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Alveolar echinococcosis (AE), caused by Echinococcus multilocularis (E. multilocularis), is a severe parasitic zoonosis that is potentially fatal for humans. The parasite is primarily transmitted by wildlife, with red foxes acting as definitive hosts and rodents as intermediate hosts, while humans can become accidental but dead-end hosts. The aim of this study is to use EmsB typing on E. multilocularis isolates from human AE cases and local animals such as foxes and rodents. In this study, retrospective EmsB typing was performed on 39 samples, including 11 tissue samples from 10 patients, 18 fecal swabs from foxes, and 10 tissue samples from rodents. A dendrogram was created to determine the EmsB profiles present. The results showed that all the rodent samples were associated with the EmsB P1 profile (10/10), while the human and fox samples shared the EmsB profile P1 (5/11 humans and 8/18 foxes), a profile near P4 (2/11 humans and 3 foxes), and a profile near P8 (1/11 humans and 1/18 foxes). The study demonstrates that the same EmsB profiles circulate among humans and animals, confirming that wildlife reservoirs play a key role in transmission.

Cystic and alveolar echinococcosis are considered the second and third most significant foodborne parasitic diseases worldwide. The microscopic eggs excreted in the feces of the definitive host are the only source of contamination for intermediate and dead-end hosts, including humans. However, estimating the respective contribution of the environment, fomites, animals or food in the transmission of Echinococcus eggs is still challenging. Echinococcus granulosus and E. multilocularis seem to have a similar survival capacity regarding temperature under laboratory conditions. In addition, field experiments have reported that the eggs can survive several weeks to years outdoors, with confirmation of the relative susceptibility of Echinococcus eggs to desiccation. Bad weather (such as rain and wind), invertebrates and birds help scatter Echinococcus eggs in the environment and may thus impact human exposure. Contamination of food and the environment by taeniid eggs has been the subject of renewed interest in the past decade. Various matrices from endemic regions have been found to be contaminated by Echinococcus eggs. These include water, soil, vegetables and berries, with heterogeneous rates highlighting the need to acquire more robust data so as to obtain an accurate assessment of the risk of human infection. In this context, it is essential to use efficient methods of detection and to develop methods for evaluating the viability of eggs in the environment and food.

Echinococcus spp. is an emerging zoonotic parasite of high concern. In Canada, an increase in the number of human and animal cases diagnosed has been reported, but information regarding the parasite’s distribution in wildlife reservoir remains limited. A cross-sectional study was conducted to estimate the prevalence of wild canids infected with Echinococcus spp. and Echinococcus multilocularis in areas surrounding populated zones in Québec (Canada); to investigate the presence of areas at higher risk of infection; to evaluate potential risk factors of the infection; and as a secondary objective, to compare coproscopy and RT-PCR diagnostic tests for Taenia spp. and Echinococcus identification. From October 2020 to March 2021, fecal samples were collected from 423 coyotes ( Canis latrans ) and 284 red foxes ( Vulpes vulpes ) trapped in 12 administrative regions. Real-time PCR for molecular detection of genus Echinococcus spp. and species-specific Echinococcus multilocularis were performed. A total of 38 positive cases of Echinococcus spp., of which 25 were identified as E . multilocularis , were detected. Two high-risk areas of infection were identified. The prevalence of Echinococcus spp. was 22.7% (95% CI 11.5–37.8%) in the Montérégie centered high-risk area, 26.5% (95% CI 12.9–44.4%) in the Bas-St-Laurent high-risk area, and 3.0% (95%CI 1.8–4.7%) outside those areas. For E . multilocularis , a prevalence of 20.5% (95% CI 9.8–35.3%) was estimated in the high-risk area centered in Montérégie compared to 2.4% (95% CI 1.4–3.9%) outside. Logistic regression did not show any association of infection status with species, sex, or geolocation of capture ( p > 0.05). This study shows the circulation of Echinococcus in a wildlife cycle in 9/12 administrative regions of Québec.

