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Liu Z, Gao L, Wang M, Yuan M, Li Z. Long ignored but making a comeback: a worldwide epidemiological evolution of human brucellosis. Emerg Microbes Infect 2024; 13:2290839. [PMID: 38039063 PMCID: PMC10878345 DOI: 10.1080/22221751.2023.2290839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 11/29/2023] [Indexed: 12/02/2023]
Abstract
Brucellosis is a commonly neglected zoonosis that remains a serious global public health concern. The epidemiological evolution of human brucellosis has considerably changed over the past few decades, and epidemic geography is continuously expanding. Human brucellosis is emerging and re-emerging, and is imported from areas where it is endemic due to travel, immigration, and international trade. The disease continues to be prevalent in Asia and Africa, including West Asia, Central Asia, North Africa, and East Africa, with the highest incidence in Syria, Kyrgyzstan, Mongolia, Iran, Algeria, and Kenya. Re-emerging cases are frequently recorded in places where brucellosis has been controlled, such as Bosnia, Herzegovina, Azerbaijan, and the USA. In countries with a high disease burden, disease control and eradication have been extremely difficult because of livestock farming being the only source of livelihood, unique religious beliefs regarding animals, nomadic lifestyle, and low socioeconomic levels. Interventions focused on protecting livestock keepers are needed, particularly for those assisting with goat and sheep births and the consumption of raw dairy products. Notably, in most countries with a high disease burden, each period of several years with a low incidence rate was followed by a subsequent increase in cases, highlighting the necessity of continuous investment and surveillance. In addition, advocacy for the inclusion of brucellosis as a globally mandated reported disease, strict restrictions on animal movement, mandated consumption of pasteurized milk, and health education are needed. This study will help form an evidence-based strategy for international organizations to curb the future spread of brucellosis.
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Affiliation(s)
- Zhiguo Liu
- National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of China
| | - Liping Gao
- National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of China
| | - Miao Wang
- Ulanqab Center for Disease Control and Prevention, Jining (Inner Mongolia), People’s Republic of China
| | - Min Yuan
- National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of China
| | - Zhenjun Li
- National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of China
- Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of China
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Wainaina M, Lindahl JF, Mayer-Scholl A, Ufermann CM, Domelevo Entfellner JB, Roesler U, Roesel K, Grace D, Bett B, Al Dahouk S. Molecular and serological diagnosis of multiple bacterial zoonoses in febrile outpatients in Garissa County, north-eastern Kenya. Sci Rep 2024; 14:12263. [PMID: 38806576 PMCID: PMC11133362 DOI: 10.1038/s41598-024-62714-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 05/21/2024] [Indexed: 05/30/2024] Open
Abstract
Bacterial zoonoses are diseases caused by bacterial pathogens that can be naturally transmitted between humans and vertebrate animals. They are important causes of non-malarial fevers in Kenya, yet their epidemiology remains unclear. We investigated brucellosis, Q-fever and leptospirosis in the venous blood of 216 malaria-negative febrile patients recruited in two health centres (98 from Ijara and 118 from Sangailu health centres) in Garissa County in north-eastern Kenya. We determined exposure to the three zoonoses using serological (Rose Bengal test for Brucella spp., ELISA for C. burnetti and microscopic agglutination test for Leptospira spp.) and real-time PCR testing and identified risk factors for exposure. We also used non-targeted metagenomic sequencing on nine selected patients to assess the presence of other possible bacterial causes of non-malarial fevers. Considerable PCR positivity was found for Brucella (19.4%, 95% confidence intervals [CI] 14.2-25.5) and Leptospira spp. (1.7%, 95% CI 0.4-4.9), and high endpoint titres were observed against leptospiral serovar Grippotyphosa from the serological testing. Patients aged 5-17 years old had 4.02 (95% CI 1.18-13.70, p-value = 0.03) and 2.42 (95% CI 1.09-5.34, p-value = 0.03) times higher odds of infection with Brucella spp. and Coxiella burnetii than those of ages 35-80. Additionally, patients who sourced water from dams/springs, and other sources (protected wells, boreholes, bottled water, and water pans) had 2.39 (95% CI 1.22-4.68, p-value = 0.01) and 2.24 (1.15-4.35, p-value = 0.02) times higher odds of exposure to C. burnetii than those who used unprotected wells. Streptococcus and Moraxella spp. were determined using metagenomic sequencing. Brucellosis, leptospirosis, Streptococcus and Moraxella infections are potentially important causes of non-malarial fevers in Garissa. This knowledge can guide routine diagnosis, thus helping lower the disease burden and ensure better health outcomes, especially in younger populations.
