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Given the large number of companion animals in the United States and the proximity and bond of these animals with their owners, understanding and preventing the diseases that these companions bring with them are of paramount importance. Zoonotic protozoal parasites, including toxoplasmosis, Chagas' disease, babesiosis, giardiasis, and leishmaniasis, can cause insidious infections, with asymptomatic animals being capable of transmitting disease.<jats:named-content content-type=\"genus-species\">Giardia<\/jats:named-content>and<jats:named-content content-type=\"genus-species\">Toxoplasma gondii<\/jats:named-content>, endemic to the United States, have high prevalences in companion animals.<jats:named-content content-type=\"genus-species\">Leishmania<\/jats:named-content>and<jats:named-content content-type=\"genus-species\">Trypanosoma cruzi<\/jats:named-content>are found regionally within the United States. These diseases have lower prevalences but are significant sources of human disease globally and are expanding their companion animal distribution. Thankfully, healthy individuals in the United States are protected by intact immune systems and bolstered by good nutrition, sanitation, and hygiene. Immunocompromised individuals, including the growing number of obese and\/or diabetic people, are at a much higher risk of developing zoonoses. Awareness of these often neglected diseases in all health communities is important for protecting pets and owners. To provide this awareness, this review is focused on zoonotic protozoal mechanisms of virulence, epidemiology, and the transmission of pathogens of consequence to pet owners in the United States.<\/jats:p>","DOI":"10.1128\/cmr.00067-12","type":"journal-article","created":{"date-parts":[[2013,1,8]],"date-time":"2013-01-08T17:34:20Z","timestamp":1357666460000},"page":"58-85","update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":259,"title":["Transmission and Epidemiology of Zoonotic Protozoal Diseases of Companion Animals"],"prefix":"10.1128","volume":"26","author":[{"given":"Kevin J.","family":"Esch","sequence":"first","affiliation":[{"name":"Department of Veterinary Pathology, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine A.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Veterinary Pathology, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_2_2_2","unstructured":"APPA. 2012. 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