“…The spatial distribution of D. latus can also give us information about its life cycle. Ineffective sewage treatment systems are known to permit the contamination of lakes with D. latus eggs released by infected humans [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ]. In fact, fecal pollution plays a key role in maintaining the parasite’s life cycle and the persistence of diphyllobothriasis in the subalpine area [ 3 , 4 , 41 ].…”