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Affiliation(s)
- Martin Wainaina
- Animal and Human Health Program, International Livestock Research Institute, Nairobi, 00100, Kenya.
- Department of Veterinary Medicine, Freie Universität Berlin, 14163, Berlin, Germany.
- Department of Biological Safety, German Federal Institute for Risk Assessment, 12277, Berlin, Germany.
| | - Johanna F Lindahl
- Animal and Human Health Program, International Livestock Research Institute, Nairobi, 00100, Kenya
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, 75007, Uppsala, Sweden
- Department of Medical Biochemistry and Microbiology, Uppsala University, 75123, Uppsala, Sweden
| | - Anne Mayer-Scholl
- Department of Biological Safety, German Federal Institute for Risk Assessment, 12277, Berlin, Germany
| | - Christoph-Martin Ufermann
- Department of Biological Safety, German Federal Institute for Risk Assessment, 12277, Berlin, Germany
| | | | - Uwe Roesler
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, 14163, Berlin, Germany
| | - Kristina Roesel
- Animal and Human Health Program, International Livestock Research Institute, Nairobi, 00100, Kenya
- Department of Veterinary Medicine, Freie Universität Berlin, 14163, Berlin, Germany
| | - Delia Grace
- Animal and Human Health Program, International Livestock Research Institute, Nairobi, 00100, Kenya
- Food and Markets Department, Natural Resources Institute, University of Greenwich, London, ME130NQ, UK
| | - Bernard Bett
- Animal and Human Health Program, International Livestock Research Institute, Nairobi, 00100, Kenya
| | - Sascha Al Dahouk
- Department of Biological Safety, German Federal Institute for Risk Assessment, 12277, Berlin, Germany
- Department of Internal Medicine III, RWTH Aachen University Hospital, 52074, Aachen, Germany
- Department 1 - Infectious Diseases, Robert Koch Institute, 13353, Berlin, Germany
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Ahaduzzaman M, Reza MMB. Global and regional seroprevalence of coxiellosis in small ruminants: A systematic review and meta-analysis. Vet Med Sci 2024; 10:e1441. [PMID: 38613179 PMCID: PMC11015088 DOI: 10.1002/vms3.1441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 02/11/2024] [Accepted: 03/24/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Coxiellosis is a neglected zoonosis for occupationally exposed people in many parts of the world. Sheep and goats are two important small ruminants that act as reservoirs for human contamination; however, there is a lack of comprehensive data on the epidemiological aspects of coxiellosis in sheep and goats at regional and global levels. The aim of this study was to systematically review the available articles on seroprevalence of coxiellosis in sheep and goats and estimate the overall seroprevalence in different regions. METHODS A systematic search strategy was performed in five electronic repositories for articles published until December 2021. Relevant data were extracted from the selected articles based on the inclusion criteria. A random effect meta-analysis model was used to analyse the data. Results are presented as the prevalence of seropositivity as a percentage and 95% confidence intervals. RESULTS The global pooled seroprevalence of coxiellosis in sheep was 17.38% (95% confidence interval [CI]: 15.59%-19.17%). Overall, the regional level pooled prevalence estimates in sheep ranged from 15.04% (95% CI: 7.68%-22.40%) to 19.14% (95% CI: 15.51%-22.77%), depending on region. The global pooled seroprevalence of coxiellosis in goats was 22.60% (95% CI: 19.54%-25.66%). Overall, the regional level pooled prevalence estimates in goats ranged from 6.33% (95% CI: 2.96%-9.71%) to 55.13% (95% CI: 49.61%-60.65%), depending on the region. The prevalence estimates also varied significantly in both sheep and goats depending on age, sex, and rearing systems of the animals (p < 0.001). CONCLUSION Seroprevalence of coxiellosis in both sheep and goats is considerable. Routine monitoring of the sheep and goat populations is needed to prevent spillover infection in other livestock and humans.
