Problems of epidemiology and prophylaxis of alveococcosis (multilocular echinococcosis): A general review—with particular reference to the U.S.S.R.

Abstract

Lukashenko N. P., 1971. Problems of epidemiology and prophylaxis of alveococcosis (multilocular echinococcosis): a general review—with particular reference to the U.S.S.R. International Journal for Parasitology, 1: 125–134. Alveococcus multilocularis is an extremely dangerous, often fatal, parasite of man. The main endemic areas are southern G.F.R., Austria, Switzerland, northern U.S.A., Canada and Japan. The circulation of Alveococcus depends on complex biocenotic relationships between certain carnivores and numerous microtine rodents. Their roles vary widely according to terrain, reproduction, season, epizootics, animals of prey and interspecific rivalry. The infection rate of definitive hosts each year depends on the prevailing numbers of intermediate hosts in the corresponding biotope, and vice versa. The significance of the fox, polar fox, dog fox, wolf and spotted cat as definitive hosts is considered. Twenty-nine species of rodents have been recorded as intermediate hosts but the roles of insectivores appear insignificant, while those of birds and wild ungulates have yet to be studied. Domestic ungulates probably do not take part in the life-cycle of A. multilocularis. Domestic cats and dogs may be involved accidentally. The role of synanthropic rodents has not yet been fully elucidated but house mice show a high degree of infectivity. Human infection is influenced by ecological factors, living conditions, occupation and level of hygiene practised: dangerous sources of infection are team dogs, unboiled drinking water from melted ice, the skins of fur animals and possibly insects. Secondary sources are other contaminated waters, dust, wild berries and possibly vegetables. Data on the incidence of alveococcosis according to sex is contradictory; the differences between the infection rates of men and women in different regions almost certainly depend on their several modes of life and occupations. The majority of diseased persons are between 19 and 40 years old; infection probably takes place during childhood and is fatal before old age. Prophylactic measures differ markedly from those for (unilocular) echinococcosis, and must be directed towards eliminating the possibility of infecting definitive hosts and towards increased hygiene education.