Abstract. A sensitive and specific detection of cercariae of human schistosomes is required for better definition of risk of infection. In the present study, we have developed a polymerase chain reaction (PCR) assay for the detection of cercariae of Schistosoma mansoni in water. A simple DNA preparation was adapted for this purpose, and PCR primers were designed based on the 121-basepair highly repeated sequence we previously identified in the genome of S. mansoni. The PCR assay detected as little as 10 Ϫ6 ng of S. mansoni DNA, and the high sensitivity enabled the detection of a single cercaria. For trapping of cercariae we adapted a filtration apparatus previously used for separating schistosome eggs from turbid enzymatic digests of tissues. A single cercaria could be detected in repeated tests of water filtrates. Since the target DNA is tandemly arranged, a ladder pattern of the PCR products was demonstrated. A direct relationship was demonstrated between the number of ladder bands of the amplification products, and DNA concentration or number of cercariae. The feasibility of semiquantitation of schistosome larvae in natural water was thus suggested. The potential of the procedures described here for epidemiologic studies is discussed.Schistosomiasis, a water-borne disease caused by blood flukes, continues to plague many developing countries in the tropics, 1 with an estimated 200 million people infected worldwide by Schistosoma mansoni, S. haematobium, and S. japonicum, the main schistosome species of humans. Humans become infected by contact with water infested with schistosome infective larvae, the cercariae, which are capable of actively penetrating the skin. Cercariae are released into the water by certain aquatic snails, intermediate hosts of schistosomes, in which the parasite undergoes asexual larval multiplication. Snails, in turn, become infected by miracidia, larvae released from schistosome eggs reaching water with human excreta.Human infection by schistosomes frequently occurs in stable foci, 2,3 and is dependent on snail infection and contact patterns of humans with water infested with cercariae. 4 The risk of infection in these transmission sites may be routinely estimated by detecting infected snails capable of shedding cercariae. 5 However, since seasonal fluctuations exist in snail population densities, infection rates, and cercarial output, 2,6,7 information on both snail infection and presence and distribution of cercariae is required for evaluating the risk of infection. 4,8 Information on presence of cercariae in water is particularly important when only one of many snails is infected yet capable of shedding enough cercariae to maintain high endemicity. 9 Such a situation may occur in the case of residual transmission following intensive control, or during the initial stages of emerging transmission in newly contaminated water bodies.Schistosome cercariae are difficult to recover for identification in natural water bodies. The use of sentinel mice for this purpose 4,8 is inaccurate, time-...