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[Vaccination against echinococcosis (?)].

B Gottstein1

  • 1Institut für Parasitologie, Universität Bern. bruno.gottstein@ipa.unibe.ch

Therapeutische Umschau. Revue Therapeutique
|November 10, 2005
PubMed
Summary

Alveolar echinococcosis (AE) and cystic echinococcosis (CE) are serious parasitic diseases in Europe. While a vaccine improves CE control by protecting livestock, AE vaccination faces challenges due to its wildlife cycle, necessitating discussions on human vaccination feasibility.

Area of Science:

  • Veterinary parasitology
  • Medical entomology
  • Zoonotic disease research

Context:

  • Two Echinococcus species, E. multilocularis (AE) and E. granulosus (CE), coexist in Europe.
  • AE has a high fatality rate in untreated cases, with incidence rates of 0.02-1.4 per 100,000.
  • Current AE treatment involves surgery and benzimidazole therapy.

Purpose:

  • To review the current status of echinococcosis control and discuss potential vaccination strategies.
  • To evaluate the feasibility and health-economic impact of human vaccination against AE.

Summary:

  • A successful vaccine for cystic echinococcosis (CE) protects farm animals, indirectly reducing human infection.
  • Vaccines targeting E. multilocularis (AE) have shown promise in murine models (14-3-3 and Em95 vaccines).

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  • AE's wildlife cycle complicates vaccine implementation, unlike the farm-animal-focused CE vaccine.
  • Impact:

    • CE control has improved significantly with animal vaccination, reducing human exposure.
    • AE vaccination in wildlife hosts is challenging, prompting consideration of human vaccination in endemic areas.
    • Further research is needed on the health-economic impact and feasibility of large-scale human AE vaccination.