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      Serological Evidence of Exposure to Globally Relevant Zoonotic Parasites in the Estonian Population

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          Abstract

          We investigated Estonian population and its selected subgroups for serological evidence of exposure to Ascaris lumbricoides, Echinococcus spp., Taenia solium, Toxocara canis, Toxoplasma gondii, and Trichinella spiralis. Serum samples from 999 adults representing general population, 248 children aged 14–18, 158 veterinarians, 375 animal caretakers, and 144 hunters were tested for specific immunoglobulin G antibodies against the selected parasites using commercial enzyme immunoassays (ELISA). Sera yielding positive or twice grey zone Echinococcus spp, T. solium, T. canis, and T. spiralis results were subjected to western blot (WB) analysis. In the general population, based on the ELISA results, the A. lumbricoides seroprevalence was 12.7%, Echinococcus spp. seroprevalence was 3.3%, T. solium seroprevalence was 0.7%, T. canis seroprevalence was 12.1%, T. gondii seroprevalence was 55.8%, and T. spiralis seroprevalence was 3.1%. Ascaris lumbricoides seroprevalences were higher in children and in animal caretakers than in the general population, and T. canis seroprevalence was higher in animal caretakers than in the general population. Compared with the general population, Echinococcus spp. seroprevalence was higher in children. By contrast, T. gondii seroprevalence was higher in animal caretakers, and lower in children, than in the general population. In the general population, the WB-confirmed Echinococcus spp. seroprevalence was 0.5%, T. solium cysticercosis seroprevalence was 0.0%, Toxocara spp. seroprevalence was 14.5%, and Trichinella spp. seroprevalence was 2.7%. WB-confirmed Toxocara spp. seroprevalence was higher in animal caretakers than in the general population. We found serological evidence of exposure to zoonotic parasites in all tested groups. This calls for higher awareness of zoonotic parasitic infections in Estonia.

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          Toxoplasmosis snapshots: global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis.

          Toxoplasma gondii's importance for humans refers mainly to primary infection during pregnancy, resulting in abortion/stillbirth or congenital toxoplasmosis. The authors sought to evaluate the current global status of T. gondii seroprevalence and its correlations with risk factors, environmental and socioeconomic parameters. Literature published during the last decade on toxoplasmosis seroprevalence, in women who were pregnant or of childbearing age, was retrieved. A total of 99 studies were eligible; a further 36 studies offered seroprevalence data from regions/countries for which no data on pregnancy/childbearing age were available. Foci of high prevalence exist in Latin America, parts of Eastern/Central Europe, the Middle East, parts of south-east Asia and Africa. Regional seroprevalence variations relate to individual subpopulations' religious and socioeconomic practices. A trend towards lower seroprevalence is observed in many European countries and the United States of America (USA). There is no obvious climate-related gradient, excluding North and Latin America. Immigration has affected local prevalence in certain countries. We further sought to recognise specific risk factors related to seropositivity; however, such risk factors are not reported systematically. Population awareness may affect recognition of said risks. Global toxoplasmosis seroprevalence is continuingly evolving, subject to regional socioeconomic parameters and population habits. Awareness of these seroprevalence trends, particularly in the case of women of childbearing age, may allow proper public health policies to be enforced, targeting in particular seronegative women of childbearing age in high seroprevalence areas.
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            Disease burden of foodborne pathogens in the Netherlands, 2009.

            To inform risk management decisions on control, prevention and surveillance of foodborne disease, the disease burden of foodborne pathogens is estimated using Disability Adjusted Life Years as a summary metric of public health. Fourteen pathogens that can be transmitted by food are included in the study (four infectious bacteria, three toxin-producing bacteria, four viruses and three protozoa). Data represent the burden in the Netherlands in 2009. The incidence of community-acquired non-consulting cases, patients consulting their general practitioner, those admitted to hospital, as well as the incidence of sequelae and fatal cases is estimated using surveillance data, cohort studies and published data. Disease burden includes estimates of duration and disability weights for non-fatal cases and loss of statistical life expectancy for fatal cases. Results at pathogen level are combined with data from an expert survey to assess the fraction of cases attributable to food, and the main food groups contributing to transmission. Among 1.8 million cases of disease (approx. 10,600 per 100,000) and 233 deaths (1.4 per 100,000) by these fourteen pathogens, approximately one-third (680,000 cases; 4100 per 100,000) and 78 deaths (0.5 per 100,000) are attributable to foodborne transmission. The total burden is 13,500 DALY (82 DALY per 100,000). On a population level, Toxoplasma gondii, thermophilic Campylobacter spp., rotaviruses, noroviruses and Salmonella spp. cause the highest disease burden. The burden per case is highest for perinatal listeriosis and congenital toxoplasmosis. Approximately 45% of the total burden is attributed to food. T. gondii and Campylobacter spp. appear to be key targets for additional intervention efforts, with a focus on food and environmental pathways. The ranking of foodborne pathogens based on burden is very different compared to when only incidence is considered. The burden of acute disease is a relatively small part of the total burden. In the Netherlands, the burden of foodborne pathogens is similar to the burden of upper respiratory and urinary tract infections. Copyright © 2012 Elsevier B.V. All rights reserved.
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              Transmission and epidemiology of zoonotic protozoal diseases of companion animals.

