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Katherine Prescott
Katherine Prescott

Public Documents 1
Co-infection, but not infection intensity, increases shedding in a gastrointestinal h...
Katherine Prescott
Emile Michels

Katherine Prescott

and 2 more

February 21, 2025
Host heterogeneity in disease transmission is commonly seen across host-pathogen systems and identifying individuals who contribute disproportionately to pathogen transmission (i.e. superspreaders) is key to understanding disease dynamics and managing outbreaks. It is often assumed that shedding intensity is directly proportional to infection intensity. However, theory predicts that co-infection might modulate the relationship between infection intensity and shedding, promoting increased onward transmission. Here we quantify the relative importance of infection intensity and co-infection on shedding in Heterakis gallinarum, a gastrointestinal helminth of gamebirds. We found that infection intensity was a poor predictor of shedding intensity. Instead, increased shedding was linked to co-infections with other endoparasites. Our results show that shedding intensity is not simply explained by infection intensity, but rather is the result of complex host-parasite and parasite-parasite interactions. This highlights the importance of considering such interactions in understanding disease emergence and persistence in natural populations.

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