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1.
PLoS Negl Trop Dis ; 15(6): e0009470, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-34115758

RESUMEN

BACKGROUND: Taenia solium (T. solium), is a zoonotic helminth causing three diseases namely; taeniasis (in humans), neurocysticercosis (NCC, in humans) and porcine cysticercosis (PCC, in pigs) and is one of the major foodborne diseases by burden. The success or failure of control options against this parasite in terms of reduced prevalence or incidence of the diseases may be attributed to the contextual factors which underpin the design, implementation, and evaluation of control programmes. METHODOLOGY/PRINCIPAL FINDINGS: The study used a mixed method approach combining systematic literature review (SLR) and key informant interviews (KII). The SLR focused on studies which implemented T. solium control programmes and was used to identify the contextual factors and enabling environment relevant to successful inception, planning and implementation of the interventions. The SLR used a protocol pre-registered at the International prospective register of systematic reviews (PROSPERO) number CRD42019138107 and followed PRISMA guidelines on reporting of SLR. To further highlight the importance and interlinkage of these contextual factors, KII were conducted with researchers/implementers of the studies included in the SLR. The SLR identified 41 publications that had considerations of the contextual factors. They were grouped into efficacy (10), effectiveness (28) and scale up or implementation (3) research studies. The identified contextual factors included epidemiological, socioeconomic, cultural, geographical and environmental, service and organizational, historical and financial factors. The enabling environment was mainly defined by policy and strategies supporting T. solium control. CONCLUSION/SIGNIFICANCE: Failure to consider the contextual factors operating in target study sites was shown to later present challenges in project implementation and evaluation that negatively affected expected outcomes. This study highlights the importance of fully considering the various domains of the context and integrating these explicitly into the plan for implementation and evaluation of control programmes. Explicit reporting of these aspects in the resultant publication is also important to guide future work. The contextual factors highlighted in this study may be useful to guide future research and scale up of disease control programmes and demonstrates the importance of close multi-sectoral collaboration in a One Health approach.


Asunto(s)
Enfermedades de los Porcinos/prevención & control , Taenia solium/fisiología , Teniasis/prevención & control , Animales , Cisticercosis/economía , Cisticercosis/epidemiología , Cisticercosis/parasitología , Cisticercosis/veterinaria , Ambiente , Estudios de Evaluación como Asunto , Humanos , Prevalencia , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/parasitología , Taenia solium/genética , Taenia solium/aislamiento & purificación , Teniasis/economía , Teniasis/epidemiología , Teniasis/parasitología
2.
PLoS Negl Trop Dis ; 13(7): e0007501, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31291239

RESUMEN

BACKGROUND: Taenia solium cysticercosis is a public health and agricultural problem in many low and middle-income countries where health education, sanitation, pig management practices and meat inspection infrastructure are insufficient. Cysticercosis affects both human and animal health and has important economic consequences. Very few studies have been conducted to evaluate the monetary burden of cysticercosis. This study aimed at estimating the 2015 costs associated with cysticercosis in humans and pigs in Mexico. METHODS: The monetary burden of human cysticercosis was estimated based on costs incurred by living with and treating epilepsy and severe chronic headaches associated with neurocysticercosis (NCC). The estimated cost of porcine cysticercosis took into consideration losses due to the reduction in the price of cysticercosis-infected animals. Epidemiologic and economic data were obtained from the published literature, government reports, and setting-specific questionnaires. Latin hypercube sampling methods were employed to sample the distributions of uncertain parameters and to estimate 95% credible regions (95% CRs). All results are reported in 2015 U.S.$. FINDINGS: The overall monetary burden associated with NCC morbidity was estimated at U.S.$215,775,056 (95% CR U.S.$109,309,560 -U.S.$361,924,224), with U.S.$436 (95% CR: U.S.$296 -U.S.$604) lost per patient. If loss of future years of income and productivity due to NCC-associated deaths was included, this value increased by U.S.$54.26 million, assuming that these individuals earned Mexico's median wage salary. An additional U.S.$19,507,171 (95% CR U.S.$5,734,782 -U.S.$35,913,487) was estimated to be lost due to porcine cysticercosis. CONCLUSIONS: This study suggests that T. solium cysticercosis results in considerable monetary losses to Mexico.


Asunto(s)
Costo de Enfermedad , Cisticercosis/economía , Enfermedades de los Porcinos/economía , Adolescente , Adulto , Animales , Cisticercosis/complicaciones , Cisticercosis/epidemiología , Epilepsia/economía , Epilepsia/epidemiología , Epilepsia/parasitología , Femenino , Hospitalización/economía , Humanos , Masculino , México/epidemiología , Neurocisticercosis/economía , Neurocisticercosis/epidemiología , Prevalencia , Salud Pública/economía , Años de Vida Ajustados por Calidad de Vida , Porcinos , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/parasitología , Taenia solium , Adulto Joven
3.
Acta Parasitol ; 63(2): 232-243, 2018 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-29654685

