id RCAP_391f055f954266f7f9dec00f41ae08b0
oai_identifier_str oai:repositorio.insa.pt:10400.18/8392
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE projectEchinococcosisCystic EchinococcosisZoonosis CysticEuropeMEmE projectInfecções Sistémicas e ZoonosesReviewThe 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.Key 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.This 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 ResearchElsevierRepositório Científico do Instituto Nacional de SaúdeCasulli, AdrianoAbela-Ridder, BernadettePetrone, DanieleFabiani, MassimoBobić, BrankoCarmena, DavidŠoba, BarbaraZerem, EnverGargaté, Maria JoãoKuzmanovska, GordanaCalomfirescu, CristianRainova, IskraSotiraki, SmaragdaLungu, VeraDezsényi, BalázsHerrador, ZaidaKaramon, JacekMaksimov, PavloOksanen, AnttiMillon, LaurenceSviben, MarioShkjezi, RenataGjoni, ValbonaAkshija, IlirSaarma, UrmasTorgerson, PaulŠnábel, ViliamAntolová, DanielaMuhovic, DamirBesim, HasanChereau, FannyBelhassen García, MoncefChappuis, FrançoisGloor, SeverinStoeckle, MarcelMüllhaupt, BeatManno, ValerioSantoro, AzzurraSantolamazza, Federica2022-12-12T12:24:10Z2022-11-222022-11-22T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/8392engLancet Infect Dis. 2022 Nov 22;S1473-3099(22)00638-7. doi: 10.1016/S1473-3099(22)00638-7. Online ahead of print. Review1474-445710.1016/S1473-3099(22)00638-7info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:42:33Zoai:repositorio.insa.pt:10400.18/8392Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:43:03.154066Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
title Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
spellingShingle Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
Casulli, Adriano
Echinococcosis
Cystic Echinococcosis
Zoonosis Cystic
Europe
MEmE project
Infecções Sistémicas e Zoonoses
title_short Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
title_full Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
title_fullStr Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
title_full_unstemmed Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
title_sort Unveiling the incidences and trends of the neglected zoonosis cystic echinococcosis in Europe: a systematic review from the MEmE project
author Casulli, Adriano
author_facet Casulli, Adriano
Abela-Ridder, Bernadette
Petrone, Daniele
Fabiani, Massimo
Bobić, Branko
Carmena, David
Šoba, Barbara
Zerem, Enver
Gargaté, Maria João
Kuzmanovska, Gordana
Calomfirescu, Cristian
Rainova, Iskra
Sotiraki, Smaragda
Lungu, Vera
Dezsényi, Balázs
Herrador, Zaida
Karamon, Jacek
Maksimov, Pavlo
Oksanen, Antti
Millon, Laurence
Sviben, Mario
Shkjezi, Renata
Gjoni, Valbona
Akshija, Ilir
Saarma, Urmas
Torgerson, Paul
Šnábel, Viliam
Antolová, Daniela
Muhovic, Damir
Besim, Hasan
Chereau, Fanny
Belhassen García, Moncef
Chappuis, François
Gloor, Severin
Stoeckle, Marcel
Müllhaupt, Beat
Manno, Valerio
Santoro, Azzurra
Santolamazza, Federica
author_role author
author2 Abela-Ridder, Bernadette
Petrone, Daniele
Fabiani, Massimo
Bobić, Branko
Carmena, David
Šoba, Barbara
Zerem, Enver
Gargaté, Maria João
Kuzmanovska, Gordana
Calomfirescu, Cristian
Rainova, Iskra
Sotiraki, Smaragda
Lungu, Vera
Dezsényi, Balázs
Herrador, Zaida
Karamon, Jacek
Maksimov, Pavlo
Oksanen, Antti
Millon, Laurence
Sviben, Mario
Shkjezi, Renata
Gjoni, Valbona
Akshija, Ilir
Saarma, Urmas
Torgerson, Paul
Šnábel, Viliam
Antolová, Daniela
Muhovic, Damir
Besim, Hasan
Chereau, Fanny
Belhassen García, Moncef
Chappuis, François
Gloor, Severin
Stoeckle, Marcel
Müllhaupt, Beat
Manno, Valerio
Santoro, Azzurra
Santolamazza, Federica
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Casulli, Adriano
Abela-Ridder, Bernadette
Petrone, Daniele
Fabiani, Massimo
Bobić, Branko
Carmena, David
Šoba, Barbara
Zerem, Enver
Gargaté, Maria João
Kuzmanovska, Gordana
Calomfirescu, Cristian
Rainova, Iskra
Sotiraki, Smaragda
Lungu, Vera
Dezsényi, Balázs
Herrador, Zaida
Karamon, Jacek
Maksimov, Pavlo
Oksanen, Antti
Millon, Laurence
Sviben, Mario
Shkjezi, Renata
Gjoni, Valbona
Akshija, Ilir
Saarma, Urmas
Torgerson, Paul
Šnábel, Viliam
Antolová, Daniela
Muhovic, Damir
Besim, Hasan
Chereau, Fanny
Belhassen García, Moncef
Chappuis, François
Gloor, Severin
Stoeckle, Marcel
Müllhaupt, Beat
Manno, Valerio
Santoro, Azzurra
Santolamazza, Federica
dc.subject.por.fl_str_mv Echinococcosis
Cystic Echinococcosis
Zoonosis Cystic
Europe
MEmE project
Infecções Sistémicas e Zoonoses
topic Echinococcosis
Cystic Echinococcosis
Zoonosis Cystic
Europe
MEmE project
Infecções Sistémicas e Zoonoses
description Review
publishDate 2022
dc.date.none.fl_str_mv 2022-12-12T12:24:10Z
2022-11-22
2022-11-22T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/8392
url http://hdl.handle.net/10400.18/8392
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Lancet Infect Dis. 2022 Nov 22;S1473-3099(22)00638-7. doi: 10.1016/S1473-3099(22)00638-7. Online ahead of print. Review
1474-4457
10.1016/S1473-3099(22)00638-7
dc.rights.driver.fl_str_mv info:eu-repo/semantics/embargoedAccess
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799132176661348352