Article

Public Health Implications of Cysticercosis Acquired in the United States

Department of Epidemiology, School of Public Health, University of California, Los Angeles, California 90095, USA.
Emerging Infectious Diseases (Impact Factor: 7.33). 01/2011; 17(1):1-6. DOI: 10.3201/eid1701.101210
Source: PubMed

ABSTRACT Cysticercosis has emerged as a cause of severe neurologic disease in the United States that primarily affects immigrants from Latin America. Moreover, the relevance of cysticercosis as a public health problem has been highlighted by local transmission. We searched the biomedical literature for reports documenting cases of cysticercosis acquired in the United States. A total of 78 cases, principally neurocysticercosis, were reported from 12 states during 1954-2005. A confirmed or presumptive source of infection was identified among household members or close personal contacts of 16 (21%) case-patients. Several factors, including the severe, potentially fatal, nature of cysticercosis; its fecal-oral route of transmission; the considerable economic effect; the availability of a sensitive and specific serologic test for infection by adult Taenia solium tapeworms; and the demonstrated ability to find a probable source of infection among contacts, all provide a compelling rationale for implementation of public health control efforts.

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