Schistosomiasis is is another big issue which we are facing here in KCUMC. But most of the time, we get patients with complications of schistosomiasis. One of the big complications which we get here is is actually bleeding. bleeding. And this is because of Schistosoma mansonii infection. And we, we have an- Around here, we have rice pads. They are found on in lower areas, and this was because there were a time when they we started rice paddies, introduced by, by Japanese. And that was a project and because we got rice fields, but we were in for it. That in summer some infections to those where people who are working in the rice pads. And most of the common cause of this is the, is actual Schistosoma mansonii rather than hematobium, and these patients are admitted at our center, not because they have or because they have blood in stool. Most of them are admitted because they have complications. So in general intensive care unit, we have 2 or 3% with with upper GIT bleeding. And this is because of the, of the, of the, of bleeding. Okay? variceal bleeding. And it becomes very difficult to, to treat them. It becomes very difficult to treat them, but we can also say that when they are admitted with upper GIT bleeding we bag most them, we do endoscopies. We do upper GI endoscopy, and we find the varices, but also and we can grade them. We also can do some abdominal ultrasounds. At one time we could also, we could also do rectal snips to see if we can find the mansonii. Okay? And the treatment is quite difficult. It involves blood transfusions because they come with low blood and they, it involves giving them IV fluids. But also, we can also do sclerotherapies on them. And these patients are admitted on and off, on and off. So what we see at this end, is complications rather than the early phases of portal hypertension and blood in urine. the, the experience we have is that around lake region, most of the, of the children who, who play around the rivers who play around the, around the lake region, they get the schistosomiasis. And we catch them earlier because they present with hematuria and diarrhoea, but here we don't catch them early because they don't come. And I would like to say that every day, okay, not really everyday, but every other day, we admit a patient with upper GIT bleeding. Okay? And these are managed very chronically. And around 3 to 4% of them die, and 3 to 4% of them they do die. But the other ones are left with a, with a chronic morbid condition, on which they are supposed to to get to get either propranolol to lower the, to lower the, the, the portal pressure, but also- We also eradicate them for the, for the, for the mansonii by giving them praziquantel if we can diagnose that. I think that is what I can say in short.