Echinococcosis, caused by larval stage of the genus Echinococcus, is one of the most important zoonotic diseases worldwide. The purpose of this study was to determine the presence and prevalence of Echinococcus species in stray dogs of Erzurum, a highly endemic region for cystic echinococcosis (CE) and alveolar echinococcosis (AE) in Turkey. The study samples consisted of 446 stray dog faecal specimens collected from an animal shelter in Erzurum, Turkey, between October 2015 and February 2016. The faecal samples were collected from individual dogs for the isolation of taeniid eggs using the sequential sieving and flotation method (SSFM). Molecular analyses and sequencing revealed the prevalence of Echinococcus spp. as 14.13% (63/446) in faecal samples. The stray dogs harboured five different Echinococcus spp.: E. granulosus s.s. (G1/G3) (n = 41), E. equinus (G4) (n = 3), E. ortleppi (G5) (n = 1), E. canadensis (G6/G7) (n = 3) and E. multilocularis (n = 16). E. granulosus s.s. was the most abundant species. Surprisingly, the occurrence of E. multilocularis in dogs was revealed for the first time in Turkey. E. ortleppi was also reported for the first time in Turkey. These findings highlight a significant public health risk for human AE and CE, presenting useful baseline data on Echinococcus spp. infection in dogs for designing control strategies.

Echinococcus multilocularis is a zoonotic cestode that uses canids as definitive hosts and rodents as intermediate hosts. In humans, this parasite is the causative agent of alveolar echinococcosis. Recently, its range has been expanding across the Northern Hemisphere, and it is increasingly detected in wild canids, domestic dogs, and humans across Canada and the United States. While this expansion has been documented in isolated studies across the continent, a lack of routine sampling in wildlife hinders our ability to anticipate and mitigate further spread of E. multilocularis . We confirmed the presence of E. multilocularis in Washington State, USA, using a combination of morphological and molecular techniques across carcasses and field-collected scats of coyotes ( Canis latrans ), this region’s most common wild canid. Morphological identification of adult worms was confirmed by next-generation sequencing. Over a third of all samples tested positive for E. multilocularis when all methodologies were combined. Sequencing revealed a haplotype of E. multilocularis matching a documented haplotype originally of European origin in British Columbia, Canada. Our study provides the first confirmation of E. multilocularis in a wild host on the west coast of the contiguous United States and provides additional haplotype information crucial to tracking the geographical expansion of the parasite. We also provide a new next-generation sequencing primer targeting cestodes of canids. The difference in amplification between intestinal and fecal samples suggests that non-invasive fecal sampling using DNA metabarcoding - a popular method of helminth surveillance - may lead to underestimation of prevalence, hindering control measures. The global significance of these findings extends beyond North America; E. multilocularis is a major public health concern in Europe and Asia, where alveolar echinococcosis is increasingly diagnosed in humans. Our study highlights the urgent need for increased surveillance and improved diagnostic strategies worldwide, particularly in regions with significant human-wildlife contact.

Background Echinococcosis is a zoonotic parasitic disease causing serious health problems in both humans and animals in different endemic regions across the world. There are two different forms of human echinococcosis: Cystic Echinococcosis (CE) and Alveolar Echinococcosis (AE). CE is caused by the larval stage of Echinococcus granulosus sensu lato and AE by the larval stage of Echinococcus multilocularis . Geographically, CE is universally distributed, while AE is prevalent in the northern hemisphere. Although the disease is endemic in neighboring countries (China, Iran and India) of Pakistan, there are limited reports from that country. Besides, there are no comprehensive data on the genotyping of Echinococcus species in humans based on sequence analysis. This study aimed to detect the presence of human CE and to identify Echinococcus spp. in human isolates through genetic characterization of hydatid cysts in the Punjab Province of Pakistan. Methods Genetic analysis was performed on 38 human hydatid cyst samples collected from patients with echinococcosis using mitochondrial cytochrome c oxidase subunit 1 ( cox 1), cytochrome b ( cytb ) and NADH subunit 1 ( nad 1). Patient data including age, epidemiological history, sex, and location were obtained from hospital records. Results According to the sequence analysis we detected E. granulosus sensu stricto ( n  = 35), E. canadensis (G6/G7) ( n  = 2), and E. multilocularis ( n  = 1). Thus, the majority of the patients (92.1%, 35/38) were infected with E. granulosus s.s. This is the first molecular confirmation of E. canadensis (G6/G7) and E. multilocularis in human subjects from Pakistan. Conclusions These findings suggested that E. granulosus s.s. is the dominant species in humans in Pakistan. In addition, E. canadensis (G6/G7) and E. multilocularis are circulating in the country. Further studies are required to explore the genetic diversity in both humans and livestock.

