[Geography of alveolar echinococcosis]

Patrick Giraudoux (1, 2) , Francis Raoul (1, 2) , Franck Boue (3) , Benoît Combes (4) , Renaud Piarroux (1) , Solange Bresson-Hadni (2) , Dominique-Angèle Vuitton (2, 5)

1 LCE - Laboratoire Chrono-environnement (UMR 6249)
2 WHO Collaborating Center on Prevention and Treatment of Human Echinococcosis
3 Laboratoire d'études et de recherches sur la rage et la pathologie des animaux sauvages
4 ERZ - Entente Rage et Zoonoses
5 CEF2P / CARCINO - Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (UR 3181)

Alveolar echinococcosis is restricted geographically to the colder areas of the northern hemisphere. In France, the highest prevalence is observed in Franche-Comtd. The yearly incidence of AE in endemic areas is generally low (0.02-0.18 per 100,000 inhabitants) but it can exceed 1 per 100,000 locally. E. multilocularis transmission has intensified in traditionally in foxes endemic areas during the last twenty years, and the parasite has extended its range to new areas and countries of Europe. The increasing proximity of fox populations to urban areas may lead to a new epidemiological pattern. Control measures are only applicable at the local scale, and are essentially based on for deworming.

Domaines: Parasitologie

Patrick Giraudoux, Francis Raoul, Franck Boue, Benoît Combes, Renaud Piarroux, et al.. [Geography of alveolar echinococcosis]. Bulletin de l'Académie Nationale de Médecine, 2008, 192 (6), pp.1119-25; discussion 1126-30. ⟨hal-00370941⟩