Robertson Lucy J
Parasitology, Department of Paraclincal Sciences, Faculty of Veterinary Medicine, Norwegian University of Life Sciences, Ås, Norway.
Food Waterborne Parasitol. 2025 Mar 13;39:e00258. doi: 10.1016/j.fawpar.2025.e00258. eCollection 2025 Jun.
Foodborne parasites exert a considerable burden on human health, and this can be estimated using the disability-adjusted life year metric, enabling comparisons across regions, age groups, and among parasites and other foodborne hazards. Previous estimates of the burden exerted by different foodborne hazards were published about a decade ago (2015) and an update is planned. These estimates are important, not only for comparative purposes, but also to provide an evidence-based framework for resource allocation for different interventions, including prioritisation of risk management efforts, determining where food safety policy infrastructure should be focused, financing research and innovation, and for targeting supplier and consumer education. Here the potential for improving the previous estimates is discussed, not only by using more recent data, but also by inclusion of foodborne parasitic diseases and disease states that were omitted in the previous estimates. In particular, for example, the inclusion of foodborne infection with and with are suggested, along with consideration of disease states such as amoebic liver abscess in foodborne amoebiasis. In addition, knowledge gaps, potential interventions, and how intervention effects can be assessed are discussed, using specific examples.
食源性寄生虫给人类健康带来了相当大的负担，这可以使用伤残调整生命年指标来估算，从而能够在不同地区、年龄组以及寄生虫与其他食源性危害之间进行比较。此前关于不同食源性危害所造成负担的估算大约在十年前（2015年）发布，目前计划进行更新。这些估算不仅对于比较目的很重要，而且还能为不同干预措施的资源分配提供一个基于证据的框架，包括风险管理工作的优先级确定、食品安全政策基础设施的重点关注方向、研究与创新的资金投入以及供应商和消费者教育的目标设定。本文讨论了改进先前估算的可能性，不仅要使用更新的数据，还要纳入先前估算中遗漏的食源性寄生虫病和疾病状态。例如，特别建议纳入由[具体寄生虫1]和[具体寄生虫2]引起的食源性感染，同时考虑食源性阿米巴病中如阿米巴肝脓肿等疾病状态。此外，还将通过具体实例讨论知识空白、潜在干预措施以及如何评估干预效果。
