“…Increasing inland fish production causes a local increase in the number of food-borne trematode infections, and increasing international travel, human migration, food trade, and changing eating habits may cause an increase in the number of cases diagnosed in countries where the disease is not endemic (363)(364)(365). Infections with liver and lung flukes are rarely fatal, but the burden of disease is considerable, and moreover, C. sinensis and O. viverrini infections may lead to cholangiocarcinoma (366,367). Although Fasciola spp., Paragonimus spp., and intestinal flukes are found worldwide, higher rates of transmission are known for certain areas, such as the Andean region, Africa, and Asia (366).…”