              Over 77 million dogs and 93 million cats share our households in the United States. Multiple studies have demonstrated the importance of pets in their owners' physical and mental health. Given the large number of companion animals in the United States and the proximity and bond of these animals with their owners, understanding and preventing the diseases that these companions bring with them are of paramount importance. Zoonotic protozoal parasites, including toxoplasmosis, Chagas' disease, babesiosis, giardiasis, and leishmaniasis, can cause insidious infections, with asymptomatic animals being capable of transmitting disease. Giardia and Toxoplasma gondii, endemic to the United States, have high prevalences in companion animals. Leishmania and Trypanosoma cruzi are found regionally within the United States. These diseases have lower prevalences but are significant sources of human disease globally and are expanding their companion animal distribution. Thankfully, healthy individuals in the United States are protected by intact immune systems and bolstered by good nutrition, sanitation, and hygiene. Immunocompromised individuals, including the growing number of obese and/or diabetic people, are at a much higher risk of developing zoonoses. Awareness of these often neglected diseases in all health communities is important for protecting pets and owners. To provide this awareness, this review is focused on zoonotic protozoal mechanisms of virulence, epidemiology, and the transmission of pathogens of consequence to pet owners in the United States.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                10 October 2016
                2016
                : 11
                : 10
                : e0164142
                Affiliations
                [1 ]Department of Basic Veterinary Sciences and Population Medicine, Institute of Veterinary Medicine and Animal Science, Estonian University of Life Sciences, Tartu, Estonia
                [2 ]Department of Veterinary Disease Biology, University of Copenhagen, Frederiksberg C, Denmark
                [3 ]Institute of Biomedicine and Translational Medicine, Chair of Medical Microbiology and Virology, Faculty of Medicine, University of Tartu, Tartu, Estonia
                [4 ]Department of Virology, National Institute for Health Development, Tallinn, Estonia
                [5 ]Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland
                Universidade de Aveiro, PORTUGAL
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                • Conceptualization: PJ BL AV.

                • Data curation: MJ BL.

                • Formal analysis: BL PJ AV.

                • Funding acquisition: AV BL PJ.

                • Investigation: MJ KN BL LT.

                • Methodology: BL AV PJ PH MJ KN.

                • Project administration: AV BL IG.

                • Resources: IG.

                • Supervision: BL AV LT.

                • Validation: BL MJ.

                • Visualization: BL.

                • Writing – original draft: BL PJ MJ.

                • Writing – review & editing: BL PJ MJ AV PH KN IG LT.

                Author information
                http://orcid.org/0000-0002-1745-1516
                Article
                PONE-D-16-12826
                10.1371/journal.pone.0164142
                5056716
                27723790
                e4874ff7-c08d-4366-9e3b-73c97e644e34
                © 2016 Lassen et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 30 March 2016
                : 20 September 2016
                Page count
                Figures: 0, Tables: 6, Pages: 13
                Funding
                Funded by: Health Board of Estonia, the European Regional Development Fund programme TerVe 3.2.1002.11
                Award ID: EKZE-SS
                Award Recipient :
                Funded by: Estonian University of Life Sciences Strategic Development Fund
                Award ID: M14143VLVP
                Award Recipient :
                Funded by: Eesti Teadusfondi (EE)
                Award ID: ETF9433
                Award Recipient :
                Funded by: Estonian University of Life Sciences
                Award ID: 8P160014VLVP
                Award Recipient :
                The study was supported by the Health Board of Estonia, the European Regional Development Fund programme TerVe 3.2.1002.11. project EKZE-SS, project funding M14143VLVP from the Strategic Development Fund of the Estonian University of Life Sciences, the Estonian Science Foundation grant ETF9433, and Base Financing of Estonian University of Life Sciences, project funding 8P160014VLVP. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                People and Places
                Population Groupings
                Professions
                Veterinarians
                People and Places
                Geographical Locations
                Europe
                Estonia
                Biology and Life Sciences
                Organisms
                Animals
                Invertebrates
                Helminths
                Echinococcus
                Biology and Life Sciences
                Organisms
                Animals
                Invertebrates
                Flatworms
                Echinococcus
                Biology and Life Sciences
                Organisms
                Protozoans
                Parasitic Protozoans
                Toxoplasma
                Toxoplasma Gondii
                Research and Analysis Methods
                Immunologic Techniques
                Immunoassays
                Enzyme-Linked Immunoassays
                Medicine and Health Sciences
                Parasitic Diseases
                Medicine and Health Sciences
                Infectious Diseases
                Zoonoses
                Biology and Life Sciences
                Parasitology
                Veterinary Parasitology
                Biology and Life Sciences
                Veterinary Science
                Veterinary Parasitology
                Custom metadata
                All relevant data can be found within the paper.

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                Uncategorized

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