Alveolar echinococcosis: characteristics of a possible emergence and new perspectives in epidemiosurveillance
Alveolar echinococcosis: characteristics of a possible emergence and new perspectives in epidemiosurveillance
复制标题
DOI：
10.1016/s0399-077x(01)80065-2
复制
发表时间：
2001-03-01
影响因子：
5
通讯作者：
Vuitton, DA
中科院分区：
文献类型：
--
作者：
Giraudoux, P;Raoul, F;Vuitton, DA
本综述的目的是根据目前对其在世界（尤其是欧洲）传播模式的了解，讨论法国的肺泡包虫病情况。从新报告的受感染狐狸病例或几个以前未发现这种疾病的国家的选票来看，可能会怀疑农村环境存在较高污染的重要风险。此外，传统上流行的巴德-符腾堡州（德国）和弗朗什-孔泰州（法国）的狐狸患病率的增加也支持了这一新趋势。城市狐狸和受感染狐狸向城市的传播也可能是这种疾病蔓延到城市和郊区的原因，而这种疾病原本被认为仅限于农村地区。目前正在建立狐狸（狗、猫）种群流行病监测系统。它将基于用于检测最终宿主粪便中的多房艾美耳球菌物质的共同检测（ELISA、PCR）以及基于对有利于传播的景观特征的多尺度分析的采样。欧洲一级已经建立了人类病例登记册（弗朗什-孔泰大学、乌尔姆大学和霍恩海姆大学的世卫组织合作中心）。不幸的是，法国的寄生虫分布和暴露风险的演变尚未得到认识。如果卫生当局更加重视这种疾病，监测和预防方面有望取得进展。 (C) 2001 年科学与医学版 Elsevier SAS。
The aim of this review is to discuss the situation of alveolar echinococcosis in France in the light of the current knowledge on its transmission patterns in the world, especially Europe. An important risk of higher contamination of the rural environment may be suspected from newly reported cases of infected foxes or votes in several countries where the disease was not found before. Furthermore, the increase of prevalence rate in foxes in Bade-Wurtemberg (Germany) and Franche-Comte (France), traditionally endemic, also supports this new trend. Urban foxes and the spreading of infected foxes to cities may also be the cause of the extension to urban and suburban areas of a disease which was believed to be limited to rural areas. The setting up of an epidemio-surveillance system for fox (dog, cat) populations is currently in progress. It will be grounded on coprotests (ELISA, PCR) for the detection of E. multilocularis material in definitive hosts' faeces and on sampling based on the multiscale analysis of the characteristics of landscapes favourable to transmission. A register of human cases has been established at the European level (WHO Collaborative Centre of the University of Franche-Comte and Universities of Ulm and Hohenheim). Unfortunately, the evolution of the parasite distribution and of the risks of exposure in France is unrecognised. Progress in surveillance and prevention could be expected if health authorities would attribute higher priority to this disease. (C) 2001 Editions scientifiques et medicales Elsevier SAS.