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[Infestation with intestinal helminths in the inhabitants of the city of Dresden].

It is reported on the data of helminthological investigations performed on 1323 Dresden inhabitants at the age of 14 to 70 years. Furthermore the notifications of the affections with tapeworm which had come into the district hygiene inspection of Dresden were evaluated. An affection with Ascaris lumbricoides of 1.2%, with Trichuris trichiura of 1.6%, with Enterobius vermicularis of 14.5% and with Taeniarhynchus saginatus of about 1% were proved. In the case of Enterobius vermicularis the for the most part affected age groups were the 14- to 20-year-old test persons and concerning Taeniarhynchus saginatus the 21- to 70-year-old test persons. Accumulations of the extensity of the affection with helminths bound to a species of hosts were not detected. Concerning the taeniarhynchosis since 1966 a permanent increase of the extensity of affection is to be registered. The duty of notification concerning taeniarhynchosis is often neglected. Only about 1/6 of the affection with tapeworm is notified in the district hygiene inspection.

Adolescent↗

[Study of taeniarhynchosis in 5 districts of the People's Republic of Bulgaria with reference to chemoprophylaxis. Report given during the IVth symposium of the GDR on "Taeniarhynchosis-Cysticercosis" on April 26th, 1974 in Schwerin].

1968-1972 in five districts of DR Bulgaria 666 persons with Taeniarhynchus saginatus infection were registered, 64% of these tapeworm carriers lived in the country, 36% were townspeople. The incidence of infection in women was twice as high as in man. There were differences in incidence in jobs, 21.6% in farm workers, 20.2% in industrial workers, 13.8% in workers in the tobacco industry, 14.2% in housewives, 12.1% in pulls, 9.2% in office workers and 8.1% in pensioners carried tapeworms. Only 1.4% of animal breeders were infected with T. saginatus. The incidence of infestation increased in relation to the age. - In the Kardschali district, the tobacco farmers with a disease incidence of 34.8% represented a large part of the total incidence in the country. The private keeping of animals is still widespread in the country. The disease incidence increases between the age groups 20-40 years. The reason for the above is people eating increased uncontrolled animals. Individual food preparation habits and ignorance of the source of meat also account for spread of infection of people. As a trial three prophylactic methods were tested to establish a reduction of this disease.

Adolescent↗

Occurrence of gastrointestinal parasites in Georgia cattle.

A survey of gastrointestinal nematodes in Georgia cattle was conducted from 1968 through 1973 from actual worm counts from viscera of 145 slaughtered beef cattle or from egg counts made from fecal samples from 3,273 beef and 100 dairy cattle. Beef cattle were grouped as calves, yearlings, and cows. Dairy cattle were grouped as calves, replacement heifers, and cows. Results of fecal examinations positive; 99.5, 99.3, 99.6, and 41.2% of the calves, yearlings, drylot calves, and cows, respectively, were infected with nematodes. Seventy-four percent of the eggs counted were of the Cooperia-Ostertagia - Trichostrongylus complex (C-O-T) and 21% were of the Haemonchus-Oesophagostomum complex (H-O). Sixty-nine percent of the infective larvae recovered from coprocultures made from composite samples were of Ostertagia ostertagi. Moniezia (tapeworm) eggs were seen in 16% of all the samples, more predominantly in the calves (24%) and less in the cows (smaller than 1%). Oocysts of Eimeria spp were detected in 61% of the cattle, more predominantly in younger cattle. All cattle necropsied were infected with O ostertagi. Other nematodes present, in order of decreasing frequency, were Trichostrongylus axei (97%), Haemonchus placei (66%), Cooperia punctata (63%), Cooperia oncophora (61%), Oesophagostomum radiatum (61%), Bunostomum phlebotomum (55%), Trichostrongylus colubriformis (36%), Cooperia pectinata (28%), Trichuris spp (17%), Nematodirus spathiger (9%), and Capillaria bovis (4%). Tapeworms were also recovered from 19% of the cattle at necropsy. Seventy-eight percent of the dairy cattle were positive; 98% of the calves, 80% of the heifers, and 58% of the cows. Cooperia-Ostertagia-Trichostrongylus eggs were detected in 78% and H-O eggs in 38% of the cattle. Eimeria oocysts were detected in 71% of all the dairy cattle, and Moniezia eggs were in 10% of the calves and 7% of the heifers.