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Affiliation(s)
- Md Ahaduzzaman
- Department of Medicine & SurgeryChattogram Veterinary & Animal Sciences University (CVASU)ChattogramBangladesh
| | - Md Moktadir Billah Reza
- Department of Medicine & SurgeryChattogram Veterinary & Animal Sciences University (CVASU)ChattogramBangladesh
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Riedel R, Commichau FM, Benndorf D, Hertel R, Holzer K, Hoelzle LE, Mardoukhi MSY, Noack LE, Martienssen M. Biodegradation of selected aminophosphonates by the bacterial isolate Ochrobactrum sp. BTU1. Microbiol Res 2024; 280:127600. [PMID: 38211497 DOI: 10.1016/j.micres.2024.127600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 12/19/2023] [Accepted: 01/02/2024] [Indexed: 01/13/2024]
Abstract
Aminophosphonates, like glyphosate (GS) or metal chelators such as ethylenediaminetetra(methylenephosphonic acid) (EDTMP), are released on a large scale worldwide. Here, we have characterized a bacterial strain capable of degrading synthetic aminophosphonates. The strain was isolated from LC/MS standard solution. Genome sequencing indicated that the strain belongs to the genus Ochrobactrum. Whole-genome classification using pyANI software to compute a pairwise ANI and other metrics between Brucella assemblies and Ochrobactrum contigs revealed that the bacterial strain is designated as Ochrobactrum sp. BTU1. Degradation batch tests with Ochrobactrum sp. BTU1 and the selected aminophosphonates GS, EDTMP, aminomethylphosphonic acid (AMPA), iminodi(methylene-phosphonic) (IDMP) and ethylaminobis(methylenephosphonic) acid (EABMP) showed that the strain can use all phosphonates as sole phosphorus source during phosphorus starvation. The highest growth rate was achieved with AMPA, while EDTMP and GS were least supportive for growth. Proteome analysis revealed that GS degradation is promoted by C-P lyase via the sarcosine pathway, i.e., initial cleavage at the C-P bond. We also identified C-P lyase to be responsible for degradation of EDTMP, EABMP, IDMP and AMPA. However, the identification of the metabolite ethylenediaminetri(methylenephosphonic acid) via LC/MS analysis in the test medium during EDTMP degradation indicates a different initial cleavage step as compared to GS. For EDTMP, it is evident that the initial cleavage occurs at the C-N bond. The detection of different key enzymes at regulated levels, form the bacterial proteoms during EDTMP exposure, further supports this finding. This study illustrates that widely used and structurally more complex aminophosphonates can be degraded by Ochrobactrum sp. BTU1 via the well-known degradation pathways but with different initial cleavage strategy compared to GS.
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Affiliation(s)
- Ramona Riedel
- Chair of Biotechnology of Water Treatment Brandenburg, Institute of Environmental Technology, BTU Cottbus-Senftenberg, Cottbus, Germany.
