Concordance between two monoclonal antibody-based antigen detection enzyme-linked immunosorbent assays for measuring cysticercal antigen levels in sera from pigs experimentally infected with Taenia solium and Taenia hydatigena.

BACKGROUND: Antigen detection in Taenia solium cysticercosis confirms viable infection in the intermediate host (either pig or human). The reference B158/B60 monoclonal antibody (mAb)-based Ag-enzyme-linked immunosorbent assay (ELISA) has acceptable levels of sensitivity and specificity in human neurocysticercosis with multiple brain cysts, although its sensitivity is lower in cases with single brain cysts, whereas in porcine cysticercosis the assay specificity is affected by its frequent cross-reaction with Taenia hydatigena, another common cestode found in pigs. Our group has produced 21 anti-T. solium mAbs reacting against antigens of the whole cyst, vesicular fluid, and secretory/excretory products, identifying TsW8/TsW5 as the most promising pair of mAbs for an Ag-ELISA. METHODS: We report the use of the TsW8/TsW5 Ag-ELISA to measure cysticercus antigen levels [expressed as optical density (OD) values] in two panels of sera collected from day 0 (baseline) to day 90 postinfection (PI) from pigs experimentally infected with T. solium (n = 26) and T. hydatigena (n = 12). At baseline and on days 28 and 90 PI, we used Bland-Altman (BA) analysis and Lin's concordance correlation coefficients (CCC) to determine the concordance between the TsW8/TsW5 and the B158/B60 Ag-ELISA. RESULTS: The TsW8/TsW5 Ag-ELISA was able to efficiently measure circulating antigen levels in T. solium-infected pigs, similar to that obtained with the B158/B60 Ag-ELISA. Almost all paired log-OD differences between assays were within the limits of agreement (LoA) in the BA analysis at baseline and on days 28 and 90 PI (92.3%, 100%, and 100%, respectively), and a high concordance of log-ODs between assays was also found (Lin's CCC: 0.69, 0.92, and 0.96, respectively, all P < 0.001). In pigs infected with T. hydatigena, almost all paired log-OD differences were within the LoA in the BA analysis, whereas the concordance of log-ODs between assays was low at baseline (Lin's CCC: 0.24) but increased on days 28 and 90 PI (Lins' CCC: 0.88 and 0.98, P < 0.001). CONCLUSIONS/SIGNIFICANCE: The TsW8/TsW5 Ag-ELISA recognizes antigens in pigs with T. solium cysticercosis and is highly concordant with the B158/B60 Ag-ELISA. However, its diagnostic use is hampered by cross-reactions with T. hydatigena, as in other mAb-based Ag-ELISAs.

Using the model cestode Taenia crassiceps for the study of cysticercosis.

Taenia solium is the aetiological agent of taeniasis/cysticercosis, one of the most severe neglected tropical diseases (NTD) according to the World Health Organization (WHO). The life cycle of T. solium alternates between pigs (intermediate host) and humans (definitive host). In addition, humans can act as accidental intermediate hosts if they ingest infective eggs. In this case, the most severe condition of the disease occurs when parasites invade the central nervous system, causing neurocysticercosis (NCC). The complexity of the life cycle of T. solium imposes a barrier to study this pathogen thoroughly. Thus, related species, such as T. crassiceps are commonly used. Due to its capacity to multiply asexually, T. crassiceps can be maintained by serial passage in laboratory mice in standard biosecurity level facilities. In addition, an in vitro system to generate cysticerci in the presence of feeder cells has been recently developed. Despite model species display biological differences with their zoonotic counterparts, they have historically helped to understand the biology of the related pathogenic species and hence, generate improvements in NTD detection and control. In this chapter, we describe the procedures to carry out both in vivo and in vitro systems for T. crassiceps in the laboratory.

Epidemiology of swine cysticercosis in two rural communities of Zacapa, Guatemala.

Taeniasis/cysticercosis complex caused by Taenia solium, is a serious public health problem and causes major economic losses to swine producers in developing countries in Asia, Africa and the Americas. Despite scarce epidemiological data, Guatemala is considered endemic for T. solium. A cross-sectional study was conducted in Azacualpa and Malpais, two villages in the department of Zacapa, to assess the prevalence of swine cysticercosis and associated factors. Between March and October 2019, 149 pigs were examined by tongue palpation and serum samples were then collected to detect antibodies by ab-ELISA, and necropsy was performed on pigs that were positive by tongue palpation and/or ab-ELISA, to assess parasite load. Pig owners were asked to fill out a questionnaire on factors related to pig husbandry and occurrence of swine cysticercosis. Pearson's chi-square test and multivariate analysis were used to measure the association between serological results and other variables (p < 0.05 was considered significant). The seroprevalence of swine cysticercosis was 13.4% (13/97, 95% C.I. 6.6%-20.2%) and 25% (13/52, 95% C.I. 13.2%-36.8%) in Azacualpa and Malpais, respectively, yielding an overall seroprevalence of 17.4% (26/149, 95% C.I. 11.4%-23.5%). Parasite loads ranged from 1 to over 23,000 metacestodes per carcass. No bivariate association was found between exposure variables and seropositivity. A positive diagnosis by tongue palpation increased the odds of finding pigs seropositive for cysticercosis by a factor of 16.1 in the multivariate analysis. Despite the high prevalence and parasite load of T. solium, risk factors associated with cysticercosis were not significant in this study.

