FLAMMER, Patrik G., Hannah RYAN, Stephen G. PRESTON, Renáta PŘICHYSTALOVÁ, Rainer WEISS, Valerie PALMOWSKI, Sonja BOSCHERT, Katarina FELLGIEBEL, Isabelle JASCH-BOLEY, Madita-Sophie KAIRIES, Ernst RÜMMELE, Dirk RIEGER, Beate SCHMID, Ben REEVES, Rebecca NICHOLSON, Louise LOE, Christopher GUY, Tony WALDRON, Jiří MACHÁČEK, Joachim WAHL, Mark POLLARD, Greger LARSON, Adrian L. SMITH and Sylvia WARREN. Epidemiological insights from a large-scale investigation of intestinal helminths in Medieval Europe. PLoS Neglected Tropical Diseases. San Francisco: Public Library of Science, 2020, vol. 14, No 8, p. 1-20. ISSN 1935-2735. Available from: https://dx.doi.org/10.1371/journal.pntd.0008600. |
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@article{1676659, author = {Flammer, Patrik G. and Ryan, Hannah and Preston, Stephen G. and Přichystalová, Renáta and Weiss, Rainer and Palmowski, Valerie and Boschert, Sonja and Fellgiebel, Katarina and JaschandBoley, Isabelle and Kairies, MaditaandSophie and Rümmele, Ernst and Rieger, Dirk and Schmid, Beate and Reeves, Ben and Nicholson, Rebecca and Loe, Louise and Guy, Christopher and Waldron, Tony and Macháček, Jiří and Wahl, Joachim and Pollard, Mark and Larson, Greger and Smith, Adrian L. and Warren, Sylvia}, article_location = {San Francisco}, article_number = {8}, doi = {http://dx.doi.org/10.1371/journal.pntd.0008600}, keywords = {Middle Ages; Europe; parasite; intestinal; epidemic; hygiene}, language = {eng}, issn = {1935-2735}, journal = {PLoS Neglected Tropical Diseases}, title = {Epidemiological insights from a large-scale investigation of intestinal helminths in Medieval Europe}, url = {https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008600}, volume = {14}, year = {2020} }
TY - JOUR ID - 1676659 AU - Flammer, Patrik G. - Ryan, Hannah - Preston, Stephen G. - Přichystalová, Renáta - Weiss, Rainer - Palmowski, Valerie - Boschert, Sonja - Fellgiebel, Katarina - Jasch-Boley, Isabelle - Kairies, Madita-Sophie - Rümmele, Ernst - Rieger, Dirk - Schmid, Beate - Reeves, Ben - Nicholson, Rebecca - Loe, Louise - Guy, Christopher - Waldron, Tony - Macháček, Jiří - Wahl, Joachim - Pollard, Mark - Larson, Greger - Smith, Adrian L. - Warren, Sylvia PY - 2020 TI - Epidemiological insights from a large-scale investigation of intestinal helminths in Medieval Europe JF - PLoS Neglected Tropical Diseases VL - 14 IS - 8 SP - 1-20 EP - 1-20 PB - Public Library of Science SN - 19352735 KW - Middle Ages KW - Europe KW - parasite KW - intestinal KW - epidemic KW - hygiene UR - https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008600 L2 - https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008600 N2 - Parasitic helminths (worms) are important infections of humans in many less well developed countries, particularly those in tropical and sub-tropical regions. These infections are not a major problem in modern Europe but parasite eggs are readily detected in archaeological contexts. To estimate a key epidemiological parameter, the prevalence of infection, we examined large numbers of single graves from Medieval Europe and found that the rates of infection with two soil transmitted nematodes (Ascaris spp. and Trichuris trichiura) were as prevalent as in many modern endemic areas. We also identified two cestodes that humans acquire from eating undercooked red meat (Taenia spp.) or freshwater fish (Diphyllobothrium latum). Using prevalence and ancient DNA data we explored helminth epidemiology in Medieval European populations and factors that may influence infection including age, sex, sanitation, hygiene and culinary practices. The Medieval prevalence rates provide a historical baseline for Europe and an interesting comparator for modern epidemiological studies in other parts of the world. It is noteworthy that helminths were endemic in historical Europe but were eradicated prior to the development of modern drugs. In this sense studying changes in helminth prevalence in historical Europe may provide insights into control efforts in modern endemic regions. ER -
FLAMMER, Patrik G., Hannah RYAN, Stephen G. PRESTON, Renáta PŘICHYSTALOVÁ, Rainer WEISS, Valerie PALMOWSKI, Sonja BOSCHERT, Katarina FELLGIEBEL, Isabelle JASCH-BOLEY, Madita-Sophie KAIRIES, Ernst RÜMMELE, Dirk RIEGER, Beate SCHMID, Ben REEVES, Rebecca NICHOLSON, Louise LOE, Christopher GUY, Tony WALDRON, Jiří MACHÁČEK, Joachim WAHL, Mark POLLARD, Greger LARSON, Adrian L. SMITH and Sylvia WARREN. Epidemiological insights from a large-scale investigation of intestinal helminths in Medieval Europe. \textit{PLoS Neglected Tropical Diseases}. San Francisco: Public Library of Science, 2020, vol.~14, No~8, p.~1-20. ISSN~1935-2735. Available from: https://dx.doi.org/10.1371/journal.pntd.0008600.
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