Assana Emmanuel, Lightowlers Marshall W, Zoli André P, Geerts Stanny
University of Ngaoundéré, School of Sciences and Veterinary Medicine, P.O. Box 454, Ngaoundéré, Cameroon.
Vet Parasitol. 2013 Jul 1;195(1-2):14-23. doi: 10.1016/j.vetpar.2012.12.022. Epub 2012 Dec 20.
Poor sanitary conditions, free-roaming of domestic pigs and lack of awareness of the disease play an important role in the perpetuation of the Taenia solium taeniosis and cysticercosis in Africa. Traditional pig production systems known as the source of T. solium taeniosis/cysticercosis complex are predominant in the continent, representing 60-90% of pig production in rural areas. It has been reported that T. solium cysticercosis is the main cause of acquired epilepsy in human population and results in considerable public health problems and economic costs to the endemic countries. Although the socioeconomic impact and public health burden of cysticercosis have been demonstrated, up to now no large-scale control programme has been undertaken in Africa. Most disease control trials reported in the literature have been located in Latin America and Asia. This review discusses the risk factors and epidemiology of T. solium cysticercosis in Africa and critically analyzes the options available for implementing control of this zoonotic disease in the continent.
卫生条件差、家猪自由放养以及对该疾病缺乏认识，在非洲猪带绦虫病和囊尾蚴病的持续传播中起着重要作用。被认为是猪带绦虫病/囊尾蚴病复合体源头的传统养猪系统在非洲大陆占主导地位，占农村地区养猪量的60%-90%。据报道，猪带绦虫囊尾蚴病是人类后天癫痫的主要病因，给流行国家带来了相当大的公共卫生问题和经济成本。尽管囊尾蚴病的社会经济影响和公共卫生负担已得到证实，但迄今为止非洲尚未开展大规模防控项目。文献中报道的大多数疾病控制试验都在拉丁美洲和亚洲进行。本综述讨论了非洲猪带绦虫囊尾蚴病的风险因素和流行病学，并批判性地分析了在该大陆实施这种人畜共患疾病控制的可用选项。
