Abstract

BackgroundDue to the relative short life span and the limited spatial movement, porcine cysticercosis is an excellent indicator of current local active transmission. The aim of this study was to map at province-level, the occurrence of T. solium and T. asiatica in pigs and areas at risk of transmission to pigs in East and Southeast Asia, based on the density of extensive pig production systems and confirmed reports of porcine cysticercosis.MethodsThis study covered East and Southeast Asia, which consist of the following countries: Brunei, Cambodia, China, East Timor, Indonesia, Japan, Laos, Malaysia, Mongolia, Myanmar, North Korea, Philippines, Singapore, South Korea, Thailand and Vietnam. Literature searches were carried out to identify current epidemiological data on the occurrence of porcine cysticercosis caused by T. solium and T. asiatica infections. Modelled densities of pigs in extensive production systems were mapped and compared to available data on porcine cysticercosis.ResultsPorcine cysticercosis was confirmed to be present during the period 2000 to 2018 in eight out of the 16 countries included in this study. Taenia solium porcine cysticercosis was confirmed from all eight countries, whereas only one country (Laos) could confirm the presence of T. asiatica porcine cysticercosis. Province-level occurrence was identified in five countries (Cambodia, Indonesia, Laos, Myanmar, and Vietnam) across 19 provinces. Smallholder pig keeping is believed to be widely distributed throughout the region, with greater densities predicted to occur in areas of China, Myanmar, Philippines and Vietnam.ConclusionsThe discrepancies between countries reporting taeniosis and the occurrence of porcine cysticercosis, both for T. solium and T. asiatica, suggests that both parasites are underreported. More epidemiological surveys are needed to determine the societal burden of both parasites. This study highlights a straightforward approach to determine areas at risk of porcine cysticercosis in the absence of prevalence data.

Highlights

  • Due to the relative short life span and the limited spatial movement, porcine cysticercosis is an excellent indicator of current local active transmission

  • Porcine cysticercosis was confirmed to be present in eight out of the 16 countries included in this study during the period 2000 to 2018 (Table 1, Fig. 2)

  • Taenia solium porcine cysticercosis was confirmed from all eight countries, whereas only one country (Laos) could be confirmed for the presence of T. asiatica porcine cysticercosis

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Summary

Introduction

Due to the relative short life span and the limited spatial movement, porcine cysticercosis is an excellent indicator of current local active transmission. The aim of this study was to map at province-level, the occurrence of T. solium and T. asiatica in pigs and areas at risk of transmission to pigs in East and Southeast Asia, based on the density of extensive pig production systems and confirmed reports of porcine cysticercosis. Pigs can become infected with Taenia solium or Taenia asiatica if eggs excreted from human tapeworm carriers are ingested Both parasites cause human health concerns, only T. solium causes neurocysticercosis, which is a major public health burden globally [1, 2]. The aim of this study was to map, at first-level administrative subdivision level, the occurrence of T. solium and T. asiatica in pigs and areas at risk of transmission to pigs in East and Southeast Asia, based on the occurrence of smallholder pig production systems and confirmed reports of porcine cysticercosis (T. solium and T. asiatica)

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