Animals↗

[Neurocysticercosis: a public health perspective].

AIMS: We review the physiopathological aspects of cysticercosis that are highly relevant in public health, in particular as a cause of epilepsy in adults. Cysticercosis is the infection of the central nervous system produced by the larvae of Taenia solium. In countries where cysticercosis is endemic, the prevalence of epilepsy is twice as high as that observed in areas that are free of this parasitic disease. METHOD: The human carrier of an intestinal Taenia solium is a source of cysticercosis infection, both for others and for him or herself. We propose that all diagnosed cases of neurocysticercosis must be compulsorily reported to the department of epidemiology at the Ministry of Health, in order to enable the control of sources of infection, to search for other possibly infected subjects, as well as to determine the prevalence and geographical distribution of this problem. The aim of this would be to fit, target and optimise the available resources in eradication campaigns. CONCLUSIONS: Doctors, and more specifically neurologists and neurosurgeons, must remember that behind each patient diagnosed with neurocysticercosis there is a tapeworm carrier within the family environment or at the same table. Cysticercosis is a disease whose transmission mechanism consists in person to person contamination (from the tapeworm carrier to the individual with symptomatic or asymptomatic cysticercosis). Public health campaigns must begin from index cases of neurocysticercosis, which will allow us to reach the sources of infection. Cysticercosis is an eradicable disease that currently exists not only in developing countries but also in industrialised nations, as a result of tourism and immigration from endemic countries

Neurocysticercosis↗

Hyperendemic human and porcine Taenia solium infection in Perú.

The prevalence and characteristics of human taeniasis/cysticercosis and porcine cysticercosis were assessed in an endemic area of the Peruvian highlands. Individuals from 10 communities had stool examinations (N = 2,951) and serologic testing for Taenia solium antibodies (N = 2,583). The total porcine population present (N = 703) was also examined by serology. Cysticercosis is hyperendemic in this area and is associated with an important number of seizure cases. Human seroprevalence by village ranged from 7.1-26.9% (mean, 13.9%). Seroprevalence was higher among individuals with a history of seizures but not in those reporting a history of headache or intestinal taeniasis. Prevalence of taeniasis ranged from 0-6.7% (median, 2.5%). Coproantigen detection found 2.4 times more taeniasis cases than did microscopy (direct and after concentration). Age distribution for taeniasis showed a peak at younger ages than for seroprevalence. Porcine seroprevalence ranged from 42-75%. Random effects logistic regression models for human seropositivity demonstrated both in-house clustering of cases and a large increase in risk associated with a tapeworm carrier in the house. Besides confirming the close relationship between taeniasis and cysticercosis cases, this large-scale field study demonstrated early age of tapeworm and cysticercosis infections in humans, and short duration of taeniasis infections.

Adolescent↗

Histopathological survey of protozoa, helminths and acarids of imported and local psittacine and passerine birds in Japan.

A total of 534 psittacine and passerine birds consisting of 241 imported and 293 local birds were examined histologically. As a result, the following parasites were found: Giardia (86 cases), Knemido-coptes (26 cases), coccidia (10 cases), Ascaridia (6 cases), Cryptosporidium (5 cases), Sarcocystis (5 cases), tapeworm (4 cases), microfilaria (2 cases), Hexamita (1 case), and Spiroptera (1 case). High incidences of giardiasis and knemido-coptic infestation were detected in the local birds, but rarely in the imported birds. Giardial trophozoites were observed mainly in the duodenum of budgerigars (Melopsittacus undulatus). Knemidocoptic mites burrowed into the epidermis producing proliferative dermatitis in 25 budgerigars and 1 African Grey Parrot (Psittacus erithacus erithacus). This ectoparasite often infested the skin around the cloaca. Coccidiosis was seen only in the small intestines of the finch (Poephila gouldiae gouldiae), African Grey Parrot, Rainbow lory (Trichoglossus haematodus), Indian Ring-necked parakeet (Psittacula krameri manillensis) and peach-faced lovebird (Agapornis roseicollis). Two parrots (Amazona aestiva aestiva and Psittacus erithacus erithacus) and two budgerigars had intestinal cryptosporidiosis. Conjunctivitis associated with cryptosporidial infection was seen in a lovebird. Sarcocystis cysts containing crescent-shaped bradyzoites were found not only in the thigh and breast but also in the heart and cloacal muscles. Other organisms such as Ascaridia, tapeworm, microfilaria, Hexamita, and Spiroptera were clinically less significant. However, infections such as Giardia and Cryptosporidim might have zoonotic implications.

