Marked increase in cryptosporidiosis cases, Spain, 2023

IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Eurosurveillance Pub Date : 2024-07-11 DOI:10.2807/1560-7917.es.2024.29.28.2300733
Marina Peñuelas Martinez, David Carmena, Bernardo R Guzmán Herrador, Margarita Palau Miguel, Gabriela Saravia Campelli, Rosa María García Álvarez, María Guerrero-Vadillo, Alejandro Dashti, Pamela C Köster, Esperanza Guevara Alemany, Fernando Simón Soria, Isabel Fuentes Corripio, Carmen Varela Martínez, María José Sierra Moros, working group for the National Surveillance Network
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Abstract

Background

By mid-September 2023, several event notifications related to cryptosporidiosis had been identified from different regions in Spain. Therefore, a request for urgent notification of cryptosporidiosis cases to the National Surveillance Network was launched.

Aim

We aimed at assessing the extent of the increase in cases, the epidemiological characteristics and the transmission modes and compared to previous years.

Methods

We analysed data on case notifications, outbreak reports and genotypes focusing on June–October 2023 and compared the results to 2016–2022.

Results

In 2023, 4,061 cryptosporidiosis cases were notified in Spain, which is an increase compared to 2016–2022. The cumulative incidence was 8.3 cases per 100,000 inhabitants in 2023, sixfold higher than the median of 1.4 cases per 100,000 inhabitants 2016–2022. Almost 80% of the cases were notified between June and October. The largest outbreaks were related to contaminated drinking water or swimming pools. Cryptosporidium hominis was the most common species in the characterised samples (115/122), and the C. hominis IfA12G1R5 subtype, previously unusual in Spain, was detected from 76 (62.3%) of the 122 characterised samples.

Conclusions

A substantial increase in cryptosporidiosis cases was observed in 2023. Strengthening surveillance of Cryptosporidium is essential for prevention of cases, to better understand trends and subtypes circulating and the impact of adverse meteorological events.

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2023 年西班牙隐孢子虫病病例明显增加
背景到 2023 年 9 月中旬,西班牙不同地区发现了多起与隐孢子虫病有关的事件通报。方法我们分析了 2023 年 6 月至 10 月的病例通报、疫情报告和基因型数据,并将结果与 2016-2022 年进行了比较。结果2023 年,西班牙共通报了 4,061 例隐孢子虫病病例,与 2016-2022 年相比有所增加。2023 年的累计发病率为每 10 万居民 8.3 例,比 2016-2022 年每 10 万居民 1.4 例的中位数高出六倍。近 80% 的病例是在 6 月至 10 月间通报的。最大的疫情爆发与受污染的饮用水或游泳池有关。隐孢子虫是已定性样本中最常见的物种(115/122),在 122 份已定性样本中,有 76 份(62.3%)样本检测到了隐孢子虫 IfA12G1R5 亚型,该亚型此前在西班牙并不常见。加强隐孢子虫监测对预防病例、更好地了解流行趋势和亚型以及不利气象事件的影响至关重要。
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来源期刊
Eurosurveillance
Eurosurveillance INFECTIOUS DISEASES-
CiteScore
32.70
自引率
2.10%
发文量
430
审稿时长
3-8 weeks
期刊介绍: Eurosurveillance is a European peer-reviewed journal focusing on the epidemiology, surveillance, prevention, and control of communicable diseases relevant to Europe.It is a weekly online journal, with 50 issues per year published on Thursdays. The journal includes short rapid communications, in-depth research articles, surveillance reports, reviews, and perspective papers. It excels in timely publication of authoritative papers on ongoing outbreaks or other public health events. Under special circumstances when current events need to be urgently communicated to readers for rapid public health action, e-alerts can be released outside of the regular publishing schedule. Additionally, topical compilations and special issues may be provided in PDF format.
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