TY - JOUR
T1 - Cystic echinococcosis in South America
T2 - A call for action
AU - Pavletic, Carlos F.
AU - Larrieu, Edmundo
AU - Guarnera, Eduardo A.
AU - Casas, Natalia
AU - Irabedra, Pilar
AU - Ferreira, Ciro
AU - Sayes, Julio
AU - Gavidia, Cesar M.
AU - Caldas, Eduardo
AU - Lise, Michael Laurence Zini
AU - Maxwell, Melody
AU - Arezo, Marcos
AU - Navarro, Ana Maria
AU - Vigilato, Marco A.N.
AU - Cosivi, Ottorino
AU - Espinal, Marcos
AU - Del Rio Vilas, Victor J.
N1 - Publisher Copyright:
© 2017 Pan American Health Organization. All rights reserved.
PY - 2017
Y1 - 2017
N2 - Cystic echinococcosis (CE) or hydatidosis, a parasitic zoonosis caused by a cestode of the family Taeniidae, species Echinococcus granulosus, is endemic in Argentina, Chile, Peru, Uruguay, and southern Brazil. This report presents CE figures for these five countries in 2009 - 2014 and proposes indicators to measure national control programs. Nearly 5 000 new CE cases were diagnosed annually in the five countries during the study period. The average case fatality rate was 2.9%, which suggests that CE led to approximately 880 deaths in these countries during the 6-year period. CE cases that required secondary or tertiary health care had average hospital stays of 10.6 days, causing a significant burden to health systems. The proportion of new cases (15%) in children less than 15 years of age suggests ongoing transmission. Despite figures showing that CE is not under control in South America, the long-standing implementation of national and local control programs in three of the five countries has achieved reductions in some of the indicators. The Regional Initiative for the Control of CE, which includes the five countries and provides a framework for networking and collaboration, must intensify its efforts.
AB - Cystic echinococcosis (CE) or hydatidosis, a parasitic zoonosis caused by a cestode of the family Taeniidae, species Echinococcus granulosus, is endemic in Argentina, Chile, Peru, Uruguay, and southern Brazil. This report presents CE figures for these five countries in 2009 - 2014 and proposes indicators to measure national control programs. Nearly 5 000 new CE cases were diagnosed annually in the five countries during the study period. The average case fatality rate was 2.9%, which suggests that CE led to approximately 880 deaths in these countries during the 6-year period. CE cases that required secondary or tertiary health care had average hospital stays of 10.6 days, causing a significant burden to health systems. The proportion of new cases (15%) in children less than 15 years of age suggests ongoing transmission. Despite figures showing that CE is not under control in South America, the long-standing implementation of national and local control programs in three of the five countries has achieved reductions in some of the indicators. The Regional Initiative for the Control of CE, which includes the five countries and provides a framework for networking and collaboration, must intensify its efforts.
KW - Argentina
KW - Brazil
KW - Chile
KW - Echinococcosis granulosus
KW - Peru
KW - Prevention & control
KW - South America
KW - Uruguay
KW - Zoonoses
UR - http://www.scopus.com/inward/record.url?scp=85061896598&partnerID=8YFLogxK
U2 - 10.26633/RPSP.2017.42
DO - 10.26633/RPSP.2017.42
M3 - Artículo de revisión
AN - SCOPUS:85061896598
SN - 1020-4989
VL - 41
JO - Revista Panamericana de Salud Publica/Pan American Journal of Public Health
JF - Revista Panamericana de Salud Publica/Pan American Journal of Public Health
M1 - e42
ER -