Cystic echinococcosis in sub-Saharan Africa
Summary Cystic echinococcosis is regarded as endemic in sub-Saharan Africa; however, for most countries only scarce data, if any, exist. For most of the continent, information about burden of disease is not available; neither are data for the animal hosts involved in the lifecycle of the parasite, t...
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| Published in | The Lancet infectious diseases Vol. 12; no. 11; pp. 871 - 880 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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London
Elsevier Ltd
01.11.2012
Lancet Publishing Group Elsevier Limited |
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| Abstract | Summary Cystic echinococcosis is regarded as endemic in sub-Saharan Africa; however, for most countries only scarce data, if any, exist. For most of the continent, information about burden of disease is not available; neither are data for the animal hosts involved in the lifecycle of the parasite, thus making introduction of preventive measures difficult. Available evidence suggests that several species or strains within the Echinococcus granulosus complex are prevalent in sub-Saharan Africa and that these strains might be associated with varying virulence and host preference. Treatment strategies (chemotherapy, percutaneous radiological techniques, but mainly surgery) predominantly target active disease. Prevention strategies encompass anthelmintic treatment of dogs, slaughter hygiene, surveillance, and health-educational measures. Existing data are suggestive of unusual clinical presentations of cystic echinococcosis in some parts of the continent, for which the causes are speculative. |
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| AbstractList | Cystic echinococcosis is regarded as endemic in sub-Saharan Africa; however, for most countries only scarce data, if any, exist. For most of the continent, information about burden of disease is not available; neither are data for the animal hosts involved in the lifecycle of the parasite, thus making introduction of preventive measures difficult. Available evidence suggests that several species or strains within the Echinococcus granulosus complex are prevalent in sub-Saharan Africa and that these strains might be associated with varying virulence and host preference. Treatment strategies (chemotherapy, percutaneous radiological techniques, but mainly surgery) predominantly target active disease. Prevention strategies encompass anthelmintic treatment of dogs, slaughter hygiene, surveillance, and health-educational measures. Existing data are suggestive of unusual clinical presentations of cystic echinococcosis in some parts of the continent, for which the causes are speculative. Summary Cystic echinococcosis is regarded as endemic in sub-Saharan Africa; however, for most countries only scarce data, if any, exist. For most of the continent, information about burden of disease is not available; neither are data for the animal hosts involved in the lifecycle of the parasite, thus making introduction of preventive measures difficult. Available evidence suggests that several species or strains within the Echinococcus granulosus complex are prevalent in sub-Saharan Africa and that these strains might be associated with varying virulence and host preference. Treatment strategies (chemotherapy, percutaneous radiological techniques, but mainly surgery) predominantly target active disease. Prevention strategies encompass anthelmintic treatment of dogs, slaughter hygiene, surveillance, and health-educational measures. Existing data are suggestive of unusual clinical presentations of cystic echinococcosis in some parts of the continent, for which the causes are speculative. |
| Author | Zeyhle, Eberhard, Dipl Agr Biol Ocaido, Michael, Prof Romig, Thomas, PhD Stijnis, Cornelis, MD Kern, Peter, MD Ahmed, Mohammed E, Prof Wahlers, Kerstin, MD Wong, Michelle L, MD Grobusch, Martin P, Prof Menezes, Colin N, MD |
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| Keywords | Infection Parasitosis Hydatid cyst Echinococciasis Helminthiasis Cestode disease |
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| Snippet | Summary Cystic echinococcosis is regarded as endemic in sub-Saharan Africa; however, for most countries only scarce data, if any, exist. For most of the... Cystic echinococcosis is regarded as endemic in sub-Saharan Africa; however, for most countries only scarce data, if any, exist. For most of the continent,... |
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| SubjectTerms | Africa South of the Sahara - epidemiology Animals Antiparasitic agents Biological and medical sciences Diseases caused by cestodes Echinococcoses Echinococcosis - epidemiology Echinococcosis - prevention & control Echinococcosis - therapy Echinococcosis - veterinary Echinococcus granulosus - pathogenicity Helminthic diseases Humans Infectious Disease Infectious diseases Medical sciences Parasites Parasitic diseases Prevalence |
| Title | Cystic echinococcosis in sub-Saharan Africa |
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