Populations at Risk for Alveolar Echinococcosis, France

Overview

Journal Emerg Infect Dis

Specialty Infectious Diseases

Date 2013 May 8

PMID 23647623

Citations 31

Authors

Martine Piarroux

Renaud Piarroux

Jenny Knapp

Karine Bardonnet

Jerome Dumortier

Jerome Watelet

Alain Gerard

Jean Beytout

Armand Abergel

Solange Bresson-Hadni

Jean Gaudart

Affiliations

Soon will be listed here.

Abstract

During 1982-2007, alveolar echinococcosis (AE) was diagnosed in 407 patients in France, a country previously known to register half of all European patients. To better define high-risk groups in France, we conducted a national registry-based study to identify areas where persons were at risk and spatial clusters of cases. We interviewed 180 AE patients about their way of life and compared responses to those of 517 controls. We found that almost all AE patients lived in 22 départements in eastern and central France (relative risk 78.63, 95% CI 52.84-117.02). Classification and regression tree analysis showed that the main risk factor was living in AE-endemic areas. There, most at-risk populations lived in rural settings (odds ratio [OR] 66.67, 95% CI 6.21-464.51 for farmers and OR 6.98, 95% CI 2.88-18.25 for other persons) or gardened in nonrural settings (OR 4.30, 95% CI 1.82-10.91). These findings can help sensitization campaigns focus on specific groups.

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