RESUMEN

Echinococcosis/hydatidosis which is a neglected parasitic zoonosis in the developing country like India. The study was conducted during April, 2010 to March, 2017 to determine the prevalence among slaughtered food animals, dogs and human. The samples were collected from the various slaughterhouses situated in different regions of Maharashtra state. A total of 9464 cattle (male), 3661 buffalo, 47189 sheep, 33350 goats and 13579 pigs were scientifically examined during PM inspection at different slaughterhouses. The study revealed that the prevalence of disease in cattle (3.00%) was highest followed by buffalo (2.05%), pig (1.28%), sheep (0.09%) and goat (0.01%), by PM examination. The average estimated economic losses (direct and indirect) due to hydatidosis were Rs. 8,65,83,566 in cattle, Rs. 44,33,93,900 in buffalo, Rs. 7,24,50,615 in sheep, Rs. 1,88,29,359 in goat and Rs. 5,20,49,081 in pigs. Dog faecal samples analyzed and showed the prevalence of echinococcosis as 4.34% (19/438) by sedimentation method and positive samples were confirmed by PCR assay, whereas in high risk human, 11.09% sera samples were found to be positive for echinococcosis. However, based on data collection for seven years, 58 patients were found to be surgically operated for hydatid cyst removal. The results of the present study indicated that cystic echinococcosis/hydatidosis is prevalent in both human and animal population in study areas which attracts serious attention from veterinary and public health authority to reduce economic burden and in designing appropriate strategy for prevention and control of disease.


Asunto(s)
Enfermedades de los Animales/epidemiología , Enfermedades de los Animales/parasitología , Equinococosis/veterinaria , Zoonosis/epidemiología , Mataderos , Enfermedades de los Animales/economía , Enfermedades de los Animales/transmisión , Animales , Equinococosis/economía , Equinococosis/epidemiología , Equinococosis/parasitología , Echinococcus/genética , Echinococcus/aislamiento & purificación , Femenino , Enfermedades de las Cabras/economía , Enfermedades de las Cabras/epidemiología , Enfermedades de las Cabras/parasitología , Cabras/parasitología , Humanos , India/epidemiología , Masculino , Enfermedades Desatendidas/economía , Enfermedades Desatendidas/epidemiología , Enfermedades Desatendidas/parasitología , Reacción en Cadena de la Polimerasa , Prevalencia , Porcinos/parasitología , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/parasitología , Zoonosis/parasitología
4.
BMC Infect Dis ; 18(1): 127, 2018 03 13.
Artículo en Inglés | MEDLINE | ID: mdl-29534702

RESUMEN

BACKGROUND: The zoonotic parasite Taenia solium is endemic in Angónia district, Tete province, Mozambique, though the burden of the disease complex is unknown. METHODS: As part of two cross-sectional studies on human and porcine cysticercosis in the area, unique epidemiological and cost data were collected in Angónia district, Mozambique in 2007. These data provided the basis for the assessment of the societal cost of T. solium in the district, which estimates the impact of the disease on human and pig populations and includes both health and economic approaches in the analysis. RESULTS: Approximately 0.7% (95% Uncertainty Interval (UI), 0.4-0.9) and 0.4% (95% UI, 0.2-0.6) of the total population in the district was estimated to suffer from neurocysticercosis (NCC)-associated epilepsy and headache. The estimated average number of disability-adjusted life years (DALYs) due to NCC-associated epilepsy and headache was 6 (95% UI, 4-8) per thousand persons per year. The total annual costs due to T. solium cysticercosis were estimated at 90,000 USD (95% UI, 39,483-201,463) of which 72% (95% UI, 45-91) were costs linked to human cysticercosis and 28% (95% UI, 9.5-55) to pig production losses. The annual economic burden per NCC-associated epilepsy case in the district amounted to 33 USD (95% UI, 10-76). CONCLUSIONS: In this highly endemic area of Mozambique a large number of individuals suffer from symptoms associated with NCC. Healthy years of life are lost and people are left living with disabilities. Infected pork poses a serious risk to the community and affects the economy of smallholder farmers. Cost for treatment and hospitalization of patients with NCC-associated epilepsy, and lack of productivity and inability of suffering patients to work, further hinder socioeconomic development. Feasible solutions framed within a country specific algorithm and stepwise approaches are needed to control the parasite in the country.