| | - Fabian M Commichau
- FG Synthetic Microbiology, Institute for Biotechnology, BTU Cottbus-Senftenberg, Senftenberg, Germany; FG Molecular Microbiology, Institute for Biology, University of Hohenheim, Stuttgart, Germany
| | - Dirk Benndorf
- Applied Biosciences and Process Engineering, Anhalt University of Applied Sciences, Köthen, Germany; Chair of Bioprocess Engineering, Otto von Guericke University, Magdeburg, Germany; Bioprocess Engineering, Max Planck Institute for Dynamics of Complex Technical Systems, Magdeburg, Germany
| | - Robert Hertel
- FG Synthetic Microbiology, Institute for Biotechnology, BTU Cottbus-Senftenberg, Senftenberg, Germany; Department of Genomic and Applied Microbiology, Institute of Microbiology and Genetics, Georg-August-University of Göttingen, Göttingen, Germany
| | - Katharina Holzer
- Department of Livestock Infectiology and Environmental Hygiene, Institute of Animal Science, University of Hohenheim, Stuttgart, Germany
| | - Ludwig E Hoelzle
- Department of Livestock Infectiology and Environmental Hygiene, Institute of Animal Science, University of Hohenheim, Stuttgart, Germany
| | - Mohammad Saba Yousef Mardoukhi
- Chair of Biotechnology of Water Treatment Brandenburg, Institute of Environmental Technology, BTU Cottbus-Senftenberg, Cottbus, Germany; FG Synthetic Microbiology, Institute for Biotechnology, BTU Cottbus-Senftenberg, Senftenberg, Germany; FG Molecular Microbiology, Institute for Biology, University of Hohenheim, Stuttgart, Germany
| | - Laura Emelie Noack
- Chair of Biotechnology of Water Treatment Brandenburg, Institute of Environmental Technology, BTU Cottbus-Senftenberg, Cottbus, Germany
| | - Marion Martienssen
- Chair of Biotechnology of Water Treatment Brandenburg, Institute of Environmental Technology, BTU Cottbus-Senftenberg, Cottbus, Germany
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Samadi A, Amiri M, Hailat N. The Reasons Behind Long-Term Endemicity of Brucellosis in Low and Middle-Income Countries: Challenges and Future Perspectives. Curr Microbiol 2024; 81:82. [PMID: 38289422 DOI: 10.1007/s00284-023-03605-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 12/28/2023] [Indexed: 02/01/2024]
Abstract
Brucellosis is a neglected worldwide zoonotic disease with more than 500,000 new human cases each year. Direct contact with infected animals and consumption of undercooked animal origin foods are the main routes of brucellosis transmission to humans. Although long endeavor has been applied to control and eliminate brucellosis from animal and human populations in developing countries especially in low- and middle-income countries (LMICs), the disease is still endemic in these regions. Many common or unique factors including raw milk consumption, unhygienic slaughter of livestock, extensive husbandry, budgetary limitations, misdiagnosis, and other conditions play a role in long-term endemicity of brucellosis in these locations. It has been shown that One Health is the only practical approach to control brucellosis; however, applying such methods is challenging in low-resource areas. In such conditions, brucellosis is continuously maintained in animals and repeatedly spread to human populations. In this article, factors playing a critical role in brucellosis endemicity, and the real conditions challenging the application of One Health approach in control of brucellosis are highlighted.
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Affiliation(s)
- Assadullah Samadi
- Paraclinic Department, Faculty of Veterinary Science, Kabul University, Kabul, Afghanistan.