Animals↗

A study of factors influencing intestinal parasites in dogs.

Coprological examinations were made on 686 owned dogs (23% of the total number of the registered dogs) in a semiurban area of the province of Bologna including the small towns of S. Agata, S. Giovanni in Persiceto, Sala Bolognese and Crevalcore. The results of the coprological tests were evaluated in association with the data obtained from the owners about the origin and the use or function of the animals, veterinary assistance, diet, cohabitation with other dogs, and the presence of gastrointestinal conditions. Prevalence rates were 7.0% for ascarids, 3.6% for tapeworms, 7.1% for coccidia, 2.8% for hookworms, 28.6% for whipworms. On the whole, the animals positive for gastrointestinal parasites were 37.5% of those examined. Multiple linear regression analysis indicated that the presence of gastrointestinal parasites in general was influenced by the use of the animals, veterinary assistance, age, anthelminthic treatments and cohabitation with other dogs. The presence of ascarids appeared to be influenced by age and veterinary assistance; that of cestodes by veterinary assistance; that of coccidia by cohabitation with other dogs; that of whipworms by function, treatments, veterinary assistance and age. None of the variables considered in the analysis could explain the presence of hookworms. Factor analysis grouped the variables considered into 5 factors: the first was associated with veterinary assistance; the second with the animal's function and the presence of whipworms, hookworms and tapeworms; the third with cohabitation, origin and presence of coccidia; the fourth with the presence of fresh meat (cooked, raw or frozen) in the diet, age and positivity for ascarids; the fifth with sex and the presence of gastroenteric conditions.

Animals↗

Epidemiology of alveolar echinococcosis with particular reference to China and Europe.

Human alveolar echinococcosis (AE), caused by the metacestode of the fox tapeworm Echinococcus multilocularis, is the most pathogenic zoonosis in temperate and arctic regions of the northern hemisphere. Prospective collection of human cases in some areas and mass screenings using ultrasound imaging and confirmation with serological techniques have markedly improved our knowledge of the epidemiology of the disease in humans during the past two decades. Transmission occurs when eggs of the tapeworm, excreted by the final hosts (usually foxes but also dogs, wolves and cats), are ingested accidentally by humans or during normal feeding by a variety of rodents and small lagomorphs. However, the species of host animals differ according to regional changes in mammalian fauna. This review mostly focuses on epidemiology of alveolar echinococcosis in those parts of the world where new and more accurate epidemiological data are now available, i.e. China and Europe, as well as on new epidemiological trends that can be suspected from recent case reports and/or from recent changes in animal epidemiology of E. multilocularis infection. The People's Republic of China (PRC) is a newly recognized focus on AE in Asia. Human AE cases were firstly recognized in Xinjiang Uygur Autonomous Region and Qinghai Provinces at the end of 1950s and infected animals were first reported from Ningxia in central China and northeast of Inner Mongolia in the 1980s. E. multilocularis (and human cases of AE) appears to occur in three areas: (1) Northeastern China (northeast focus): including Inner Mongolia Autonomous region and Heliongjiang Province (2) Central China (central focus): including Gansu Province, Ningxia Hui Autonomous Region, Sichuan Province, Qinghai Province and Tibet Autonomous Region and (3) Northwestern China: including Xinjiang Uygur Autonomous Region, bordered with Mongolia, Russia, Kazakhstan and Kyrgyzstan. The highest prevalence of the disease, up to 15 per cent of the population in some villages, is reached in China. In Europe, data from the European Echinococcosis Registry (EurEchinoReg: 1982-2000) show 53 autochthonous cases of AE in Austria, 3 in Belgium, 235 in France, 126 in Germany, 1 in Greece, and 112 in Switzerland, and 15 'imported' cases, especially from central Asia; 14 cases were collected in Poland, a country not previously considered endemic for AE. Improved diagnostic technology, as well as a real increase in the infection rate and an extension to new areas, can explain that more than 500 cases have been reported for these 2 decades while less than 900 cases were published for the previous 7 decades. New epidemiological trends are related to an unprecedented increase in the fox population in Europe, to the unexpected development of urban foxes in Japan and in Europe, and to changes in the environmental situation in many countries worldwide due to climatic or anthropic factors which might influence the host-predator relationship in the animal reservoir and/or the behavioural characteristics of the populations in the endemic areas.

