Dirofilariasis in Russian Federation: a big problem with large distribution

Abstract

Dirofilariasis caused by Dirofilaria spp. is an important vector-borne and largely zoonotic disease. In Russia, dirofilariasis is caused by two agents D. immitis and D. repens. The present article provides detailed analyses of human and canine dirofilariasis methods of diagnosis, treatment, and prevention of the disease, with particular reference to the control programmes. Information has been summarised from literature in different languages that are not readily accessible to the international scientific community. Human dirofilariasis was first registered in Russia in 1915, and recent reports showed that the total number of infected humans increases on average by 1.8 times every three years. Human dirofilariasis was registered in 42 federal subjects. Totally 1162 cases of subcutaneous dirofilariasis were registered in the Russian Federation between 1915-2013, the most frequently type of subcutanious dirofilariasis was ocular dirofilariasis (more than 50% cases). Seven cases of pulmonary dirofilarisis were registered in Russia. The treatment of human dirofilariasis includes surgical removal of worms only; in result preventive measure have major importance for reducing risk of Dirofilaria infection. Control programmes have been implemented by the government at all administrative levels including diagnosis and treatment of patients, identification, isolation, and treatment of infected dogs, monthly chemoprophylactic of dogs during spring-summer periods, and regular vector control.