National Institute of Agronomy of Tunisia, University of Carthage, 43 Charles Nicole Street, Cité Mahrajène 1082, Tunis, Tunisia.
Department of Parasitology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt.
J Water Health. 2024 Aug;22(8):1491-1515. doi: 10.2166/wh.2024.107. Epub 2024 Jun 26.
This review explores our understanding of species and distribution in Middle East and North African (MENA) water resources. Results emphasize that species (sp.) and (oo)cysts are present in distinct categories of water in ten MENA countries. sp. proportional prevalence in the MENA region was 24.5% (95% CI 16.3-33.8), while . prevalence was 37.7% (95% CI 21.9-55.1). Raw wastewater and surface water were the water categories most significantly impacted. Both parasites were reported in the various types of MENA drinking waters. The most frequent species/genotypes reported were , , and assemblage A. Despite the high prevalence of (oo)cysts reported, we should consider the absence of waterborne outbreaks. This indicates significant underestimation and underreporting of both parasites in MENA. Stakeholders should apply water contamination legislation to eradicate sp. and (oo)cysts from water resources/categories.
本综述探讨了我们对中东和北非（MENA）水资源中 物种和分布的理解。研究结果强调，十种 MENA 国家的不同类型水中都存在 种（sp.）和 （oo）囊。在 MENA 地区，sp. 的比例患病率为 24.5%（95%CI 16.3-33.8），而. 的患病率为 37.7%（95%CI 21.9-55.1）。原始废水和地表水是受影响最严重的水类别。这两种寄生虫都在各种类型的 MENA 饮用水中被报道过。报告中最常见的物种/基因型是 、 和 组合 A。尽管报告的（oo）囊的患病率很高，但我们应该考虑到没有水传播疫情的情况。这表明在 MENA 地区对这两种寄生虫的高度低估和漏报。利益相关者应实施水污染法规，从水资源/类别中根除 sp. 和 （oo）囊。
