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The meeting concluded that food-borne parasites had not always received the attention they deserved based on their public health back pain treatment yahoo answers cheap artane 2mg with visa, trade and socio-economic importance pain treatment center connecticut discount 2mg artane fast delivery. It was hoped that exercises such as this would serve to pain medication for dogs side effects purchase artane online pills increase the awareness of food-borne parasites at a global level. The meeting recognized that the ranking alone is not adequate for decisionmaking, and that the establishment of priorities by risk managers also requires consideration of other factors. Terefore, the experts aimed to provide additional information which could facilitate the decision-making process, including the primary food vehicles of concern for each of the parasites, knowledge on food attribution, and some information in relation to control of these parasites. An example of how these diferent elements could then be used by risk managers is presented in Annex 6. However, this report does not profess to be fully comprehensive, but rather raises awareness of certain aspects to be considered in the preliminary risk management phase. The existing materials, particularly for management of zoonotic parasites at the primary production stage, were fully acknowledged, and the meeting highlighted the importance of updating such texts. The meeting also recognized that there are numerous knowledge gaps that hamper our eforts to control food-borne parasites, including the difculty of attributing food or other vehicles for the transmission of parasite infection and illness. The importance of ongoing research into food-borne transmission of parasites was emphasized. One example is where recent studies suggest that, for Toxoplasma gondii, oocyst infection attributed to produce might be much more important than previously thought. While it was not within the scope of this meeting to address such aspects in detail, the meeting did recommend that if Codex decides to move forward with development of risk management guidance for specifc parasites, then it should request more specifc scientifc input on the individual parasites. Changing dietary habits in a changing world: Emerging drivers for the transmission of food-borne parasitic zoonoses. Methods for assessing the burden of parasitic zoonoses: echinococcosis and cysticercosis. Evidence-based semiquantitative methodology for prioritization of foodborne zoonoses. Guidelines for the surveillance, management, prevention and control of trichinellosis. Global burden of human food-borne trematodiasis: a systematic review and meta-analysis. Multidisciplinary and evidence-based method for prioritizing diseases of food-producing animals and zoonoses. Climate change efects on trematodiases, with emphasis on zoonotic fascioliasis and schistosomiasis. A stakeholder-informed approach to the identifcation of criteria for the prioritization of zoonoses in Canada. Parasite zoonoses and climate change: molecular tools for tracking shifing boundaries. Guidelines for the surveillance, management, prevention and control of taeniosis/cysticercosis. The questionnaire also provided a valuable resource for the experts in developing criteria to be used for the ranking process (Table A1. The results were grouped into four tiers related to the global relevance of the listed parasites. Echino coccus multi locularis Toxocara cati Ascaris lumbricoides Entamoeba histolytica Toxoplasma gondii Clonorchis sinensis Fasciola gigantica Trichinella britovi Crypto sporidium hominis. Fasciola hepatica Trichinella pseudospiralis Crypto sporidium parvum Giardia lamblia Trichinella spiralis Crypto sporidium spp. Taenia saginata Trichuris trichiura Diphyllobothrium latum Taenia solium Trypanosoma cruzi Diphyllobothrium spp. Tier 2 parasites (scored by more than 40% of experts as being globally important) Ancylostoma duodenale Gnathostoma spinigerum Opisthorchis felineus Balantidium coli Hymenolepis nana Sarcocystis spp.
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