Spatial transferability of an agent-based model to simulate Taenia solium control interventions.

BACKGROUND: Models can be used to study and predict the impact of interventions aimed at controlling the spread of infectious agents, such as Taenia solium, a zoonotic parasite whose larval stage causes epilepsy and economic loss in many rural areas of the developing nations. To enhance the credibility of model estimates, calibration against observed data is necessary. However, this process may lead to a paradoxical dependence of model parameters on location-specific data, thus limiting the model's geographic transferability. METHODS: In this study, we adopted a non-local model calibration approach to assess whether it can improve the spatial transferability of CystiAgent, our agent-based model of local-scale T. solium transmission. The calibration dataset for CystiAgent consisted of cross-sectional data on human taeniasis, pig cysticercosis and pig serology collected in eight villages in Northwest Peru. After calibration, the model was transferred to a second group of 21 destination villages in the same area without recalibrating its parameters. Model outputs were compared to pig serology data collected over a period of 2 years in the destination villages during a trial of T. solium control interventions, based on mass and spatially targeted human and pig treatments. RESULTS: Considering the uncertainties associated with empirical data, the model produced simulated pre-intervention pig seroprevalences that were successfully validated against data collected in 81% of destination villages. Furthermore, the model outputs were able to reproduce validated pig seroincidence values in 76% of destination villages when compared to the data obtained after the interventions. The results demonstrate that the CystiAgent model, when calibrated using a non-local approach, can be successfully transferred without requiring additional calibration. CONCLUSIONS: This feature allows the model to simulate both baseline pre-intervention transmission conditions and the outcomes of control interventions across villages that form geographically homogeneous regions, providing a basis for developing large-scale models representing T. solium transmission at a regional level.

Cysticercosis in free-ranging agoutis (Dasyprocta leporina) in the Eastern Brazilian Amazon.

The study describes the occurrence of cysticercosis in liver of 22 wild agoutis (Dasyprocta leporina) in the Brazilian Amazon. The phylogenetic analysis and microscopic characteristics of metacestodes in liver tissue sections, associated with the geographic distribution of the intermediate hosts indicated that a possibly novel Taenia sp. metacestode caused the parasitism. Additionally, two cases of hepatic co-infection by Taenia sp., Calodium sp. and Echinococcus oligarthra were also observed among the analyzed animals. The results point to the need for a better understanding of hepatotropic parasites among wild rodents in the Brazilian Amazon.

Taenia solium: Socioeconomic changes and prevalence evolution in four endemic communities in northwestern Mexico.

In Mexico, for the past 30 years, a continuous decrease in the incidence of clinical taeniosis/cysticercosis has been documented. This work aimed to determine the influence of improvement in socioeconomic conditions on the prevalence of Taenia solium in four endemic communities in northwestern Mexico. This study was carried out in two phases. First, documentary information (1989-2018) was collected about the prevalence of Theridion solium in the federal entity of Sinaloa State. Second, a pilot study was performed in four communities of Sinaloa, which had an endemic history of Taenia transmission. In each community, a risk factor questionnaire was applied, and serum and stool samples were collected for convenience in a non-probabilistic way. Anti-cysticercus antibodies and adult worm coproantigen were determined. The documentary analysis showed the incidence of taeniosis and cysticercosis to have decreased by 98 and 53%, respectively, while the human development index increased by 5% (1992-2017). Our data suggest that the risk of parasitic transmission is low, although female sex was a risk factor for reporting tremors or seizures (prevalence rate 2.1336, CI: 1.1821-3.8508) and background of tapeworm infection (prevalence rate 1.2893, CI: 0.9795-1.6972). No tapeworms or eggs were found while examining stool samples, but protozoa cysts were observed in four samples. Unexpectedly, only one of the 79 stool samples was positive for coproantigens. This positive result was confirmed in a second sample. However, the evaluation of a third sample was negative. No antibodies were found in human (n = 377) or pig (n = 69) samples. These data suggest parasite transmission has been interrupted and could be possibly associated with improving socioeconomic conditions. Further studies are needed to determine the real prevalence of zoonoses in Mexico.

Perfil profissional e técnico dos fiscais de inspeção sanitária do RS relacionado à cisticercose bovina / Professional and technical profile health inspection inpectors in RS related to bovine cysticercosis