Asunto(s)
Neurocisticercosis/economía , Enfermedades de los Porcinos/economía , Animales , Costo de Enfermedad , Estudios Transversales , Epilepsia/etiología , Cefalea/etiología , Hospitalización/economía , Humanos , Masculino , Mozambique/epidemiología , Neurocisticercosis/complicaciones , Neurocisticercosis/epidemiología , Neurocisticercosis/patología , Años de Vida Ajustados por Calidad de Vida , Porcinos , Enfermedades de los Porcinos/patología
5.
Vet Parasitol ; 251: 63-67, 2018 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-29426478

RESUMEN

The tapeworm Taenia solium is endemic in Zambia, however its socioeconomic cost is unknown. During a large-scale interventional study conducted in Zambia, baseline economic costs of human and porcine T. solium infections were measured. Questionnaire surveys were conducted within three neighbourhoods in Zambia's Eastern province in 2015 and 2016. A human health questionnaire, capturing costs of clinical symptoms commonly attributable to human cysticercosis and taeniasis, was conducted in randomly selected households (n = 267). All pig-keeping households were administered a pig socioeconomic questionnaire (n = 271) that captured pig demographic data, costs of pig-keeping, and economic losses from porcine cysticercosis. Of all respondents 62% had reportedly experienced at least one of the surveyed symptoms. Seizure-like episodes were reported by 12%, severe chronic headaches by 36%, and vision problems by 23% of respondents. These complaints resulted in 147 health care consultations and 17 hospitalizations in the five years preceding the study, and an estimated productivity loss of 608 working days per year. Of all pigs 69% were bought within villages. Nearly all adult pigs were sold to local traders, and tongue palpation for detection of cysticerci was commonly performed. Reportedly, 95% of pig owners could not sell tongue-positive pigs, while infected pigs fetched only 45% of the normal sale value. These preliminary costing data indicate that human and porcine T. solium infections substantially impact endemic areas of Eastern Zambia. A full socioeconomic burden assessment may enable improved T. solium management in sub-Saharan Africa.


Asunto(s)
Cisticercosis/economía , Salud Pública/economía , Taenia solium/aislamiento & purificación , Teniasis/economía , Zoonosis/economía , Animales , Cisticercosis/epidemiología , Cisticercosis/parasitología , Cisticercosis/transmisión , Composición Familiar , Humanos , Encuestas y Cuestionarios , Porcinos/parasitología , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/parasitología , Enfermedades de los Porcinos/transmisión , Teniasis/epidemiología , Teniasis/parasitología , Teniasis/transmisión , Zambia/epidemiología , Zoonosis/epidemiología , Zoonosis/parasitología , Zoonosis/transmisión
6.
Acta Trop ; 165: 170-178, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27887696

RESUMEN

Neurocysticercosis (NCC) is an important cause of severe neurological disease mainly in low- and middle-income countries, but data on NCC mortality from endemic areas are scarce. Here we analysed the epidemiological patterns of NCC-related mortality in Brazil. We included all deaths recorded in Brazil between 2000 and 2011, in which NCC was mentioned on death certificates, either as underlying or as associated cause of death. NCC was identified in 1829/12,491,280 deaths (0.015%), 1130 (61.8%) as underlying cause, and 699 (38.2%) as associated cause. Overall age-adjusted mortality rate for the period was 0.97 deaths/1,000,000 inhabitants (95% confidence interval [CI]: 0.83-1.12). The highest NCC-related mortality rates were found in males, elderly, white race/colour and residents in endemic states/regions. Age-adjusted mortality rates at national level decreased significantly over time (annual percent change [APC]: -4.7; 95% CI: -6.0 to -3.3), with a decrease in the Southeast, South and Central-West regions, and a non-significant increasing trend in the North and Northeast regions. We identified spatial and spatiotemporal high-risk mortality clusters located mainly in NCC-endemic areas. Conditions related to the nervous system were the most commonly associated causes of death when NCC was mentioned as an underlying cause, and HIV/AIDS was the main underlying cause when NCC was an associated cause. NCC is a neglected and preventable cause of severe neurologic disease and death with high public health impact in Brazil. There is a clear need to strengthen nationwide epidemiological surveillance and control for the taeniasis/cysticercosis complex.


Asunto(s)
Enfermedades Transmisibles/mortalidad , Enfermedades Transmisibles/parasitología , Enfermedades Desatendidas/epidemiología , Enfermedades Desatendidas/mortalidad , Neurocisticercosis/mortalidad , Neurocisticercosis/parasitología , Adulto , Anciano , Anciano de 80 o más Años , Crianza de Animales Domésticos/economía , Animales , Brasil/epidemiología , Causas de Muerte , Epilepsia/economía , Epilepsia/mortalidad , Epilepsia/parasitología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermedades Desatendidas/prevención & control , Neurocisticercosis/prevención & control , Porcinos/parasitología , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/parasitología , Taenia solium/aislamiento & purificación , Taenia solium/patogenicidad
7.
Acta Trop ; 165: 161-169, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26802489