| | | | - Nabil Hailat
- Veterinary Pathology, Pathology and Public Health Department, Faculty of Veterinary Medicine, Jordan University of Science and Technology [JUST], Irbid, Jordan
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Mwatondo A, Muturi M, Akoko J, Nyamota R, Nthiwa D, Maina J, Omolo J, Gichuhi S, Mureithi MW, Bett B. Seroprevalence and related risk factors of Brucella spp. in livestock and humans in Garbatula subcounty, Isiolo county, Kenya. PLoS Negl Trop Dis 2023; 17:e0011682. [PMID: 37844102 PMCID: PMC10602376 DOI: 10.1371/journal.pntd.0011682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 10/26/2023] [Accepted: 09/26/2023] [Indexed: 10/18/2023] Open
Abstract
BACKGROUND Brucellosis is a neglected zoonotic disease that affects both animals and humans, causing debilitating illness in humans and socio-economic losses in livestock-keeping households globally. The disease is endemic in many developing countries, including Kenya, but measures to prevent and control the disease are often inadequate among high-risk populations. This study aimed to investigate the human and livestock seroprevalence of brucellosis and associated risk factors of Brucella spp. in a pastoralist region of northern Kenya. METHODS A cross-sectional survey was conducted using a two-stage cluster sampling method to select households, livestock, and humans for sampling. Blood samples were collected from 683 humans and 2157 animals, and Brucella immunoglobulin G (IgG) antibodies were detected using enzyme-linked immunosorbent assays. A structured questionnaire was used to collect data on potential risk factors associated with human and animal exposures. Risk factors associated with Brucella spp. exposures in humans and livestock were identified using Multivariate logistic regression. RESULTS The results indicated an overall livestock Brucella spp. seroprevalence of 10.4% (95% Confidence Interval (CI): 9.2-11.7). Camels had the highest exposure rates at 19.6% (95% CI: 12.4-27.3), followed by goats at 13.2% (95% CI: 9.3-17.1), cattle at 13.1% (95% CI: 11.1-15.3) and sheep at 5.4% (95% CI: 4.0-6.9). The herd-level seroprevalence was 51.7% (95% CI: 47.9-55.7). Adult animals (Adjusted Odds Ratio (aOR) = 2.3, CI: 1.3-4.0), female animals (aOR = 1.7, CI: 1.1-2.6), and large herd sizes (aOR = 2.3, CI: 1.3-4.0) were significantly associated with anti-brucella antibody detection while sheep had significantly lower odds of Brucella spp. exposure compared to cattle (aOR = 1.3, CI: 0.8-2.1) and camels (aOR = 2.4, CI: 1.2-4.8). Human individual and household seroprevalences were 54.0% (95% CI: 50.2-58.0) and 86.4% (95% CI: 84.0-89.0), respectively. Significant risk factors associated with human seropositivity included being male (aOR = 2.1, CI:1.3-3.2), residing in Sericho ward (aOR = 1.6, CI:1.1-2.5) and having no formal education (aOR = 3.0, CI:1.5-5.9). There was a strong correlation between human seropositivity and herd exposure (aOR = 1.6, CI:1.2-2.3). CONCLUSIONS The study provides evidence of high human and livestock exposures to Brucella spp. and identifies important risk factors associated with disease spread. These findings emphasize the need for targeted prevention and control measures to curb the spread of brucellosis and implement a One Health surveillance to ensure early detection of the disease in Isiolo County, Northern Kenya.
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Affiliation(s)
- Athman Mwatondo
- Department of Medical Microbiology and Immunology, University of Nairobi, Nairobi, Kenya
- International Livestock Research Institute, Nairobi, Kenya
- Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya
| | - Mathew Muturi
- International Livestock Research Institute, Nairobi, Kenya
- Dahlem Research School of Biomedical Sciences, Department of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany
- Zoonotic Disease Unit, Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - James Akoko
- International Livestock Research Institute, Nairobi, Kenya
| | | | - Daniel Nthiwa
- Department of Biological Sciences, University of Embu, Embu, Kenya
| | - Josphat Maina
- Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya
| | - Jack Omolo
- County Government of Kilifi, Department of Agriculture, Livestock Development and Fisheries, Kilifi, Kenya
| | - Stephen Gichuhi
- Department of Ophthalmology, University of Nairobi, Nairobi, Kenya
| | - Marianne W. Mureithi
- Department of Medical Microbiology and Immunology, University of Nairobi, Nairobi, Kenya
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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Laine CG, Johnson VE, Scott HM, Arenas-Gamboa AM. Global Estimate of Human Brucellosis Incidence. Emerg Infect Dis 2023; 29:1789-1797. [PMID: 37610167 PMCID: PMC10461652 DOI: 10.3201/eid2909.230052] [Citation(s) in RCA: 20] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/24/2023] Open
Abstract
Brucellosis is a major public health concern worldwide, especially for persons living in resource-limited settings. Historically, an evidence-based estimate of the global annual incidence of human cases has been elusive. We used international public health data to fill this information gap through application of risk metrics to worldwide and regional at-risk populations. We performed estimations using 3 statistical models (weighted average interpolation, bootstrap resampling, and Bayesian inference) and considered missing information. An evidence-based conservative estimate of the annual global incidence is 2.1 million, significantly higher than was previously assumed. Our models indicate Africa and Asia sustain most of the global risk and cases, although areas within the Americas and Europe remain of concern. This study reveals that disease risk and incidence are higher than previously suggested and lie mainly within resource-limited settings. Clarification of both misdiagnosis and underdiagnosis is required because those factors will amplify case estimates.
