TY - JOUR AU - Murrell, K.rwin AU - Pozio, Edoardo T1 - Worldwide Occurrence and Impact of Human Trichinellosis, 1986–2009 T2 - Emerging Infectious Disease journal PY - 2011 VL - 17 IS - 12 SP - 2194 SN - 1080-6059 AB - To assess the global incidence and clinical effects of human trichinellosis, we analyzed outbreak report data for 1986–2009. Searches of 6 international databases yielded 494 reports. After applying strict criteria for relevance and reliability, we selected 261 reports for data extraction. From 1986 through 2009, there were 65,818 cases and 42 deaths reported from 41 countries. The World Health Organization European Region accounted for 87% of cases; 50% of those occurred in Romania, mainly during 1990–1999. Incidence in the region ranged from 1.1 to 8.5 cases per 100,000 population. Trichinellosis affected primarily adults (median age 33.1 years) and about equally affected men (51%) and women. Major clinical effects, according to 5,377 well-described cases, were myalgia, diarrhea, fever, facial edema, and headaches. Pork was the major source of infection; wild game sources were also frequently reported. These data will be valuable for estimating the illness worldwide. KW - trichinellosis KW - Trichinella KW - morbidity KW - mortality KW - incidence KW - epidemiology KW - gender KW - pork KW - zoonoses KW - parasitic KW - trichinosis KW - CME DO - 10.3201/eid1712.110896 UR - https://wwwnc.cdc.gov/eid/article/17/12/11-0896_article ER - End of Reference