Abstract

Taenia solium cysticercosis is a disease of pigs and humans populations considered endemic in many developing countries of Latin America, Africa, and South East Asia having serious impact on public health and agriculture. We conducted an in-depth comparative analysis of literature on the disease situation and predisposing factors in selected countries known to be at the interface of poverty-emerging livestock systems-zoonoses and with a growing small holder pig industry. Transmission, methods of diagnosis and employed control strategies of T. solium infection in pig and human populations in these countries are also discussed. Limited knowledge on porcine cysticercosis (PC) by various stakeholders expected to be key players in its control has undermined efforts for eliminating this potentially eradicable condition. Poor pig production practices, poor hygiene, and sanitation habits have also been important in the maintenance of the T. solium life-cycle. The major gaps identified in this review include scanty current information on PC prevalence in pigs with hardly any reports on the condition in humans in most developing countries. Factors affecting pattern of the infection and how they interact at the different levels of the pig value chain have not been exhaustively studied. Information on socioeconomic and public health impact is inadequate and not current.

Highlights

  • A parasitic zoonosis caused by larval cysts of pig cestode, T. solium has received little attention for decades despite its traumatizing health and socio-economic impact [1,2]

  • Human cysticercosis becomes a life threatening situation when the metacestodes invade the brain tissues resulting in NCC that is the leading known cause of epilepsy in human populations of the developing countries [2]

  • The International Task Force for Disease Eradication (ITFDE) in 1993 declared T. solium a potentially eradicable parasite, no intervention programs have successfully been implemented at any national level to stump out this condition

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Summary

Introduction

A parasitic zoonosis caused by larval cysts of pig cestode, T. solium has received little attention for decades despite its traumatizing health and socio-economic impact [1,2]. In countries where this condition occurs, every case of cysticercosis in pigs has been estimated to result in a monetary loss of 194 Euro and 9 Disability Adjusted Life Years per 1000 persons per year are averagely lost [3]. About 70% of the world’s rural poor are known to depend on livestock as their source of livelihood and have been reported to be the most prone to prevailing endemic zoonoses of today [4]. Pig-keeping is undergoing rapid expansion in response to the “livestock revolution” that is, the rapidly increasing demand for animal

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