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2021 data from the European Centre for Disease Prevention and Control:

Bulgaria and Croatia had the highest rates of trichinellosis at 0.42 cases per 100,000 population, accounting for 58% of all cases reported in 2021. Taking those two countries gether and extrapolateing to whole US population of 3400 hundred thousand (340 million) would be 1428 cases - definitely much higher that <20, which would be something like 0.0002 per 100,000.

The total number of reported infections in 2021 was 79 cases for the whole European Union / European Economic Area was 79 cases for a total population of 4500 hundred thousand (450 million), an infection rate of 0.02 cases per 100,000.

Discounting the two worst countries would reduce the number to about 40 cases per 4500 hundred thousand population would bring the rate of infection to something like 0.008 - not entirely too far from the US.

https://www.ecdc.europa.eu/sites/default/files/documents/AER...



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