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assessment of the values and their confidence intervals ( Table 8.1 ) does
not reveal any discernible impact of chemotherapy on the N e of these
Ascaris subpopulations (even if houses with small n are examined). These
genetic results parallel prior epidemiological data from Jiri where after 1
year of treatment both prevalence (year 1
24.2%) and
mean number of worms expelled per individual (2.37 and 2.67) showed
little change. 62
The latter scenario also begs the question of whether N e reflects N c of
Ascaris in Jiri. Intuitively, as N c increases, so should N e . However, I caution
that the relationship between N e and N c under different demographic
scenarios is generally not well understood and may vary considerably
among species. 69 In some free-living organisms, the ratio of N e / N c
decreases as population density increases. 69 Experimental data in flour
beetles suggest this may be caused by an increase in the variation in
reproductive success among individuals as N c increases. 70 Therefore, it
might be that there is an asymptotic relationship between N e and N c such
that N e levels off even as N c gets larger ( Figure 8.2 ). The latter relationship
would be important in epidemiological studies because a drop in N c may
not constitute a drop in N e until a critical N c is reached. This would be
crucial in terms of the evolution of drug resistance because a huge
selection pressure via chemotherapy could be imposed on the population
without a drop in N e . Selection is more efficient with larger N e . Thus, both
worm count and genetic data are warranted in epidemiological studies if
27.2%, year 2
¼
¼
FIGURE 8.2 Hypothetical asymptotic relationship between N e and N c . Dotted line
denotes critical N c where N e no longer substantially increases as N c increases. One possible
explanation for this pattern is that as population density increases, variation in reproductive
success may increase considerably, thus substantially reducing N e . An important epide-
miological implication is that above this critical point, N c could be reduced drastically
without a dramatic effect on N e . In relation to the Ascaris data presented, the correlation
between household intensities and the single-sample N e estimates may suggest Ascaris
subpopulations already exist below the critical N c value.
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