Adolescent↗

[Acute intestinal bleeding due to Taenia solium infection].

Parasite infections of the digestive tract are a rare cause of acute haemorrhage in Western countries. We report here on a case of acute intestinal bleeding due to Taenia solium infection diagnosed at surgery. A 79-year-old white female patient was admitted to our institution for instable angina and severe anaemia secondary to acute intestinal bleeding. The patient's medical history was positive for long-standing microcytic anaemia. A recent diagnostic work-up had revealed the presence of chronic erosive antral gastritis and colonic diverticular disease without acute bleeding. On admission to our department the patient underwent antegrade bowel endoscopy which showed a bleeding site 120 cm caudad to the Treitz ligament in the absence of ulcers and/or neoplastic lesions. The patient was eventually referred to surgery for suspected intestinal angiodysplasia. At surgery no gross lesions of the stomach, bowel or colon were observed. We then performed a custom enterotomy 120 cm caudad to the Treitz ligament and discovered a 250-cm-long tapeworm. The parasite was removed with the aid of a second enterotomy 60 cm cephalad to the previous one and the entire bowel was explored with an intraoperative fiberoptic endoscope. Histology of the parasite revealed a T. solium species. The postoperative course was uneventful and the patient was discharged on postoperative day 10 with a prescription of 2 g/day niclosamide. No recurrent digestive bleeding has so far been reported after a follow-up of 8 months. T. solium infection is a common cause of chronic microcytic anaemia in tropical and subtropical areas. In Western countries intestinal parasite infections are rarely taken into account in the diagnostic work-up of patients affected with chronic anaemia and/or acute digestive bleeding. The mechanisms responsible for acute intestinal bleeding in tapeworm infections are poorly understood and could be related to parasite-induced erosions of the bowel wall or be secondary to manipulations occurring during diagnostic manoeuvres.

Acute Disease↗

[Activity of the anthelmintic agent trichlorophen on the models of human helminthiasis].

Trials of trichlorophen have shown its high efficacy on models of cestode infections: hymenolepiasis (at the adult and cysticercoid stages of development on three types of animals: outbred albino mice, albino rats and golden hamsters), preimaginal echinococciasis alveolaris, larval alveolar echinococciasis (at the early stage of development of the parasite in experiments on cotton rats). The high nematodical activity of trichlorophen was first found on models of trichocephaliasis in DBA/2y mice, nippostrongyloidiasis (in in vitro experiments), and aspiculuriasis in outbred mice. The agent proved to be ineffective at the tissue developmental stage of Hymenolepsis nana (H. nana), the dwarf tapeworm, in albino mice, during experimental opisthorchiasis in golden hamsters. It showed a low efficacy in treating trichinosis in outbred albino mice. Unlike carbamatebenzimidazoles, trichlorophen was inactive at the tissue stage of H. nana; it exerted no effects on the eggs of a dwarf tapeworm in trichinosis. Trichlorophen was also inactive in treating experimental opisthorchiasis in golden hamsters.

Administration, Oral↗

Short report: secondary transmission in porcine cysticercosis: description and their potential implications for control sustainability.

Taenia solium taeniasis/cysticercosis is one of few potentially eradicable infectious diseases and is the target of control programs in several countries. The larval stage of this zoonotic cestode invades the human brain and is responsible for most cases of adult-onset epilepsy in the world. The pig is the natural intermediate host, harboring the larvae or cysticerci. Our current understanding of the life cycle implicates humans as the only definitive host and tapeworm carrier (developing taeniasis) and thus the sole source of infective eggs that are responsible for cysticercosis in both human and pigs through oral-fecal transmission. Here we show evidence of an alternative pig-to-pig route of transmission, previously not suspected to exist. In a series of four experiments, naive sentinel pigs were exposed to pigs that had been infected orally with tapeworm segments (containing infective eggs) and moved to a clean environment. Consistently in all four experiments, at least one of the sentinel pigs became seropositive or infected with parasite cysts with much lower cyst burdens than did primarily infected animals. Second-hand transmission of Taenia solium eggs could explain the overdispersed pattern of porcine cysticercosis, with few pigs harboring heavy parasite burdens and many more harboring small numbers of parasites. This route of transmission opens new avenues for consideration with respect to control strategies.