A cisticercose bovina é responsável por elevados prejuízos na cadeia produtiva da carne, estando relacionada a uma das principais enfermidades transmitidas por alimentos. O objetivo deste trabalho é conhecer o perfil de Médicos Veterinários atuantes no sistema de inspeção oficial sobre questões ligadas à inspeção sanitária de carcaças bovinas e ao complexo teníase-cisticercose, bem como a sua interpretação da legislação (Decreto n o 9013/2017) relacionada à cisticercose. No período de junho a julho de 2020 foi realizado um levantamento sob forma de questionário a médicos veterinários que trabalhavam na inspeção do Estado do Rio Grande do Sul sobre questões ligadas a carcaças bovinas e ao complexo teníasecisticercose. Foram entrevistados 58 médicos veterinários que atuam no Sistema de Inspeção Estadual (SIE), em relação à legislação. Desses, 46,55% não consideram a legislação aplicada aos casos de cisticercose clara e de fácil interpretação. Sobre a rotina de inspeção, 25% não realizam treinamento de reciclagem e 6,90% dos fiscais não monitoram as atividades dos seus auxiliares durante a rotina de inspeção dos sítios pré-determinados. Sobre o método de inspeção, 70,69% afirmam ser insuficiente a pesquisa de cisticercos realizada na linha de abate para garantir a sanidade da carcaça. A decisão de liberar a carcaça com apenas um cisticerco calcificado após inspeção completa é considerada errada por 55,17%. De acordo com a interpretação dos Médicos Veterinários, observou-se que a legislação vigente deve ser questionada e que os estudos contribuem para uma melhora da qualidade do sistema de Inspeção Estadual nos produtos de origem animal.(AU)

Bovine cysticercosis is responsible for high losses in the meat production chain, being related to one of the main diseases transmitted by food. The objective of this work is to know the profile of Veterinarians in the official inspection system on issues related to the health notification of bovine carcasses and the taeniasis-cysticercosis complex and their interpretation of the legislation (Decree No. 9013/2017) related to cysticercosis. From June to July 2020, a survey was carried out in the form of care for veterinarians who attended surveillance in the State of Rio Grande do Sul on issues related to bovine carcasses and the taeniasis-cysticercosis complex. There were 58 veterinarians who work in the State Inspection System (SIE), in relation to legislation, 46.55% of doctors do not consider the legislation applied to cases of cysticercosis clear and easy to interpret. About the maintenance routine, 25% did not call for refresher training and 6.90% of the inspectors do not monitor the activities of their assistants during the maintenance routine of the predetermined sites. Regarding the method of protection, 70.69% claim that the survey of cysticerci carried out on the slaughter line is insufficient to guarantee the health of the carcass. The decision to release the carcass with only one calcified cysticercus after complete verification is considered wrong by 55.17%. According to the interpretation of the Veterinarians, it was observed that the current legislation must be questioned and that the studies obeyed to improve the quality of the State Inspection system in products of animal origin.(AU)

Non-local validated parametrization of an agent-based model of local-scale Taenia solium transmission in North-West Peru.

The pork tapeworm, Taenia solium, is the cause of a preventable zoonotic disease, cysticercosis, affecting both pigs and humans. Continued endemic transmission of T. solium is a major contributor of epilepsy and other neurologic morbidity, and the source of important economic losses, in many rural areas of developing countries. Simulation modelling can play an important role in aiding the design and evaluation of strategies to control or even eliminate transmission of the parasite. In this paper, we present a new agent based model of local-scale T. solium transmission and a new, non-local, approach to the model calibration to fit model outputs to observed human taeniasis and pig cysticercosis prevalence simultaneously for several endemic villages. The model fully describes all relevant aspects of T. solium transmission, including the processes of pig and human infection, the spatial distribution of human and pig populations, the production of pork for human consumption, and the movement of humans and pigs in and out in several endemic villages of the northwest of Peru. Despite the high level of uncertainty associated with the empirical measurements of epidemiological data associated with T. solium, the non-local calibrated model parametrization reproduces the observed prevalences with an acceptable precision. It does so not only for the villages used to calibrate the model, but also for villages not included in the calibration process. This important finding demonstrates that the model, including its calibrated parametrization, can be successfully transferred within an endemic region. This will enable future studies to inform the design and optimization of T. solium control interventions in villages where the calibration may be prevented by the limited amount of empirical data, expanding the possible applications to a wider range of settings compared to previous models.

In vitro system for the growth and asexual multiplication of Taenia crassiceps cysticerci.

Taenia solium is the aetiological agent of cysticercosis, a zoonosis that causes severe health and economic losses across Latin America, Africa and Asia. The most serious manifestation of the disease is neurocysticercosis, which occurs when the larval stage (cysticercus) establishes in the central nervous system. Using Taenia crassiceps as an experimental model organism for the study of cysticercosis, we aimed to identify the in vitro conditions necessary to allow parasite development at the short- and long terms. First, cysticerci were incubated for 15 days in different media and parasite densities. The number of buddings and cysticerci diameter were measured to evaluate asexual multiplication and parasite growth, respectively. Vitality was determined by trypan blue staining and morphology analysis. As a result, high cysticerci density and medium containing FBS and the excretion/secretion (E/S) products of feeder cells induced parasite survival, growth and multiplication. Then, the long-term (5 weeks) incubation of the parasites in co-culture with feeder cells was evaluated. Consequently, the mammalian cell lines induced a significant increase in total parasite volume while axenic cultures did not show any statistically significant change over time. In this study, the proper conditions to maintain T. crassiceps in vitro are described for the first time in a simpler and more controlled setting other than experimental infections. In addition, it was shown that cysticerci growth, survival and asexual multiplication depend on a complex network of secreted factors from both parasite and host.

Larval cestodes infecting commercial fish of Alexandria coast along the Mediterranean Sea: morphology and phylogeny.