RESUMEN

Taenia solium is an endemic parasite in India which occurs in two forms in humans: cysticercosis (infection of soft tissues) and taeniosis (intestinal infection). Neurocysticercosis (NCC) is the most severe form of cysticercosis in which cysts develop in the central nervous system. This study was conducted to estimate health and economic impact due to human NCC-associated active epilepsy in India. Input data were sourced from published research literature, census data and other official records. Economic losses due to NCC-associated active epilepsy were estimated based on cost of treatment, hospitalisation and severe injury as well as loss of income. The disability-adjusted life years (DALYs) due to NCC were estimated by combining years of life lost due to early death and the number of years compromised due to disability taking the disease incidence into account. DALYs were estimated for five age groups, two genders and four regions, and then combined. To account for uncertainty, probability distributions were used for disease incidence data and other input parameters. In addition, sensitivity analyses were conducted to determine the impact of certain input parameters on health and economic estimates. It was estimated that in 2011, human NCC-associated active epilepsy caused an annual median loss of Rupees 12.03 billion (uncertainty interval [95% UI] Rs. 9.16-15.57 billion; US $ 185.14 million) with losses of Rs. 9.78 billion (95% UI Rs. 7.24-13.0 billion; US $ 150.56 million) from the North and Rs. 2.22 billion (95% UI Rs. 1.58-3.06 billion; US $ 34.14 million) from the South. The disease resulted in a total of 2.10 million (95% UI 0.99-4.10 million) DALYs per annum without age weighting and time discounting with 1.81 million (95% UI 0.84-3.57 million) DALYs from the North and 0.28 million (95% UI 0.13-0.55 million) from the South. The health burden per thousand persons per year was 1.73 DALYs (95% UI 0.82-3.39). The results indicate that human NCC causes significant health and economic impact in India. Programs for controlling the disease should be initiated to reduce the socio-economic impact of the disease in India.


Asunto(s)
Hospitalización/estadística & datos numéricos , Neurocisticercosis/economía , Neurocisticercosis/epidemiología , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Taenia solium/aislamiento & purificación , Adolescente , Adulto , Crianza de Animales Domésticos/economía , Animales , Niño , Preescolar , Epilepsia/economía , Epilepsia/epidemiología , Epilepsia/parasitología , Femenino , Hospitalización/economía , Humanos , India/epidemiología , Masculino , Persona de Mediana Edad , Neurocisticercosis/complicaciones , Neurocisticercosis/parasitología , Prevalencia , Años de Vida Ajustados por Calidad de Vida , Factores Socioeconómicos , Porcinos/parasitología , Enfermedades de los Porcinos/parasitología , Adulto Joven , Zoonosis/economía , Zoonosis/epidemiología , Zoonosis/parasitología
8.
Acta Trop ; 165: 141-154, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26756713

RESUMEN

Taenia solium is a zoonotic parasite prevalent in many low income countries throughout Latin America, Asia and sub-Saharan Africa, including Tanzania. The parasite is recognized as a public health threat; however the burden it poses on populations of Tanzania is unknown. The aim of this study was to estimate the societal cost of T. solium cysticercosis in Tanzania, by assessing both the health and economic burden. The societal cost of T. solium cysticercosis was assessed in humans and pigs based on data obtained by a systematic review. Experts' opinion was sought in cases where data were not retrievable. The health burden was assessed in terms of annual number of neurocysticercosis (NCC) associated epilepsy incident cases, deaths and disability-adjusted life years (DALYs), while the economic burden was assessed in terms of direct and indirect costs imposed by NCC-associated epilepsy and potential losses due to porcine cysticercosis. Based on data retrieved from the systematic review and burden assessments, T. solium cysticercosis contributed to a significant societal cost for the population. The annual number of NCC-associated epilepsy incident cases and deaths were 17,853 (95% Uncertainty Interval (UI), 5666-36,227) and 212 (95% UI, 37-612), respectively. More than 11% (95% UI, 6.3-17) of the pig population was infected with the parasite when using tongue examination as diagnostic method. For the year 2012 the number of DALYs per thousand person-years for NCC-associated epilepsy was 0.7 (95% UI, 0.2-1.6). Around 5 million USD (95% UI, 797,535-16,933,477) were spent due to NCC-associated epilepsy and nearly 3 million USD (95% UI, 1,095,960-5,366,038) were potentially lost due to porcine cysticercosis. Our results show that T. solium imposes a serious public health, agricultural and economic threat for Tanzania. We urge that a One Health approach, which involves the joint collaboration and effort of veterinarians, medical doctors, agricultural extension officers, researchers and relevant governmental agencies, is taken to find sustainable solutions for prevention, control and elimination of T. solium.


Asunto(s)
Crianza de Animales Domésticos/economía , Epilepsia/parasitología , Neurocisticercosis/epidemiología , Salud Pública , Sus scrofa/parasitología , Enfermedades de los Porcinos/parasitología , Taenia solium/aislamiento & purificación , Animales , Costo de Enfermedad , Empleo/economía , Epilepsia/economía , Epilepsia/epidemiología , Costos de la Atención en Salud , Hospitalización/economía , Humanos , Neurocisticercosis/economía , Prevalencia , Salud Pública/economía , Años de Vida Ajustados por Calidad de Vida , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Tanzanía/epidemiología
9.
Trends Parasitol ; 29(11): 538-47, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24145061

RESUMEN

Taenia solium cysticercosis is a zoonosis of public health importance in areas where the disease is endemic, with significant economic impacts on human health and the swine industry. Several gaps remain in the epidemiology of the parasite and the strategies of control in developing countries. We detail the key factors to consider in Madagascar in terms of the porcine husbandry system, Taenia transmission cycle, and diagnosis of cysticercosis in pigs, in order to better estimate the sanitary and economic impacts of this parasitic disease as well as to define an integrated control program.


