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Reinventing the Wheel of Echinococcus granulosus sensu lato Transmission to Humans
Trends in Parasitology ( IF 7.0 ) Pub Date : 2020-03-21 , DOI: 10.1016/j.pt.2020.02.004
Francesca Tamarozzi , Peter Deplazes , Adriano Casulli

Control of cystic echinococcosis (CE) relies on interrupting Echinococcus granulosus sensu lato transmission through interventions in dogs and livestock. However, primary prevention measures aimed at avoiding ingestion of Echinococcus eggs may help reduce the burden of human CE. CE is generally considered, to variable extents, to be foodborne, but there is little evidence on the actual contamination of matrices and sociocultural factors involved in parasite transmission. An overall appraisal of published literature suggests that environmental contamination, possibly through hand-to-mouth transmission, may be of primary importance. While in most endemic areas sufficient epidemiological information is available to start CE control programs, identifying the main sources of infection to humans would allow optimization of site-specific interventions while avoiding irrelevant health education messages.



中文翻译:

重塑细粒棘球chin肠球向人类的传播

控制囊性棘球co病(CE)依赖于通过对狗和家畜的干预来中断细粒棘球chin虫的传播。但是,主要的预防措施旨在避免摄入棘球E球菌。鸡蛋可能有助于减轻人类CE负担。一般认为,CE在不同程度上是食源性的,但很少有证据表明寄生虫传播涉及基质和社会文化因素的实际污染。对已发表文献的整体评估表明,环境污染(可能是通过口对口传播)可能是最重要的。尽管在大多数流行地区都有足够的流行病学信息可用于启动CE控制计划,但确定对人类的主要感染源将可以优化针对特定地点的干预措施,同时避免出现不相关的健康教育信息。

更新日期:2020-03-21
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