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Background. Echinococcosis affects people of all ages. People from 20 to 50 years old are most vulnerable to this disease. Echinococcosis is most common in livestock regions which demonstrate poor sanitation and low level of economic development. Due to the growth of tourism, recent years have witnessed rising echinococcosis morbidity, even in the regions which have never been endemic for this helminthiasis. Currently, echinococcosis has a global distribution. Objective. Based on the information obtained during the retrospective analysis, to conduct a study of the epidemiological situation of echinococcosis among children in the Astrakhan region. Materials and methods. From 2008 to 2023, 141 cases of echinococcosis among humans were registered in the Astrakhan region, including 22 cases (15.6%) in children under 17 years of age. Results. Taking into account the age group of children, cases of echinococcosis were most often reported in such age periods as 5, 6, 7, 10, 12-16 years. Thus, the greatest number of cases was observed in children of all ages 10 (14,2%), 13 (8,8%), 14 (12,9%), 15 (17,8%) and 16 years old (28.1%). Among all infected children, the largest proportion of cases occurred in people aged 7-17 years – 91.2%, while more than half of all infected (67.8%) were school-age children, and 23.2% were secondary school students. The main complaints of children included heaviness and pain in the right hypochondrium – 41.3%, spasms in the area of the parasite – 32.2%. Some patients complained of apathy and irritability – 4.7% each. The duration of clinical symptoms ranged from several days to one year, with the largest number of cases being a month and several days (37.1% and 26.2%). In the process of verifying the diagnosis, a different number of methods were used, both laboratory and instrumental. The diagnosis was carried out using research methods that included the predominance of ELISA, as well as ultrasound and computed tomography of the abdominal organs. Conclusion. In the Astrakhan region, echinococcosis is most often reported in school-age children, while there is an increase in the number of cases of this disease. The parasite is mainly localized in the liver and lungs.