Asunto(s)
Cisticercosis/prevención & control , Enfermedades de los Porcinos/prevención & control , Animales , Cisticercosis/diagnóstico , Cisticercosis/economía , Cisticercosis/epidemiología , Humanos , Madagascar , Salud Pública/normas , Factores de Riesgo , Porcinos , Enfermedades de los Porcinos/diagnóstico , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Taenia solium
10.
Ecohealth ; 10(1): 54-62, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23417333

RESUMEN

The parasitic zoonoses human cysticercosis (Taenia solium), taeniasis (other Taenia species) and trichinellosis (Trichinella species) are endemic in the Lao People's Democratic Republic (Lao PDR). This study was designed to quantify the economic burden pig-associated zoonotic disease pose in Lao PDR. In particular, the analysis included estimation of the losses in the pork industry as well as losses due to human illness and lost productivity. A Markov-probability based decision-tree model was chosen to form the basis of the calculations to estimate the economic and public health impacts of taeniasis, trichinellosis and cysticercosis. Two different decision trees were run simultaneously on the model's human cohort. A third decision tree simulated the potential impacts on pig production. The human capital method was used to estimate productivity loss. The results found varied significantly depending on the rate of hospitalisation due to neurocysticerosis. This study is the first systematic estimate of the economic impact of pig-associated zoonotic diseases in Lao PDR that demonstrates the significance of the diseases in that country.


Asunto(s)
Cisticercosis/epidemiología , Enfermedades de los Porcinos/epidemiología , Triquinelosis/epidemiología , Zoonosis/epidemiología , Animales , Cisticercosis/economía , Cisticercosis/parasitología , Cysticercus/aislamiento & purificación , Cysticercus/parasitología , Cysticercus/patogenicidad , Enfermedades Endémicas/economía , Humanos , Laos/epidemiología , Carne/economía , Carne/parasitología , Prevalencia , Factores Socioeconómicos , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/parasitología , Taenia solium/aislamiento & purificación , Taenia solium/parasitología , Taenia solium/patogenicidad , Triquinelosis/economía , Triquinelosis/parasitología , Zoonosis/economía , Zoonosis/parasitología
11.
PLoS Negl Trop Dis ; 3(3): e406, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19333365

RESUMEN

BACKGROUND: Taenia solium cysticercosis is an important zoonosis in many developing countries. Human neurocysticercosis is recognised as an important cause of epilepsy in regions where the parasite occurs. However, it is largely underreported and there is a lack of data about the disease burden. Because a body of information on human and porcine cysticercosis in Cameroon is becoming available, the present study was undertaken to calculate the impact of this neglected zoonosis. METHODS: Both the cost and Disability Adjusted Life Year (DALY) estimations were applied. All necessary parameters were collected and imported in R software. Different distributions were used according to the type of information available for each of the parameters. FINDINGS: Based on a prevalence of epilepsy of 3.6%, the number of people with neurocysticercosis-associated epilepsy was estimated at 50,326 (95% CR 37,299-65,924), representing 1.0% of the local population, whereas the number of pigs diagnosed with cysticercosis was estimated at 15,961 (95% CR 12,320-20,044), which corresponds to 5.6% of the local pig population. The total annual costs due to T. solium cysticercosis in West Cameroon were estimated at 10,255,202 Euro (95% CR 6,889,048-14,754,044), of which 4.7% were due to losses in pig husbandry and 95.3% to direct and indirect losses caused by human cysticercosis. The monetary burden per case of cysticercosis amounts to 194 Euro (95% CR 147-253). The average number of DALYs lost was 9.0 per thousand persons per year (95% CR 2.8-20.4). INTERPRETATION: This study provides an estimation of the costs due to T. solium cysticercosis using country-specific parameters and including the human as well as the animal burden of the zoonotic disease. A comparison with a study in South Africa indicates that the cost of inactivity, influenced by salaries, plays a predominant role in the monetary burden of T. solium cysticercosis. Therefore, knowing the salary levels and the prevalence of the disease might allow a rapid indication of the total cost of T. solium cysticercosis in a country. Ascertaining this finding with additional studies in cysticercosis-endemic countries could eventually allow the estimation of the global disease burden of cysticercosis. The estimated number of DALYs lost due to the disease was higher than estimates already available for some other neglected tropical diseases. The total estimated cost and number of DALYs lost probably underestimate the real values because the estimations have been based on epilepsy as the only symptom of cysticercosis.


