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Featured researches published by Epp Moks.


Parasitology | 2009

A novel phylogeny for the genus Echinococcus, based on nuclear data, challenges relationships based on mitochondrial evidence

Urmas Saarma; I. Jõgisalu; Epp Moks; Antonio Varcasia; Antti Lavikainen; A. Oksanen; S. Simsek; Vanessa Andresiuk; G. Denegri; Luis Miguel González; E. Ferrer; T. Gárate; Laura Rinaldi; P. Maravilla

The taxonomic status of Echinococcus, an important zoonotic cestode genus, has remained controversial, despite numerous attempts to revise it. Although mitochondrial DNA (mtDNA) has been the source of markers of choice for reconstructing the phylogeny of the genus, results derived from mtDNA have led to significant inconsistencies with earlier species classifications based on phenotypic analysis. Here, we used nuclear DNA markers to test the phylogenic relationships of members of the genus Echinococcus. The analysis of sequence data for 5 nuclear genes revealed a significantly different phylogeny for Echinococcus from that proposed on the basis of mitochondrial DNA sequence data, but was in agreement with earlier species classifications. The most notable results from the nuclear phylogeny were (1) E. multilocularis was placed as basal taxon, (2) all genotypes of Echinococcus granulosus grouped as a monophyletic entity, and (3) genotypes G8 and G10 clustered together. We conclude that the analysis of nuclear DNA data provides a more reliable means of inferring phylogenetic relationships within Echinococcus than mtDNA and suggest that mtDNA should not be used as the sole source of markers in future studies where the goal is to reconstruct a phylogeny that does not only reflect a maternal lineage, but aims to describe the evolutionary history at species level or higher.


Veterinary Parasitology | 2015

Echinococcus infections in the Baltic region

Audronė Marcinkutė; Mindaugas Šarkūnas; Epp Moks; Urmas Saarma; Pikka Jokelainen; Guna Bagrade; Sniedze Laivacuma; Kęstutis Strupas; Vitalijus Sokolovas; Peter Deplazes

In the Baltic countries, the two zoonotic diseases, alveolar echinococcosis (AE) caused by Echinococcus multilocularis, and cystic echinococcosis (CE) caused by Echinococcus granulosus, are of increasing public health concern. Observations from Estonia, Latvia and Lithuania indicate that the distribution of both parasites is wider in the Baltics than previously expected. In this paper, we review and discuss the available data, regarding both parasitoses in animals and humans, from the Baltic countries and selected adjacent regions. The data are not easily comparable but reveal a worrisome situation as the number of human AE and CE cases is increasing. Despite improvements in diagnostics and treatment, AE has a high morbidity and mortality in the Baltic region. For the control of both zoonoses, monitoring transmission patterns and timely diagnosis in humans as well as the development of local control programs present major challenges.


Parasites & Vectors | 2015

First report of highly pathogenic Echinococcus granulosus genotype G1 in dogs in a European urban environment

Leidi Laurimaa; John Davison; Karmen Süld; Liivi Plumer; Ragne Oja; Epp Moks; Marju Keis; Maris Hindrikson; Liina Kinkar; Teivi Laurimäe; Jaana Abner; Jaanus Remm; Peeter Anijalg; Urmas Saarma

BackgroundEchinococcus granulosus and E. multilocularis are tapeworm parasites of major medical and veterinary importance, causing cystic and alveolar echinococcosis, respectively. Both diseases are listed among the most severe parasitic diseases in humans, representing 2 of the 17 neglected diseases prioritised by the World Health Organisation. However, little is known about the role of urban animals in transmission of both parasite species.FindingsA sensitive non-invasive genetic method was used to monitor E. granulosus and E. multilocularis infection among dog faecal samples collected from an urban area in Estonia in 2012–13. Out of 181 dog faecal samples analysed, 2.2% tested positive for E. granulosus, determined by sequencing as genotype G1. None of the samples tested positive for E. multilocularis.ConclusionsWe report contamination of an urban environment with highly pathogenic E. granulosus G1 disseminated by dogs, and a potential risk to human health.


Veterinary Parasitology | 2015

First report of the zoonotic tapeworm Echinococcus multilocularis in raccoon dogs in Estonia, and comparisons with other countries in Europe.

Leidi Laurimaa; Karmen Süld; Epp Moks; Harri Valdmann; Gérald Umhang; Jenny Knapp; Urmas Saarma

The raccoon dog (Nyctereutes procyonoides) is an alien species in Europe and an important vector of zoonotic diseases. However, compared to the red fox (Vulpes vulpes), less attention has been paid to the raccoon dog as a potentially important host for Echinococcus multilocularis, the infective agent of alveolar echinococcosis, which is an emerging infectious disease with a high mortality rate. We examined the small intestines of 249 Estonian raccoon dogs and found 1.6% of individuals to be infected with E. multilocularis. The relatively large difference between this prevalence and that found in sympatric red foxes (31.5%) sampled during the same time period might be due to differences in diet: red foxes consume significantly more arvicolid rodents - the main intermediate hosts of the parasite - especially during the coldest period of the year when raccoon dogs hibernate. Nonetheless, given the relatively high density of raccoon dogs, our results suggest that the species also represents an important definitive host species for E. multilocularis in Estonia. Compared with other countries in Europe where E. multilocularis-infected raccoon dogs have been recorded (Latvia, Lithuania, Poland, Germany, and Slovakia), the prevalence in Estonia is low. The longer hibernation period of raccoon dogs at higher latitudes may explain this pattern. Both mitochondrial and nuclear loci were analysed for Estonian isolates: based on EmsB microsatellite genotyping the Estonian isolates shared an identical genotype with E. multilocularis in northern Poland, suggesting a common history with this region. The data from more than a quarter of the mitochondrial genome (3558 bp) revealed two novel haplotypes specific to Estonia and placed them into the same haplogroup with isolates from other European regions. Considering that the raccoon dog is becoming increasingly widespread and is already relatively abundant in several countries in Europe, the role of the species must be taken into account when assessing the E. multilocularis related risks to public health.


