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[Hydatid disease in Israel]

J Nahmias1, R Goldsmith, Z Greenberg

  • 1Zevulun Clinic, Kupat Holim, Kiriat Motzkin.

Harefuah
|May 2, 1993
PubMed
Summary

Hydatid disease (echinococcosis) prevalence in Israel has shifted over 40 years. A Druze community, Yirka, shows extremely high endemicity, with 1.6% of inhabitants infected.

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Area of Science:

  • Epidemiology
  • Parasitology
  • Public Health

Context:

  • Hydatid disease (echinococcosis) epidemiology in Israel has evolved over four decades.
  • Prevalence shifted from non-Jewish communities to immigrants from Arab countries, and more recently, to rural Arab and Druze communities.
  • Focus on Yirka, a Druze community, identified as a highly endemic area.

Purpose:

  • To investigate the changing prevalence patterns of hydatid disease in Israel.
  • To assess the endemicity of hydatid disease in the Druze community of Yirka.
  • To determine infection rates in the canine and ovine populations and human seroprevalence in Yirka.

Summary:

  • Between 1960-1989, 224 surgically-confirmed hydatid disease cases were recorded in specific Israeli communities.
  • Yirka, a Druze community of 8200, accounted for 52 cases.
  • In Yirka, 8% of dogs and 10% of sheep were infected. A serosurvey of 758 inhabitants revealed a 1.6% infection rate, extrapolating to 1583/100,000, indicating extreme endemicity.

Impact:

  • Identifies Yirka as one of the most highly endemic areas globally for hydatid disease.
  • Highlights the need for targeted public health interventions in specific communities.
  • Provides crucial epidemiological data for understanding and controlling echinococcosis transmission patterns.

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