Over the last five decades, schistosomiasis japonica has been eliminated from Japan (in 1996) and transmission has been interrupted in the coastal plain region of the People's Republic of China, by integrated approaches involving snail control, mass chemotherapy of the human population, health education, provision of sanitary facilities, environmental modification, and improved farming methods. The successful schistosomiasis control measures deployed in Japan and China cannot be easily duplicated in the Philippines given the nature of year-round transmission there (only 5 months in China) and limited health care dollars to combat the disease.