Members of the order Trypanorhyncha are cestode parasites that are frequently found infecting the muscles of several marine fish species, affecting fish health and resulting in consumers' rejection. Seventy-five specimens of marine fish were freshly caught from boat landing sites at the Alexandria coast along the Mediterranean Sea in Egypt, including two Carangids, the greater amberjack Seriola dumerili and the gulley jack Pseudocarans dentex; two Serranids, the Haifa grouper Epinephelus haifensis and the mottled grouper Mycteroperca rubra. Forty-five fish were infected; the infection was recorded as blastocysts embedded in fish flesh. Blastocysts were isolated and ruptured; the generated plerocerci were described morphologically, where, four different species were recovered; Callitetrarhynchus gracilis, Callitetrarhynchus speciosus, Protogrillotia zerbiae, and Grillotia brayi. The taxonomic position of these parasites was justified by multiple-sequence alignment and a phylogenetic tree was constructed following maximum likelihood analysis of the 18s rRNA sequences of the recovered worms. The accession numbers MN625168, MN625169, MN611431and MN611432 were respectively assigned to the recovered parasites. The results obtained from the molecular analyses confirmed the morphological records of the recovered parasites. Since metacestodes are found in the musculature of infected fish specimens, it is necessary to remove these areas in the commercialization of fish.

The Genomes of Two Strains of Taenia crassiceps the Animal Model for the Study of Human Cysticercosis.

Human cysticercosis by Taenia solium is the major cause of neurological illness in countries of Africa, Southeast Asia, and the Americas. Publication of four cestode genomes (T. solium, Echinococcus multilocularis, E. granulosus and Hymenolepis microstoma) in the last decade, marked the advent of novel approaches on the study of the host-parasite molecular crosstalk for cestode parasites of importance for human and animal health. Taenia crassiceps is another cestode parasite, closely related to T. solium, which has been used in numerous studies as an animal model for human cysticercosis. Therefore, characterization of the T. crassiceps genome will also contribute to the understanding of the human infection. Here, we report the genome of T. crassiceps WFU strain, reconstructed to a noncontiguous finished resolution and performed a genomic and differential expression comparison analysis against ORF strain. Both strain genomes were sequenced using Oxford Nanopore (MinION) and Illumina technologies, achieving high quality assemblies of about 107 Mb for both strains. Dotplot comparison between WFU and ORF demonstrated that both genomes were extremely similar. Additionally, karyotyping results for both strains failed to demonstrate a difference in chromosome composition. Therefore, our results strongly support the concept that the absence of scolex in the ORF strain of T. crassiceps was not the result of a chromosomal loss as proposed elsewhere. Instead, it appears to be the result of subtle and extensive differences in the regulation of gene expression. Analysis of variants between the two strains identified 2,487 sites with changes distributed in 31 of 65 scaffolds. The differential expression analysis revealed that genes related to development and morphogenesis in the ORF strain might be involved in the lack of scolex formation.

Prevalência de cisticercose bovina em um abatedouro sob inspeção sanitária federal no estado do Espírito Santo, Brasil / Prevalence of bovine cysticercosis in a slaughterhouse under federal inspection service in the state of Espírito Santo, Brazil

A cisticercose é uma doença parasitária causada pela Taenia saginata que se caracteriza pela presença de cistos nos bovinos. É uma das principais causas de condenação de órgãos, carcaças e desvalorização da carne bovina dentro dos frigoríficos sob inspeção oficial. Portanto, esse trabalho objetivou determinar a prevalência de cisticercose bovina em bovinos abatidos durante o ano de 2021 em um abatedouro sob Inspeção Federal no Estado do Espírito Santo. No período avaliado, a prevalência anual foi de 4%. Foi verificada maior ocorrência nos meses de maio, setembro e novembro. Também foi verificada uma maior frequência de cistos calcificados (3,3%) em relação aos cistos vivos (0,76%). Essa alta taxa de prevalência indica que essa doença é endêmica na região, necessitando de medidas efetivas e de ações que interrompam o ciclo de transmissão dessa parasitose entre humanos e animais para diminuir a ocorrência de cisticercose no rebanho bovino e as consequentes perdas econômicas.

Cysticercosis is a parasitoses caused by Taenia saginata characterized by the presence of cysts in bovine tissues. It is one of the most important cause of viscera and carcasses condemnation and undervaluation of beef in slaughterhouses under official inspection. Therefore, this study aimed to establish the prevalence of bovine cysticercosis during the year in the 2021 in a slaughterhouse under Federal Inspection located at the state of Espirito Santo. During the study, the annual prevalence was 4%, being the months of higher occurrence May, September, and November. Additionally, the found frequency of calcified cysts (3,3%) was higher compared to live cysts (0,76%). These data indicate that this is an endemic disease in the region, and more effective actions are required to avoid transmission of this parasitosis between humans and animals and reduce cysticercosis frequency on cattle and its economic losses.

