115 West Virginia Compared to other regions, Southerners are

115 million plus individuals stay in South Americancurrently making about one-third of the United States population. Thisincludes; Texas, Oklahoma, Kentucky, Delaware, Maryland and West Virginia Comparedto other regions, Southerners are more likely to be uninsured, less likely tohave access to needed health services, and more likely to experience a number ofhealth conditions such as diabetes and heart disease.

Compared to other regions, People fromthe south seem to be more uninsured, don’t have access to needed healthservices, and more likely to experience a number of health conditions such as diabetesand heart disease. 115 million plus individuals stay inSouth American currently making about onethird of the United States population. This includes;Texas, Oklahoma, Kentucky, Delaware, Maryland and West Virginia.Demographically, Mississippi is already at a disadvantage. A black man in Mississippi has a shorterlife expectancy than the average American did in 1959. Mississippistate has a high obesity rate of 35%, one of the highest poverty rates anywherein the country. It also has only one abortion clinic.

Mississippi’s Healthcare and in other Southernstates is unlikely to become more equitable anytime soon. Study authors note,16 of the states in the bottom half of the ranking have optednot to expand Medicaid under the Affordable Care Act to adults making up to 138percent of the federal poverty level.  Bilharzia Cercarial dermatitisor swimmer’s itch causes whencercariae of schistosomes enter human skin and initiateinflammatory responses. The parasites typically die in the skin but in somecases may persist and infect other organs.

Cercarial dermatitis is as a result ofa complex and poorly known assemblage of schistosome species. It can occur in locationswhere people have easy access to water bodies that are infected with harbouringschistosome-infected snails. The Northern part of America, cases are reportedfrom the upper side of Midwest. In southern part of USA, this phenomenonhas not been well studied, and it is not known which schistosome species arepresent, or if cercarial dermatitis occurs with any regularity. As part of ourongoing studies of schistosome diversity, using morphological traits andsequence data to differentiate species, we have thus far identified eightschistosome genetic lineages from snails from New Mexico and Colorado.

We haveinvestigated two cercarial dermatitis outbreaks, one occurring in StubblefieldLake in northern New Mexico, and one in Prospect Lake in the heart of ColoradoSprings, Colorado. The New Mexico outbreak involved either one or two differentavian schistosome species, both transmitted by physid snails. The Coloradooutbreak was due to Trichobilharzia brantae, a species transmitted bygeese and the snail Gyraulus parvus. These outbreaks are in contrast tothose in northern states where schistosomes infecting snails of the familyLymnaeidae are more often responsible for outbreaks.

Our survey suggests thatdermatitis-causing schistosomes are not rare in the southwest, and that thereare plenty of opportunities for dermatitis outbreaks to occur in this region.Infection occurs when your skin comes in contact with contaminatedfreshwater in which certain types of snails that carry schistosomes are living.Freshwater becomescontaminated by Schistosoma eggs when infectedpeople urinate or defecate in the water. The eggs hatch, and if certaintypes of freshwater snails are present in the water, the parasites develop andmultiply inside the snails. The parasite leaves the snail and enters the waterwhere it can survive for about 48 hours. Schistosoma parasitescan penetrate the skin of persons who are wading, swimming,bathing, or washing in contaminated water. Within several weeks, parasitemature into adult worms, residing in the blood vessels in the body where the eggsare produced by the female.

Some of the eggs travel to the bladder or intestineand are passed into the urine or stool.          REFERENCES Farley, J. (2013). Bilharzia: A History of Imperial TropicalMedicine: https://www.

barnesandnoble.com/w/bilharzia-john-farley/1111421169  Ken, W. (2010). Health Care Management and the Law. Retrieved fromhttps://books.google.

co.ke/books?id=FnI1DgAAQBAJ=PA569=health+care+treatment+disparities+in+aids+2016=en=X=0ahUKEwi495zW0d7YAhWMcRQKHZtMBMIQ6AEILDAB#v=onepage=health%20care%20treatment%20disparities%20in%20aids%202016=false  Baciu, A., Yamrot, N., Amy G., James, N.

,Weinstein. (2017) Communities in Action: Pathways to Health Equityhttps://www.ncbi.nlm.nih.gov/books/NBK425848/