According to the prevailing, traditional view parasites should develop
reduced virulence towards their hosts, because more virulent pathogen
s are more likely to drive the hosts, and thus themselves to extinctio
n. Virulence is considered to be a primitive stage of a parasitive-hos
t association. However the usefulness and validity of this view have b
een questioned. Recent studies suggest that parasites need not necessa
rily evolve towards reduced virulence. The points of view of Darwinian
medicine in the direction of the evolution of virulence there may be
many possible coevolutionary trajectories, depending on the details of
the parasite's life-history the host's behavior and the transmissibil
ity of the parasite. Theoretical and epidemiological evidences indicat
e that pathogens transmitted by arthropod vectors are significantly mo
re lethal to humans than those transmitted by personal contac. Water b
orne enteric pathogens are less virulent after purification of water s
upplies. Recent experiments also supper? the emerging theory that para
sitism can evolve to be either more or less virulent in a long-term ho
st, depending on the way the parasite is transmitted to the host and o
n the environment in which they live.