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Food-borne Trematodiases in East Asia: Epidemiology and Burden

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Neglected Tropical Diseases - East Asia

Abstract

Food-borne trematodiases are a cluster of parasitic helminth infections in humans and animals and belong to the cluster of neglected tropical diseases. The causative helminths dispose of a complex life cycle. As with many helminth infections, most infected people may only experience mild and non-specific clinical signs and symptoms. However, repeated, heavy and long-term infections may lead to severe clinical manifestations and also potentially fatal complications such as cholangiocarcinoma. Diagnosis remains a challenge as reliable, affordable, rapid, and simple-to-use diagnostic techniques are not available. If correctly and early diagnosed, safe, cheap, efficacious, orally administered drugs are available. Globally, the disease burden of food-borne trematodiases is estimated to be well within the range of other and better known neglected tropical diseases (e.g. dengue, leishmaniasis, lymphatic filariasis, onchocerciasis, and schistosomiasis) with a concentration in East and Southeast Asia. Food-borne trematodiases are zoonoses and may also have a negative impact on agri- and aquacultural production in affected regions. Mathematical modelling and analysis of food-borne trematodiases transmission dynamics to inform control and prevention is still in a very early stage, also due to the very limited availability of essential data. The current mainstay of human food-borne trematodiases control is drug-based morbidity control. For improved control, prevention or even elimination, more integrated efforts adopting also an ecosystem and “One Health” perspective are needed.

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TF acknowledges financial support from the Swiss National Science Foundation (project no. P300P3-154634). PY, NK, and PS are supported by the National Research Council of Thailand through the Fluke Free Thailand Project. ZRL is supported by grants from the National Base Research programme (973 project; NO.2010CB530000) and the National Natural Science Foundation of China (project nos. #31272305 and #31472058). NC acknowledges funding from the RAPIDD program of the Science & Technology Directorate, Department of Homeland Security, and the Fogarty International Center, National Institutes of Health, USA.

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Fürst, T. et al. (2019). Food-borne Trematodiases in East Asia: Epidemiology and Burden. In: Utzinger, J., Yap, P., Bratschi, M., Steinmann, P. (eds) Neglected Tropical Diseases - East Asia. Neglected Tropical Diseases. Springer, Cham. https://doi.org/10.1007/978-3-030-12008-5_2

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