Infection or infestation? Clarifying terminology for human and zoonotic food- and waterborne parasites

The terms infection and infestation are often used interchangeably in parasitology, yet the distinction between them is fundamental to accurate scientific communication. An analysis of recent literature, specifically within the journal Food and Waterborne Parasitology, reveals a predominant use of "infection," even when describing helminths that do not multiply within the human host, a context where "infestation" would be scientifically more precise. This paper clarifies these definitions, highlights biological exceptions, and proposes a streamlined guideline for human or zoonotic food- and waterborne parasites: "If a parasite multiplies within the host, the process should be termed an infection; if no multiplication occurs, it should be considered an infestation." Adopting this convention would enhance terminological consistency and stimulate necessary discussion among parasitologists, ultimately benefiting research, clinical practice, and public health communication.