A Dramatic Increase in the Incidence of Human Trichinellosis in Romania Over the Past 25 Years: Impact of Political Changes and Regional Food Habits.

Blaga, Radu; Durand, Benoı̂t; Antoniu, Silvia; Gherman, Călin Mircea; Creţu, Carmen; Cozma, V.; Boireau, Pascal

doi:10.4269/ajtmh.2007.76.983

Cited by 68 publications

(37 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In China and the Slovak Republic, dog meat was the source of infection for several foci (25,81). In Romania, the highest prevalence of trichinellosis in humans occurred in the Transylvanian region, where the local ethnic group maintains the food habit of raw meat consumption (8). In Israel, Lebanon, and Syria, where the Judaic and Muslim religions forbid the consumption of pork, human outbreaks of trichinellosis have been documented only following the consumption of pork from wild boars among the Christian Arab population and immigrants from Thailand (33,54,57,89,109).…”

Section: Epidemiology Of Trichinellosis In Humansmentioning

confidence: 99%

See 1 more Smart Citation

Epidemiology, Diagnosis, Treatment, and Control of Trichinellosis

2009

View full text Add to dashboard Cite

SUMMARY Throughout much of the world, Trichinella spp. are found to be the causative agents of human trichinellosis, a disease that not only is a public health hazard by affecting human patients but also represents an economic problem in porcine animal production and food safety. Due to the predominantly zoonotic importance of infection, the main efforts in many countries have focused on the control of Trichinella or the elimination of Trichinella from the food chain. The most important source of human infection worldwide is the domestic pig, but, e.g., in Europe, meats of horses and wild boars have played a significant role during outbreaks within the past 3 decades. Infection of humans occurs with the ingestion of Trichinella larvae that are encysted in muscle tissue of domestic or wild animal meat. Early clinical diagnosis of trichinellosis is rather difficult because pathognomonic signs or symptoms are lacking. Subsequent chronic forms of the disease are not easy to diagnose, irrespective of parameters including clinical findings, laboratory findings (nonspecific laboratory parameters such as eosinophilia, muscle enzymes, and serology), and epidemiological investigations. New regulations laying down rules for official controls for Trichinella in meat in order to improve food safety for consumers have recently been released in Europe. The evidence that the disease can be monitored and to some extent controlled with a rigorous reporting and testing system in place should be motivation to expand appropriate programs worldwide.

show abstract

Section: Epidemiology Of Trichinellosis In Humansmentioning

confidence: 99%

“…Due to political and economic changes, recent increases in prevalence and incidence have been observed in many former eastern European countries (8,19,24). Such increases have been related mainly to a reduced efficacy of the veterinary control on susceptible production animals.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology, Diagnosis, Treatment, and Control of Trichinellosis

2009

View full text Add to dashboard Cite

show abstract

“…Household consumption of swine bred outdoors and in proximity to environmental sources of exposure elevates risk for zoonotic outbreaks of both trichinellosis and toxoplasmosis (Nemet et al 2000, Blaga et al 2007, Pastiu et al 2013, Dubey et al 2014.…”

mentioning

confidence: 99%

Consumption of untested pork contributed to over two-thousand clinical cases of human trichinellosis in Romania

Dobrescu¹,

Hriscu²,

Emandi³

et al. 2014

FOLIA PARASIT

View full text Add to dashboard Cite

Abstract:Trichinellosis is an important zoonosis that is difficult to diagnose and that can lead to disability, death and economic losses for the meat processing industry. The outbreaks are related to the consumption of insufficiently cooked pork containing larvae of Trichinella spiralis (Owen, 1833). Here, we describe epidemiological features of the disease in a region where incidence rates are typically elevated (Brasov County, Romania). Our descriptive, retrospective epidemiological study spanned a period of 25 years in a group of 3 345 consumers of infected meat, of whom 2 179 became infected. Both raw pork and processed pork products were consumed, typically during winter and spring holidays. Pigs bred and slaughtered by households were not always tested prior to consumption. The imposition of greater hygiene and testing has decreased the burden of disease in recent years, but the tradition of raising swine for familial consumption without prior testing continues to threaten health, even among groups, not typically suspected of facing elevated zoonotic risk such as children and residents of urban areas. Most outbreaks took place at family celebrations during which pork raised locally was consumed. Higher rates of clinical disease in women may reflect their greater participation in such events, but may alternatively reflect greater exposure to raw pork during meal preparation.

show abstract

“…In Bulgaria, Estonia, France, Germany, Hungary, Italy, Latvia, Lithuania, Poland, Romania, Slovakia and Spain, autochthonous trichinellosis in humans occurs, although the reported prevalence varies and this is attributed to the consumption of undercooked or untested raw meat originating from wild boar and/or from backyard and free-ranging pigs. In Romania, the prevalence of human trichinellosis is markedly higher due to the additional exposure to raw meat from infected pigs on "industrial" farms (Blaga et al, 2007 …”

Section: Current Situation Of Trichinella Infections In Humans In the Eumentioning

confidence: 99%

Development of harmonised schemes for the monitoring and reporting of Trichinella in animals and foodstuffs in the European Union

Pozio

Alban

Boes

et al. 2010

EFSA Supporting Publications

Self Cite

View full text Add to dashboard Cite

A Dramatic Increase in the Incidence of Human Trichinellosis in Romania Over the Past 25 Years: Impact of Political Changes and Regional Food Habits.

Cited by 68 publications

References 9 publications

Epidemiology, Diagnosis, Treatment, and Control of Trichinellosis

Epidemiology, Diagnosis, Treatment, and Control of Trichinellosis

Consumption of untested pork contributed to over two-thousand clinical cases of human trichinellosis in Romania

Development of harmonised schemes for the monitoring and reporting of Trichinella in animals and foodstuffs in the European Union

Contact Info

Product

Resources

About