Laboratory of parasitology, Université de la Manouba. National School of Veterinary Medicine of Sidi Thabet, 2020 Sidi Thabet, Tunisia.
Chrono-environnement, Université de Franche-Comté/CNRS, La Bouloie, 25030 Besançon, France.
Parasite. 2024;31:30. doi: 10.1051/parasite/2024029. Epub 2024 Jun 13.
The emergence of pandemics with dramatic consequences for human health has obscured endemic diseases that continue to pose a problem for human and animal health in several regions of the world. Among these diseases, cystic echinococcosis, a zoonotic parasitic infection caused by a group of cestodes, Echinococcus granulosus sensu lato, remains a real human and animal health problem in several regions of the world, including the Mediterranean Basin. Despite the implementation of a number of governmental control programmes using several tools (dog treatment, meat inspection, etc.), this infection is still highly prevalent in North Africa. Here we present a review of the epidemiology of cystic echinococcosis in Tunisia, an analysis of the constraints limiting the effectiveness of the control programmes implemented, and finally argue for the use of the One Health framework to improve the effectiveness of future programmes.
大流行的出现给人类健康带来了巨大的影响，掩盖了一些在世界上的一些地区仍对人类和动物健康构成威胁的地方病。在这些疾病中，包虫病是一种由一组绦虫，即细粒棘球绦虫广义种引起的人畜共患寄生虫感染，仍然是世界上包括地中海盆地在内的一些地区的一个真正的人类和动物健康问题。尽管实施了一些使用多种工具（治疗犬、肉检等）的政府控制计划，但这种感染在北非仍然非常普遍。在这里，我们回顾了突尼斯包虫病的流行病学，分析了限制实施的控制计划有效性的限制因素，并最终主张使用“同一健康”框架来提高未来计划的有效性。
