title: Survey of public knowledge about Echinococcus multilocularis in four European countries: need for proactive information.
abstract: BACKGROUND
  Public information about prevention of zoonoses should be based on the perceived problem by the public and should be adapted to regional circumstances. Growing fox populations have led to increasing concern about human alveolar echinococcosis, which is caused by the fox tapeworm Echinococcus multilocularis. In order to plan information campaigns, public knowledge about this zoonotic tapeworm was assessed.
  
  
  METHODS
  By means of representative telephone interviews (N = 2041), a survey of public knowledge about the risk and the prevention of alveolar echinococcosis was carried out in the Czech Republic, France, Germany and Switzerland in 2004.
  
  
  RESULTS
  For all five questions, significant country-specific differences were found. Fewer people had heard of E. multilocularis in the Czech Republic (14%) and France (18%) compared to Germany (63%) and Switzerland (70%). The same effect has been observed when only high endemic regions were considered (Czech Republic: 20%, France: 17%, Germany: 77%, Switzerland: 61%). In France 17% of people who knew the parasite felt themselves reasonably informed. In the other countries, the majority felt themselves reasonably informed (54-60%). The percentage that perceived E. multilocularis as a high risk ranged from 12% (Switzerland) to 43% (France). In some countries promising measures as deworming dogs (Czech Republic, Switzerland) were not recognized as prevention options.
  
  
  CONCLUSIONS
  Our results and the actual epidemiological circumstances of AE call for proactive information programs. This communication should enable the public to achieve realistic risk perception, give clear information on how people can minimize their infection risk, and prevent exaggerated reactions and anxiety.
authors.affiliation: Institute of Parasitology, University of Zurich, Winterthurerstrasse 266a, 8057 Zurich, Switzerland. daniel.hegglin@swild.ch
authors.forename: Daniel
authors.initials: D
authors.lastname: Hegglin
authors.forename: Fabio
authors.initials: F
authors.lastname: Bontadina
authors.forename: Sandra
authors.initials: S
authors.lastname: Gloor
authors.forename: Thomas
authors.initials: T
authors.lastname: Romig
authors.forename: Peter
authors.initials: P
authors.lastname: Deplazes
authors.forename: Peter
authors.initials: P
authors.lastname: Kern
mesh_terms: D000328:Adult; D000818:Animals; D004443:Echinococcosis / Q000517:prevention & control* / Q000635:transmission / Q000662:veterinary; D048210:Echinococcus multilocularis; D005060:Europe; D005260:Female; D005589:Foxes; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011322:Primary Prevention; D012307:Risk Factors; D011795:Surveys and Questionnaires; D015047:Zoonoses / Q000635:transmission