Why Veterinarians Should Care More About Parasitology
Why Veterinarians Should Care More About Parasitology
Why Veterinarians Should Care More About Parasitology
of this parasite. Mosquito gene promoter function has been assayed before
in D. melanogaster13, but the Vg work
was the first systematic use of the information obtained from heterologous
transformation experiments to produce
transgenic mosquitoes with relevant
gene expression characteristics.
While much attention has focused
on population replacement strategies,
other genetics-based approaches are
also being investigated. Genetic sexing
methods to produce only males for sterile insect release would greatly facilitate
population reduction measures. The
molecular dissection of the mosquito olfactory system might lead to better
repellants or vectors with genetically
modified host preferences. All of these
studies could benefit from technology
transfer from Drosophila and the
exploitation of molecular genetic tools
developed in both fruit flies and mosquitoes. We can expect to see more of
this type of work in the future.
References
1 Wright, J.W. and Pal, W. (1967) Genetics of
Insect Vectors of Diseases, Elsevier
2 James, A.A. et al. (1999) Controlling malaria
transmission with genetically-engineered,
Plasmodium-resistant mosquitoes: milestones
in a model system. Parassitologia 41, 461 471
3 Coates, C.J. et al. (1998) Mariner
transposition and transformation of the
yellow fever mosquito, Aedes aegypti. Proc.
Natl. Acad. Sci. U. S. A. 95, 37433747
4 Coates, C.J. et al. (1999) Promoter-directed
6
7
8
9
10
11
12
13
a major source of income for veterinarians. In the USA, the control of fleas and
heartworms alone provides a market of
hundreds of millions of dollars annually*.
Globally, antiparasite drugs accounted
for 45% of veterinary pharmaceutical
sales in 1998*.
We now have remarkably safe and
effective treatments for nearly all important animal parasitoses, including heartworms, gastrointestinal (GI) worms and
ectoparasites. New veterinary antiparasitic drugs have profoundly influenced
human medicine as well, especially ivermectin, mebendazole and albendazole.
Much has been learned about parasite
* Veterinary Pharmaceuticals (1998) Wood
Mackenzie Report, November, Edinburgh, UK
0169-4758/00/$ see front matter 2000 Elsevier Science Ltd. All rights reserved. PII: S0169-4758(00)01799-3
Comment
abundant government and industrial
support. This resource develops tools
and expertise that naturally spin off
into research on related veterinary
pathogens. In contrast, parasitic diseases
are of little immediate concern to
wealthy countries, resulting in a correspondingly minor investment from industry and governments. Few parasitologists are trained in the developed
world, because there is little demand for
their services. Little opportunity for spin
off from human research exists, and veterinary parasitologists must therefore
compete for the rather small amount of
government and industrial support available for work on animal diseases. These
funds are further limited by fluctuations
in livestock industries. Veterinarians and
other animal health specialists see few
dramatic changes in diagnostic tests and
methods of control, and are likely to
conclude that the field of parasitology
cannot be very important.
This situation has unfortunately
widened a schism between industrial
and academic research. With little government support for research on veterinary parasites, a role for the animal
health industry in this regard becomes
more crucial. However, the animal
health industry is less lucrative than the
human pharmaceutical business and,
therefore, is less willing to provide funding for basic research on animal parasites. Furthermore, intense emphasis on
profits has reduced the ability of many
companies to be research benefactors.
Consequently, what could be a healthy
partnership is withering. Although antiparasite drugs account for 45% of veterinary medicines used today*, a paucity
of science supports their use. There is an
increasing level of antiparasite drug resistance throughout the world4, a phenomenon we are ill equipped to address
scientifically. We understand little about
the molecular bases of antiparasite drug
resistance, and so have difficulty detecting resistance genes. We lack data on
how resistance develops and spreads in
various host populations. Industry is increasingly unable or unwilling to support
research into these questions in academic
laboratories.
Instead, animal health companies
seem likely to continue funding only field
trials or other applied clinical studies in
academia. Parasitologists who depend
on these trials to survive as researchers
might find themselves limited in the ability to investigate more fundamental aspects of parasite biology, epidemiology
and control. To obtain non-industrial
funding, academics must advance nonchemical strategies for parasite control,
Parasitology Today, vol. 16, no. 12, 2000
including vaccination and biological approaches. Advancing alternative strategies demands that the limitations of
existing measures be emphasized, so researchers must find fault with drugs (eg.
resistance and residues) to justify support for finding other ways to control
parasites. This hardly encourages collaboration with an industry that is heavily
reliant on drugs. Advocating such approaches has won considerable support
for applied immunology in veterinary
parasitology for over 20 years.