Epidemiology and economic impact of bovine cysticercosis in the state of Espírito Santo, Brazil / Epidemiologia e impacto econômico da cisticercose bovina no Estado do Espírito Santo, Brasil

Bovine cysticercosis (BCC) is an important disease in Brazil due to its detection in abattoirs, resulting in economic losses for cattle farmers, and a public health corcern. Besides its importance, the knowledge about BCC epidemiology and impact remains not fully described in several areas in this country, requiring more studies. Thus, this study focused on establishing BCC prevalence in the regions and municipalities of the state of Espírito Santo from 2017 to 2019, establishing the associated risk factors, and estimating the economic losses for cattle farmers. A set of 2,330 cases of BCC was detected in the 407,529 bovine inspected by Federal Inspection Service (0.57%; C.I. 95% 0.55 - 0.60%) with a higher detection of unviable cysticercus (66.14%). The beef producers lost at least US$153,000.20 due to BCC through this period. The highest risk for BCC infection occurred in Metropolitana (OR = 9.19), Litoral Sul (OR = 7.77), Caparó (OR = 7.44), and Central Sul (OR = 7.19) mesoregions, respectively. The BCC was detected in animals from 67 municipalities and its prevalence increased in areas with high human population density (OR = 1.58;; p = 0.01). In conclusion, BCC is an important disease for beef production chain in the Brazilian state of Espírito Santo and a cause of economic losses, mainly in some areas, and urgently requires the adoption of prophylactic strategies to reduce the ocurrence of this parasite.

A cisticercose bovina (CB) é uma doença importante no Brasil devido à sua detecção em abatedouros-frigoríficos que resulta em impactos econômicos aos criadores de bovinos, e um problema de saúde pública. Apesar da sua importância, o conhecimento sobre a sua epidemiologia e impacto persiste não completamente descritos em diversas áreas do país requer mais estudos. Portanto, esse estudo objetivou estabelecer a prevalência nos municípios e regiões do Estado do Espírito Santo de 2017 a 2019; estabelecer os fatores de risco associados; e estimar o impacto econômico aos pecuaristas. Durante o período, 2.330 casos de BC foram dectados entre os 407.529 bovinos inspecionados sob regime de inspeção federal (0,57%; I.C. 95% 0,55 - 0,60%), com maior frequência de cisticercos inviáveis (66,14%). Os pecuaristas perderam pelo menos US$153.000,20 devido à ocorrência de CB durante o período. As áreas de maior risco para a enfermidade nesse estado estão nas mesoregiões Metropolitana (OR = 9,19), Litoral Sul (OR = 7,77), Caparó (OR = 7,44), e Central Sul (OR = 7,19), respectivamente. A doença foi detectada em animais de 67 municípios e a prevalência da enfermidade foi maior em áreas com elevada densidade populacional humana (OR = 1,58; p = 0,01). Assim, conclui-se que a CB é uma importante doença para a cadeia da carne bovina no estado, além de uma importante causa de perdas econômicas, principalmente em algumas áreas, e necessita, urgentemente, da adoação de medidas profiláticas para reduzir a ocorrência desse parasita.

Epidemiological analyses of cattle carcasses affected by cysticercosis and hydatidosis in the State of Rio Grande do Sul from 2014 to 2018 / Análise epidemiológica de carcaças bovinas afetadas por cisticercose e hidatidose no estado do Rio Grande do Sul de 2014 a 2018

Bovine cysticercosis and hydatidosis are frequently identified by inspectors in slaughterhouses from the state of Rio Grande do Sul. Slaughterhouse records can provide valuable information for animal-related diseases and public health surveillance. Analyzing these data can aid set priorities to regions or properties that need more attention. Slaughter condemnation data is collected daily and stored in the Agricultural Defense System (SDA) database of the State Veterinary Services. However, it needs to be turned into useful information in bovine cysticercosis and hydatidosis surveillance programs. This study aimed to discuss how the analysis of condemnation data in the context of epidemiology can be useful for a surveillance system of bovine cysticercosis and hydatidosis. For this purpose, slaughter data of 5,137,870 cattle from 480,000 animal movement permits (GTA) from 97,891 farms from 2014 to 2018 were obtained from the Secretary of Agriculture, Livestock and Rural Development of the State of Rio Grande do Sul (SEAPDR-RS). Differences in the occurrence rates of bovine cysticercosis and hydatidosis among mesoregions over time were assessed through generalized linear models. Cysticercosis was identified in 65,379 (1.27%) carcasses and hydatidosis in 323,395 (6.29%). The occurrence rates of both diseases varied distinctly over time between the regions (p<0.01). Next, a process was developed to identify priority farms to target a surveillance program based on the prevalence. Period prevalence for cysticercosis and hydatidosis was obtained for each farm. The epidemiological indicator was calculated for each farm, dividing the number of affected carcasses by the number of bovines sent to slaughter during the period. The mean prevalence was obtained, and the exact binomial test was applied to identify farms presenting prevalence above the mean. It was observed that 2.48% and 6.17% of the farms had prevalence above the population mean prevalence of cysticercosis and hydatidosis, respectively. The Western mesoregion had the highest percentage of farms with prevalence above the average for cysticercosis (6.9%), followed by the Southwest mesoregion (6.0%). For hydatidosis, the percentage frequency of farms with prevalence above the average was markedly higher in the mesoregions Southeast (32.8%) and Southwest (29.5%). The results showed that analysis of slaughterhouse condemnation data of SDA is useful to identify situations in which the occurrence of the diseases is significantly higher than the average to apply additional measures or epidemiological investigations. This information may be useful in plans of epidemiological surveillance programs for controlling bovine cysticercosis and hydatidosis by the State's Official Veterinary Services.

