Molecular characterisation of species within the genus Giardia has rev
ealed that much of the phenotypic heterogeneity, particularly within t
he species G. duodenalis, has a genetic basis. The source of this gene
tic variation appears to arise from predominantly asexual, clonal repr
oduction, although occasional bouts of sexual reproduction cannot be r
uled out. Genetic variation is extensive with some clones widely distr
ibuted and others seemingly unique and localised to a particular endem
ic focus. Little attention has been given to the molecular epidemiolog
y of Giardia infections. Future studies should be directed at studying
the ecology and dynamics of transmission of Giardia clones, particula
rly in localised areas, and to evaluating the factors that serve to ma
intain genetic diversity between clones, especially the role of inter-
clonal competition. Future research using molecular techniques should
aim to identify and follow Giardia clones in nature and correlate gene
tic typing with important clinical and epidemiological characteristics
such as virulence, drug sensitivity and zoonotic potential.