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Cysticercosis in Madagascar.

Jean-François Carod1, Pierre Dorny2

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Cysticercosis (CC) is a major parasitic disease in Madagascar, with high human prevalence and significant impact on pediatric epilepsy. Control programs aim to reduce its burden, highlighting the need for accessible diagnostic tools.

Keywords:
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Area of Science:

  • Parasitology
  • Epidemiology
  • Public Health

Background:

  • Cysticercosis (CC) is the leading parasitic cause of central nervous system disease, endemic in developing nations.
  • Madagascar lacks a comprehensive overview of cysticercosis data.
  • Pork consumption and pig farming contribute to the parasite's prevalence.

Purpose of the Study:

  • To conduct a literature review on cysticercosis in Madagascar from 1990 to 2020.
  • To consolidate available data on human and porcine cysticercosis.
  • To inform public health strategies and diagnostic approaches.

Main Methods:

  • Literature search of published and grey literature (1990-2020).
  • Inclusion of 61 relevant publications from various sources.
  • Analysis of seroprevalence data and diagnostic techniques.

Main Results:

  • Porcine cysticercosis reported since 1901; human cysticercosis seroprevalence estimated at 7-21%.
  • Neurocysticercosis (NCC) is the predominant form, causing over 50% of pediatric epilepsy cases.
  • Enzyme-Linked Immunosorbent Assay (ELISA) and Enzyme-linked immunoelectrotransfer blot (EITB) are key diagnostic tools; CT-Scan is limited by cost.

Conclusions:

  • Human taeniasis and bovine cysticercosis represent a significant health burden.
  • National control programs aim to reduce seroprevalence, with a goal for CC elimination.
  • Accessible diagnostic algorithms are needed, alongside public awareness campaigns.