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Yin Z, Li M, Niu C, Yu M, Xie X, Haimiti G, Guo W, Shi J, He Y, Ding J, Zhang F. Design of multi-epitope vaccine candidate against Brucella type IV secretion system (T4SS). PLoS One 2023; 18:e0286358. [PMID: 37561685 PMCID: PMC10414599 DOI: 10.1371/journal.pone.0286358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Accepted: 07/22/2023] [Indexed: 08/12/2023] Open
Abstract
Brucellosis is a common zoonosis, which is caused by Brucella infection, and Brucella often infects livestock, leading to abortion and infertility. At present, human brucellosis remains one of the major public health problems in China. According to previous research, most areas in northwest China, including Xinjiang, Tibet, and other regions, are severely affected by Brucella. Although there are vaccines against animal Brucellosis, the effect is often poor. In addition, there is no corresponding vaccine for human Brucellosis infection. Therefore, a new strategy for early prevention and treatment of Brucella is needed. A multi-epitope vaccine should be developed. In this study, we identified the antigenic epitopes of the Brucella type IV secretion system VirB8 and Virb10 using an immunoinformatics approach, and screened out 2 cytotoxic T lymphocyte (CTL) epitopes, 9 helper T lymphocyte (HTL) epitopes, 6 linear B cell epitopes, and 6 conformational B cell epitopes. These advantageous epitopes are spliced together through different linkers to construct a multi-epitope vaccine. The silico tests showed that the multi-epitope vaccine was non-allergenic and had a strong interaction with TLR4 molecular docking. In immune simulation results, the vaccine construct may be useful in helping brucellosis patients to initiate cellular and humoral immunity. Overall, our findings indicated that the multi-epitope vaccine construct has a high-quality structure and suitable characteristics, which may provide a theoretical basis for the development of a Brucella vaccine.
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Affiliation(s)
- Zhengwei Yin
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Min Li
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Ce Niu
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Mingkai Yu
- Department of Immunology, School of Basic Medical Sciences, Xinjiang Medical University, Xinjiang, China
| | - Xinru Xie
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Gulishati Haimiti
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Wenhong Guo
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Juan Shi
- The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Yueyue He
- Department of Immunology, School of Basic Medical Sciences, Xinjiang Medical University, Xinjiang, China
| | - Jianbing Ding
- State Key Laboratory of Pathogenesis, Prevention, Treatment of Central Asian High Incidence Diseases, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
| | - Fengbo Zhang
- State Key Laboratory of Pathogenesis, Prevention, Treatment of Central Asian High Incidence Diseases, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
- Department of Clinical Laboratory, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, China
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Kumari R, Kalyan RK, Jain A, Kumar P, Gupta KK, Jahan A, Rastogi Y. Seroprevalence of Brucellosis in Patients Having Complained of Joint Pain: A Case Control. Cureus 2023; 15:e41378. [PMID: 37546091 PMCID: PMC10400731 DOI: 10.7759/cureus.41378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/04/2023] [Indexed: 08/08/2023] Open
Abstract
BACKGROUND Brucellosis is a neglected zoonotic disease affecting humans and animals. OBJECTIVES This study aimed to estimate the seroprevalence of brucellosis in patients with joint pain. METHODS A total of 200 participants aged from 7 to 86 years were involved in this study. Blood samples were collected from all the participants for two years, from September 2019 to September 2021, and screened for Brucella using anti-brucella IgM ELISA and anti-brucella IgG ELISA antibodies. A questionnaire was used to collect data on socio-demographic characteristics and human brucellosis-related risk factors. RESULTS Human Brucella seroprevalence was 19 (9.5%) for Brucella IgM ELISA and 23 (11.5%) for Brucella IgG ELISA. The sensitivity for Brucella IgM ELISA and Brucella IgG ELISA was 65.2% and 31.6%, respectively, while the specificity was 44.1% for Brucella IgM ELISA and 77.9% for Brucella IgG ELISA. All blood culture reports of all patients were negative. The principal presentation was the observable symptoms of human brucellosis: fever, headache, chills, myalgia, and Joint pain. CONCLUSION Risk factors like consumption of raw milk or their products were found to be the most important for Brucella infection, so the awareness or information of risk factors and the modes of transmission is much more important in control and prevention programs. General awareness about clinical symptoms should be increased, which will improve proper diagnosis and will be helpful in early treatment. An ELISA test should be considered for diagnosing brucellosis in both acute and chronic phases.
