Abstract

Background: Documented trichinellosis outbreaks in Lebanon date back to the late 19th century. The first published outbreaks were attributed to the consumption of wild boar meat, while those that followed incriminated pork. The practice of hunting wild boar is currently re-emerging in Lebanon given the recent economic crisis that has limited the purchase of livestock meat. Results: In Lebanon, at least 15 outbreaks of trichinellosis have been reported since 1870. We report an outbreak in January 2019, where five of the fifteen people present at a barbecue party were diagnosed with trichinellosis after wild boar meat consumption. Two subspecies of wild boar, Sus scrofa libycus and Sus scrofa scrofa, are commonly targeted by hunters. Hunters and consumers are sometimes unaware of the ineffectiveness of freezing meat and cooking over a wood fire to avoid trichinellosis. Unexpectedly, the National Center for Zoonosis Control receives every year 4 samples of wild boar meat, all free of Trichinella sp. larvae. Conclusion: Trichinellosis, a zoonosis typically unrecognized or undeclared, still represents a risk linked to the consumption of meat from wild animals, especially wild boar. Consumers, hunters, veterinarians, and butchers need to be further educated. Government regulation of wild boar hunting should be implemented to prevent further outbreaks.

Highlights

  • Trichinellosis has been described many times in Lebanon, ranging from outbreaks to small series in the 20th century [2, 9, 11, 13–15, 17, 18, 20, 24, 27, 31]

  • Wild boar meat consumption is associated with Trichinella spiralis infection as well as other species (T. britovi, T. pseudospiralis, and T. papuae) [25]

  • The aim of this paper is to report a recent outbreak of trichinellosis due to wild boar meat consumption in Lebanon, in the context of renewed interest in wild boar hunting due to the recent economic crisis, and integrating it with historical epidemiologic data of trichinellosis in this country

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Summary

Introduction

Trichinellosis has been described many times in Lebanon, ranging from outbreaks to small series in the 20th century [2, 9, 11, 13–15, 17, 18, 20, 24, 27, 31]. Outbreaks were reported in other Mediterranean countries, such as Greece, Italy, and Spain, during the past few years [1, 3, 7, 23, 26, 28]. Wild boar (Sus scrofa) hunting and wild boar meat consumption was the most described source of outbreaks. Bear and walrus meat consumption was associated with confirmed trichinellosis in North America, Asia, and Europe [19, 25]. Wild boar meat consumption is associated with Trichinella spiralis infection as well as other species (T. britovi, T. pseudospiralis, and T. papuae) [25]. Undercooked meat and meat-derived products, as well as parasite load are among the most common described risk factors.

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