Animals↗

Anastomotic esophageal leak due to Taenia saginata following esophagectomy for esophageal cancer.

A 50-year-old female with squamous cell carcinoma of the lower third of the esophagus underwent an esophagectomy via laparotomy and right thoracotomy. She developed a major anastomotic leak on the third postoperative day. The chest tube slipped out on the 10th postoperative day and a segment of Taenia saginata tapeworm came out through the tube drain site and was extracted. She was given praziquantel tablets treatment; after which the leakage dropped dramatically and ceased completely after one week. Patients scheduled for esophagectomy who experienced recurrent abdominal pain in areas endemic with a tapeworm need to be screened for taeniasis before surgery.

Carcinoma, Squamous Cell↗

Short report: cysticercosis in an Egyptian mummy of the late Ptolemaic period.

We describe here an ancient case of cysticercosis that was discovered in an Egyptian mummy of a young woman of about 20 years of age who lived in the late Ptolemaic period (second to first centuries b.c.). On removal of the stomach and its rehydration, a cystic lesion in the stomach wall was observed by naked eye. Microscopical examination of sections of this lesion revealed a cystic structure, with a wall, with numerous projecting eversions, a characteristic feature of the larval stage (cysticercus) of the human tapeworm Taenia solium (or "pig tapeworm"). Immunohistochemical testing with serum from a T. solium-infected human confirmed the identity of the cyst. This finding is the oldest on record of the antiquity of this zoonotic parasite. This observation also confirms that, in Hellenistic Egypt, the farming of swine, along with man an intermediate host of this parasite, was present, and supports other archeological evidence.

Animals↗

[The influence of different management systems on the infection level of some gastrointestinal parasites in sheep in southern Poland].

On the basis of the fecal egg counts, larval cultures and necropsies the infection of coccidia, tapeworms and gastrointestinal nematodes in dams and lambs under extensive and intensive management systems were estimated. During 1994 and 1995 total of 1740 coproscopic analyses were done. It was state, that in extensive farms the prevalence and EPG of gastrointestinal nematodes was higher in comparison with intensive management system (38.2-86% and 13.9-71.9% and 105-355 EPG and 33-131 EPG respectively). Similarly prevalence of tapeworms 0-18.2% and 1.3-8.3% respectively. Prevalence and intensity of coccidia was lower in extensive farms (20-78,5% and 83-482 OPG) comparing with intensive management system (38.2-88% and 139-2846 OPG). Predominant nematode species in both management systems were those from genes Haemonchus, Teladorsagia, Trichostrongylus, Cooperia and Nematodirus. One species--Nematodirus battus was found new for Poland.

Age Factors↗

Parasites of carnivorous mammals in Białowieza Primeval Forest.

BACKGROUND: Although the parasitofauna of wild carnivorous mammals in Poland is quite well recognized, there has been only one research carried on this issue so far in Białowieza Forest--the last lowland primeval forest of temperate zone in Europe. MATERIAL AND METHODS: Twelve wild and two domestic species of carnivorous mammals are living in Białowieza Forest. In our work faeces or intestines of all of them except ermine (Mustela erminea) have been examined and parasites or their eggs (or oocysts) recorded. In total 222 faecal probes from 13 species and 11 intestines of weasels have been investigated. RESULTS: All species of examined carnivorous mammals were infected with parasites. The most infected species has occurred red fox Vulpes vulpes (over 70% infected with parasites) meanwhile only about 30% of otters Lutra lutra were infected. We found at least three protozoan species, one trematode, one tapeworm and nine species of nematodes. Except trematode Alaria alata, all of them are reported for the first time from Białowieza Primeval Forest. Oocysts of coccidia have been found in faeces of nine host species, with the highest prevalence (29.4%) in badger. Six species of carnivorous mammals have been occurred infected with trematodes (highest prevalence 42.1% in wolves) and two with tapeworms (Diphyllobothrium latum with the prevalence 2.6% in otter and 31.6% in wolves). All examined host species were infected with nematodes (with prevalence from 14.7% in lynx to 72.7% in red fox). Results of our work should be treated as preliminary researches on the species composition of parasitic fauna invading carnivorous mammals in Białowieza Primeval Forest.