Unfortunately, this effort has yet to
make a significant contribution to parasite control in veterinary practice, even
though the difficulties of obtaining commercial success were known at the outset5. Rather than being able to count on
a consistent source of funding for basic
research into the immunology of veterinary parasite infections, we have relied
too frequently on quicker, applied research on the vaccine potential of
cloned antigens.
We must boost the output of very
high-quality research on parasites, especially those of veterinary importance.
We need headline-grabbing exposure
to reverse the perception that our
field is incapable of producing excellent
research.
(2) Decline in importance of parasitology in the veterinary curriculum.
Reduced emphasis on parasitology in
veterinary curricula will produce veterinarians who are less able to appreciate
the complexity of parasitic organisms
and their control. This situation guarantees a continuing decline in status for
the field and decreased recruitment of
veterinary graduates into parasitology,
at a time when their broad training is
particularly relevant to the development
of integrated parasite control programs
and the identification and control of
emerging zoonotic diseases.
This situation can only be reversed if
we persuade veterinary educators of the
importance of veterinary parasitology,
from a scientific as well as an economic
perspective.
(3) Perceived irrelevance to clinical
practice. The extreme success of products in the antiparasite market might
have contributed to the decreased emphasis on parasitology among veterinarians. For many veterinarians, the management of common, economically
important parasites requires no further
thought than reaching for the newest
broad-spectrum drug. This attitude does
little to encourage interest in parasitology. As a result, veterinary clinicians,
who predominate in teaching during the
final years of the veterinary curriculum,
Comment
control that are economically rewarding
for the veterinarians in practice. The
surest way to increase the status of veterinary parasitology is to demonstrate
that it is economically undervalued. A
good beginning is to quantify efficiently
the economic contribution of parasitology
to various types of veterinary practice, and
then to document the potential for
growth in this area. Key questions to be
answered initially include: (a) What percentage of income can be traced to parasite control in various types of veterinary
practice? (b) What percentage of consumer veterinary medical expenditure is
devoted to parasite control?
(2) Reinvigorate the teaching of veterinary parasitology to make it clear that it is
not obsolete. In addition to important clinical aspects of parasitism, we must strive
to convey the crucial unanswered questions that remain and the exciting work
that must still be done. For example, the
role of veterinarians in identifying and
controlling emerging zoonotic diseases
should be emphasized. How to develop
revenue-generating practice programs
for veterinarians in parasite control
should be an integral part of parasitology
courses. Student interest in and demand
for parasitological instruction will grow
with a change in content and tactics.
Reinvigorated teaching strategies should
also stimulate recruitment into the field.
(3) Devote more attention to developing innovative programs that contribute to
parasite control and add economic value
for consumers and practitioners of veterinary medicine. There are no easy ways to
stimulate innovation, but a renewed
focus on the practitioner as a key cus-
Acknowledgements
The material presented here is derived, in
part, from an address at the WAAVP conference in Copenhagen, 1519 August 1999.
An expanded version of some of it has been
published6.
References
1 Thompson, R.C.A. (1999) Veterinary
parasitology: looking to the next millennium.
Parasitol. Today 15, 320325
2 Andrews, R.H. (1999) ASP annual scientific
meeting 1998: will parasites outlive
parasitologists? Int. J. Parasitol. 29, 803808
3 Mitchell, G. and Nossal, G. (1999) Funding
options for research: facing the market as
well as government. Int. J. Parasitol. 29,
819831
4 Sangster, N.C. (1999) Anthelmintic
resistance: past, present and future. Int. J.
Parasitol. 29, 115124
5 Williams, J.F. (1986) Prospects for prophylaxis
of parasitism, in Parasitology: Quo Vadit
(Howell, M.J., ed.), pp 711720, Australian
Academy of Science
6 Geary, T.G. et al. (1999) Frontiers in
anthelmintic pharmacology. Vet. Parasitol. 84,
275295
7 Caenorhabditis elegans Sequencing
Consortium (1998) Genome sequence of
the nematode C. elegans: a platform for
investigating biology. Science 282, 20122018
8 Ajioka, J.W., ed. (1997) Analysis of
Apicomplexan Parasites, in Methods: A
Companion to Methods in Enzymology (Vol.
13) (No. 2), Academic Press
0169-4758/00/$ see front matter 2000 Elsevier Science Ltd. All rights reserved. PII: S0169-4758(00)01820-2