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Mr Lucas Cunningham

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Farewell HUGS

The final chapter of the HUGS study was presented this month at the British Society for Parasitology Spring Meeting 2026, marking the culmination of four years of collaborative research into hybrid schistosomes and their public health implications. 

Hosted by University of Glasgow, the meeting brought together researchers from across the global schistosomiasis community. A standout moment was Prof Janelisa Musaya’s closing presentation from the Hybridisation in UroGenital Schistosomiasis (HUGS) project, which explored how shared water sources can act as transmission hotspots across human, animal and snail populations. The findings reinforce the need to integrate hybrid surveillance and One Health approaches into control programmes. 

The wider programme highlighted just how quickly the field is evolving. New data from the SHIS-CAM study showed S. bovis molecular markers in around 90% of schistosome-positive samples, underlining the scale of cross-species transmission. Other work explored female genital schistosomiasis surveillance, infections in wildlife populations, and the potential for parasites such as Strongyloides to move across the human–animal interface. 

There were also important advances in drug resistance monitoring. Prof Tim Anderson presented emerging evidence of mutations linked to reduced praziquantel efficacy in African schistosome populations, including the identification of a potentially resistant allele in Côte d’Ivoire. Alongside this, new research on livestock transmission in Zanzibar highlighted the ongoing complexity of schistosomiasis epidemiology. 

Together, these findings point to a clear direction of travel. Schistosomiasis research is becoming more integrated, more molecular, and more focused on real-world transmission dynamics across species. 

For HUGS, this meeting was both an endpoint and a milestone. The study has helped reshape how we understand hybrid schistosomes in Malawi and beyond. With new programmes like SHIS-CAM already building on this work, the next phase of research is well underway.

Biography

 

Research interests

Lucas has a number of current research projects. Detection and characterisation of anthroponotic and zoonotic schistosome species and hybrids from cattle, humans and snails in Southern Malawi as part of the HUGS study. Development and implementation of a mobile molecular laboratory for xenomintoring of African Trypanosomiasis in Uganda. Development of species-specific qPCR diagnostic for strongyloidiasis in collaboration with international partners. Improving Lyme disease diagnostics and surveillance based on alternative molecular methods. Surveillance of beta-tubulin markers for drug resistance in hookworms (Cambodia and Malawi) as part of a multi-disciplinary team based at LSTM.
Lucas took part in the World Health Organisation expert panel on Vector control and the elimination of gambiense human African trypanosomiasis in 2021. He has conducted multiple field trips to Ghana and Uganda as well as field work in Northern Sudan. In 2020 he was successful in securing a grant for a pilot study into the use of immuno-PCR for improved diagnosis of Lyme disease. He also leads the medical entomological identification group at LSTM and is a Specialist Editor for Frontiers in Parasite Diagnostics.

Teaching

Lucas is a laboratory demonstrator on MSc and Diploma in Tropical Medicine and Hygiene taught courses. He also lectures on these courses, specialising in gut protozoa, African trypanosomiasis and molecular methods.
He has led capacity building workshops in UK, Ghana and Uganda for the implementation of novel qPCR diagnostics for the detection of helminths and African trypanosomes.
He supervises, co-supervises, and mentors BSc, MSc, and PhD students.

Themes

  • Malaria and Neglected Tropical Diseases
  • Innovation to Impact: Therapeutics, Diagnostics, Vaccines
  • Emerging and Re-Emerging Diseases

Expertise related to UN Sustainable Development Goals

In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This person’s work contributes towards the following SDG(s):

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  2. SDG 6 - Clean Water and Sanitation
    SDG 6 Clean Water and Sanitation

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