The definition of schistosome pathology and morbidity continues to be refined in attempts to better characterise clinical manifestations, for example, as with female genital schistosomiasis,9 and to identify applicable morbidity markers of disease, for example, urine albumin–creatinine ratio.10 Growth and nutrition-related morbidities associated with schistosomiasis have also only recently become more widely recognised.11 There is therefore a need to collate all of this new knowledge to better define schistosomiasis in PSAC, where manifestations of disease are poorly described.6 Here, ALB is linked to schistosomiasis.