Echinococcus multilocularis ( Em ) is a neglected zoonotic cestode circulating among wild canids and voles across the northern hemisphere, and is the aetiological agent of alveolar echinococcosis in humans. The expansion of the European distribution of this parasite has been raising public health concerns in recent decades. We aimed to investigate the occurrence of Em and other taeniids in wild carnivore faeces in the Apuan Alps Regional Park and the Monte Pisano mountain chain (northern Tuscany), a few hundred kilometres from the nearest report of Em in Italy. Using standard flotation-sieving and nested PCR of partial cox1 sequences on single harvested Taeniid eggs, we detected several Em haplotypes in red foxes and grey wolves in both study areas, suggesting limited genetic diversity. However, these findings could not be confirmed using more sensitive qPCR probes from the same samples. In addition, we report eggs of Taenia krabbei and T. hydatigena from wolves, Dipylidium caninum and Mesocestoides sp. in foxes, and T. polyacantha and Mesocestoides litteratus in both foxes and mustelids. Further investigation of the distribution of Em in the northern Apennines is necessary to assess if the presence of this potentially lethal zoonotic parasite is stable and expanding southward.

Both alveolar echinococcosis and cystic echinococcosis are zoonotic diseases affecting thousands of humans in Europe annually. Five Echinococcus species are known to be endemic in Europe, but with varying relative importance in humans and animals. In order to identify these Echinococcus species from tissue samples, an RFLP-PCR method was developed and validated in accordance with the French quality standards for molecular diagnostics (NF U47-600-2). Amplification by PCR of about 846 bp from the 12S ribosomal RNA gene was followed by a single digestion step with three restriction enzymes (AccI, DdeI and HinfI). The RFLP-PCR method distinguishes Echinococcus multilocularis , E. granulosus sensu stricto , E. equinus , E. ortleppi and E. canadensis in six specific profiles composed of two or three bands. Each profile is specific for the species, except an additional specific profile from genotype G8 of E. canadensis. Species from other genera of the Taeniidae family correspond to two other types of profiles. Additionally, in silico analyses predicted three specific additional profiles for the other four Echinococcus species. The limit of detection of the method including DNA extraction is estimated to be a minimum of 1,000 copies. Total specificity and sensitivity were obtained by testing a panel of 73 and 79 DNA samples previously identified by sequencing. This RFLP-PCR technique is cost-effective, simple and rapid to implement, making it suitable for use in large epidemiological studies, as well as for single diagnostic purposes targeting tissue samples, such as cysts or worms, without requiring sequencing. L’échinococcose alvéolaire et l’échinococcose kystique sont des zoonoses qui affectent chaque année des milliers de personnes en Europe. Cinq espèces d’ Echinococcus sont endémiques en Europe, mais leur importance relative chez l’homme et l’animal varie. Afin d’identifier ces espèces d’ Echinococcus à partir d’échantillons tissulaires, une méthode RFLP-PCR a été développée et validée conformément aux normes françaises de qualité pour le diagnostic moléculaire (NF U47-600-2). L’amplification par PCR d’un fragment d’environ 846 pb du gène de l’ARN ribosomique 12S est suivie d’une digestion unique par trois enzymes de restriction (AccI, DdeI et HinfI). La méthode RFLP-PCR permet de distinguer Echinococcus multilocularis , E. granulosus sensu stricto , E. equinus , E. ortleppi et E. canadensis grâce à six profils spécifiques composés de deux ou trois bandes. Chaque profil est spécifique de l’espèce, à l’exception d’un profil spécifique supplémentaire associé au génotype G8 d’ E. canadensis . Les espèces appartenant à d’autres genres de la famille des Taeniidae correspondent à deux autres types de profils. De plus, des analyses bioinformatiques ont prédit trois profils spécifiques supplémentaires pour les quatre autres espèces d’ Echinococcus . La limite de détection de la méthode, extraction d’ADN incluse, est estimée à au moins 1 000 copies. La spécificité et la sensibilité totales ont été obtenues en testant un panel de 73 et 79 échantillons d’ADN préalablement identifiés par séquençage. Le faible coût, la simplicité et la rapidité de mise en œuvre de cette technique RFLP-PCR la rendent adaptée aux études épidémiologiques de grande envergure, ainsi qu’au diagnostic ciblé d’échantillons tissulaires, tels que des kystes ou des vers, sans nécessiter de séquençage.

