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Common Name
Accepted / Rejected (Reason)
Scientific NameHost
Proposed Target (Parasite/Host)
Target Genome Sequenced?
SymptomsGeographyExpertsCurrent funding amountCurrent funding sources# of people infectedCurrent treatment / PreventionDALYSourcesNotes
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Chagas (American trypanosomiasis)AcceptedTrypanosoma cruziTriatomine insectsHostNofever, skin lesions, swelling of the eyelids, cardiac and digestive disorders; chronic chagas cardiomyopathy occurs in ~30 percent of those infectedPrimarily Central and South America, North AmericaBarbara BurleighData unavailableData unavailable6-7 million
Benznidazole, nifurtimoxm, only effective during acute phase, no effective treatment for chronic phase
22 millionCDC: http://www.cdc.gov/parasites/chagas/
WHO: http://www.who.int/mediacentre/factsheets/fs340/en/
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WhipwormAcceptedTrichuris trichiurahumanParasiteYesimpaired physical and cognitive development in childrensub-saharan Africa & southeast Asia, the AmericasRichard Grencis (University of Manchester)See Helminth data in funding tab
GHIT Fund: https://www.ghitfund.org/assets/attach/ghit_advancing_portfolio.pdf
Gates Foundation: http://www.gatesfoundation.org/How-We-Work/Quick-Links/Grants-Database#q/k=soil-transmitted
~700 millionalbendazole, mebendazole, effective within 1-3 days; iron supplements for anemiaWHO: http://www.who.int/mediacentre/factsheets/fs366/en/
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HookwormAcceptedNecator americanushumanParasiteYesanemia, protein deficiency, can retard growth and mental development in school childrensub-saharan Africa & southeast Asia, the AmericasDavid Diermert, GWU, Dr. Mitreva,WashU St Louis, Alex Loukas: Austrailian institute tropical medicineSee Helminth data in funding tab
GHIT Fund: https://www.ghitfund.org/assets/attach/ghit_advancing_portfolio.pdf
Gates Foundation: http://www.gatesfoundation.org/How-We-Work/Quick-Links/Grants-Database#q/k=soil-transmitted
6-700 millionalbendazole, mebendazole, effective within 1-3 daysCDC: http://www.cdc.gov/parasites/hookworm/
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Hookworm
Rejected -- majority of disease burden is N. americanus. A. duodenale genome not sequenced yet.
Ancylostoma duodenalehumanParasiteNoanemia, protein deficiency, can retard growth and mental development in school childrensub-saharan Africa & southeast AsiaSee Helminth data in funding tab
GHIT Fund: https://www.ghitfund.org/assets/attach/ghit_advancing_portfolio.pdf
Gates Foundation: http://www.gatesfoundation.org/How-We-Work/Quick-Links/Grants-Database#q/k=soil-transmitted
~35 millionalbendazole, mebendazole, effective within 1-3 daysWHO: http://www.who.int/mediacentre/factsheets/fs366/en/
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ThreadwormAcceptedStrongyloides stercoralishumanParasiteYesItchy anal region, insomnia, abdominal painGlobal occurrences, most common worm infection in the United StatesSee Helminth data in funding tab
GHIT Fund: https://www.ghitfund.org/assets/attach/ghit_advancing_portfolio.pdf
Gates Foundation: http://www.gatesfoundation.org/How-We-Work/Quick-Links/Grants-Database#q/k=soil-transmitted
one dose each of mebendazole, pyrantel pamoate, and albendazole taken two weeks apartCDC: http://www.cdc.gov/parasites/pinworm/index.html
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ChikungunyaAcceptedAlphavirus Chikungunya virusAedes aegypti and Aedes albopictusHostYesfever, joint pain, joint swelling, rash60+ countries in Asia, Africa, Europe and the AmericasData unavailableData unavailable1-2 millionNo antiviral treatment. Treatment is directed at symptom relief.-Varying figures, based on specific outbreak studies (NIH)CDC: http://www.cdc.gov/chikungunya/
WHO: http://www.who.int/mediacentre/factsheets/fs327/en/
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DengueAcceptedFlavivirus Dengue virusAedes aegyptiiHostYessevere, flu-like symptomstropical and subtropical climates worldwide, particularly Asia and South AmericaDr. Alan Rothman, University of Rhode Island - immunopathology of dengueData unavailableData unavailable400 millionno treatmentWHO: http://www.who.int/mediacentre/factsheets/fs117/en/
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ZikaAcceptedFlavivirus Zika virusAedes aegypti and Aedes albopictusHostYesfever, skin rashes, muscle and joint pain, conjunctivitisAfrica, Asia, and the Americas; most recent outbreaks have occurred in Brazil and French PolynesiaData unavailableData unavailable1-2 millionNo vaccine available. Treatment is directed at symptom relief. CDC: http://www.cdc.gov/zika/index.html
WHO: http://www.who.int/mediacentre/factsheets/zika/en/
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Malaria
Rejected - high level of funding already
Plasmodium falciparum, vivax, knowlesi, malariaeAnopheles mosquitoHostYesFever, death90% AfricaFlaminia Catteruccia; Austin Burthighhundreds of millionsArtimisininCDC: http://www.cdc.gov/malaria/
WHO: http://www.who.int/mediacentre/factsheets/fs094/en/
