (2018). Ecological control of schistosomiasis in Sub-Saharan Africa: restoration of predator-prey dynamics to reduce transmission. doi.org. https://doi.org/10.1093/oso/9780198789833.003.0015

2026
Identifies defecation and urination in water as the main risk factors for schistosomiasis transmission.
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LC, K., SL, O., CN, A., F, M., CNM, M., RK, I., JC, B., SS, O., DN, M., IND, N., AP, O., & JB, L. (2026). Community survey of the infection, intensity and risk factors associated with schistosomiasis and soil-transmitted helminthiasis in south-eastern Gabon.. doi.org. https://doi.org/10.1038/s41598-026-35064-w

2026
Highlights that schistosomiasis is a water-based disease transmitted through contact with freshwater and shaped by WASH practices.
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L, B., Y, V., A, S., & WE, S. (2026). Water, sanitation, and hygiene in schistosomiasis control: A scoping review of evidence gaps across transmission pathways.. doi.org. https://doi.org/10.1371/journal.pgph.0006916

2026
Finds that using river water for domestic purposes, bathing, and swimming are statistically significant predictors of S. mansoni infection.
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G, T., Z, M., M, A., & D, Y. (2026). Community-level prevalence and determinants of Schistosoma mansoni infection in river-crossing Kebeles of Mizan-Aman Town, Southwest Ethiopia, where mass drug administration targets only school-aged children.. doi.org. https://doi.org/10.1371/journal.pntd.0014506

2026
Shows that habitual travel to water bodies and the duration of water contact sustain schistosomiasis transmission.
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RM, L., M, A., SA, B., A, N., A, A., A, N., M, N., AB, P., JP, W., PHL, L., & J, C. (2026). Local habitual movement as a mechanism for Schistosoma mansoni transmission resurgence: a causal analysis of cross-sectional survey data.. doi.org. https://doi.org/10.1136/bmjph-2025-004500

2026
Reports that frequent contact with irrigation canals for swimming, bathing, and washing is significantly associated with urogenital schistosomiasis.
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HT, E. & BY, M. N. (2026). High prevalence of urogenital schistosomiasis among schoolchildren in an irrigated area in Gezira State, Sudan: a brief report.. doi.org. https://doi.org/10.1007/s00436-026-08689-z

2026
Evaluates environmental contamination and water-related risk factors contributing to endemic schistosomiasis in rural communities.
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RN, A., I, W., D, A., DK, A., RC, B., A, G., AA, A., AO, F., SF, G., & ET, D. (2026). Endemicity and environmental reservoirs of schistosomiasis and soil-transmitted helminth infections in Ghanaian rural communities.. doi.org. https://doi.org/10.1371/journal.pntd.0014701

2026
Demonstrates that activities involving freshwater sources, such as swimming and washing dishes in rivers, are closely linked to schistosomiasis infection.
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KL, K., H, N., O, N., J, M., O, F., O, K., RF, K. S., J, N., A, E., M, C., J, L., JPK, M., TF, M., & DM, N. (2026). High Schistosomiasis Prevalence in Urban and Rural Primary School Children from Kimpese Health District, Democratic Republic of the Congo. doi.org. https://doi.org/10.64898/2026.09.24.26363880

2026
Indicates that reliance on canal water and water-contact activities like swimming are strongly associated with high rates of urinary schistosomiasis.
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AA, T., ANM, G., & EA, A. (2026). Prevalence of Urinary Schistosomiasis among Internally Displaced School-Age Children in Sudan: The Impact of Water Sources and Water-Contact Activities amid Armed Conflict. doi.org. https://doi.org/10.21203/rs.3.rs-11039471/v1

What does the evidence say?

The retrieved literature extensively documents that schistosomiasis is a water-borne/water-based disease linked directly to freshwater contact (such as swimming, bathing, fishing, and domestic use) and poor sanitation/hygiene practices, including defecating or urinating in water bodies. All relevant papers support this established epidemiological consensus, and none refute it.

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