Alveolar echinococcosis (AE) and cystic echinococcosis (CE) are severe helminthic zoonoses. Echinococcus multilocularis (causative agent of AE) is widely distributed in the northern hemisphere where it is typically maintained in a wild animal cycle including canids as definitive hosts and rodents as intermediate hosts. The species Echinococcus granulosus, Echinococcus ortleppi, Echinococcus canadensis and Echinococcus intermedius are the causative agents of CE with a worldwide distribution and a highly variable human disease burden in the different endemic areas depending upon human behavioural risk factors, the diversity and ecology of animal host assemblages and the genetic diversity within Echinococcus species which differ in their zoonotic potential and pathogenicity. Both AE and CE are regarded as neglected zoonoses, with a higher overall burden of disease for CE due to its global distribution and high regional prevalence, but a higher pathogenicity and case fatality rate for AE, especially in Asia. Over the past two decades, numerous studies have addressed the epidemiology and distribution of these Echinococcus species worldwide, resulting in better-defined boundaries of the endemic areas. This chapter presents the global distribution of Echinococcus species and human AE and CE in maps and summarizes the global data on host assemblages, transmission, prevalence in animal definitive hosts, incidence in people and molecular epidemiology.

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Global Distribution of Alveolar and Cystic Echinococcosis.

Recent efforts to include parasites in food webs have drawn attention to a previously ignored facet of foraging ecology: parasites commonly function as prey within ecosystems. Because of the high productivity of parasites, their unique nutritional composition and their pathogenicity in hosts, their consumption affects both food-web topology and disease risk in humans and wildlife. Here, we evaluate the ecological, evolutionary and epidemiological significance of feeding on parasites, including concomitant predation, grooming, predation on free-living stages and intraguild predation. Combining empirical data and theoretical models, we show that consumption of parasites is neither rare nor accidental, and that it can sharply affect parasite transmission and food web properties. Broader consideration of predation on parasites will enhance our understanding of disease control, food web structure and energy transfer, and the evolution of complex life cycles.

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When parasites become prey: ecological and epidemiological significance of eating parasites

Background Human echinococcosis is a neglected zoonosis caused by parasites of the genus Echinococcus. The most frequent clinical forms of echinococcosis, cystic echinococcosis (CE) and alveolar echinococcosis (AE), are responsible for a substantial health and economic burden, particularly to low-income societies. Quantitative epidemiology can provide important information to improve the understanding of parasite transmission and hence is an important part of efforts to control this disease. The purpose of this review is to give an insight on factors associated with echinococcosis in animal hosts by summarising significant results reported from epidemiological studies identified through a systematic search. Methodology and principal findings The systematic search was conducted mainly in electronic databases but a few additional records were obtained from other sources. Retrieved entries were examined in order to identify available peer-reviewed epidemiological studies that found significant risk factors for infection using associative statistical methods. One hundred studies met the eligibility criteria and were suitable for data extraction. Epidemiological factors associated with increased risk of E. granulosus infection in dogs included feeding with raw viscera, possibility of scavenging dead animals, lack of anthelmintic treatment and owners' poor health education and indicators of poverty. Key factors associated with E. granulosus infection in intermediate hosts were related to the hosts' age and the intensity of environmental contamination with parasite eggs. E. multilocularis transmission dynamics in animal hosts depended on the interaction of several ecological factors, such as hosts' population densities, host-prey interactions, landscape characteristics, climate conditions and human-related activities. Conclusions/significance Results derived from epidemiological studies provide a better understanding of the behavioural, biological and ecological factors involved in the transmission of this parasite and hence can aid in the design of more effective control strategies.

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A Systematic Review of the Epidemiology of Echinococcosis in Domestic and Wild Animals

The transmission success of free-living larval stages of endohelminths is generally modulated by a variety of abiotic and biotic environmental factors. Whereas the role of abiotic factors (including anthropogenic pollutants) has been in focus in numerous studies and summarized in reviews, the role of biotic factors has received much less attention. Here, we review the existing body of literature from the fields of parasitology and ecology and recognize 6 different types of biotic factors with the potential to alter larval transmission processes. We found that experimental studies generally indicate strong effects of biotic factors, and the latter emerge as potentially important, underestimated determinants in the transmission ecology of free-living endohelminth stages. This implies that biodiversity, in general, should have significant effects on parasite transmission and population dynamics. These effects are likely to interact with natural abiotic factors and anthropogenic pollutants. Investigating the interplay of abiotic and biotic factors will not only be crucial for a thorough understanding of parasite transmission processes, but will also be a prerequisite to anticipate the effects of climate and other global changes on helminth parasites and their host communities.

