Recognising the substantial burden of neglected pandemics cystic and alveolar echinococcosis

Cystic echinococcosis and alveolar echinococcosis belong to the diverse group of mainly parasitic, but also bacterial, viral, and fungal diseases currently listed among the neglected tropical diseases (NTDs) for which WHO advocates control.1 As with most NTDs, cystic and alveolar echinococcosis affect rural and marginalised communities without voice, often distant from health-care settings. However, and in contrast to most NTDs, the prevalence of cystic and alveolar echinococcosis extends beyond tropical and subtropical regions to include worldwide pastoral and rural communities of medium-high income countries, including Europe, where they should be managed as orphan diseases.