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Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project

dc.contributor.authorCasulli, Adriano
dc.contributor.authorAbela-Ridder, Bernadette
dc.contributor.authorPetrone, Daniele
dc.contributor.authorFabiani, Massimo
dc.contributor.authorBobić, Branko
dc.contributor.authorCarmena, David
dc.contributor.authorŠoba, Barbara
dc.contributor.authorZerem, Enver
dc.contributor.authorGargaté, Maria João
dc.contributor.authorKuzmanovska, Gordana
dc.contributor.authorCalomfirescu, Cristian
dc.contributor.authorRainova, Iskra
dc.contributor.authorSotiraki, Smaragda
dc.contributor.authorLungu, Vera
dc.contributor.authorDezsényi, Balázs
dc.contributor.authorHerrador, Zaida
dc.contributor.authorKaramon, Jacek
dc.contributor.authorMaksimov, Pavlo
dc.contributor.authorOksanen, Antti
dc.contributor.authorMillon, Laurence
dc.contributor.authorSviben, Mario
dc.contributor.authorShkjezi, Renata
dc.contributor.authorGjoni, Valbona
dc.contributor.authorAkshija, Ilir
dc.contributor.authorSaarma, Urmas
dc.contributor.authorTorgerson, Paul
dc.contributor.authorŠnábel, Viliam
dc.contributor.authorAntolová, Daniela
dc.contributor.authorMuhovic, Damir
dc.contributor.authorBesim, Hasan
dc.contributor.authorChereau, Fanny
dc.contributor.authorBelhassen García, Moncef
dc.contributor.authorChappuis, François
dc.contributor.authorGloor, Severin
dc.contributor.authorStoeckle, Marcel
dc.contributor.authorMüllhaupt, Beat
dc.contributor.authorManno, Valerio
dc.contributor.authorSantoro, Azzurra
dc.contributor.authorSantolamazza, Federica
dc.date.accessioned2022-12-12T12:24:10Z
dc.date.available2022-12-12T12:24:10Z
dc.date.issued2022-11-22
dc.descriptionReviewpt_PT
dc.description.abstractThe neglected zoonosis cystic echinococcosis affects mainly pastoral and rural communities in both low-income and upper-middle-income countries. In Europe, it should be regarded as an orphan and rare disease. Although human cystic echinococcosis is a notifiable parasitic infectious disease in most European countries, in practice it is largely under-reported by national health systems. To fill this gap, we extracted data on the number, incidence, and trend of human cases in Europe through a systematic review approach, using both the scientific and grey literature and accounting for the period of publication from 1997 to 2021. The highest number of possible human cases at the national level was calculated from various data sources to generate a descriptive model of human cystic echinococcosis in Europe. We identified 64 745 human cystic echinococcosis cases from 40 European countries. The mean annual incidence from 1997 to 2020 throughout Europe was 0·64 cases per 100 000 people and in EU member states was 0·50 cases per 100 000 people. Based on incidence rates and trends detected in this study, the current epicentre of cystic echinococcosis in Europe is in the southeastern European countries, whereas historical endemic European Mediterranean countries have recorded a decrease in the number of cases over the time.pt_PT
dc.description.abstractKey messages: - This study aims to shed light on the unrecognised incidence of cystic echinococcosis in Europe, unveiling its epidemiological effect by providing a quantitative measure of number, incidence, and trends of human cases documented within the period 1997–2021; - Since human cystic echinococcosis cases are generally under-reported and data have uncertainty (partly due to misdiagnosis), data provided in this study should be considered as a conservative estimate of the real impact of this zoonotic infection historically occurring in Europe; - For the years 2017–19, we identified a total number of cystic echinococcosis cases four-fold higher than for The European Surveillance System (TESSy) data; - Decreasing trends have been recorded in most southern Mediterranean and some eastern European countries, where cystic echinococcosis has traditionally been highly prevalent; - Increasing trends have been identified in some eastern and southeastern European countries but, unexpectedly, also in most non-endemic countries of northern and western Europe; - Based on incidence and trends from 2017–19, the current epicentre of cystic echinococcosis in Europe is represented by the Balkan Peninsula; - Cystic echinococcosis in Europe remains a relevant public health issue and findings from this study should be used to support the planning of surveillance and control programmes in Europe according to the WHO 2021–2030 roadmap for neglected tropical diseases.pt_PT
dc.description.sponsorshipThis research was funded by the MEmE project from the EU’s Horizon 2020 Research and Innovation programme under grant agreement number 773830: One Health European Joint Programme. This work was also partially supported by research funding (grant PRG1209) from the Estonian Ministry of Education and Researchpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLancet Infect Dis. 2023 Mar;23(3):e95-e107. doi: 10.1016/S1473-3099(22)00638-7. Epub 2022 Nov 22. Reviewpt_PT
dc.identifier.doi10.1016/S1473-3099(22)00638-7pt_PT
dc.identifier.issn1474-4457
dc.identifier.urihttp://hdl.handle.net/10400.18/8392
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier
dc.relationPromoting One Health in Europe through joint actions on foodborne zoonoses, antimicrobial resistance and emerging microbiological hazards.
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1473309922006387?via%3Dihubpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectEchinococcosispt_PT
dc.subjectCystic Echinococcosispt_PT
dc.subjectZoonosis Cysticpt_PT
dc.subjectEuropept_PT
dc.subjectMEmE projectpt_PT
dc.subjectInfecções Sistémicas e Zoonosespt_PT
dc.titleUnveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE projectpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitlePromoting One Health in Europe through joint actions on foodborne zoonoses, antimicrobial resistance and emerging microbiological hazards.
oaire.awardURIinfo:eu-repo/grantAgreement/EC/H2020/773830/EU
oaire.citation.titleThe Lancet Infectious Diseasespt_PT
oaire.fundingStreamH2020
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.nameEuropean Commission
rcaap.embargofctAcesso de acordo com política editorial da revista.pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublication94d118fb-33ce-49fa-b1ed-d5bddf63581d
relation.isProjectOfPublication.latestForDiscovery94d118fb-33ce-49fa-b1ed-d5bddf63581d

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