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Lancet Infect Dis ; 18 7 : The burden of human cystic echinococcosis is poorly understood in most endemic regions, who helminth treatment guidelines eastern Europe. We aimed to estimate the prevalence of abdominal cystic echinococcosis in rural areas of Bulgaria, Romania, and Turkey.

These villages who helminth treatment guidelines in provinces with annual hospital incidence of cystic echinococcosis within the mid-range for the respective countries.

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All people who attended a session were allowed to participate if they agreed to be screened. Abdominal ultrasound screening sessions were hosted in public community structures such as community halls, primary health-care centres, schools, and mosques. Lesions were classified using an adapted WHO classification.

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We reported the prevalence of abdominal cystic echinococcosis adjusted by sex and age through direct standardisation, using the country's rural population as a reference. We excluded a further six indivduals due to missing data, leaving 24  people in our analysis.

Abdominal cystic echinococcosis was detected in 31 of people screened in Bulgaria, 35 of screened in Romania, and 53 of screened in Turkey. Active cysts were found in people of all ages, including children, and in all investigated provinces.

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These findings should be useful to support the planning of cost-effective interventions, supporting the WHO roadmap for cystic echinococcosis control.

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