That mainly form in their muscles . The porcine cysticercosis/taeniosis cycle is complete once undercooked TSA web infected pork meat is again consumed by a human host . Taenia solium eggs are not only infectious to pigs (paratenic or intermediate hosts) but also to humans , . They can be ingested following direct or indirect (via faecal matter) contact with tapeworm carriers , , which represents the most common route of infection, as well as through the consumption of water or food contaminated with tapeworm eggs . However, the latter is of much less relevance. When humans ingest Taenia solium eggs through faecal ral transmission or possible autoinfection, they become accidental hosts of the larval stage of the parasite and develop human cysticercosis . Centers for Disease Control and Prevention’s website for parasite identification: http://www.dpd.cdc.gov/dpdx/HTML/Taeniasis.htm.Pathogens and Global HealthVOL .NO .WinklerNeurocysticercosis in sub-Saharan Africadue to NCC in sub-Saharan Africa. Epilepsy makes up for 80 of get PX-478 symptomatic NCC29 and therefore 0.95?.08 million people would suffer from symptomatic NCC, including all cases with any (not just epilepsy) neurological symptom/sign due to NCC. We also know that symptomatic NCC is only the tip of the iceberg and that the majority of people with NCC are asymptomatic. Data regarding asymptomatic NCC cases vary, but autopsy studies and community-based neuroimaging studies indicate that between approximately 50 and 80 of all people affected with NCC may be asymptomatic.30,31 Using the conservative estimate of 50 another 0.95?.08 million people would have latent NCC. Therefore, the total of all people suffering from NCC (symptomatic and asymptomatic) in subSaharan endemic countries would be somewhere between 1.90 and 6.16 million. These figures, however, represent only very crude estimates, but this is the closest one can get to reality. Prevalence of porcine cysticercosis varies from country to country, region to region, village to village and even household to household. Theoretically, one could take the above numbers and subtract all areas with predominantly Muslim and/ or urban populations assuming that NCC may not occur in these populations. However, in urban populations pigs reared in rural communities are sold and eaten and Muslim people mix with pork eating neighbours. Contamination of the environment with T. solium eggs therefore is also possible in non-pig rearing communities. Teasing out all these variables is virtually impossible but calls for more country-based prevalence data on NCC in order to get a clearer picture of the focal distribution of NCC in sub-Saharan Africa.Asymptomatic NCC and mass drug administrationAlthough latent NCC does not contribute to disease burden, people with living cysticerci can become symptomatic at any time based on the natural course of the disease (see above). In addition, there is also a potential risk that treatment with drugs targeting soiltransmitted helminths, lymphatic filariasis, and schistosomiasis may precipitate the conversion of latent NCC to symptomatic disease through mass drug administration. At therapeutic doses (see below) praziquantel and albendazole are both known to be able to convert latent/asymptomatic cysticerci to symptomatic cysticerci by destroying the parasite and potentially provoking brain oedema. This is the reason for which co-administration with steroids is recommended (see below). However, reports of sudden onset of s.That mainly form in their muscles . The porcine cysticercosis/taeniosis cycle is complete once undercooked infected pork meat is again consumed by a human host . Taenia solium eggs are not only infectious to pigs (paratenic or intermediate hosts) but also to humans , . They can be ingested following direct or indirect (via faecal matter) contact with tapeworm carriers , , which represents the most common route of infection, as well as through the consumption of water or food contaminated with tapeworm eggs . However, the latter is of much less relevance. When humans ingest Taenia solium eggs through faecal ral transmission or possible autoinfection, they become accidental hosts of the larval stage of the parasite and develop human cysticercosis . Centers for Disease Control and Prevention’s website for parasite identification: http://www.dpd.cdc.gov/dpdx/HTML/Taeniasis.htm.Pathogens and Global HealthVOL .NO .WinklerNeurocysticercosis in sub-Saharan Africadue to NCC in sub-Saharan Africa. Epilepsy makes up for 80 of symptomatic NCC29 and therefore 0.95?.08 million people would suffer from symptomatic NCC, including all cases with any (not just epilepsy) neurological symptom/sign due to NCC. We also know that symptomatic NCC is only the tip of the iceberg and that the majority of people with NCC are asymptomatic. Data regarding asymptomatic NCC cases vary, but autopsy studies and community-based neuroimaging studies indicate that between approximately 50 and 80 of all people affected with NCC may be asymptomatic.30,31 Using the conservative estimate of 50 another 0.95?.08 million people would have latent NCC. Therefore, the total of all people suffering from NCC (symptomatic and asymptomatic) in subSaharan endemic countries would be somewhere between 1.90 and 6.16 million. These figures, however, represent only very crude estimates, but this is the closest one can get to reality. Prevalence of porcine cysticercosis varies from country to country, region to region, village to village and even household to household. Theoretically, one could take the above numbers and subtract all areas with predominantly Muslim and/ or urban populations assuming that NCC may not occur in these populations. However, in urban populations pigs reared in rural communities are sold and eaten and Muslim people mix with pork eating neighbours. Contamination of the environment with T. solium eggs therefore is also possible in non-pig rearing communities. Teasing out all these variables is virtually impossible but calls for more country-based prevalence data on NCC in order to get a clearer picture of the focal distribution of NCC in sub-Saharan Africa.Asymptomatic NCC and mass drug administrationAlthough latent NCC does not contribute to disease burden, people with living cysticerci can become symptomatic at any time based on the natural course of the disease (see above). In addition, there is also a potential risk that treatment with drugs targeting soiltransmitted helminths, lymphatic filariasis, and schistosomiasis may precipitate the conversion of latent NCC to symptomatic disease through mass drug administration. At therapeutic doses (see below) praziquantel and albendazole are both known to be able to convert latent/asymptomatic cysticerci to symptomatic cysticerci by destroying the parasite and potentially provoking brain oedema. This is the reason for which co-administration with steroids is recommended (see below). However, reports of sudden onset of s.
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