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The pattern of cystic echinococcosis in children in an endemic area in Morocco

  • Omar AmahmidEmail author
  • Youssef El Guamri
  • Khalid Zenjari
  • Souad Bouhout
  • Mohamed Ait Moh
  • Fatima Boraam
  • Abdelaziz Ait Melloul
  • Hilal Benfaida
  • Khadija Bouhoum
  • Driss Belghyti
Original Article
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Abstract

Cystic echinococcosis is a parasitic infection of major public health concern. The infection is generally acquired during childhood and the disease incubation period can last many years. The occurrence and characteristics of the disease in children were not well studied. The present study aimed to explore the pattern and features of cystic echinococcosis in children in rural and urban environments in Morocco. A total of 338 children diagnosed and treated for cystic echinococcosis were investigated. The trend of the infection, risk and exposure factors and the distribution of the anatomic locations of cysts were studied. A non-uniform decrease in proportions of infected children was found. Children from rural environs had significantly higher infection rates than children from urban environs (p < 0.001). Males were significantly more infected than females. Children aged 7–11 years were the most affected. For cysts locations, single organ involvement was found in 94.4% of the children versus 5.6% with multi-organ localization. Despite control program, active transmission of echinococcosis still occurred in children and remains a major public health problem. The infection in younger population may have some features that need to be considered in the prevention and control programs in endemic areas.

Keywords

Children Cystic echinococcosis Cyst location Environment Risk factors 

Notes

Acknowledgements

Thanks to the Director of the Provincial Ambulatory Outreach Service (SIAAP), Marrakesh, Morocco, for their collaboration. The assistance of Mr. Mohamed Essarafy and comments of Dr. Anthony Grimason are greatly appreciated.

Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest.

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Copyright information

© Indian Society for Parasitology 2019

Authors and Affiliations

  • Omar Amahmid
    • 1
    • 2
    Email author return OK on get
  • Youssef El Guamri
    • 1
    • 3
  • Khalid Zenjari
    • 4
  • Souad Bouhout
    • 5
  • Mohamed Ait Moh
    • 6
  • Fatima Boraam
    • 6
  • Abdelaziz Ait Melloul
    • 7
  • Hilal Benfaida
    • 7
  • Khadija Bouhoum
    • 2
  • Driss Belghyti
    • 3
  1. 1.Biology Unit, Department of Life and Earth SciencesRegional Centre for Careers of Education and Training (CRMEF-Marrakech)MarrakeshMorocco
  2. 2.Parasitology Unit, Department of BiologyLaboratory of Hydrobiology, Ecotoxicology and Sanitation (LHEA), Faculty of Sciences-SemlaliaMarrakeshMorocco
  3. 3.Department of BiologyLaboratory of Biotechnology, Environment and Quality (LABEQ), Faculty of SciencesKenitraMorocco
  4. 4.Regional Direction of Health Marrakesh-SafiMarrakeshMorocco
  5. 5.Service of Parasitic DiseasesDirection of Epidemiology and Diseases Control (DELM)RabatMorocco
  6. 6.Service of Public Health and Epidemiological SurveillanceRegional Direction of HealthMarrakeshMorocco
  7. 7.Regional Laboratory of Epidemiological Diagnostic and Environmental Hygiene (LRDEHM)MarrakeshMorocco

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