Asunto(s)
Epilepsia/epidemiología , Neurocisticercosis/epidemiología , Taenia solium , Zoonosis/epidemiología , Crianza de Animales Domésticos/economía , Animales , Camerún/epidemiología , Países en Desarrollo/economía , Epilepsia/parasitología , Humanos , Neurocisticercosis/complicaciones , Neurocisticercosis/economía , Prevalencia , Años de Vida Ajustados por Calidad de Vida , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/parasitología , Zoonosis/parasitología
12.
Trop Med Int Health ; 11(6): 906-16, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-16772013

RESUMEN

OBJECTIVES: To provide a comprehensive estimate of the societal costs of Taenia solium cysticercosis for the Eastern Cape Province (ECP), South Africa, as an objective measure of its impact in this endemic area. METHODS: Epidemiological data on the prevalence of epilepsy, proportion of epilepsy cases due to neurocysticercosis (NCC) and consequences of cysticercosis were gathered from published and unpublished sources. Economical data were mostly obtained from governmental sources. Three methods were used for estimating productivity losses. Monte Carlo sampling was used to represent the uncertainty of the estimates with 95% Credible Intervals (95% CI). The estimation is for 1 year using a societal approach. All costs are reported in 2004 US Dollars. RESULTS: Overall, there were an estimated 34 662 (95% CI: 17 167-54 068) NCC-associated cases of epilepsy in ECP in 2004. The overall monetary burden (in million of US Dollars) was estimated to vary from US Dollars 18.6 (95% CI: US Dollars 9.0-32.9) to US Dollars 34.2 (95% CI: US Dollars 12.8-70.0) depending on the method used to estimate productivity losses. The agricultural sector contributed an average of Dollars 5.0 million. The prevalence of epilepsy, proportion of productivity reduction and the proportion of epilepsy cases attributable to NCC had the largest impact on the overall estimates. CONCLUSION: This preliminary estimate suggests that T. solium cysticercosis results in considerable monetary costs to a region that is already economically constrained. Because this infection is preventable, these results could guide stakeholders in deciding where to invest scarce health and agricultural resources in their countries.


Asunto(s)
Cisticercosis/economía , Enfermedades Endémicas/economía , Agricultura/economía , Animales , Costo de Enfermedad , Cisticercosis/complicaciones , Cisticercosis/epidemiología , Árboles de Decisión , Empleo/economía , Enfermedades Endémicas/estadística & datos numéricos , Epilepsia/economía , Epilepsia/epidemiología , Epilepsia/parasitología , Costos de la Atención en Salud , Hospitalización/economía , Humanos , Método de Montecarlo , Neurocisticercosis/complicaciones , Neurocisticercosis/economía , Neurocisticercosis/epidemiología , Prevalencia , Salud Rural , Sudáfrica/epidemiología , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Zoonosis/epidemiología
13.
Emerg Infect Dis ; 12(2): 296-303, 2006 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16494758

RESUMEN

Cystic echinococcosis (CE) is an emerging zoonotic parasitic disease throughout the world. Human incidence and livestock prevalence data of CE were gathered from published literature and the Office International des Epizooties databases. Disability-adjusted life years (DALYs) and monetary losses, resulting from human and livestock CE, were calculated from recorded human and livestock cases. Alternative values, assuming substantial underreporting, are also reported. When no underreporting is assumed, the estimated human burden of disease is 285,407 (95% confidence interval [CI], 218,515-366,133) DALYs or an annual loss of US $193,529,740 (95% CI, $171,567,331-$217,773,513). When underreporting is accounted for, this amount rises to 1,009,662 (95% CI, 862,119-1,175,654) DALYs or US $763,980,979 (95% CI, $676,048,731-$857,982,275). An annual livestock production loss of at least US $141,605,195 (95% CI, $101,011,553-$183,422,465) and possibly up to US $2,190,132,464 (95% CI, $1,572,373,055-$2,951,409,989) is also estimated. This initial valuation demonstrates the necessity for increased monitoring and global control of CE.


Asunto(s)
Enfermedades Transmisibles Emergentes/economía , Enfermedades Transmisibles Emergentes/epidemiología , Equinococosis/economía , Equinococosis/epidemiología , Salud Global , Animales , Bovinos , Enfermedades de los Bovinos/economía , Enfermedades de los Bovinos/epidemiología , Enfermedades Transmisibles Emergentes/veterinaria , Costo de Enfermedad , Equinococosis/veterinaria , Echinococcus/aislamiento & purificación , Enfermedades de las Cabras/economía , Enfermedades de las Cabras/epidemiología , Cabras , Humanos , Incidencia , Prevalencia , Años de Vida Ajustados por Calidad de Vida , Ovinos , Enfermedades de las Ovejas/economía , Enfermedades de las Ovejas/epidemiología , Factores Socioeconómicos , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología
14.
Vet Parasitol ; 125(1-2): 183-202, 2004 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-24937886

