Tag Archives: public health

Epidemiology and public health challenges of echinococcosis in the Republic of Moldova

Alexandru Sîrbu, Diana Spătaru

Department of Epidemiology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova

DOI: 10.2478/amma-2025-0016

Objective: This study aims to analyze the current epidemiological trends of echinococcosis in the Republic of Moldova and evaluate the effectiveness of existing surveillance and control measures.
Methods: The research is a descriptive observational epidemiological study that involved several steps, which allowed for achieving the initial goal – analyzing the morbidity of echinococcosis globally and in the Republic of Moldova from 2011 to 2024. The steps of the research include: studying the bibliographic literature on the proposed topic and mastering the research methods; collecting data on echinococcosis globally and in the Republic of Moldova; analyzing the obtained data on echinococcosis; establishing effective control and prevention measures.
Results: Between 2011 and 2024, 985 cases of echinococcosis were reported, with a peak incidence in 2012–2013 and a decline until 2020. However, cases increased again from 2022. The disease predominantly affected adults (51–60 years) and was more prevalent in females (53% of cases). Hepatic involvement was the most common localization (79.4%). The southern regions exhibited the highest burden. Control measures, including deworming programs and public health campaigns, contributed to incidence reduction but require further optimization.
Conclusions: Echinococcosis remains a significant public health concern in Moldova, with fluctuating incidence rates and persistent endemicity. Enhanced surveillance, improved diagnostic strategies, and One Health-based preventive interventions are essential for sustainable control.

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Public Health in the Framework of the International Security. A Constructive Approach

Sergiu Viorel Borsa

“Babes-Bolyai” University, Cluj-Napoca, Romania

DOI: 10.2478/amma-2019-0004

The article highlights the fact that public health is an element of the security dimension that must be included on the priority agenda of specialists in the fields of international relations and security studies. There are arguments in favor of this theory. The costs of materializing threats to human security in general and public health, in particular, are particularly high, with serious long-term consequences. Global trends and prospects for the implications that can be generated are likely to change the world’s security landscape, and increasing global connectivity increases the degree of uncertainty about public health implications. Non-traditional issues arising from technological change can induce risks, whose management may go beyond institutional capacities. On the other hand, the new types of wars, increasingly interconnected with various forms of risk materialization, make this mission more difficult. The final conclusion is that these risks need to be assessed to ensure national, regional or even global security, and international cooperation for prevention and counseling.

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