Modifiable Factors Occupation Recreational Activities Environment

Non Modifiable Factor Season Age

Eggs of female cercariae are excreted in feces of infected person

Eggs hatch in fresh water penetrate fresh water snails Cercariae produced in snails escape into water

Transmitted through contact with water contaminated with Schistosoma larvae

Penetrate the skin or mucous membranes

Works their way to the livers venous portal circulation

Adults migrate to other parts of the body

Initial s/s Pruritus rash Fever Myalgia Cough

Later s/s Portal hypertension Ascitis Hepatomegaly Splenomegaly Lymphadenopathy Enlarged abdomen

After some years of suffering Weak Pale Muscle wasting Flaccid paralysis Seizures Convulsion