Bilharziasis survey in south-western Asia; covering Iraq, Israel, Jordan, Lebanon, Sa'udi Arabia, and Syria: 1950-51.

This paper describes a limited survey of bilharziasis and its vectors carried out during 1950 and 1951 in some countries of south-western Asia. Lack of time and of full facilities prevented the survey from being as comprehensive and systematic as would have been wished, but enough data were obtained to provide a general estimate of the situation.Information already available from the literature was supplemented by collecting unpublished records, questioning the inhabitants, examining random samples of stools and urine, and investigating rivers, wells, and springs. Bilharziasis haematobia is already heavily endemic in the irrigated areas of Iraq and is also present, in comparatively smaller foci, in northern Syria, Israel, and Sa'udi Arabia. In the opinion of the senior author (M. A. A.), the envisaged extension of irrigation is likely to create a serious health problem in Mesopotamia and to introduce the disease into the Jordan region unless the spread of the molluscan vector, Bulinus sp., is checked. Intensification of infection and further spread are possible in Israel and in the Syrian Jezire, while the remainder of Syria and Lebanon are not considered to be endangered. Bilharziasis mansoni is widespread in the fertile areas of Sa'udi Arabia and also occurs in one minor focus in Israel. The industrialization of Sa'udi Arabia which is planned to exploit its oil resources, with its inevitable concentration of population, equally presents a danger in the intensification of bilharziasis. It is considered that, unless prompt measures are undertaken to break the link between the agricultural and industrial expansion and the spread of the disease, the debilitation of large groups of the population and the economic loss which may well result over most of the inhabited parts of the area discussed will be significant.