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The role of biotic factors in the transmission of free-living endohelminth stages.

A review of the global prevalence, molecular epidemiology and economics of cystic echinococcosis in production animals

Study of cystic echinococcosis in slaughtered animals in Al Baha region, Saudi Arabia: Interaction between some biotic and abiotic factors

Antischistosomal action of atorvastatin alone and concurrently with medroxyprogesterone acetate on Schistosoma haematobium harboured in hamster: surface ultrastructure and parasitological study.

The objectives of this work were to study (1) the population dynamics of Chaetogaster limnaei in the field populations of freshwater snails and the implications for the species as a potential regulator of the trematode larvae community and (2) prevalence and intensity of C. limnaei in relation to host species, host size, and season. This study was conducted at Al-Salam Canal and Al-Abtal village (new cultivated area in north Sinai). The samples were collected from March 2004 to February 2005. The natural infection rate by trematodes and C. limnaei was assessed monthly. Thirteen species of snails were examined for C. limnaei infection, five species were found infected. There were positive correlations between host size and both combined prevalence and mean intensity in all hosts. The data demonstrated that prevalence in Bulinus truncatus was higher when compared with other hosts. Bellamya unicolor has higher mean intensity when compared with other host species. A significant difference was found between host species and both prevalence and intensity. There were spatial and temporal variations in prevalence and mean intensity in most hosts, and the data suggest some seasonality. A negative correlation was found between prevalence of C. limnaei and trematode infection. C. limnaei did not co-occur with trematode larvae in infected hosts indicating that the oligochaete may protect the hosts from trematode infection. B. unicolor was recorded for the first time as a host for C. limnaei. C. limnaei may be a potential regulator of the trematode community in freshwater snails. In conclusion, this study demonstrated that C. limnaei, symbiotically associated with snail vector of parasitic diseases, may have important implications with respect to biological control and/or changes in the epizootiology of native parasites in the study area.

Population dynamics of Chaetogaster limnaei (Oligochaeta: Naididae) in the field populations of freshwater snails and its implications as a potential regulator of trematode larvae community

Energy allocation patterns in Biomphalaria alexandrina snails in response to cadmium exposure and Schistosoma mansoni infection.

SUMMARY: The goals of this study were: (I) to report the helminth population in cattle, sheep and goats; (II) to determine the concentration and diversity of the population; and (III) to study the role of host age, host sex, diet and season in structuring the population. A total of 485 cattle, 1144 sheep and 989 goats were examined for helminth population for four seasons. The helminth population consisted of nine species, four trematodes, four cestodes and one nematode. The overall infection prevalence in cattle, sheep and goats was 12.92%, 18.63% and 13.45%, respectively. Echinococcus granulosus was the most prevalent parasite. The overall mean species concentration per host was 1.23, 0.95 and 0.53 in cattle, sheep and goats, respectively. Species concentration, prevalence and mean abundance varied significantly in relation to host age, sex, diet and season. In conclusion, the influence of the factors investigated on structuring the helminth population of livestock, varied from species to another. We cannot say if the low species concentration and the recorded infection rates observed in the present study are typical of the host species or if they are due to characteristics of the study area, since there is no data available for other host populations.

Mohamed M. Ibrahim

Papers

Study of cystic echinococcosis in slaughtered animals in Al Baha region, Saudi Arabia: Interaction between some biotic and abiotic factors

Antischistosomal action of atorvastatin alone and concurrently with medroxyprogesterone acetate on Schistosoma haematobium harboured in hamster: surface ultrastructure and parasitological study.

Population dynamics of Chaetogaster limnaei (Oligochaeta: Naididae) in the field populations of freshwater snails and its implications as a potential regulator of trematode larvae community

Energy allocation patterns in Biomphalaria alexandrina snails in response to cadmium exposure and Schistosoma mansoni infection.

Helminths community of veterinary importance of livestock in relation to some ecological and biological factors.