Prioritisation of food-borne parasites in Europe, 2016
Prioritisation of food-borne parasites in Europe, 2016
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DOI：
10.2807/1560-7917.es.2018.23.9.17-00161
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发表时间：
2018-03-01
期刊：
影响因子：
19
通讯作者：
van der Giessen, Joke W. B.
中科院分区：
文献类型：
--
作者：
Bouwknegt, Martijn;Devleesschauwer, Brecht;van der Giessen, Joke W. B.
背景和目标：确定优先事项是公共卫生专业人员的一项具有挑战性的任务。为了支持卫生专业人员，并遵循联合国粮食及农业组织（粮农组织）和世界卫生组织（世卫组织）的建议，35名欧洲寄生虫学家参加了2016年2月8日至12日的研讨会，根据食源性寄生虫对欧洲和欧洲地区的重要性进行排名。研究方法：根据欧洲临床微生物学和传染病学会使用的标准，将各国划分为欧洲地区。我们使用了与FAO/WHO相同的多标准决策分析方法来比较结果，并使用了修改后的版本来提高区域代表性。使用预定义的决策规则，在亚组中对25个FBP进行评分。结果：在欧洲范围内，多房棘球绦虫居首位，其次是刚地弓形虫和旋毛虫。在区域层面，E.多室的E. multicularis在北方和东欧的分布最广; granulosus在欧洲西南部和东南部，T.西欧的弓形虫在全球排名第17位的异尖线虫科出现在每个欧洲地区的前10名中。相比之下，猪带绦虫在全球排名最高，但在欧洲排名第10。结论：欧洲的重要性与全球的重要性不同，需要有针对性的监测系统，干预措施和准备计划，这些计划在世界各地和欧洲各地都有所不同。
Background and aims: Priority setting is a challenging task for public health professionals. To support health professionals with this and in following a recommendation from the Food and Agriculture Organization of the United Nations (FAO) and World Health Organization (WHO), 35 European parasitologists attended a workshop from 8-12 February 2016 to rank food-borne parasites (FBP) in terms of their importance for Europe and regions within Europe. Methods: Countries were divided into European regions according to those used by the European Society of Clinical Microbiology and Infectious Diseases. We used the same multicriteria decision analysis approach as the FAO/WHO, for comparison of results, and a modified version, for better regional representation. Twenty-five FBP were scored in subgroups, using predefined decision rules. Results: At the European level, Echinococcus multilocularis ranked first, followed by Toxoplasma gondiiand Trichinella spiralis. At the regional level, E. multilocularis ranked highest in Northern and Eastern Europe, E. granulosus in South-Western and South-Eastern Europe, and T. gondii in Western Europe. Anisakidae, ranking 17th globally, appeared in each European region's top 10. In contrast, Taenia solium, ranked highest globally but 10th for Europe. Conclusions: FBP of importance in Europe differ from those of importance globally, requiring targeted surveillance systems, intervention measures, and preparedness planning that differ across the world and across Europe.