Prevalence of zoonotic anisakid nematodes in Inuit-harvested fish and mammals from the eastern Canadian Arctic.

Human anisakidosis is a recognized Arctic zoonosis that is directly related to the consumption of traditional Inuit foods, particularly raw fish. The epidemiology of infections with the zoonotic anisakid nematodes Anisakis simplex and Pseudoterranova decipiens was investigated from August 2007 to July 2009 in Inuit-harvested fish and marine mammals from Inuit regions of Nunavik, Nunavut, and Nunatsiavut, Canada. Fish were tested for anisakid larvae using the pepsin-HCl digestion method, and the stomachs or stomach contents of beluga whales, walruses, and three seal species were examined for anisakids. Anisakids were found in seven of eight fish species, as well as in ringed seals (18.2%; 31/170), bearded seals (75.0%; 12/16), and beluga whales (78.9%; 15/19), but not walruses (0%; 0/15). In fish, the odds of being infected with A. simplex and/or P. decipiens was 68.6 (95% confidence interval, 11.6-627.7) times higher in marine fish than in anadromous fish, after adjusting for length of fish. Negative binomial models were created for animal species with large enough sample sizes and parasite prevalence estimates to assess risk factors associated with anisakid abundance. In seals, the only risk factor significantly associated with increasing anisakid abundance was increasing length (p < 0.01), while in beluga whales, the only significant risk factor was year of capture (p = 0.03). In fish, length was the variable most commonly associated with increased anisakid larval abundance, with longer fish having significantly higher larval abundances than shorter fish of the same species. The presence of A. simplex and P. decipiens in bearded seals, ringed seals, and beluga whales from Inuit hunting grounds suggests that they likely act as definitive hosts for these parasites in these environments. With respect to zoonotic disease risk associated with Inuit country foods, among the species of fish examined, Atlantic tomcod, polar cod, and sculpins represented the greatest risk of foodborne disease from A. simplex and P. decipiens.