Background Canids are definitive hosts of Echinococcus multilocularis and Echinococcus granulosus. This study aimed to survey these two Echinococcus species in canids of North-Khorasan Province, northeastern Iran, using morphological criteria and genetic characterization of mitochondrial DNA. Methods The carcasses of 106 canids, namely 61 jackals ( Canis aureus ), 23 foxes ( Vulpes vulpes ), 19 dogs ( Canis familiaris ) and three wolves ( Canis lupus ) were collected from the study area in 2013–2014 and examined for Echinococcus species. Morphological features were assessed by microscopy of adult worms. For molecular characterization, DNA was extracted, mostly from the adult worms but also from eggs. DNA fragments of the cytochrome c oxidase subunit 1 ( cox 1) and NADH dehydrogenase subunit 1 ( nad 1) mitochondrial genes were amplified and sequenced. Sequences were aligned and compared with reference sequences. Intraspecific and interspecific diversity were calculated and phylogenetic analysis was performed. Results Overall, 9.4% of the canids (eight jackals and two foxes) were found infected with E. multilocularis by molecular methods, of which seven cases were also confirmed using morphological description of the adult worms. Echinococcus granulosus was found in 6.6% of the canines (four dogs, two jackals and one wolf) as determined by both molecular methods and adult cestode morphology. All E. granulosus isolates were identified as the G1 genotype. Comparative sequence analysis indicated 0–0.7% and 0% intraspecific divergence within E. granulosus isolates and 0% and 0–0.2% within E. multilocularis isolates for cox 1 and nad 1, respectively. Conclusions This study revealed the presence of E. multilocularis and E. granulosus in canids of North-Khorasan Province of Iran. Jackals were found infected with both E. multilocularis and E. granulosus , but infection with the former species was higher.

Echinococcosis, caused by cestodes of the genus Echinococcus , poses significant public health and veterinary concerns globally. In Armenia, cystic echinococcosis (CE) is well-documented in livestock and humans, while alveolar echinococcosis (AE) has long been considered non-endemic. However, a recent retrospective study identified human AE cases, suggesting an underestimation of the parasite’s presence. To address knowledge gaps, a pilot survey was conducted to identify Echinococcus species and other taeniids in free-roaming dogs and wild carnivores in Armenia. Fecal samples ( n = 112) were opportunistically collected from eight wild carnivore species and stray dogs across six Armenian provinces between 2017 and 2018. Samples were analysed for taeniid eggs using flotation and molecular techniques. Echinococcus multilocularis was identified in a free-roaming dog, marking the first confirmed detection of the parasite in a definitive host in Armenia. Additionally, E. canadensis G6/7 and E. ortleppi were detected in a wolf, while E. canadensis G6/7, Taenia hydatigena , and T. laticollis were found in a lynx. These findings indicate the involvement of both domestic and wild carnivores in the transmission cycles of Echinococcus species and suggest the presents of a potential sylvatic cycle involving E. canadensis G6/7 and E. ortleppi . The presence of E. multilocularis in a dog underscores the risk of human infection, necessitating further epidemiological studies. This study provides initial insights into the epidemiology of Echinococcus in Armenia and highlights the need for continued surveillance to assess public health risks.