Accepted Manuscript Title: Trichinella pseudospiralis in the Iberian peninsula Author: M.J. Zamora M. Alvarez J. Olmedo M.C. Blanco E. Pozio PII: DOI: Reference:
S0304-4017(15)00176-4 http://dx.doi.org/doi:10.1016/j.vetpar.2015.04.004 VETPAR 7596
To appear in:
Veterinary Parasitology
Received date: Revised date: Accepted date:
17-2-2015 31-3-2015 2-4-2015
Please cite this article as: Zamora, M.J., Alvarez, M., Olmedo, J., Blanco, M.C., Pozio, E.,Trichinella pseudospiralis in the Iberian peninsula, Veterinary Parasitology (2015), http://dx.doi.org/10.1016/j.vetpar.2015.04.004 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Highlights
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Trichinella pseudospiralis is widespread in most of European countries.
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This is the first report of T. pseudospiralis in the Iberian peninsula.
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Artificial digestion test allows to discover this ‘elusive’ Trichinella species.
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T. pseudospiralis biomass in wild boar is low in Europe.
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SHORT COMMUNICATION
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Trichinella pseudospiralis in the Iberian peninsula Zamora, M.J a, Alvarez, M.a, Olmedo, J.a, Blanco, M.C.a, Pozio, E.b
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a
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Española de Consumo, Seguridad Alimentaria y Nutrición. Ctra. Pozuelo a Majadahonda,
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Km 5,100. 28220 Majadahonda. Madrid. Spain.
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Sanità, viale Regia Elena, 299, 00161 Rome, Italy.
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Departament of Infectious Parasitic and Immunomediated Diseases, Istituto Superiore di
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Corresponding autor:
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Edoardo Pozio
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Tel. +390649902304
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Fax +390649903561
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Email:
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Servicio de Microbiología Alimentaria. Centro Nacional de Alimentación. Agencia
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Abstract
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Nematode worms of the genus Trichinella are zoonotic parasites circulating in most
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continents, including Europe. In Spain, Trichinella spiralis and Trichinella britovi are highly
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prevalent in wildlife but seldom in domestic pigs. In Portugal, only T. britovi was
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documented in wild carnivores. In the period 2006-2013 in Spain, 384 (0.0001%) pigs and
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1,399 (0.20%) wild boars (Sus scrofa) were positive for Trichinella spp. larvae, which were
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identified as T. spiralis or T. britovi. In 2014, Trichinella pseudospiralis larvae were isolated
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from a wild boar hunted in the Gerona province, Cataluña region, North-East of Spain, near
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the border to France. This is the first report of T. pseudospiralis in the Iberian peninsula,
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which suggests a broad distribution area of this zoonotic nematode in Europe. Since larvae
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of this Trichinella species do not encapsulate in the host muscles, they can be detected only
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by artificial digestion of muscle samples. T. pseudospiralis is the only Trichinella species
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infecting both mammals and birds. Birds can spread this pathogen over great distances
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including islands triggering new foci of infections in areas previously considered at low risk
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for these pathogen.
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Key words: Trichinella pseudospiralis; wild boar, Sus scrofa; Spain; Iberian peninsula;
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epidemiology
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1. Introduction Trichinellosis is a relevant foodborne zoonosis caused by parasite nematodes of the
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genus Trichinella, that are present in all the continents but Antarctica (Pozio and Zarlenga,
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2013). Humans acquire the infection by the consumption of raw or semi-raw meat and meat
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derived products from domestic and wild swine, carnivores and horses (Gottstein et al.,
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2009). Two clades have been identified in the genus Trichinella, the encapsulated clade
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infecting only mammals, which includes nine taxa (Trichinella spiralis, T. nativa, T. britovi,
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T. murrelli, T. nelsoni, T. patagoniensis, Trichinella T6, T8 and T9) and the non-
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encapsulated clade infecting mammals and birds (T. pseudospiralis) or mammals and
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reptiles (T. papuae and T. zimbabwensis) (Pozio and Zarlenga, 2013). In Europe, four
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species have been documented. T. britovi is prevalent among sylvatic carnivores of most
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European countries but can be detected occasionally in domestic and sylvatic swine (Pozio
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et al., 2009). T. spiralis was introduced to Europe from Asia since the Middle Ages and it is
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now scattered in 20 out of 28 EU countries (Pozio et al., 2009; Pozio and Zarlenga, 2013). It
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is prevalent among sylvatic swine, sometimes in backyard and free-ranging pigs from
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remote areas, and in carnivores. T. nativa is prevalent in carnivores of the arctic and
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subarctic regions (Pozio and Zarlenga, 2013). The fourth species, T. pseudospiralis, is
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detected in swine and carnivores of Europe although rarely (Merialdi et al., 2011; Moskwa
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et al., 2013; Learmount et al., 2015).
