Noninvasive detection of Echinococcus multilocularis tapeworm in urban area, Estonia. Emerging Infectious Diseases

caused by the fox tapeworm Echinococcus multilocularis, is an emerging disease in Europe that shows a high mortal-ity rate (1). Humans can become infected after ingesting parasite eggs (e.g., through direct contact with dogs and red foxes [Vulpes vulpes] or with their contaminated feces). E. multilocularis tapeworm eggs are extremely resistant and can remain viable in the environment for years (2). Numbers of red foxes have increased in many coun-tries in Europe in recent decades, and the E. multilocularis tapeworm has also expanded its range. This tapeworm has recently been reported in 17 countries in Europe, includ