The absence of CE from top-level peer review journals contributes to its neglect status. Here we present the first “original research” (no review, no case report) ever published on echinococcosis by The Lancet Infectious Diseases. Web link to the article:
The Lancet ID Article: The burden of CE in Bulgaria, Romania, and Turkey
Comment to the Article: Eliminating cystic echinococcosis in the 21st century






Prevalence of abdominal cystic echinococcosis in rural Bulgaria, Romania and Turkey:
a cross-sectional, ultrasound-based, population study from the HERACLES project

ECDC WHO

 

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Background: A big proportion of CE cases do not reach official records, resulting in underestimate of the magnitude of the public health problem. Indeed, current infection and burden estimates heavily rely on modelling approaches to fill in data gaps, using arbitrary assumptions and highly heterogeneous data sources; as a result, infection and disease burden are likely underestimated.

Aim: This study aims to estimate the prevalence of abdominal CE, cyst stage distribution and number of infected individuals in the rural population of Bulgaria, Romania, and Turkey.

Methods: The biggest research-based abdominal US screenings (2014-15) were conducted on 24,693 people in 50 villages (4 districts of Bulgaria, 5 districts of Romania, and 6 provinces of Turkey).

Findings: Age and sex adjusted prevalence of abdominal CE was: 0.41% in Bulgaria, 0.41% in Romania, 0.59% in Turkey. The estimated number of individuals who may be presently infected with CE in rural areas is around 151,000 (7,872 in Bulgaria, 37,229 in Romania, 106,237 in Turkey).

Interpretation: Our results should be of use to support public health stakeholders to plan interventions, including preliminary cost-benefit analyses, in the perspective of complying with the WHO roadmap for CE control.




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