When I worked as a doctor in a bush hospital in Tanzania, East Africa, I treated many patients for a disease called Bilharzia, or Schistosomiasis. This is a parasitic disease caused by several species of fluke, or flatworm, of the genus Schistosoma. The particular form of the disease which I treated was the one caused by the species Schistosoma haematobium.1

This worm, like so many other parasites, has a bizarre and complex life-cycle which defies an evolutionary explanation.

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