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. 2017 Nov 23;8-9:1–13. doi: 10.1016/j.fawpar.2017.11.001

Table 5.

National and regional risk ranking of foodborne parasites and other pathogens based on multi-criteria decision analysis.

Reference Location Scope Criteria Ranking of foodborne parasites
Cardoen et al., 2009 Belgium 51 zoonotic pathogens
  • 1.

    Severity of the disease for humans.

  • 2.

    Occurrence of the disease in the Belgian population.

  • 3.

    Occurrence in live animals in Belgium.

  • 4.

    Severity of the disease for animals and commercial and economic impact of disease for the sector.

  • 5.

    Occurrence of the agent in food or in carcasses.

  • High importance: none.

  • Significant importance: Toxoplasma gondii, Cryptosporidium parvum, Echinococcus granulosus, Echinococcus multilocularis, Fasciola hepatica, Giardia duodenalis.

  • Moderate importance: Taenia saginata, Trichinella spp., Sarcocystis bovihominis.

  • Low importance: Anisakis simplex, Sarcocystis suihominis, Taenia spp. (other than saginata), Dioctophyma renale, Clonorchis sinensis, Balantidium coli, Diphyllobothrium, Linguatula serrata.

Havelaar et al., 2010 The Netherlands 86 zoonotic pathogens
  • 1.

    Probability of introduction into the Netherlands.

  • 2.

    Transmission in animal reservoirs.

  • 3.

    Economic damage in animal reservoirs.

  • 4.

    Animal-human transmission.

  • 5.

    Transmission between humans.

  • 6.

    Morbidity (disability weight).

  • 7.

    Mortality (case-fatality ratio).

  • High priority: Toxoplasma gondii.

  • Medium priority: Echinococcus multilocularis, Trichinella spp.

  • Low priority: Cryptosporidium parvum, Ascaris suum, Giardia duodenalis, Toxocara canis/cati, Taenia solium, Echinococcus granulosus, Anisakis simplex, Taenia saginata, Fasciola hepatica.

Balabanova et al., 2011 Germany 127 pathogens
  • 1.

    Incidence (including illness and symptomatic infection).

  • 2.

    Work and school absenteeism.

  • 3.

    Health care utilization (primary care and hospitalization).

  • 4.

    Chronicity of illness or sequelae.

  • 5.

    Case fatality rate.

  • 6.

    Proportion of events requiring public health actions.

  • 7.

    Trend.

  • 8.

    Public attention (including political agenda and public perception).

  • 9.

    Prevention possibilities and needs (including vaccines).

  • 10.

    Treatment possibilities and needs (including AMR).

  • Highest priority: none.

  • High priority: Cryptosporidium parvum/hominis, Giardia duodenalis, Toxoplasma gondii.

  • Medium priority: Trichinella spiralis.

  • Low priority: Cyclospora cayetanensis, Entamoeba histolytica, Helminhts (flukes), Helminths (nematodes), Helminths (tapeworms).

Ng and Sargeant, 2012 Canada and US 62 zoonoses
  • 1.

    Case-fatality in humans.

  • 2.

    Incidence of the disease in the Canadian/US human population in the last five years.

  • 3.

    Case-fatality in animals.

  • 4.

    Incidence of the disease in the Canadian/US animal population in the last five years.

  • 5.

    Severity of illness in humans.

  • 6.

    Disease trend in Canada/US in the last five years in humans.

  • 7.

    Transmission potential between humans.

  • 8.

    Duration of illness in humans.

  • 9.

    Transmission potential from animals to humans.

  • 10.

    Disease trend in Canada/US in the last five years in animals.

  • 11.

    Economic burden in humans.

  • 12.

    Transmission potential from humans to animals.

  • 13.

    Duration of illness in animals.

  • 14.

    Transmission potential between animals.

  • 15.

    Economic and social burden on trade in animals.

  • 16.

    Severity of illness in animals.

  • 17.

    High risk groups in humans.

  • 18.

    Control measures in humans.

  • 19.

    Control measures in animals.

  • 20.

    How much is known scientifically about the disease.

  • 21.

    High risk groups in animals.

  • Canada: Cryptosporidiosis (14), Giardiosis (19), Toxoplasmosis (22), Echinococcosis (37), Toxocarosis (38), Trichinellosis (49), Cystiocercosis/Taeniosis (57), Cyclosporosis (59).

  • US: Cryptosporidiosis (23), Toxoplasmosis (32), Giardiosis (33), Echinococcosis (41), Toxocarosis (43), Cysticercosis/Taeniosis (45), Trichinellosis (55), Cyclosporosis (57).

Humblet et al., 2012 Europe 100 animal diseases and zoonoses 57 criteria, including 17 for epidemiology, 8 for prevention/control, 16 for economy/trade, 12 for public health, and 4 for society
  • High importance: Echinococcosis/hydatidosis.

  • Significant importance: Porcine cysticercosis, Trichinellosis.

  • Moderate importance: none.

  • Relative low importance: none.

Dahl et al., 2015 Sweden 106 pathogens
  • 1.

    Incidence (including illness, symptomatic infections, asymptomatic infections but not carriership or normal flora).

  • 2.

    Work and school absenteeism.

  • 3.

    Health care utilization (primary health care and hosptitalization).

  • 4.

    Chronicity of illness or sequelae.

  • 5.

    Case fatality rate.

  • 6.

    Proportion of events requiring public health actions.

  • 7.

    Trend.

  • 8.

    Public attention (including political agenda and public perception).

  • 9.

    Prevention possibilities and needs (including vaccines).

  • 10.

    Treatment possibilities and needs (including AMR).

  • Highest priority: Echinococcus multilocularis.

  • High priority: Cryptosporidium parvum/hominis, Giardia duodenalis.

  • Medium priority: Echinococcus granulosus, Enterobius vermicularis, Toxoplasma gondii, Trichinella spiralis.

  • Low priority: Entamoeba histolytica, Helminhts (tapeworms), Helminths (flukes), Helminths (nematodes).

Kadohira et al., 2015 Japan 98 zoonoses
  • 1.

    No. of human cases/year (incidence).

  • 2.

    Human-to-human spread.

  • 3.

    Case fatality rate.

  • 4.

    Availability of diagnostic test.

  • 5.

    Treatment.

  • 6.

    Preventive methods.

  • 7.

    Frequency of entry to Japan.

Echinococcosis: 16/20 most important zoonoses