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In the European Union, the implementation of a new legislation on Trichinella
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control of domestic and wild susceptible animals through detection by digestion methods
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(European Commission, 2005), strongly increased the number of tested animals and,
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consequently, the detection of Trichinella spp. larvae, which, in some cases, have been
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identified as T. pseudospiralis. Due to the lack of a collagen capsule, larvae of this species
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cannot be identified easily among the muscle fibers by trichinoscopy (Gottstein et al., 2009). 4
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The aim of the present work was to describe the first isolation and identification of T.
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pseudospiralis in the Iberian peninsula, where only T. spiralis and T. britovi had been
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documented so far.
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2. Materials and Methods
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2.1
Muscle sampling and testing
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To follow the Regulation 2075/2005 of the European Union (European Commission, 2005), all Trichinella spp. susceptible domestic and sylvatic animals intended for human
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consumption were tested in Spain from 2006 to 2014. Five g of diaphragm were collected
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from pigs slaughtered at the abattoirs and from pigs slaughtered at home; and 60 g of
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diaphragm, masseter muscles, and/or tongue, were collected from hunted wild boar (Sus
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scrofa) at game abattoirs by the veterinarian services or directly by hunters in the field.
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Muscle samples (1 g for pigs, and 10 g for wild boar) were tested by the method of
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pooled sample digestion (European Commission, 2005). The digestion fluid sediment was
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observed by a stereo-microscope at 40 x magnification. When a pool tested positive, a
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further 1 g for pigs, and 50 g for wild boar were tested from single animals. From 2009 to
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2014, an average of 150g of muscle samples from each infected animal was frozen and send
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to the National Reference Laboratory (NRL) for Trichinella, National Food Center, Madrid,
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Spain, to confirm the positivity, to evaluate the number of larvae per g (lpg), and to identify
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the Trichinella species. The number of lpg was counted as ≤ 12 or >12 lpg under a
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stereomicroscope at 40 x magnification. Any Trichinella spp. larva was washed three times
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in distilled water and stored in 96% ethanol at 4 ºC. Then, two-five single larvae from each
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isolate were identified at the species level by multiplex PCR according to a published
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protocol (Pozio and La Rosa, 2003). A reference larva for each of the four species
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circulating in Europe was used as control. Not all the Trichinella spp. infected muscles were
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forwarded from peripheral laboratories to the NRL for the positivity confirmation, larval
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count, and larva identification at the species level.
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3. Results
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In Spain in the period 2006-2013, Trichinella spp. larvae were detected in 384
(0.0001%) and 1,399 (0.19%) domestic pigs and wild boars, respectively (Table 1). The
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number of pigs and wild boar tested for Trichinella spp. and the number of animals, which
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were positive in the whole Spain in 2014, are not available yet. In the period 2009-2014, 405
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swine (374 hunted wild boars and 31 pigs), which had been tested as Trichinella spp.
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positive at the slaughterhouses and game abattoirs, were forwarded to the NRL, and 49 of
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them were not confirmed as positive. An average of 5.91 lpg (range 3.77-11.07) was
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detected in 243 wild boars, and more than 12 lpg were detected in 162 wild boars. Out of
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356 Trichinella spp. isolates, 223 (62.6%) were identified as T. spiralis, 112 (31.4%) as T.
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britovi, 1 (0.3%) as T. pseudospiralis, 2 (0.5%) showed a mixed T. spiralis and T. britovi
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infection, and 18 (5.0%) did not show any amplification suggesting a DNA degradation. T.
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pseudospiralis larvae (24.8 lpg of diaphragm muscle) were isolated from a male wild boar of
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54 kg, hunted in Saint Hilary de Sacalm (longitude 2,5167; latitude 41,8833), Gerona
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province, Cataluña region, North-East of Spain near the border to France, in January 2014.
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4. Discussion
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The circulation of Trichinella spp. in the Iberian peninsula has been documented since 1881,
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when human outbreaks occurred in Portugal and Spain (Kozar, 1970). T. spiralis and T.
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britovi were identified in domestic pigs and wildlife of Spain from more than 20 years (La
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Rosa et al., 1992; Pozio et al., 1992; 1996), and T. britovi in wild carnivores of Portugal
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(Pozio, 2007; Lopes et al., 2015); whereas, this is the first time that T. pseudospiralis is
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documented in this region. T. pseudospiralis was first described in a raccoon (Procyon lotor) of the Krasnodar
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region, European Russia (Garkavi, 1972) and, for ten years, this species was considered an
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enigma for the lack of epidemiological information (Dick, 1983). Whereupon, this parasite
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species was isolated from mammals and birds of Asia (Shaikenov et al., 1983), marsupials
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and birds of Tasmania (Obendorf et al., 1990; Obendorf and Clarke, 1992), mammals of
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North and South America (Gamble et al., 2005; Krivokapich et al., 2015; Reichard et al.,
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2015), and from a bird of North America (Lyndsay et al., 1995).
