关键词: Echinococcus granulosus One Health foodborne disease zoonosis

来  源:   DOI:10.3390/tropicalmed9020036   PDF(Pubmed)

Abstract:
Cystic echinococcosis (CE) is a zoonosis caused by metacestodes, the larval stage of Echinococcus granulosus. Although the World Health Organization (WHO) has defined CE as a neglected disease, it is the second most important foodborne parasitic disease, and it remains an important public health issue, considering its zonal endemicity and potential morbidity. The control and prevention of CE is a relevant WHO target, especially from a One Health perspective, as the disease affects not only animals and humans but also the food chain. Since not all countries have a CE surveillance strategy or reporting system and specific management guidelines, recent epidemiological data are relatively scarce, and research concerning the specific geographical distribution of the disease is ongoing. To add new information to the subject, we have analyzed and collected data from national guidelines and several medical databases. Out of the 751 research articles that were originally identified, only 52 were included in the investigation after applying specific inclusion and exclusion criteria. Notable international projects that have provided significant contributions and had a positive impact are presented. The available data were correlated with WHO recommendations on the subject, thus showcasing the measures taken and those that are still needed to properly control the disease\'s spread.
摘要:
囊性棘球蚴病(CE)是一种由脑纲动物引起的人畜共患病,细粒棘球蚴的幼虫期。尽管世界卫生组织(WHO)将CE定义为一种被忽视的疾病,它是第二重要的食源性寄生虫病,它仍然是一个重要的公共卫生问题,考虑到其地带性和潜在的发病率。控制和预防CE是世卫组织的相关目标,尤其是从一个健康的角度来看,因为这种疾病不仅影响动物和人类,还影响食物链。由于并非所有国家都有CE监测战略或报告系统和具体的管理指南,最近的流行病学数据相对较少,有关该疾病特定地理分布的研究正在进行中。要向主题添加新信息,我们分析并收集了来自国家指南和多个医学数据库的数据.在最初确定的751篇研究文章中,在应用特定的纳入和排除标准后,只有52人被纳入研究.介绍了做出重大贡献并产生积极影响的著名国际项目。现有数据与世卫组织关于该主题的建议相关,从而展示了采取的措施和那些仍然需要适当控制疾病的传播。
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