Gates foundation is planning a lot of funding for Malaria gene drives, not clear if there is a need for more funding
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Schistosomiasis
Rejected -funding already secured
SchistosomaBulinus SnailsParasiteYesrash, fever, chills, internal organ damage90+% AfricaPaul Brindleylowtens to hundreds of millionspraziquantel / vaccinationWHO: http://www.who.int/mediacentre/factsheets/fs115/en/
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Lymphatic Filariasis
Rejected - parasite is carried by mosquitos carried by 4 genera, includinng Aedes and Anopheles
Wuchereria bancrofti, Brugia malayi and Brugia timori
mosquito: Culex, Anopheles, Mansonia, and Aedes
HostYeslarge swelling in limbs or genitalsAfrica and IndiaHoratio Frydman (Wolbachia)low120 millionalbendazole with ivermectin or diethylcarbamazine citrate (annual treatment for 4-6 years)WHO: http://www.who.int/mediacentre/factsheets/fs102/en/
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Giant RoundwormRejected - long life cycleAscaris lumbricoideshumanParasiteYesabdominal discomfortsub-saharan Africa & southeast Asia, the AmericasSeppo Parkkila (University of Tempere, Finland)
~1.5 billion impacted by STHs globally
Albendazole is fairly effective. WHO advises albendalzole and mebendazole treatment.WHO: http://www.who.int/mediacentre/factsheets/fs366/en/
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River blindness
Rejected - too many host species
Onchocerca volvulusblackfliesHostYesBlindness, skin lesions, severe itchingPrimarily Africa, with occurrences in South AmericaDr. Makedonka Mitreva, WashU St. Louis~37 millionivermectin at least once yearly for 10 to 15 yearsCDC: http://www.cdc.gov/parasites/onchocerciasis/index.html
WHO: http://www.who.int/mediacentre/factsheets/fs374/en/
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Sleeping Sickness
Rejected - too many host species
Trypanosomiasistsetse fliesHostYesfever, headachesub-saharan africa~30,000-60,000Stage 1: Pentamidine and Suramin, Stage 2: Melarsoprol, Eflornithine, nifurtimoxWHO: http://www.who.int/mediacentre/factsheets/fs259/en/
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Dracunculiasis (Guinea worm)
Rejected - global burden is low and decreasing rapidly
Dracunculus medinensisparasite infected water fleasPossibly ParasiteN/APainful sores and blisters, exhaustionAfricaBarton Slatko, NEBOnly 22 confirmed cases in 2015No treatmentWHO: http://www.who.int/mediacentre/factsheets/fs359/en/
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Cholera
Rejected -- cannot target bacterium or human hosts
Vibrio cholerae (bacterium)humans, shellfishUnable to targetN/Aacute diarrhoea, severe dehydrationAfrica, Asia, and the Americas1.4 to 4.3 million cases annuallyOral rehydration salts, two available vaccinesCDC: http://www.cdc.gov/cholera/index.html
WHO: http://www.who.int/mediacentre/factsheets/fs107/en/
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Tapeworm
Rejected- hosts are domestic animals and humans, which are impractical to target. Worms can live for years inside both animal and human hosts, making parasite targeting impractical
echinococcosisDogs / sheep intermediateParasiteNoabdominal pain, nausea, vomiting, weight lossGlobal occurrences, prominent in Central Asia1+ millionalbendalzole, surgical removalCDC: http://www.cdc.gov/parasites/echinococcosis/
WHO: http://www.who.int/mediacentre/factsheets/fs377/en/
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Japanese encephalitis
Rejected - relatively low prevalence
Flaviviridaemosquito (Culex, Anopheles, and Aedes)HostYeshigh fever, headache, neck stiffness, seizuresSoutheast Asia and western Pacific68,000 infections annuallyNo antiviral treatment. Treatment is directed at symptom relief.CDC: http://www.cdc.gov/japaneseencephalitis/
WHO: http://www.who.int/mediacentre/factsheets/fs386/en/
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Leishmaniasis
Rejected - overly complicated life cycle involving many species that are poorly studied; current treatment is likely more effecient
Leishmaniaparasite infected sandfliesHostNofever, weight loss, enlargement of the spleen, anaemiaGlobal occurrences, prominent in East Africa, Asia1.3 million cases annuallyTreatment available, and specific to parasite, geographic regionWHO: http://www.who.int/mediacentre/factsheets/fs375/en/
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Crimean-Congo haemorrhagic fever
Rejected - relatively low prevalence
BunyaviridaeticksHostNofever, myalgia, neck pain, liver failure, large rashesAfrica, the Balkans, the Middle East and AsiaRibavirin, general treatment of symptomsWHO: http://www.who.int/mediacentre/factsheets/fs208/en/
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Marburg haemorrhagic fever
Rejected -minimal laboratory capacity to study hosts (bats)
FiloviridaeRousettus aegyptiHostNoHigh fever, severe headaches, severe blood lossPrimarily AfricaNo vaccine currently available.
WHO: http://www.who.int/mediacentre/factsheets/fs_marburg/en/
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