Prioritisation of food-borne parasites in Europe, 2016

• Published in: Euro surveillance : bulletin européen sur les maladies transmissibles Vol. 23; no. 9
• Main Authors: Bouwknegt, Martijn, Devleesschauwer, Brecht, Graham, Heather, Robertson, Lucy J, van der Giessen, Joke WB
• Format: Journal Article
• Language: English
• Published: Sweden Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) 01.03.2018; European Centre for Disease Prevention and Control (ECDC)
• Subjects: Animals; Europe - epidemiology; Food Parasitology; Foodborne Diseases - classification; Foodborne Diseases - epidemiology; Foodborne Diseases - parasitology; Health Priorities; Humans; Multiple criteria decision making; Parasites; Parasites - classification; Parasites - pathogenicity; Priorities; Public Health; Ratings & rankings; Europe; ranking; awareness; preparedness planning; multi-criteria decision analysis
• ISSN: 1560-7917; 1025-496X; 1560-7917
• DOI: 10.2807/1560-7917.ES.2018.23.9.17-00161

Background and aimsPriority setting is a challenging task for public health professionals. To support health professionals with this and in following a recommendation from the Food and Agriculture Organization of the United Nations (FAO) and World Health Organization (WHO), 35 European parasitologists attended a workshop from 8-12 February 2016 to rank food-borne parasites (FBP) in terms of their importance for Europe and regions within Europe. Countries were divided into European regions according to those used by the European Society of Clinical Microbiology and Infectious Diseases. We used the same multicriteria decision analysis approach as the FAO/WHO, for comparison of results, and a modified version, for better regional representation. Twenty-five FBP were scored in subgroups, using predefined decision rules. At the European level, ranked first, followed by and . At the regional level, ranked highest in Northern and Eastern Europe, in South-Western and South-Eastern Europe, and in Western Europe. Anisakidae, ranking 17th globally, appeared in each European region's top 10. In contrast, , ranked highest globally but 10th for Europe. FBP of importance in Europe differ from those of importance globally, requiring targeted surveillance systems, intervention measures, and preparedness planning that differ across the world and across Europe.