RESUMEN

This collection of articles provides an account of the papers delivered at the 19th International Conference of the World Association for the Advancement of Veterinary Parasitology (WAAVP)(held in New Orleans, LA, USA, from 10 to 14 August 2003) in a symposium session on assessing the burden of Taenia solium cysticercosis and echinococcosis organised and chaired by A. Lee Willingham III from the WHO/FAO Collaborating Center for Research and Training on Emerging and other Parasitic Zoonoses in Denmark and Peter M. Schantz from the Parasitic Diseases Division of the US Centers for Disease Control and Prevention, USA. The focus was on the persistence of the zoonotic parasitic diseases cysticercosis, caused by the pork tapeworm T. solium, and echinococcosis,caused by species of the tapeworm Echinococcus, and why these diseases are given very little attention on the national and international agendas in spite of the availability of tools to detect, treat,control and prevent them when it is quite clear in most instances that they are clearly associated with and help perpetuate poverty. A major reason for this is that in many endemic areas the presence and impact of these diseases are not known due to the lack of investigation and information thus policymakers are not aware of their burden and benefits of their control. Documentation is also needed to help increase awareness of the international community and hopefully result in financial and technical support being made available. Thus, burden assessments of cysticercosis and echinococcosis provide an essential evidence base for securing political will and financial and technical support as well as providing a basis for cost-benefit analysis of prevention and control efforts. In order to make an appropriate and full burden assessment one must consider the health, agricultural, social and other impacts of these parasitic zoonoses comprehensively. During the symposium presentations were given concerning current ongoing initiatives to assess the burden of cysticercosis and echinococcosis and examples of the impact of these diseases in both developing and developed countries were provided. In addition, cost factors related to vaccines for these cestode diseases were discussed and the possibilities for technical and financial support from multilateral agencies for assessments and interventions presented.


Asunto(s)
Cisticercosis/veterinaria , Equinococosis/veterinaria , Enfermedades de los Porcinos/parasitología , Taenia solium/fisiología , Animales , Costo de Enfermedad , Cisticercosis/economía , Cisticercosis/parasitología , Equinococosis/economía , Equinococosis/parasitología , Ecuador , Sudáfrica , Porcinos , Enfermedades de los Porcinos/economía
15.
Med Vet Entomol ; 18(4): 361-7, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15642002

RESUMEN

A cross-sectional survey was performed in 110 randomly selected pig-breeding farms of southern Hesse, Germany to estimate the prevalence of ectoparasite infestations and to find possible risk factors. Ear scrapings of, if available, 10 sows per farm were examined for Sarcoptes scabiei var. suis (De Geer) (Acaridida: Sarcoptidae) by the potassium hydroxide digestion method, and a total of 2754 sows was inspected for skin lesions and infestations with Haematopinus suis (L.) (Anoplurida: Haematopinidae). Data on farm profiles and sows were collected by a questionnaire. In total, 19.1% and 2.5% of the sows were found to be infested with S. scabiei or H. suis, respectively. The percentage of mite or louse infestation was significantly higher in sows showing pruritus than in those without skin lesions. Both ectoparasite infestations were related neither to the age of sows nor their reproduction status, nor to the time interval to last ectoparasite treatment. Using farms as the unit of analysis, the estimated prevalence of mange mite and louse infestations was 45.4% and 14.5%, respectively. There was no significant association between the presence of S. scabiei and H. suis in the farms. Risk factors for S. scabiei infestation were mixed housing of dry and nursing sows in the same unit (vs. separate housing) and straw bedding (vs. strawless). For louse infestation, only mechanical cleaning of stable units (vs. additional use of disinfection methods) and pasturing of gilts and dry sows were identified as risk factors. The economic loss by S. scabiei infestation in the study population was assessed at euro 4200 per affected farm and year on average.


Asunto(s)
Anoplura/fisiología , Infestaciones por Piojos/veterinaria , Escabiosis/veterinaria , Enfermedades de los Porcinos/epidemiología , Crianza de Animales Domésticos , Animales , Estudios Transversales , Femenino , Alemania/epidemiología , Infestaciones por Piojos/economía , Infestaciones por Piojos/epidemiología , Prevalencia , Factores de Riesgo , Escabiosis/economía , Escabiosis/epidemiología , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/parasitología
16.
Vaccine ; 20(1-2): 262-6, 2001 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-11567772

RESUMEN

Taenia solium cysticercosis seriously affects human health when localised in the central nervous system (CNS) and causes great economic loss in pig husbandry in rural areas of endemic countries. Increasing the resistance to the parasite in the obligatory host pig may help in curbing transmission. Three synthetic peptides based on protein sequences of the murine parasite Taenia crassiceps, which had previously been shown to induce protection in mice against homologous challenge, were tested as a vaccine against T. solium cysticercosis in pigs. Vaccinated and unvaccinated piglets (240 in all) were distributed in pairs among the peasants' households of two rural villages in Mexico in which 14% of the native pigs were cysticercotic. Ten to twelve months later, the effect of vaccination was evaluated at necropsy. Vaccination decreased the total number of T. solium cysticerci (98.7%) and reduced the prevalence (52.6%). The natural challenge conditions used in this field trial strengthen the likelihood of successful transmission control to both pig and human through a large-scale pig vaccination program. We believe this is a major contribution in anticysticercosis vaccine development as these rather simple yet protective peptides are potentially more cost-effective to produce and less variable in results than antigens that are more complex.


