Epidemiology and clinical features of human cystic echinococcosis in adults from an endemic area (Morocco)

Abstract Background Cystic echinococcosis is a parasitic disease of major public health concern in many countries. Infection is generally acquired during childhood and symptoms may appear later in adulthood. The study aimed to determine the pattern and characteristics of cystic echinococcosis in adults from an endemic area (Morocco), where a control and prevention program has been implemented. Methods Adult patients diagnosed and operated for echinococcosis between 2010 and 2016 were investigated. Reports containing details regarding each patient were established and completed. Results Over the study period, 260 patients were investigated with a decreasing trend in patients' numbers. Adults from rural areas were significantly predominant (74.2%) (p  Conclusion Active transmission of cystic echinococcosis can still occur in areas where surveillance programs have been implemented. Many factors affect features of the disease and should be considered in prevention and control programs in endemic areas.