Workshop summary: food safety: meat- and fish-borne zoonoses

In this workshop, J.P. Dubey (USA), Th. Hiepe (Germany), and P. Deplazes (Switzerland), were invited speakers. The main areas covered were toxoplasmosis, microsporidiosis, trematode infections, taeniosis/cysticercosis and trichinellosis. The public health and economic impact of meat- and fish-borne parasitic zoonoses is considerable in terms of morbidity and even mortality in humans as well as in losses due to reduced productivity in animals and condemnation of parasitised meat and fish. In this context, the increasing demands of consumers for meat and fish free of pathogens and chemical residues has to be considered. Among the parasitic zoonoses some are widespread and frequent, for example toxoplasmosis. About 30-50% of women of child-bearing age are at risk of acquiring the infection during pregnancy with the potential of prenatal infection and severe disease of the foetus. In addition, toxoplasmosis plays an increasing role as an AIDS-associated infection. There are some recent indications that Toxoplasma infections acquired by adults by ingestion of sporulated oocysts may be more pathogenic than cyst-induced infections. In such cases, eye lesions are quite frequent and were previously thought to be predominantly acquired by prenatal infection (J.P. Dubey, USA). Fish- or crustacean-borne trematodes (species of Clonorchis, Opisthorchis, Paragonimus, intestinal flukes) infect about 39 million people, and about 550 millions are at risk (WHO, 1995). Other zoonotic infections are less frequent but may cause severe and lethal diseases, for example Taenia solium cysticercosis.