Veterinary Parasitology | 2016

Alien species and their zoonotic parasites in native and introduced ranges: The raccoon dog example.

Leidi Laurimaa; Karmen Süld; John Davison; Epp Moks; Harri Valdmann; Urmas Saarma

The raccoon dog (Nyctereutes procyonoides) is a canid that is indigenous in East Asia and alien in Europe, where it was introduced more than half a century ago. The aim of this study was to compare the parasite faunas associated with raccoon dogs in their native and introduced ranges, and to identify zoonotic parasite species. We examined 255 carcasses of hunted raccoon dogs from Estonia and recorded a total of 17 helminth species: 4 trematodes, 4 cestodes and 9 nematodes. The most prevalent parasite species were Uncinaria stenocephala (97.6%) and Alaria alata (68.3%). Average parasite species richness was 2.86 (the highest was 9) and only two animals were not parasitized at all. Although the infection intensity was determined by weight and not by sex, all animals infected with more than five helminth species were males. We also found that animals infected with higher numbers of helminth species fed significantly more on natural plants. Intentional consumption of grass may represent a self-medicating behaviour among raccoon dogs. We included the Estonian data into a wider comparison of raccoon dog parasite faunas and found a total of 54 helminth taxa, including 28 of zoonotic potential. In Europe, raccoon dogs are infected with a minimum of 32 helminth species of which 19 are zoonotic; in the native range they are infected with 26 species of which 17 are zoonotic. Most species were nematodes or trematodes, with fewer cestodes described. The recent increase in the number and range of raccoon dogs in Europe and the relatively high number of zoonotic parasite taxa that it harbours suggests that this species should be considered an important source of environmental contamination with zoonotic agents in Europe.


Parasitology | 2016

Echinococcus multilocularis and other zoonotic parasites in red foxes in Estonia.

Leidi Laurimaa; Epp Moks; Egle Soe; Harri Valdmann; Urmas Saarma

Red fox (Vulpes vulpes) is the most widely distributed canid in the world and an important source of multiple zoonotic pathogens capable of causing life-threatening diseases, such as rabies and alveolar echinococcosis. Informing general public of potential risks related to foxes is becoming more important since the fox densities have increased in many countries and the species is colonizing urban areas in Europe and around the world with increasing pace, bringing zoonotic pathogens to the immediate neighbourhood of humans and their companion animals. The aim of this study was to examine the parasite fauna of red foxes in Estonia. We found in Estonian foxes a total of 17 endoparasite taxa, including ten zoonotic species. All the analysed individuals were infected and the average parasite species richness was 6·37. However, the infection rates varied to a very large extent for different parasite species, ranging from 0·9 to 91·5%. Of zoonotic species, the highest infection rate was observed for Alaria alata (90·7%), Eucoleus aerophilus (87·6%) and Uncinaria stenocephala (84·3%). The prevalence of tapeworm Echinococcus multilocularis, a causative agent for alveolar echinococcosis, was also relatively high (31·5%), presenting a potential risk to human health.


Parasitology Research | 2017

How does supplementary feeding affect endoparasite infection in wild boar

Ragne Oja; Kaisa Velström; Epp Moks; Pikka Jokelainen; Brian Lassen

Supplementary feeding is widely used in game management but may aid the transmission of parasites. Firstly, feeding sites attract animals and may be regarded as high-risk areas for parasite transmission. Secondly, high host population densities resulting from and supported by supplementary feeding, as well as accumulation of parasites in the environment, may increase parasite prevalence. Our aim was to investigate whether host density or the number of feeding sites drives endoparasite infection in an Estonian wild boar (Sus scrofa) population. For this, we collected wild boar faeces from forests, and soil samples from supplementary feeding sites in central and south-eastern Estonia. The role of host density and number of feeding sites on both the risk and mean abundance of endoparasite infection was modelled using generalized linear models (GLM). The presence of biohelminths in faecal samples was associated with both wild boar and feeding site density, whereas the presence of Eimeria sp. oocysts in faecal samples was only associated with wild boar density. Helminth eggs were found more often from the soil of active and abandoned feeding sites than from control areas. This could reflect parasitic contamination or indicate that supplementary feeding sites are suitable habitat for soil-dwelling nematodes. These results suggest that the effects of supplementary feeding on parasite prevalence in wild boar are mediated by the characteristics of parasite life cycles.


Parasitology | 2008

First report of Echinococcus granulosus G8 in Eurasia and a reappraisal of the phylogenetic relationships of 'genotypes' G5-G10.

Epp Moks; I. Jõgisalu; Harri Valdmann; Urmas Saarma


Emerging Infectious Diseases | 2005

Echinococcus multilocularis in Estonia.

Epp Moks; Urmas Saarma; Harri Valdmann


Veterinary Parasitology | 2007

Helminths of wild boar in the isolated population close to the northern border of its habitat area

Toivo Järvis; Ch. Kapel; Epp Moks; H. Talvik; E. Mägi

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