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The newspaper of The Johns Hopkins University January 23, 2006 | Vol. 35 No. 18
Affordable Way Found to Fight Parasitic Worms Affecting Millions

By Kenna Lowe
Bloomberg School of Public Health

Researchers from the Johns Hopkins Bloomberg School of Public Health have developed an environmentally friendly and potentially affordable way to fight schistosomiasis, a disease caused by parasitic worms in water.

The scientists found that spraying parasite-infested water surfaces with a combination of a red cedarwood oil distillate (from Juniperus virginiana trees) and the food additive Tween 80 rapidly inactivates and kills infective Schistosoma mansoni larvae. Previous research had shown that frequent application of topical creams was one way to control exposure to the parasite, which causes schistosome disease, but the procedure was difficult to sustain.

Although not found in the United States, schistosomiasis impacts 200 million people worldwide. It is the No. 1 cause of bladder cancer in the developing world and a leading worldwide cause of liver failure due to cirrhosis (scarring of the liver). The authors' findings are published in the November issue of the American Journal of Tropical Medicine and Hygiene.

The study, which was authored by Jean Marie Naples and Clive J. Shiff, of the Department of Molecular Microbiology and Immunology, and Rolf U. Halden, of the Department of Environmental Health Sciences and Center for Water and Health, is a new approach to decreasing the spread of schistosomiasis and may help in the control of this insidious parasitic disease. Besides red cedarwood, there are many similar natural oils that can be extracted from Juniperus trees in all parts of the world that may also be effective, according to the Hopkins researchers.

It has been shown that bird schistosome parasites were responsible for recent outbreaks of swimmer's itch at beaches in Canada and the United States. Bird schistosome parasites are in the same family as human schistosome parasites. The red cedarwood oil distillate created by the Hopkins scientists may also protect against swimmer's itch.

Cercariae, the infective larvae form of the parasite, gather at or near the surface of water in order to improve their chances of finding a vertebrate host. In their research, the Hopkins scientists combined one part cedar oil distillate with five parts of Tween 80, which is an agent that reduces the surface tension of water; the combination resulted in a surface-active formulation that will economically treat large bodies of water, regardless of depth and volume.

The researchers found that applying the mixture to the water's surface blocked the ability of cercariae to penetrate skin. When mice were exposed to schistosome-infested water treated with the formulation, there was a 99.2 percent reduction in worm burden in these mice, as compared to mice exposed to untreated parasite-infested water.

Cedarwood oil is approved as a flavor additive for food and liquids and as a fragrance agent by the Food and Drug Administration, and by the Environmental Protection Agency in soaps, detergents and cosmetics. Tween 80, a food additive, is biodegradable. The cedar oil distillate also stands up well to harsh environmental conditions. Samples exposed in Ghana to direct heat and sunlight for six weeks remained effective for inactivation of Schistosoma mansoni larva.

The researchers have planned additional field trials in still and moving bodies of water to study effects on human and bird schistosome cercariae.

The School of Public Health is seeking a patent for the surface-active formulation, which has potential commercial applications in the United States and other developed countries for the prevention of swimmer's itch. Inquiries may be directed to Deborah Alper at, or 443-287-0402.

The study was supported by a technology transfer grant from the Johns Hopkins Bloomberg School of Public Health and a National Institutes of Health training grant.


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