Human Echinococcosis Mortality in the United States, 1990-2007

被引:34
作者
Bristow, Benjamin N. [1 ,2 ]
Lee, Sun [1 ]
Shafir, Shira [3 ]
Sorvillo, Frank [1 ,3 ,4 ]
机构
[1] Los Angeles Cty Dept Publ Hlth, Los Angeles, CA 90012 USA
[2] Calif Dept Publ Hlth, Prevent Med Residency Program, Sacramento, CA USA
[3] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA
[4] Trident Univ Int, Coll Hlth Sci, Cypress, CA USA
关键词
CYSTIC ECHINOCOCCOSIS; GRANULOSUS;
D O I
10.1371/journal.pntd.0001524
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Despite the endemic nature of Echinococcus granulosus and Echinococcus multilocularis infection in regions of the United States (US), there is a lack of data on echinococcosis-related mortality. To measure echinococcosis-associated mortality in the US and assess possible racial/ethnic disparities, we reviewed national-death certificate data for an 18-year period. Methodology/Principal Findings: Echinococcosis-associated deaths from 1990 through 2007 were identified from multiple-cause-coded death records and were combined with US census data to calculate mortality rates. A total of 41 echinococcosis-associated deaths occurred over the 18-year study period. Mortality rates were highest in males, Native Americans, Asians/Pacific Islanders, Hispanics and persons 75 years of age and older. Almost a quarter of fatal echinococcosis-related cases occurred in residents of California. Foreign-born persons accounted for the majority of echinococcosis-related deaths; however, both of the fatalities in Native Americans and almost half of the deaths in whites were among US-born individuals. Conclusions/Significance: Although uncommon, echinococcosis-related deaths occur in the US. Clinicians should be aware of the diagnosis, particularly in foreign-born patients from Echinococcus endemic areas, and should consider tropical infectious disease consultation early.
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