Murrell K D
Agricultural Research Service, US Department of Agriculture, Peoria, Illinois 61604.
Southeast Asian J Trop Med Public Health. 1991 Dec;22 Suppl:377-81.
Economic losses resulting from food-borne parasitic zoonoses are difficult to assess. Estimating the global economic impact of these diseases is handicapped by inadequate information on the prevalence and public health importance of parasitic zoonoses for most countries. However, the economic losses caused by certain zoonoses has been estimated for some regions and in these instances the costs are significant. In Mexico, for example, porcine cysticercosis is responsible for a loss of more than one-half of the national investment in swine production and for more than US$17 million annually in hospitalization and treatment costs for humans with neurocysticercosis. For all of Latin America, porcine cysticercosis accounts for an economic loss of US$164 million. In Africa, losses of one to two billion dollars per year due to bovine cysticercosis have been reported. Human toxoplasmosis in the United States is estimated to be an annual economic/public health burden of more than US$400 million. The implication from these examples and other are discussed. A set of recommendations is presented for obtaining the necessary information needed to permit assigning to food-borne parasitic zoonoses their appropriate priority within each country's complex economic and public health problems.
食源性寄生虫人畜共患病造成的经济损失难以评估。由于大多数国家关于寄生虫人畜共患病的流行情况和公共卫生重要性的信息不足,估算这些疾病对全球的经济影响受到阻碍。然而,已对某些地区某些人畜共患病造成的经济损失进行了估算,在这些情况下,成本相当可观。例如,在墨西哥,猪囊尾蚴病造成的损失超过该国在生猪生产方面国家投资的一半,并且每年用于患神经囊尾蚴病的人的住院和治疗费用超过1700万美元。在整个拉丁美洲,猪囊尾蚴病造成的经济损失达1.64亿美元。在非洲,据报告每年因牛囊尾蚴病造成的损失达10亿至20亿美元。据估计,美国的人类弓形虫病每年造成的经济/公共卫生负担超过4亿美元。文中讨论了这些例子及其他例子的启示。提出了一系列建议,以获取必要信息,以便在每个国家复杂的经济和公共卫生问题中,赋予食源性寄生虫人畜共患病适当的优先地位。