Asunto(s)
Cisticercosis/veterinaria , Enfermedades de los Porcinos/prevención & control , Taenia/inmunología , Vacunación/veterinaria , Vacunas/inmunología , Secuencia de Aminoácidos , Animales , Cisticercosis/economía , Cisticercosis/epidemiología , Cisticercosis/inmunología , Cisticercosis/prevención & control , Exposición a Riesgos Ambientales , Femenino , México/epidemiología , Datos de Secuencia Molecular , Fragmentos de Péptidos/síntesis química , Fragmentos de Péptidos/inmunología , Proyectos Piloto , Embarazo , Prevalencia , Salud Rural , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/inmunología , Vacunación/economía , Vacunas de Subunidad/inmunología , Zoonosis
17.
Tijdschr Diergeneeskd ; 126(1): 2-8, 2001 Jan 01.
Artículo en Holandés | MEDLINE | ID: mdl-11194509

RESUMEN

As part of the project 'Clean pigs', IPG Institute for Pig Genetics BV made an inventory of the impact of different diseases on the Dutch pig industry. An expert panel assessed the importance of the different diseases with regard to public health, farm economy, the pig sector and export sales. The possibilities for the diagnosis of the different pathogens were listed and the goal for the next years, was set. Diseases were classified into three categories, according to their importance for the Dutch pig industry (Table 2). The diseases that can be eradicated are Salmonella (only specific strains), Pasteurella multocida DNT + PAR), Actinobacillus pleuropneumoniae, Haematopinus suis (lice) and Sarcoptes scabei (var. suis) (mange). National introduction of list A en most list B diseases of the OIE classification must be prevented.


Asunto(s)
Crianza de Animales Domésticos/economía , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/prevención & control , Infecciones por Actinobacillus/economía , Infecciones por Actinobacillus/prevención & control , Infecciones por Actinobacillus/veterinaria , Actinobacillus pleuropneumoniae/aislamiento & purificación , Animales , Anoplura , Infestaciones por Piojos/economía , Infestaciones por Piojos/prevención & control , Infestaciones por Piojos/veterinaria , Países Bajos/epidemiología , Infecciones por Pasteurella/economía , Infecciones por Pasteurella/prevención & control , Infecciones por Pasteurella/veterinaria , Pasteurella multocida/aislamiento & purificación , Salud Pública , Salmonelosis Animal/economía , Salmonelosis Animal/prevención & control , Sarcoptes scabiei , Escabiosis/economía , Escabiosis/prevención & control , Escabiosis/veterinaria , Porcinos , Enfermedades de los Porcinos/diagnóstico , Enfermedades de los Porcinos/epidemiología
18.
Wiad Parazytol ; 47(4): 779-81, 2001.
Artículo en Polaco | MEDLINE | ID: mdl-16886426

RESUMEN

Aim of the work was presentation of appearance of hydatid among swine in Lublin' s voivodship between 1993-2000. Substance for researches was brought from annual reports inserted into journals of official examination leaded by Veterinary's Inspenction of Sanitation in slaughterhouses. It was proved that average 10,1% of swine on territory of Lublin's voivodship in period 1993-2000 was infected. Frequency of infection among examined animals were the highest in last year of researches 200 and reached 13,4%.


Asunto(s)
Mataderos/estadística & datos numéricos , Equinococosis/epidemiología , Equinococosis/veterinaria , Sus scrofa/parasitología , Enfermedades de los Porcinos/epidemiología , Animales , Equinococosis/economía , Echinococcus granulosus/aislamiento & purificación , Polonia/epidemiología , Prevalencia , Estudios Retrospectivos , Enfermedades de los Porcinos/economía
20.
Acta Leiden ; 57(2): 197-200, 1989.
Artículo en Inglés | MEDLINE | ID: mdl-2488998

RESUMEN

From 1980 to 1985, 3550 pigs, 530 cattle, 370 buffalo, 1850 sheep and 2100 goat of different breeds, age and sex from different parts of Uttar Pradesh State (India) were screened for the presence of cysticerci. Economic losses due to condemnation of affected meat were calculated. The overall incidence in pigs was 9.3%. Indigenous breeds brought from rural areas had the highest infection rate (8.9%). Cysticerci were commonly observed in the muscles of fore and hind limbs, tongue, neck and brain but a few cyst were also seen in other organs including heart, kidney and spleen. No statistical difference in the rate of infection with regards to age and sex was recorded. Sheep, goat, cattle and buffalo were found negative for this infection. Also 600 human faecal samples screened for the presence of adult T. solium revealed 2% infection.


Asunto(s)
Cisticercosis/veterinaria , Teniasis/veterinaria , Animales , Cisticercosis/economía , Cisticercosis/epidemiología , Femenino , Contaminación de Alimentos/economía , Humanos , India/epidemiología , Masculino , Porcinos , Enfermedades de los Porcinos/economía , Enfermedades de los Porcinos/epidemiología , Teniasis/economía , Teniasis/epidemiología
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