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      Toxoplasma gondii in domiciled dogs and cats in urban areas of Brazil: risk factors and spatial distribution Translated title: Toxoplasma gondii chez les chiens et les chats domiciliés dans des zones urbaines du Brésil : facteurs de risque et répartition spatiale

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          Abstract

          Toxoplasma gondii is a highly prevalent zoonotic parasite in Brazil capable of infecting mammals and birds. The increase in the urban populations of pets and the narrowing of the human–animal relationship can facilitate the transmission of important public health zoonoses, such as toxoplasmosis. This study aimed to evaluate the frequency and spatial distribution of T. gondii infection and its risk factors in domiciled dogs and cats attended at the Jorge Vaitsman Institute, Rio de Janeiro. Serum samples from 400 dogs and 272 cats were evaluated by an indirect fluorescent antibody test (IFAT) for IgG anti- T. gondii antibodies. Epidemiological questionnaires were used to interview the animals’ owners to identify risk factors for infection. Of the total, 34% (136/400) of dogs and 8.1% (22/272) of cats had anti- T. gondii antibodies. Breed (OR: 2.10–95%, CI 1.27–3.46) was a risk factor for dogs, while sex (OR: 3.40–95%, CI 1.10–10.52) and homemade food consumption (OR: 8.49–95%, CI 2.48–29.05) were risk factors for cats. Offal consumption was considered a risk factor for both species evaluated (OR: 2.74–95%, CI 1.38–5.43 for dogs; OR: 7.66–95%, CI 1.24–47.29 for cats). The spatial analysis showed that T. gondii seropositive animals were widely distributed in the metropolitan region of Rio de Janeiro state, with a concentration observed mainly in the west and north zones of Rio de Janeiro city. The results emphasize the importance of adopting prophylactic measures to control T. gondii transmission in domiciled dogs and cats in Rio de Janeiro, contributing positively to public health.

          Translated abstract

          Toxoplasma gondii est un parasite zoonotique très répandu au Brésil, capable d’infecter les mammifères et les oiseaux. L’augmentation des populations urbaines d’animaux de compagnie et le rétrécissement de la relation homme-animal peuvent faciliter la transmission de zoonoses importantes pour la santé publique, telles que la toxoplasmose. Cette étude visait à évaluer la fréquence et la distribution spatiale de l’infection à T. gondii et ses facteurs de risque chez les chiens et les chats domiciliés qui ont fréquenté l’Institut Jorge Vaitsman de Rio de Janeiro. Des échantillons de sérum de 400 chiens et 272 chats ont été évalués par un test d’immunofluorescence indirecte (IFAT) pour les anticorps IgG anti- T. gondii. Des questionnaires épidémiologiques ont été appliqués aux propriétaires des animaux pour identifier les facteurs de risque d’infection. Sur le total, 34 % (136/400) des chiens et 8,1 % (22/272) des chats avaient des anticorps anti- T. gondii. La race (OR : 2,10-95 %, IC 1,27-3,46) était un facteur de risque pour les chiens, tandis que le sexe (OR : 3,40-95 %, IC 1,10-10,52) et la consommation d’aliments faits maison (OR : 8,49-95 % IC 2,48-29,05) l’étaient pour les chats. La consommation d’abats a été considérée comme un facteur de risque pour les deux espèces évaluées (OR : 2,74-95 %, IC 1,38-5,43 pour les chiens; OR : 7,66-95 %, IC 1,24-47,29 pour les chats). L’analyse spatiale a montré que les animaux séropositifs pour T. gondii étaient largement répartis dans la région métropolitaine de l’État de Rio de Janeiro, avec une concentration observée principalement dans les zones ouest et nord de la ville de Rio de Janeiro. Les résultats soulignent l’importance d’adopter des mesures prophylactiques pour contrôler la transmission de T. gondii chez les chiens et les chats domiciliés à Rio de Janeiro, contribuant positivement à la santé publique.

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          Toxoplasma gondii: from animals to humans

          Toxoplasmosis is one of the more common parasitic zoonoses world-wide. Its causative agent, Toxoplasma gondii, is a facultatively heteroxenous, polyxenous protozoon that has developed several potential routes of transmission within and between different host species. If first contracted during pregnancy, T. gondii may be transmitted vertically by tachyzoites that are passed to the foetus via the placenta. Horizontal transmission of T. gondii may involve three life-cycle stages, i.e. ingesting infectious oocysts from the environment or ingesting tissue cysts or tachyzoites which are contained in meat or primary offal (viscera) of many different animals. Transmission may also occur via tachyzoites contained in blood products, tissue transplants, or unpasteurised milk. However, it is not known which of these routes is more important epidemiologically. In the past, the consumption of raw or undercooked meat, in particular of pigs and sheep, has been regarded as a major route of transmission to humans. However, recent studies showed that the prevalence of T. gondii in meat-producing animals decreased considerably over the past 20 years in areas with intensive farm management. For example, in several countries of the European Union prevalences of T. gondii in fattening pigs are now <1%. Considering these data it is unlikely that pork is still a major source of infection for humans in these countries. However, it is likely that the major routes of transmission are different in human populations with differences in culture and eating habits. In the Americas, recent outbreaks of acute toxoplasmosis in humans have been associated with oocyst contamination of the environment. Therefore, future epidemiological studies on T. gondii infections should consider the role of oocysts as potential sources of infection for humans, and methods to monitor these are currently being developed. This review presents recent epidemiological data on T. gondii, hypotheses on the major routes of transmission to humans in different populations, and preventive measures that may reduce the risk of contracting a primary infection during pregnancy.
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            Environmental transmission of Toxoplasma gondii : Oocysts in water, soil and food