Lesões características de cisticercose e hidatidose bovina são frequentemente identificadas por fiscais em abatedouros no Rio Grande do Sul. Dados de condenações destas propriedades são coletados diariamente e armazenados em banco de dados do Sistema de Defesa Agropecuária (SDA) da Secretaria Estadual de Agricultura, Pecuária e Desenvolvimento Rural (SEAPDR-RS), podendo fornecer informações valiosas para a vigilância de doenças de importância para a saúde animal e saúde pública, bem como, contribuir para a tomada de decisão direcionada a propriedades rurais ou regiões que realmente necessitam de intervenção sanitária. No entanto, estes dados precisam ser transformados em informação útil para programas de prevenção e controle da cisticercose e da hidatidose bovina. O presente trabalho teve como objetivo analisar os dados de condenações de carcaças bovinas abatidas em frigoríficos sob inspeção estadual no Rio Grande do Sul, no período de 2014 a 2018. Foram utilizados dados de 5.137.870 bovinos enviados para abate em 480.000 lotes (GTA emitidas) de 97.891 fazendas. Diferenças nas taxas de ocorrência de cisticercose e hidatidose bovina ao longo do tempo, entre as mesorregiões do Rio Grande do Sul, foram analisadas por meio de modelos lineares generalizados. A cisticercose foi identificada em 65.379 (1,27%) carcaças e a hidatidose em 323.395 (6,29%) carcaças. Ao longo do tempo detectou-se uma tendência de redução nas taxas de ocorrência das duas doenças que, por sua vez, se comportaram de maneira distinta entre as mesorregiões (p<0,01). Por outro lado, desenvolveu-se um processo para identificação de propriedades prioritárias para ação de vigilância com base na prevalência. A prevalência no período para cisticercose e hidatidose foi calculada para cada propriedade. O indicador foi obtido dividindo-se o número de carcaças afetadas pelo número total de animais enviados para abate, ou seja, é a proporção de ocorrência das parasitoses dentre os animais enviados para abate em cada propriedade no período de cinco anos. A prevalência média ou populacional (π), que é a média das prevalências de todas as propriedades, foi calculada e, em seguida, foi aplicado o teste exato binomial para identificar as propriedades com prevalência acima da média para ambas as doenças. Foi observado que 2,48% (2.425/97.841) e 6,17% (6.039/97.841) das propriedades apresentavam prevalências acima da média populacional para cisticercose e hidatidose, respectivamente. Observou-se que a mesorregião Centro Ocidental possui maior frequência percentual de propriedades com prevalência de cisticercose acima da média (6,9%), seguido pela mesorregião Sudoeste (6,0%). Já para hidatidose, a frequência percentual de propriedades com prevalência acima da média foi substancialmente superior nas mesorregiões Sudeste (32,8%) e Sudoeste (29,5%) quando comparada às demais. Os resultados demonstraram que com os dados de condenações de abatedouro do SDA foi possível identificar situações em que a ocorrência das doenças é significativamente alta e que necessitam de medidas ou investigações epidemiológicas adicionais. O conhecimento dessa informação pode ser útil no planejamento de programas de vigilância epidemiológica para o controle da cisticercose e hidatidose bovina pelos serviços veterinários oficiais do Estado.

Spatial distribution and risk factors for human cysticercosis in Colombia.

BACKGROUND: Cysticercosis is a zoonotic neglected tropical disease (NTD) that affects humans and pigs following the ingestion of Taenia solium eggs. Human cysticercosis poses a substantial public health burden in endemic countries. The World Health Organization (WHO) aims to target high-endemicity settings with enhanced interventions in 17 countries by 2030. Between 2008 and 2010, Colombia undertook a national baseline serosurvey of unprecedented scale, which led to an estimated seroprevalence of T. solium cysticercus antibodies among the general population of 8.6%. Here, we use contemporary geostatistical approaches to analyse this unique dataset with the aim of understanding the spatial distribution and risk factors associated with human cysticercosis in Colombia to inform how best to target intervention strategies. METHODS: We used a geostatistical model to estimate individual and household risk factors associated with seropositivity to T. solium cysticercus antibodies from 29,253 people from 133 municipalities in Colombia. We used both independent and spatially structured random effects at neighbourhood/village and municipality levels to account for potential clustering of exposure to T. solium. We present estimates of the distribution and residual correlation of seropositivity at the municipality level. RESULTS: High seroprevalence was identified in municipalities located in the north and south of Colombia, with spatial correlation in seropositivity estimated up to approximately 140 km. Statistically significant risk factors associated with seropositivity to T. solium cysticercus were related to age, sex, educational level, socioeconomic status, use of rainwater, consumption of partially cooked/raw pork meat and possession of dogs. CONCLUSIONS: In Colombia, the distribution of human cysticercosis is influenced by socioeconomic considerations, education and environmental factors related to the spread of T. solium eggs. This information can be used to tailor national intervention strategies, such as targeting spatial hotspots and more highly exposed groups, including displaced people and women. Large-scale seroprevalence surveys accompanied by geospatial mapping are an essential step towards reaching the WHO's 2021‒2030 NTD roadmap targets.

