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Home > Diseases
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Schistosomiasis

Developing better treatments to eliminate a devastating water-borne disease

Home > Diseases
filarial icon

Schistosomiasis

Developing better treatments to eliminate a devastating water-borne disease

We are leveraging our partnerships and experience in drug discovery and development to identify and develop safe, effective, field-adapted treatments to end the suffering and help eliminate schistosomiasis as a public health problem.  

Also known as bilharzia or snail fever, schistosomiasis is a water-borne, parasitic disease caused by tiny blood-dwelling worms. People can become infected with schistosomiasis when they come into contact with contaminated water. For children, chronic infection can result in learning difficulties and stunted growth. For women and girls, female genital schistosomiasis (FGS) can be extremely painful and stigmatizing: often undiagnosed or misdiagnosed, it can cause prolonged suffering and long-term gynaecological and reproductive harm. 

Even when correctly diagnosed, FGS is very difficult to treat because the only current drug available – praziquantel – does not eliminate the parasite or alleviate painful symptoms. Used in mass drug administration campaigns to reduce transmission, praziquantel kills adult worms but is less effective against juvenile worms, and early signs of drug resistance are emerging. New treatments that can meet the challenge of resistance and kill both adult and juvenile worms are needed to achieve elimination of the disease – and these treatments need to be affordable, accessible, and safe for all people who need them.   

Icon people in front of globe
people are at risk of schistosomiasis
> million
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people infected
> 0 million
Icon-woman-parasitic-worms-8f189c
women and girls are living with female genital schistosomiasis
0 million
SEE DISEASE FACTS

What we are doing for people with schistosomiasis

We aim to identify a combination treatment of existing drugs to better treat the painful symptoms of female genital schistosomiasis. We are also working to develop and register at least one new safe, affordable, and field-adapted drug that can kill both adult and juvenile worms in all affected people.

Read more in our Annual Report
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Drug discovery

Schistosomiasis Translation Platform to support identification of new treatments

We are working with partners to establish a schistosomiasis ‘compound box’ and to have these compounds evaluated through a range of screening assays worldwide. The objective is to contribute to the global schistosomiasis drug discovery efforts and facilitate a better understanding of how in vitro activity translates into in vivo efficacy and, ultimately, clinical relevance.

Clinical trials

Praziquantel/anti-inflammatory for female genital schistosomiasis

Together with our partners, we are investigating combination treatments (anti-inflammatory medications with standard anti-parasitic praziquantel) for the management of morbidity associated with female genital schistosomiasis (FGS). We are also working to increase awareness of FGS, evaluate the feasibility of a community-based diagnostic procedure, and assess barriers and facilitators for the integration of diagnosis and treatment into existing health services.

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Schistosomiasis news & resources

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2 Sep 2025

DNDi Brochure

Publications
15 Jul 2025

DNDi 2024 Annual Report

Scientific articles
25 Jun 2025

“Female Genital Schistosomiasis: Translational Challenges and Opportunities”: Outputs and actions from a consultative, collaborative and translational workshop

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Making medical history for neglected patients

We develop urgently needed treatments for neglected patients and ensure they’re affordable, available, and adapted to the communities who need them

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Causes heart and vital organ damage, after people are bitten by blood-sucking bugs

We delivered the first-ever treatment for children; now we’re searching for new drug candidates and working to boost access to care

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Without treatment, deadly for thousands of people with advanced HIV

We’re working to improve access to life-saving treatments and developing an easier-to-use formulation

Cutaneous leishmaniasis

Leaves disfiguring, life-long scars that lead to severe social stigma

We’re working to develop safer, shorter treatments for this disabling disease

Dengue

Rapidly spreading climate-sensitive disease with no specific treatment

We’re building a global partnership with dengue-endemic countries to develop a first treatment

Hepatitis C

Millions are left without treatment even though effective drugs exist

We’ve delivered a treatment as simple, safe, and effective as the best drugs available today – at a fraction of the cost 

Mycetoma

Often ends in amputation​, after people get infected from stepping on a thorn

We conducted the world’s first trial for an alternative to current treatments, which are toxic and difficult to administer

Paediatric HIV

Without treatment, half of children die before their second birthday

We’ve developed a strawberry-flavoured treatment to meet the needs of children long neglected by the global HIV response

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Pandemic Preparedness

The COVID-19 pandemic intensified global health inequalities

We’re bringing together partners and accelerating research to prepare for future viral pandemics in low-resource settings

Parasitic worms

Cause debilitating illness, social exclusion, and long-term disability

We’re working across multiple diseases to develop missing cures that can prevent lasting harm

Sleeping sickness

Transmitted by the bite of a tsetse fly and causes severe neurological disorders

We delivered a revolutionary new drug to replace toxic treatments, and have ongoing trials to eliminate this disease

Chagas disease

Cryptococcal meningitis

Cutaneous leishmaniasis

Dengue

Hepatitis C

Mycetoma

Paediatric HIV

Pandemic Preparedness

Parasitic worms

Sleeping sickness

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