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The finding of T. pseudospiralis larvae in a wild boar hunted in the Iberian peninsula
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completes the information on the distribution on this ‘elusive’ zoonotic pathogen in Europe.
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T. pseudospiralis has been detected from the eastern (Krasnodar region of Russia) to western
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(United Kingdom, Spain) regions, and from northern (Finland and Sweden) to southern
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(Bulgaria, Italy, Spain) regions of Europe (Garkavi, 1972; Pozio et al., 2004; Airas et al.,
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2010; Merialdi et al., 2011; Moskwa et al., 2013; Conedera et al., 2014; Learmount et al.,
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2015). In the European Union, T. pseudospiralis has been documented in animals of 18 out
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of 28 countries (Table 2). The locality of Saint Hilary de Sacalm in Spain, where the
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infected wild boar was hunted, is about 230 km as the crow flies from Camargue (France),
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where a T. pseudospiralis-infected wild boar was the source of a human outbreak of
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trichinellosis (Ranque et al., 2000).
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In Spain, non-encapsulated nematode larvae resembling those of the genus
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Trichinella were detected in histological sections of muscles of a common buzzard (Buteo
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buteo) from the zoological garden of Jerez de la Frontera (southern Spain) by Calero and co-
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workers (1978). This finding was considered only as a suspected case since the parasite was
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not identified at the species level by a biological, biochemical or molecular method (Pozio et
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al., 1992).
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The T. pseudospiralis infected wild boar was detected during routine meat inspection by artificial digestion. The artificial digestion of pooled samples is the reference method
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according to Commission Regulation (EC) No. 2075/2005 (European Commission, 2005).
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The theoretical sensitivity of the artificial digestion method of pooled samples for pigs is of
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1 lpg, since this worm burden is considered sufficient to cause clinical disease in humans
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(OIE 2012). The implementation of the artificial digestion has allowed the description of the
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distribution of T. pseudospiralis (Pozio et al., 2013). In fact, in the last 10 years, the reports
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of this non-encapsulated species in the European Union have increased (Pozio, 2013;
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International Trichinella Reference Center, ITCR, Rome, Italy).
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T. pseudospiralis is an enigmatic parasite species. It shows a cosmopolitan
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distribution but its prevalence in both carnivores and omnivores is generally much lower
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than that of the other Trichinella species circulating in the same regions (Pozio and
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Zarlenga, 2013). According to the ITRC database, T. pseudospiralis accounts only for
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0.25% (3/1,157) and 1.8% (40/2,252) of the total number of Trichinella spp. isolates from
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domestic pigs and wild boar, respectively, identified in Europe so far (T. spiralis for 85.56%
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and 54.44%, T. britovi for 14.17% and 43.33%, in domestic pigs and wild boar, respectively;
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and T. nativa for 0.44% in wild boar only). If we apply the percentage of each species for
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the Trichinella spp. isolates from the 1,399 wild boars and 384 domestic pigs detected in
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Spain in the period 2006-2013, we can speculate that no more than 1 domestic pig and 25
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wild boars could be infected by T. pseudospiralis in Spain.
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In Spain, Trichinella spp. infected pigs were detected only in extensive production farms (i.e., backyard and free-ranging pigs); whereas in intensive production farms,
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Trichinella spp. infected pigs were not detected since the 1960s (Ministry of Agriculture,
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Food and Environment).
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A different epidemiological picture has been observed in Tasmania and Florida, where a 30% and 20.4% prevalence was detected in Tasmanian devils (Sarchophilus
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harrisii) and in Florida panthers (Puma concolor coryi), respectively (Obendorf et al., 1990;
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Richards et al., 2015). Furthermore in Tasmania, T. pseudospiralis was detected in 3.3%
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(3/91) of raptorial birds (Obendorf and Clarke, 1992). This is still the highest prevalence
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never detected in birds up to now. At present, we do not have information on the role of the
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main reservoir hosts of the encapsulated Trichinella species circulating in Europe, as
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reservoir of T. pseudospiralis. We can suspect that other animal species such as birds and
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rodents could be reservoir of this non-encapsulated species; alternately, we can assume that
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the biomass of this species is much lower than that of the other Trichinella species in nature.
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However, we have to keep in mind that wild animal movements have a relevant role in the
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spreading of zoonotic pathogens (Gortázar, et al., 2007).
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In the last decades, the European wild boar populations have increased possibly due to changes in hunting practices, the expansion of single-crop farming, and climate change
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(Bieber and Ruf, 2005, Acevedo et al., 2006). The exponential increase of the number of
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wild boar heads has also increased the biomass of Trichinella spp. (Kirjusina et al., 2015).
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Meat and meat derived products from wild boar are the main source of infection for
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humans in Spain (Murrell and Pozio, 2011). Recently, meat of wild boar preserved under
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vacuum from a supplier of Girona (Cataluña, Spain), was imported to Belgium and
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consumed in three restaurants by 16 persons who got ill at the beginning of November 2014
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(Pozio, 2015).
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No Trichinella spp. infection was documented in domestic pigs and wild boar of Portugal since 1966, when the last human case was reported due to the consumption of 9
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sausages from a domestic pig (Ferreira et al., 2014). In Portugal, only T. britovi was
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documented in wild carnivores (foxes, wolves and a river otter) (ITRC,
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www.iss.it/site/trichinella/index.asp). There is the need to educate hunters on the importance of the systematic examination
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for Trichinella spp. larvae of game intended for human consumption to prevent human
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infection. Furthermore, veterinary services should educate hunters not to spread game
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carcasses or their scraps and offal in the environment, and should organize a system for a
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proper collection and disposal of these biological samples. The increase of the wild boar
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population size may have enhanced the common habit of hunters to leave animal carcasses
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in the field after skinning, or removing and discarding the entrails, which has been
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demonstrated to strongly increase the probability of Trichinella spp. transmission among
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wildlife, and to free-ranging and backyard pigs, particularly if the pig owner is a hunter
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(Pozio, 2014).
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Acknowledgements
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We thank the Public Health Agency of Catalonia, which sent us the muscle samples for the
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diagnosis. This work was supported by the Spanish Agency for Consumer Affairs, Food
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Safety and Nutrition.
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ip t
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Uhlhorn, H., Agren, E., Hall, M., 2004. Trichinella pseudospiralis foci in Sweden. Vet
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313
cr
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318
an
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M
316
us
314
Reichard, M.V., Criffield, M., Thomas, J.E., Paritte, J.M., Cunningham, M., Onorato, D., Logan, K., Interisano, M., Marucci, G., Pozio, E., 2015. High prevalence of
320
Trichinella pseudospiralis in Florida panthers (Puma concolor coryi). Parasit. Vectors.
321
8, 67.
323 324
te
Shaikenov, B.S., Boev, S.N., 1983. Distribution of Trichinella species in the old world.
Ac ce p
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d
319
Wiad. Parazytol. 29, 595-608.
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Table 1
325
Pigs and wild boar (Sus scrofa) tested for Trichinella spp. in Spain from 2006 to 2013. Trichinella positive/tested (%) Domestic pigs slaughtered
Hunted
ip t
Year
at homeb
wild boar
2006
3/37,601,623 (8x10-6)
6/132,760 (0.004)
172/70,566 (0.24)
2007
48/41,198,179 (10-4)
4/75,514 (0.005)
2008
75/38,806,715 (10-4)
2/90,889 (0.002)
2009
59/39,929,716 (10-4)
5/60,295 (0.008)
2010
2/41,224,861 (5x10-6)
0/53,485
160/78,571 (0.2)
2011
8/41,597,557 (2x10-5)
1/32,138 (0.003)
176/104,869 (0.16)
2012
115c/40,783,578 (3x10-4)
2013
45/39,190,053 (10-4)
103/51,718 (0.19)
M
an
us
182/81,248 (0.24)
1/32,987 (0.003)
245/123,597 (0.19)
10/44,438 (0.022)
257/117,552 (0.21)
d
355/314,332,282 (10-4)
104/64,557 (0.16)
29/521,667 (0.005)
1,399/692,678 (0.20)
te
Total
cr
at abattoirsa
326
a
327
pigs) have been slaughtered in official abattoirs; b backyard and free-ranging pigs only; c of
328
them 114 originated from the same farm of Salamanca, Castile and León, Spain.
Ac ce p
329
Pigs reared in different containment systems (including some backyard and free-ranging
16
Page 16 of 17
329
Table 2
330
Trichinella pseudospiralis in animals of the European Union countries. Number of animals
331
are reported between brackets. Domestic
Carnivores and other
wild boar
pigs (3)
animals (24)
Italy (4)
Croatia (1),
Bulgaria (2), Denmark (1),
Slovakia (2)
Finland (14), Italy (1),
Czech Rep. (2), Estonia (2),
Italy (2)
Lithuania (1), Poland (1),
us
Finland (1), France (1),
Birds
ip t
Austria (1), Bulgaria (1),
Farmed
cr
Hunted wild boar (38)
Slovakia (2), Sweden (1),
an
Germany (14), Hungary (1), Italy (2), Netherlands (1),
United Kingdom (1)
M
Spain (1), Sweden (11) 332
Ac ce p
te
d
333
17
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