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Affiliation(s)
- Renu Kumari
- Microbiology, King George's Medical University, Lucknow, IND
| | | | - Amita Jain
- Microbiology, King George's Medical College, Lucknow, IND
| | - Puneet Kumar
- Rheumatology, King George's Medical University, Lucknow, IND
| | - K K Gupta
- Internal Medicine, King George's Medical University, Lucknow, IND
| | - Asmat Jahan
- Microbiology, King George's Medical University, Lucknow, IND
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Harbi AA, Almarshad AS, Alaqeel OA, Al-Mushaigah BS, Aldekhail AI. Knowledge, Attitudes, and Practices Regarding Brucellosis Among the General Population in Qassim Region, Saudi Arabia: A Cross-Sectional Study. Cureus 2023; 15:e41461. [PMID: 37546123 PMCID: PMC10404132 DOI: 10.7759/cureus.41461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/06/2023] [Indexed: 08/08/2023] Open
Abstract
Background Brucellosis is an endemic infection in the Middle East. The World Health Organization has identified the illness as one of the most prevalent "neglected zoonotic diseases." Public perceptions regarding brucellosis infection vary across different regions. Thus, this study aimed to assess the knowledge, attitudes, and practices concerning brucellosis among the general population in the Qassim region of Saudi Arabia. Methods A descriptive, cross-sectional study was conducted in the Qassim region of Saudi Arabia between March 2023 and May 2023. We distributed an online questionnaire through social media platforms and received a total of 1,244 responses from different governorates in the Qassim region. Results The level of awareness of brucellosis was moderate. Out of the 1,244 participants, 706 (56.8%) were aware of the disease. Among the participants who were aware of the disease, their knowledge of brucellosis was assessed. The majority of these respondents demonstrated a good level of knowledge (70.5%). Regarding attitudes and practices toward brucellosis, no significant association was found between the participants' level of knowledge and their attitudes. Conclusion Awareness levels about brucellosis in the Qassim region vary depending on age group, area of residency, and other factors. The younger age group and certain governorates in the Qassim region showed low levels of awareness. Moreover, participants with good knowledge about the disease obtained their information from healthcare practitioners. The significant difference in our findings between Qassim's governorates demonstrates the need for more targeted awareness campaigns in areas with lower levels of awareness.
