SjSP-13, a secreted Schistosoma japonicum protein, has been identified as a marker of schistosome infection. Recombinant SjSP-13 (rSjSP-13) had 90.4% sensitivity and 98.9% specificity when tested against infected serum samples. Diagnostic validity was confirmed in an area of China endemic for schistosomiasis: PCR analysis found that 92.4% of egg-negative individuals who were rSjSP-13 positive were infected. The authors believe that using the sensitive, specific and affordable rSjSP-13-based ELISA will help target treatment and aid control and elimination of schistosomiasis.