            Toxoplasma gondii is a zoonotic protozoan parasite that can cause morbidity and mortality in humans, domestic animals, and terrestrial and aquatic wildlife. The environmentally robust oocyst stage of T. gondii is fundamentally critical to the parasite's success, both in terms of its worldwide distribution as well as the extensive range of infected intermediate hosts. Despite the limited definitive host species (domestic and wild felids), infections have been reported on every continent, and in terrestrial as well as aquatic environments. The remarkable resistance of the oocyst wall enables dissemination of T. gondii through watersheds and ecosystems, and long-term persistence in diverse foods such as shellfish and fresh produce. Here, we review the key attributes of oocyst biophysical properties that confer their ability to disseminate and survive in the environment, as well as the epidemiological dynamics of oocyst sources including domestic and wild felids. This manuscript further provides a comprehensive review of the pathways by which T. gondii oocysts can infect animals and people through the environment, including in contaminated foods, water or soil. We conclude by identifying critical control points for reducing risk of exposure to oocysts as well as opportunities for future synergies and new directions for research aimed at reducing the burden of oocyst-borne toxoplasmosis in humans, domestic animals, and wildlife.
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              Toxoplasmosis in humans and animals in Brazil: high prevalence, high burden of disease, and epidemiology.

              Infections by the protozoan parasite Toxoplasma gondii are widely prevalent in humans and animals in Brazil. The burden of clinical toxoplasmosis in humans is considered to be very high. The high prevalence and encouragement of the Brazilian Government provides a unique opportunity for international groups to study the epidemiology and control of toxoplasmosis in Brazil. Many early papers on toxoplasmosis in Brazil were published in Portuguese and often not available to scientists in English-speaking countries. In the present paper we review prevalence, clinical spectrum, molecular epidemiology, and control of T. gondii in humans and animals in Brazil. This knowledge should be useful to biologists, public health workers, veterinarians, and physicians. Brazil has a very high rate of T. gondii infection in humans. Up to 50% of elementary school children and 50-80% of women of child-bearing age have antibodies to T. gondii. The risks for uninfected women to acquire toxoplasmosis during pregnancy and fetal transmission are high because the environment is highly contaminated with oocysts. The burden of toxoplasmosis in congenitally infected children is also very high. From limited data on screening of infants for T. gondii IgM at birth, 5-23 children are born infected per 10 000 live births in Brazil. Based on an estimate of 1 infected child per 1000 births, 2649 children with congenital toxoplasmosis are likely to be born annually in Brazil. Most of these infected children are likely to develop symptoms or signs of clinical toxoplasmosis. Among the congenitally infected children whose clinical data are described in this review, several died soon after birth, 35% had neurological disease including hydrocephalus, microcephaly and mental retardation, 80% had ocular lesions, and in one report 40% of children had hearing loss. The severity of clinical toxoplasmosis in Brazilian children may be associated with the genetic characteristics of T. gondii isolates prevailing in animals and humans in Brazil.
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                Author and article information

                Journal
                Parasite
                Parasite
                parasite
                Parasite
                EDP Sciences
                1252-607X
                1776-1042
                2021
                08 July 2021
                : 28
                : ( publisher-idID: parasite/2021/01 )
                : 56
                Affiliations
                [1 ] Laboratório de Toxoplasmose e outras Protozooses, Instituto Oswaldo Cruz/Fiocruz Av. Brasil, 4365-Manguinhos 21040-900 Rio de Janeiro Brazil
                [2 ] Departamento de Microbiologia e Parasitologia, Instituto Biomédico/Universidade Federal Fluminense Rua Professor Hernani Melo, 101/212a-São Domingos 24210-130 Niterói Brazil
                [3 ] Instituto Municipal de Medicina Veterinária Jorge Vaitsman, SUBVISA/Secretaria Municipal de Saúde Av. Bartolomeu de Gusmão, 1120-São Cristóvão 20941-160 Rio de Janeiro Brazil
                [4 ] Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz/Fiocruz Av. Brasil, 4365-Manguinhos 21040-900 Rio de Janeiro Brazil
                Author notes
                [* ]Corresponding author: patríciariddell@ 123456id.uff.br
                Author information
                http://orcid.org/0000-0002-0481-4373
                http://orcid.org/0000-0002-4661-672X
                http://orcid.org/0000-0002-5007-1339
                http://orcid.org/0000-0002-1961-6556
                http://orcid.org/0000-0003-4587-6818
                http://orcid.org/0000-0002-0867-1445
                Article
                parasite210005 10.1051/parasite/2021049
                10.1051/parasite/2021049
                8265318
                34236311
                ebc16bbc-7919-4bc1-85c5-cb76db35a265
                © I.F. Arruda et al., published by EDP Sciences, 2021

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 December 2020
                : 01 June 2021
                Page count
                Figures: 2, Tables: 3, Equations: 0, References: 86, Pages: 12
                Categories
                Research Article

                toxoplasmosis,companion animals,serology,rio de janeiro metropolitan region

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