Validation of a spatial agent-based model for Taenia solium transmission ("CystiAgent") against a large prospective trial of control strategies in northern Peru.

BACKGROUND: The pork tapeworm (Taenia solium) is a parasitic helminth that imposes a major health and economic burden on poor rural populations around the world. As recognized by the World Health Organization, a key barrier for achieving control of T. solium is the lack of an accurate and validated simulation model with which to study transmission and evaluate available control and elimination strategies. CystiAgent is a spatially-explicit agent based model for T. solium that is unique among T. solium models in its ability to represent key spatial and environmental features of transmission and simulate spatially targeted interventions, such as ring strategy. METHODS/PRINCIPAL FINDINGS: We validated CystiAgent against results from the Ring Strategy Trial (RST)-a large cluster-randomized trial conducted in northern Peru that evaluated six unique interventions for T. solium control in 23 villages. For the validation, each intervention strategy was replicated in CystiAgent, and the simulated prevalences of human taeniasis, porcine cysticercosis, and porcine seroincidence were compared against prevalence estimates from the trial. Results showed that CystiAgent produced declines in transmission in response to each of the six intervention strategies, but overestimated the effect of interventions in the majority of villages; simulated prevalences for human taenasis and porcine cysticercosis at the end of the trial were a median of 0.53 and 5.0 percentages points less than prevalence observed at the end of the trial, respectively. CONCLUSIONS/SIGNIFICANCE: The validation of CystiAgent represented an important step towards developing an accurate and reliable T. solium transmission model that can be deployed to fill critical gaps in our understanding of T. solium transmission and control. To improve model accuracy, future versions would benefit from improved data on pig immunity and resistance, field effectiveness of anti-helminthic treatment, and factors driving spatial clustering of T. solium infections including dispersion and contact with T. solium eggs in the environment.

Efficacy of two locally produced oxfendazole formulations for the treatment of cysticercosis in naturally infected pigs. / Eficacia de dos formulaciones de oxfendazol producidas localmente para el tratamiento de la cisticercosis en cerdos infectados naturalmente.

The efficacy of two locally produced oxfendazole (OFZ) formulations against cysticercosis at 22,5% and 10%, versus a commercial formulation (Synanthic 9,06%) was evaluated in twenty-two naturally infected pigs that received a single oral dose of 30 mg/kg. Pigs were sacrificed at eight weeks post-treatment to evaluate the cysts found in their carcasses, and to determine the cysticidal efficacy, which was defined as the proportion of degenerated cysts over total cysts. Only degenerated cysts were found in muscle, heart, and tongue of pigs treated with OFZ in all groups, which shows an efficacy of 100%. Viable and degenerated cysts were found in brains, being the efficacy lower in all groups (65% [commercial OFZ], 47% [local OFZ 22.5%] and 31% [local OFZ 10%], p = 0.355). Locally produced OFZ formulations were similarly effective to the commercial formulation and may provide a practical alternative for the treatment of porcine cysticercosis.

Se evaluó la eficacia de dos formulaciones de oxfendazol (OFZ) contra cisticercosis producidas localmente, al 22,5% y 10% en comparación con una formulación comercial (Synanthic 9,06%) en 22 cerdos naturalmente infectados, que recibieron una dosis oral de 30 mg/kg. Los cerdos fueron sacrificados a las ocho semanas postratamiento para evaluar quistes en en sus carcasas, y se determinó la eficacia cisticida a través de la proporción de quistes degenerados sobre el total. Solo se encontraron quistes degenerados en la musculatura, corazón y lengua de los cerdos tratados con OFZ en todos los grupos, lo cual muestra una eficacia del 100%. En los cerebros se encontraron quistes viables y degenerados, con una eficacia menor en todos los grupos (65% [OFZ comercial], 47% [OFZ local 22,5%] y 31% [OFZ local 10%], p = 0,355. Las formulaciones de OFZ producidas localmente fueron igual de efectivas que la formulación comercial y pueden proporcionar una alternativa para el tratamiento de la cisticercosis porcina.

Cenurose em ovino com sinais neurológicos - diagnóstico com tomografia computadorizada / Cenurosis in a sheep with neurological signs - diagnosis with computed tomography

