Abstract The presence of the mesocercarial stage of Alaria alata (Goeze, 1792) in wild boar meat represents a potential risk for human, but little is known about the circulation of mesocercaria in wild boar populations. Routine Trichinella inspection, mandatorily performed in wild boar in France, also allowed detecting mesocercaria. We analyzed the results of this detection in the carcasses of 27,582 wild boars hunted in 2007-2011, in 502 hunting areas of the Rhine valley. Prevalence was globally low (0.6%), but 12% of the hunting areas were affected. These were clustered in lowlands of the Rhine valley, and prevalence strongly decreased with increasing elevation. In the lowlands, prevalence doubled between 2007 and 2011. This time trend and the geographic aggregation of positive wild boars suggest risk management measures based on targeted surveillance, control and prevention.