Human cystic echinococcosis (CE) caused by larval Echinococcus granulo
sus is a zoonosis of major public health importance throughout the reg
ion comprising Arab North Africa and the Middle East. Prevalence rates
are determined by epizootiological factors related to the size of str
ay dog population and its worm burden and to the infection rates in th
e intermediate host reservoir livestock population. Socio-economic dev
elopment and socio-cultural practices are considered important determi
nants in the continued transmission of the disease. The reasons why CE
remains a significant public health problem in the region are summari
zed. (C) 1997 Elsevier Science B.V.