Human liver flukes, O. viverrini, O. felineus and C. sinensis remain important public health problems in many parts of the world. Recent reports suggested that about 35 million people are infected with C. sinensis globally; with up to 15 million human infections in China and another 8--10 million individuals infected with O. viverrini in Thailand and Laos Three years ago Dr. Sripa and colleagues initiated a pilot project (The Lawa Model) in the Lawa Lakes region of Khon Kaen employing this integrated, bottom-up approach.