Animals↗

Immunity to adult cestodes: basic knowledge and vaccination problems. A review.

Immunity in mammals to intestinal cestodes has been reviewed using the normal final host infected with the tapeworms Hymenolepis diminuta in rats and H. microstoma and H. nana in mice as a model. Primary infections up to a certain level continue to live as long the host, while most worms in infections with larger doses are destrobilated and expelled. It has been argued that concomitant immunity against a superimposed infection exists in rats and mice infected with H. diminuta and H. microstoma, respectively, and suggested that it also takes place in humans infected with Taenia spp. Immunity to secondary infections after expulsion of a primary infection occurs, but immunological memory is rather short-lived, although depression of worm growth occurs for at least two third of the rat's life. Serum antibodies have been shown to produce a direct precipitate on the surface of cestodes in vitro, but a direct effect of antibodies in vivo or the relationship with e.g. host effector cells, like mast cells and eosinophils, is unknown. It has been shown that peritoneal exudate cells from rats are able to kill H. diminuta in vitro. Very little is known about the mechanisms of tapeworms to counteract host immunological responses, but the tegumental glycoconjugates and discoidal secretory bodies are possible candidates. Passive transfer of immunity by mesenteric lymph node cells has only been successful using cells from H. nana egg-infected mice and has shown that only short-lived proliferating cells are responsible for transferring immunity. Vaccination procedures and problems are discussed with special reference to E. granulosus in dogs.

Animals↗

Structure-activity relationships of benzothiazole and benzimidazole anthelmintics: a molecular modeling approach to in vivo drug efficacy.

An investigation of the biochemical effects of an anthelmintic, tioxidazole (TIOX, methyl 6-[n-propoxy]benzothiazole-2-carbamate), on Hymenolepis diminuta in experimentally infected rats is reported. The chemotherapeutic actions of TIOX on H. diminuta in vivo were accompanied by marked changes in worm weight and chemical composition. Tapeworms recovered from rats that had received a therapeutically effective dose of TIOX 24 hr earlier were significantly smaller and contained much less glycogen (as a percentage of the wet weight) than worms from untreated controls. In TIOX-treated worms, protein concentrations rose at a rate sufficient to offset the decline in glycogen concentration. Glycogen/protein ratios in TIOX-treated worms were considerably lower than the corresponding control-values. Differences in the absolute amounts of glycogen and protein between control and drug-treated worms were even more pronounced. Administration of a subcurative dose of TIOX to the rat produced in H. diminuta another change, the onset of which preceded the gross alterations in worm weight and chemical composition. In vitro studies, carried out 18 hr after treatment, revealed that TIOX-treated worms absorbed and metabolized much smaller quantities of exogenous glucose than did the controls and that the ability of the worm to accumulate glucose against a concentration difference was significantly depressed. A mode of action common to the structurally related benzothiazole and benzimidazole anthelmintics is indicated by the similarity of their biochemical and physiological effects on the tapeworms and their time course of action when administered to rats infected with H. diminuta. Molecular modeling revealed that the benzothiazole and benzimidazole anthelminitics are congruent electronically and structurally. In vivo drug efficacy depends upon the magnitude of the molecular dipole moment and the percentage of polar surface area. Within the benzimidazole series, structural and electronic congruence is found between the 2-thiazolyl and 2-methyl carbamate groups, suggesting that these groups behave similarly in transport to, and binding at, the active site. Finally, anthelmintics that have the 5' substituents twisted out-of-plane were more active than those anthelminitics with 5' substituents in-plane. All of these factors implicate a highly polar, L-shaped cleft to which the anthelmintics bind at the active site.

Animals↗

[Epidemiology and prevention of echinococcosis in France].

Echinococcosis is a cosmopolitan parasitic disease caused by the larvae of two tapeworms: Echinococcus granulosus responsible for unilocular hydatidosis, and Echinococcus multilocularis responsible for alveolar hydatid disease. In both cases man is infected by ingesting eggs of these tapeworms belonging to the genus Cestoda. In France, the only animal that acts as definitive host and transmits the unilocular type of hydatid disease is the dog, while the alveolar type is transmitted by dogs, foxes and cats. Carnivorous pet animals must be taken into account in the prevention of echinococcosis, whether their role is direct or indirect (fouling plants).

Animals↗