xxviii world congress on echinococcosis · xxviii world congress on echinococcosis neotropical and...
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XXVIII World Congress on Echinococcosis
NEOTROPICAL AND CYSTIC ECHINOCOCCOSIS, A MULTIDISCIPLINARY VIEW FROM THE PUBLIC HEALTH PERSPECTIVE
October 31 2019Lima, Peru
SymposiumNeotropical Echinococcosis: emerging zoonosis
N. Casas, MScK. Vizcaychipi, MSc
Zoonotic diseases
Rabies
Hydatidosis
Leptospirosis
Trichinosis
Hantavirus
Brucellosis
Hemolytic uremic syndrome
Psittacosis
Toxocariosis
Scabies
Argentine Hemorrhagic Fever
Leishmaniasis visceral
Yellow fever
Saint Louis encephalitis
West Nile encephalitis
Tuberculosis
Poisoning by poisonous animals
Toxoplasmosis
Salmonellosis
Rickettsial Infection
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Cystic echinococcosis
≠ Neotropical echinococcosis
E. vogeli
Polycystic Echinococcosis
E. granulosusEchinococcosis Cystic
Domestic dog
C. paca
Speothos venaticus
Humans
Cow
Goat
Sheep
E. oligarthrusUnicystic Echinococcosis
Humans
Domestic cat
wild felines
Speothos venaticus
C. paca
Humans
Domestic dog
Cow
SheepGoat
Wild felines
Agouti
Domestic cat
National law 15.465 requires doctors, veterinariansand laboratory technicians to report human and animalcases.
It allows to count on systematic, continuous andopportune information.
Necessary for making decisions and evaluating theresults of actions aimed at improving the healthsituation of the community.
There is a National Health Surveillance System (SNVS2.0).
Surveillance strategies - hydatidosis
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Events and surveillance modality
• Hydatidosis:
New cases detected by passive surveillance: CE and NE
New cases detected by population cadastres.
Epidemiological units evaluated for hydatidosis (negative and positive)
Event of nominal notification SNVS2.0:
• Hydatidosis in population cadastres (total of studied and compatible in a place and time determined)
Event of consolidated notification in theclinical component SNVS2.0:
Surveillance strategies - hydatidosis
Surveillance strategies - hydatidosisNational Health Surveillance System SNVS 2.0
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Ultrasound and serological cadastres
Surveillance strategies – hydatidosis (CE and NE)
San Juan
Misiones
Misiones
Surveillance in animals and environment
Surveillance strategies - hydatidosis (CE)
Compatible cyst findings from slaughter
CoproAntigen/CoproPCRGV
La Pampa
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Surveillance in animals and environment
Surveillance strategies - hydatidosis (NE)
Collection of canine, S. venaticus and wild felines faecal samples for environmental surveillance.
Notification and analysis of organs of carnivores and rodents found dead.
KAVGot Scat
Got Scat
Epidemiological situation - hydatidosis (CE)Cases of hydatidosis. Argentina 2005-2018. n= 6532
Source: SNVS - Msal
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Casos 289 364 345 339 405 446 602 625 543 566 501 509 506 492
0
100
200
300
400
500
600
700
N°
Cas
os
de
Hid
atid
osi
s
Submission of medication upon notification
Nu
mb
er o
f ca
ses
of
hyd
atid
osi
s
Cases
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Cases and notification rates of hydatidosis by province. Argentina 2005-2018. n=6532
Epidemiological situation - hydatidosis (CE)
Source: SNVS - Msal
0
100
200
300
400
500
600
700
800
900
1000
N°
Cas
os
hid
atid
osi
sN
um
ber
of
case
s o
f h
ydat
ido
sis
Percentage of notifications in children under 15 years. Argentina 2005-2018.
Epidemiological situation - hydatidosis (CE)
21,1 20,4
20,7
14,112,6
14,3
12,0
16,5
15,8 13,5
20,5
11,8
15,217,3
0,0
5,0
10,0
15,0
20,0
25,0
% P
orc
en
taje
me
no
res
de
15
añ
os
Source: SNVS - Msal
% n
oti
fica
tio
ns
in c
hild
ren
un
der
15
yea
rs
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2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Muertes 19 21 17 14 14 13 20 15 12 14 11 24 12
Letalidad 6,4 5,5 4,8 4,3 3,3 3,0 3,2 2,4 2,2 2,5 1,9 4,7 2,4
0,0
1,0
2,0
3,0
4,0
5,0
6,0
7,0
0
5
10
15
20
25
30
Number of deaths and lethality by hydatidosis. Argentina 2005-2017. n= 206
Epidemiological situation - hydatidosis (CE)
N°
mu
ert
es p
or
hid
ato
sisi
d % Letalid
ad p
or h
idatid
osis
Source: DEIS - Msal
Nu
mb
er o
f d
eath
s o
f h
ydat
ido
sis
% leth
ality by h
ydatid
osis
Epidemiological situation - Compatible cyst findings from slaughter (CE)
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Epidemiological situation - Compatible cyst findings from slaughter (CE)
1972-2018 (46 years), 261 reported cases of neotropical echinococcosis.
15 countries affected.
5.2 to 15.5% mortality.
Epidemiological situation - hydatidosis (NE)
Source: D’Alessandro 2010; Siqueira et al., 2013; Vizcaychipi et al., 2018
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Diffusion material
Prevention strategies - hydatidosis
Diffusion material
Prevention strategies - hydatidosis
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Capacitations and education for health
Prevention strategies - hydatidosis
Antiparasitic human and dogs / sheep vaccine
Control strategies - hydatidosis
Albendazole for human use Praziquantel for veterinary use
Dose 5 mg/kgDose 10-15 mg/kg daily every 12 hsSupervised and assisted treatment
Two doses and annual revaccination
Vaccine for veterinary use
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Control of animals at border crossing points
Mercosur: sanitary control of ports, airports, terminals and border crossings.
Agriculture, Gendarmerie, Border Health.
Control strategies - hydatidosis
Guidelines and Norms for Health Teams
Control strategies - hydatidosis
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Ministry of Health
Ministry of Agriculture
Ministry of Education
Ministry of Environment
Ministry of Tourism
Cystic and Neotropical
Echinococcosis
Park rangers
Indigenous Peoples
Zoonoses
Wildlife
Laboratory
Provinces
Municipalities
SENASA
Border Health
Scientificsocieties
Control strategies - Interdisciplinary and intersectoral work
Schools
Universities
ONE HEALTH
EnvironmentProduction systems
Atención multisectorial
Humans Vectors
Animals
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Gracias
Thank you
Merci
Obrigada
Grazie
謝謝啦
Coordination of Zoonoses
National Department of Epidemiology and Health Situation Analysis
Contact: [email protected]