[Geography of alveolar echinococcosis].
Alveolar echinococcosis is restricted geographically to the colder areas of the northern hemisphere. In France, the highest prevalence is observed in Franche-Comtd. The yearly incidence of AE in endemic areas is generally low (0.02-0.18 per 100,000 inhabitants) but it can exceed 1 per 100,000 locally. E. multilocularis transmission has intensified in traditionally in foxes endemic areas during the last twenty years, and the parasite has extended its range to new areas and countries of Europe. The increasing proximity of fox populations to urban areas may lead to a new epidemiological pattern. Control measures are only applicable at the local scale, and are essentially based on for deworming.
Giraudoux
Patrick
P
Centre Collaborateur OMS pour la Prevention et le Traitement des Echinococcoses humaines, Centre hospitalier universitaire et Université de Franche-Comté, 1 place Leclerc 25030 Besançon Cedex. patrick.giraudoux@univ-fcomte.fr
Raoul
Francis
F
Boue
Franck
F
Combes
Benoît
B
Piarroux
Renaud
R
Bresson-Hadni
Solange
S
Vuitton
Dominique-Angèle
DA
D000818:Animals; D004445:Echinococcosis, Pulmonary / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans