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France : First autochthonous cases of tropical parasite Bilharzia (Schistosomiasis) reported in Corsica - ECDC

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
computertranslation

Toulouse. This tropical parasite that "sows terror"

A scientist CHU Toulouse, Professor Anthony Berry, has revealed the presence of a tropical disease, schistosomiasis, hitherto unknown in France. Eight vacationers Toulouse were infected after stays in Corsica.

It is a discovery both surprising and worrisome's recently made ​​Professor Anthony Berry, Manager Parasitology-Mycology Laboratory at the University Hospital of Toulouse . This eminent professor, in fact, revealed in Corsica, by the merest chance, the "parasite that spreads terror" as the title of a local newspaper.

How bilharzia this endemic disease in tropical countries, she could migrate on the island of beauty?

The story is unique. "A child was followed in pediatrics at Toulouse for a problem of blood in the urine. The diagnosis was slow in coming and the pediatrician had even mentioned a tumor problem because of a polyp in the bladder. Examination of the biopsy allowed to discuss the possibility of schistosomiasis. We then analyzed the urine and discovered that there were plenty of eggs of Schistosoma haematobium, "says the professor.

By what chance this girl, who has never stayed in an endemic area where the parasite proliferates, she has been contracting bilharzia? Intrigued, the researchers launch an epidemiological survey of the family. "We asked. The father told us that he sometimes had blood in the urine. Tests showed he was infected. He then explained that he had spent holidays in Corsica in 2011 and 2013 with members of his family and friends. It turned out that of the twelve travelers Toulouse, eight were infected with bilharzia "adds Antoine Berry.

All have in common that they stayed close to the river Cavu camping near Porto Vecchio.

Other indicators support the hypothesis of the presence of infection transmission in this stream. A global disease specialist, who works at the CNRS in Perpignan, warns Antoine Berry effect a German family Dusseldorf, vacationing in the same region, is also infected.

The little snail by which the disease is transmitted
Worm urogenital schistosomiasis (Schistosoma haematobium or infection) is issued with the urine, but it needs intermediate hosts, namely freshwater molluscs as Bulin, found also in France, to be transmitted to humans. "The most likely scenario is that someone who was infected urinated in the watercourse and seeded" explains Antoine Berry.

An alert is then launched on 24 April at the National Institute for Public Health Surveillance, which takes the matter very seriously, especially as contamination occurring on the French territory (excluding overseas territories) are quite exceptional . "Schistosomiasis, which is not an immediately serious illness, but may eventually become, did not exist in France so far," he confirms.

The fear of spread
Without being alarmist, the risk of spread of this infection, the second parasitic pandemic largest in the world after malaria, is not ruled out, particularly in the south of France. "It is likely that many people in France and Europe, who have stayed in this endemic area are infected without knowing it, the disease is often asymptomatic. If these people to bathe and urinate in fresh water containing Bulinus, they can spread the disease, "said Professor Berry believes it" should detect and treat as many people infected before the summer. " According to him, recommendations will be provided to healthcare professionals to stop, if necessary, the development of this disease.

After dengue or chikungunya, transmitted by mosquitoes, schistosomiasis is added to the table of these diseases once confined to warm countries and which we fear the arrival in France.

La Dépêche
 
Re: France : First autochthonous cases of tropical parasite Bilharzia (Schistosomiasis) reported in Corsica - ECDC

Re: France : First autochthonous cases of tropical parasite Bilharzia (Schistosomiasis) reported in Corsica - ECDC

More: ECDC

Local transmission of Schistosoma haematobium in Corsica, France

16 May 2014


Main conclusions and options for mitigation

As of 16 May 2014, eleven cases (six from France and five from Germany) of uro-genital schistosomiasis have
been reported. All cases were exposed to freshwater in a natural swimming area in southern Corsica (Cavu
River). None of the cases reported contact with freshwater in an area known as endemic for contracting
schistosomiasis.


This is the first locally acquired infection of Schistosoma haematobium in France. The disease is known to be
highly focal in its geographic distribution. Therefore, the risk of acquiring the infection exists only for residents
and people who visit the affected area and engage in occupational or recreational activities in the river.

• Epidemiological investigations – including the identification of cases and patterns of exposure – should
eventually identify the likely place(s) of infection; molecular identification of the parasite should determine
the origin of the introduction(s) and its population dynamics, as well as the parasite’s presence in the
intermediate host. These factors define the focality and seasonality of transmission and are required to
assess the receptivity of the area.

• Malacological studies are required to identify the species involved as intermediate host, the snail distribution
and its population dynamics, as well as the parasite’s presence in the intermediate host. These factors
define the focality and seasonality of transmission and are required to assess the receptivity of the area.

• As the infection may result in mild symptoms over a long period, informing people who were exposed to
freshwater from the Cavu River in the summer of 2011 and 2013 of their possible exposure may decrease
their risk of developing complications.

• Informing physicians in the EU could increase the detection of possible uro-genital Schistosoma infections
among travellers who visited the affected area in Corsica (in 2011 and 2013) or other areas in the EU which
potentially pose a risk of transmission due to the introduction of the parasite in the environment.

• Coordinated communication at EU and country level might enhance the awareness of travellers and
residents and could be instrumental in the prevention of the infection and its complications.

More: ECDC
 
Cluster of Schistosoma haematobium - Corsica, France - 2014

Opening date: 8 May 2014 Latest update: 25 June 2015 II.

Detailed reports 4/18 European Centre for Disease Prevention and Control (ECDC)



COMMUNICABLE DISEASE THREATS REPORT Week 26, 21-27 June 2015

Epidemiological summary


On April 2014, a cluster of Schistosoma haematobium infections was detected linked to Cavu river exposure in 2013, a natural swimming area in Southern Corsica, France. As of 25 March 2015, 110 cases of urogenital schistosomiasis have been reported by regional authorities, mainly from family clusters.

The majority of the cases have been recorded among children or teenagers. Epidemiological investigations are ongoing and a prevention communication plan is in place.


Web sources: ECDC 2014 RRA | French regional authorities statement | WHO factsheet


ECDC assessment

These are the first locally-acquired infections of Schistosoma haematobium in the EU. The disease is known to be very focal in its establishment and as such, the risk of acquiring the infection exists only for residents and travellers having occupational or recreational activities in the affected rivers.
 
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