Background: Cenurosis is a parasitic disease caused by Coenurus cerebralis, an intermediate form of Taenia multiceps multiceps, causing a fatal disease in production animals. Its adult form (Taenia) lodges in the small intestine of canids and can infect several intermediate hosts. Sheep are the main species affected by the disease, having nervous symptoms as one of its manifestations. This study aimed to describe the changes observed in computed tomography, as well as the clinical findings of a case of Cenurosis in a sheep on the western border of Rio Grande do Sul. Case: A ram was referred to the Centro Universitário da Região da Campanha (URCAMP) with neurological signs. Clinical, hematological, radiographic, tomographic and necroscopic evaluation of the animal was performed. There were no significant hematological and radiographic changes. During the neurological examination, corneal opacity was found in the right eyeball, associated with a visual deficit in the same eye. Also, when stimulated to move, it was possible to observe ataxia with ambulation to the left side, with right lateral displacement of the head. The tomography showed a hypodense area of approximately 3 cm at the base of the brain, in the region of the thalamus and third ventricle. Macroscopically, a translucent spherical cyst with approximately 4 cm in diameter was observed, containing the protoescolex/scolices of Taenia multiceps in the same region. Discussion: Computed tomography identified the presence of an apparently circular volume of approximately 4 cm in diameter, causing ventricular dilatation. This evidence of ventricular dilation corroborates aspects described in the literature, which found bilateral dilation of the ventricles by compression promoted by a cyst in the 4th ventricle. As the location of the cyst was located at the base of the brain, in the region of the third ventricle, it would be difficult to perform the surgery in the treatment of this case. Signs of ataxia, walking movements, decreased reflexes, nystagmus, unilateral blindness and lateral decubitus are commonly observed. Reports described that the main neurological alterations observed in 20 sheep with cenurosis were postural deficit, locomotion alteration, visual deficit and behavioral alterations, with more than 50% of the animals showing at least one of these signs. The main neurological signs observed in the case described were changes in gait, with walking, blindness, lateral head deviation and ataxia. These signs guide the clinical diagnosis of cenurosis. At necropsy, a spherical translucent cyst with approximately 4 cm in diameter was observed, containing the protoescolex/scolices of Taenia multiceps, which extended dorsally from the third ventricle to the base of the thalamus, laterally displaced to the right side. Rostrocaudal the lesion extended rostrally across the entire length of the thalamus to the beginning of the caudate nucleus and caudally to the base of the caudal colliculus, causing compression of the adjacent parenchyma, enabling the diagnosis of cenurosis. Similar findings are described as Coenurus cerebralis. This lesion pattern macroscopically characterizes the parasite lesions. Thus, it is concluded that the visualization of a hypodense area in CNS regions of sheep with neurological signs allows the diagnosis of cenurosis and precise location of the lesion. The description of this case adds information so that other professionals in the field can be successful in diagnosing the disease.

Swine cysticercosis and associated risk factors in non-technified pig breeding in semi-arid region of Sergipe state, Brazil.

The aim of this study was to determine the frequency of Taenia solium anti-metacestode antibodies in slaughtered pigs in a semi-arid region of the "Alto Sertão" of Sergipe state, Brazil, and verify the risk factors associated with swine cysticercosis. For this, 230 samples of swine blood from two slaughterhouses were collected and analyzed by indirect ELISA. The pigs came from five non-technical properties in the semi-arid region of the Alto Sertão of Sergipe state. Searches for cysts in the skeletal muscles of the pigs were performed during slaughter. In addition, an epidemiological questionnaire was applied to the pigs' original properties to determine risk factors. Besides that, the official health services database was evaluated for confirmed cases of neurocysticercosis and taeniasis in humans in the last 5 years, living in the studied region. Seropositivity in pigs was 12.6%, with no significant difference between males and females. No cysts were found in the carcasses of the slaughtered pigs. A positive association was found for properties that discharge domestic sewage into the environment, in river or streams, increasing the risk of positivity by 5.72 times. When analyzing the database of official agencies, there were no records of cases of neurocysticercosis or taeniasis in the resident population in the last 5 years. However, there were frequent cases of idiopathic epilepsy. The results demonstrate that study area is endemic for swine cysticercosis and serves as a warning of the possibility of the occurrence of the taeniasis-cysticercosis complex.

Evagination of metacestodes of the WFU strain of Taenia crassiceps and evaluation of the impact of immune suppression of hamsters during tapeworm development.

Taeniosis-cysticercosis caused by Taenia crassiceps (Zeder, 1800) is a useful experimental model for biomedical research, in substitution of Taenia solium Linnaeus, 1758, studied during decades to develop effective vaccination, novel anti-helminthic drugs and diagnostic tools. Cysticercosis in mouse (Mus musculus Linnaeus) is achieved by the larval subculturing of the Wake Forest University (WFU) strain of T. crassiceps. Golden hamster, Mesocricetus auratus (Waterhouse), has been shown to be the most suitable host for adult forms of parasite in experimental taeniosis. Metacestodes of T. crassiceps WFU multiply by budding without restrictions once inoculated into the mouse, while the number of tapeworms developed from these larvae in hamsters remains highly variable. Three objectives have been proposed to improve the infection of T. crassiceps WFU in hamsters: (1) to re-evaluate the need of immune suppression; (2) to investigate the advantage of infecting hamsters with metacestodes with in vitro protruded scolices; and (3) to compare a number of tapeworms developed from metacestodes subcultured in hamsters against those proliferated in mice. Our results demonstrated that when the evagination of murine metacestodes was high, the number of T. crassiceps WFU adults obtained from hamsters was also high. Immunosuppressive treatment remains relevant for this experimental rodent model. The hamster-to-hamster cysticercosis-taeniosis by T. crassiceps overcame the mouse-to-hamster model in the yield of adult specimens. In vitro scolex evagination and metacestode asexual proliferation in hamsters place this rodent model by T. crassiceps WFU as the most affordable experimental models with taeniids.