{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:04:46Z","timestamp":1791266686749,"version":"4.1.0"},"reference-count":23,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4,15]]},"abstract":"<p><italic>Cystic echinococcosis (CE) or hydatidosis, a parasitic zoonosis caused by a cestode of the family Taeniidae, species Echinococcus granulosus, is endemic in Argentina, Chile, Peru, Uruguay, and southern Brazil. This report presents CE figures for these five countries in 2009 \u2013 2014 and proposes indicators to measure national control programs.<\/italic><\/p>\n<p><italic>Nearly 5 000 new CE cases were diagnosed annually in the five countries during the study period. The average case fatality rate was 2.9%, which suggests that CE led to approximately 880 deaths in these countries during the 6-year period. CE cases that required secondary or tertiary health care had average hospital stays of 10.6 days, causing a significant burden to health systems. The proportion of new cases (15%) in children less than 15 years of age suggests ongoing transmission.<\/italic><\/p>\n<p><italic>Despite figures showing that CE is not under control in South America, the long-standing implementation of national and local control programs in three of the five countries has achieved reductions in some of the indicators. The Regional Initiative for the Control of CE, which includes the five countries and provides a framework for networking and collaboration, must intensify its efforts.<\/italic><\/p>","DOI":"10.26633\/rpsp.2017.42","type":"journal-article","created":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T05:00:50Z","timestamp":1562562050000},"page":"1","source":"Crossref","is-referenced-by-count":17,"title":["Cystic echinococcosis in South America: a call for action"],"prefix":"10.26633","volume":"41","author":[{"given":"Edmundo","family":"Larrieu","sequence":"first","affiliation":[{"name":"Universidad Nacional de Rio Negro, Choele Choel, Rio Negro, Argentina."},{"name":"ejlarrieu@hotmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos F","family":"Pavletic","sequence":"additional","affiliation":[{"name":"Ministry of Health, Santiago, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo A","family":"Guarnera","sequence":"additional","affiliation":[{"name":"Instituto ANLIS-MALBRAN, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Casas","sequence":"additional","affiliation":[{"name":"Ministry of Health, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar","family":"Irabedra","sequence":"additional","affiliation":[{"name":"Comisi\u00f3n Nacional Honoraria de Zoonosis, Montevideo, Uruguay."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciro","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Comisi\u00f3n Nacional Honoraria de Zoonosis, Montevideo, Uruguay."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Sayes","sequence":"additional","affiliation":[{"name":"Comisi\u00f3n Nacional Honoraria de Zoonosis, Montevideo, Uruguay."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar M","family":"Gavidia","sequence":"additional","affiliation":[{"name":"Universidad Nacional Mayor de San Marcos, Facultad de Medicina Veterinaria, Lima, Peru."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Caldas","sequence":"additional","affiliation":[{"name":"Secretary of Health Surveillance, Ministry of Health, Brasilia, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Laurence","family":"Zini Lise","sequence":"additional","affiliation":[{"name":"Secretary of Health Surveillance, Ministry of Health, Brasilia, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody","family":"Maxwell","sequence":"additional","affiliation":[{"name":"Ohio State University, Columbus, Ohio, United States of America."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos","family":"Arezo","sequence":"additional","affiliation":[{"name":"Ministry of Health, Viedma, Rio Negro, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Maria","family":"Navarro","sequence":"additional","affiliation":[{"name":"Ministry of Health, Lima, Peru."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco A. N","family":"Vigilato","sequence":"additional","affiliation":[{"name":"Department of Communicable Diseases and Health Analysis, Pan American Health Organization, Regional Office of the World Health Organization, Washington, DC, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ottorino","family":"Cosivi","sequence":"additional","affiliation":[{"name":"Department of Communicable Diseases and Health Analysis, Pan American Health Organization, Regional Office of the World Health Organization, Washington, DC, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos","family":"Espinal","sequence":"additional","affiliation":[{"name":"Department of Communicable Diseases and Health Analysis, Pan American Health Organization, Regional Office of the World Health Organization, Washington, DC, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor J","family":"Del Rio Vilas","sequence":"additional","affiliation":[{"name":"Department of Communicable Diseases and Health Analysis, Pan American Health Organization, Regional Office of the World Health Organization, Washington, DC, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"1. 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Available from: www.panaftosa.org\/rimsa17\/ Accessed on 26 March 2017."}],"container-title":["Revista Panamericana de Salud P\u00fablica"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/iris.paho.org\/xmlui\/bitstream\/handle\/123456789\/34163\/v41a422017.pdf?sequence=1&isAllowed=y","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T18:21:35Z","timestamp":1572632495000},"score":1,"resource":{"primary":{"URL":"http:\/\/iris.paho.org\/xmlui\/handle\/123456789\/34163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,15]]},"references-count":23,"alternative-id":["RPSP.2017.42"],"URL":"https:\/\/doi.org\/10.26633\/rpsp.2017.42","relation":{},"ISSN":["1020-4989","1680-5348"],"issn-type":[{"value":"1020-4989","type":"print"},{"value":"1680-5348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,15]]}}}