Much is known about human immune responses to schistosome infection, b
ut it has proved difficult to determine the impact of these responses
on schistosome epidemiology in the field(1). In this paper, Mark Woolh
ouse compares epidemiological patterns from field data with the predic
tions of simple mathematical models of different immunological process
es. The comparison gives some indications as to which types of immune
response may be important and of their strength and duration. The resu
lts are consistent with a significant impact of a process similar to '
concomitant' immunity, with a possible role for anti-fecundity effects
.