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Affiliation(s)
- Ayman A Harbi
- Department of Medicine, Qassim University, Buraydah, SAU
| | | | - Omar A Alaqeel
- Department of Medicine, Qassim University, Buraydah, SAU
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Waringa NMA, Waiboci LW, Bebora L, Kinyanjui PW, Kosgei P, Kiambi S, Osoro E. Human brucellosis in Baringo County, Kenya: Evaluating the diagnostic kits used and identifying infecting Brucella species. PLoS One 2023; 18:e0269831. [PMID: 36719875 PMCID: PMC9888686 DOI: 10.1371/journal.pone.0269831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2021] [Accepted: 05/30/2022] [Indexed: 02/01/2023] Open
Abstract
Human brucellosis diagnosis has been a challenge in Brucella-endemic areas. In Kenya, diagnosis is usually carried out using Febrile Brucella Antigen agglutination test (FBAT) whose performance is not well documented. This paper reports on the sensitivity and specificity of the FBAT used for brucellosis diagnosis on blood samples/serum collected in three healthcare facilities in Baringo County, Kenya, and on Brucella species present in the study area. The FBAT test results at the hospitals were used to guide patient management. Patients who visited the hospital's laboratory with a clinician's request for brucellosis testing also filled a questionnaire to assess knowledge and attitudes associated with transmission of the disease in the study area. The remaining serum samples were tested again using FBAT and Rose Bengal Plate Test (RBPT) within a month of blood collection at the University Nairobi Laboratory. The two rapid tests were then compared, with respect to brucellosis diagnostic sensitivity and specificity. To identify infecting Brucella species, a proportion 43% (71/166) of the blood clots were analyzed by multiplex polymerase chain reaction (PCR) using specific primers for B. abortus, B. melitensis, B. ovis and B. suis. Out of 166 serum samples tested, 26.5% (44/166) were positive using FBAT and 10.2% (17/166) positive using RBPT. The sensitivity and specificity of FBAT compared to RBPT was 76.47% and 71.19%, respectively while the positive and negative predictive values were 29.55% and 96.72%, respectively. The FBAT showed higher positivity then RBPT. The difference in sensitivity and specificity of FBAT and RBPTs was relatively low. The high FBAT positivity rate would be indication of misdiagnosis; this would lead to incorrect treatment. Brucella abortus was detected from 9.9% (7/71) of the blood clots tested; no other Brucella species were detected. Thus human brucellosis, in Baringo was mainly caused by B. abortus.
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Affiliation(s)
| | | | - Lilly Bebora
- Department of Veterinary Pathology, Microbiology and Parasitology, University of Nairobi, Nairobi, Kenya
| | | | - Philemon Kosgei
- Department of Veterinary Pathology, Microbiology and Parasitology, University of Nairobi, Nairobi, Kenya
| | - Stella Kiambi
- Department of Livestock and Fisheries, Ministry of Agriculture, Nairobi, Kenya
| | - Eric Osoro
- Ministry of Health, Zoonotic Diseases Unit, Nairobi, Kenya
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de Macedo GC, Herrera HM, de Oliveira Porfírio GE, Santos FM, de Assis WO, de Andrade GB, Nantes WAG, de Mendoza JH, Fernández-Llario P, de Oliveira CE. Brucellosis in the Brazilian Pantanal wetland: threat to animal production and wildlife conservation. Braz J Microbiol 2022; 53:2287-2297. [PMID: 36269553 PMCID: PMC9679109 DOI: 10.1007/s42770-022-00831-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 09/19/2022] [Indexed: 01/18/2023] Open
Abstract
This review was performed to gather knowledge about brucellosis in livestock and wildlife in the Brazilian Pantanal, a biome with a huge biodiversity and extensive livestock production. Following the preferred reporting items for narrative review guidelines and using the terms "Brucella" and "Pantanal," we explored the PubMed, SciELO, Jstor, Science Direct, and Scholar Google databases. Information on host species, diagnostic test, number of positive animals, and positivity rates were acquired. Articles dating from 1998 to 2022 registered 14 studies including cattle, dogs, and the following wildlife species: Ozotoceros bezoarticus, Sus scrofa, Tayassu peccari, Nasua nasua, Cerdocyon thous, Panthera onca, Dasypus novemcintus, Cabassous unicinctus, Euphractus sexcinctus, Priodontes maximus, Myrmecophaga tridactyla and Hydrochoerus hydrochaeris. Brucella occurrence in cattle was demonstrated through the serological confirmatory test 2-mercaptoetanol. Molecular diagnosis detected Brucella abortus in dogs, smooth Brucella in O. beoarticus, and Brucella spp. in T. peccari. Cattle may have a pivotal importance in maintenance and spreading of Brucella spp. due to their high population density, environmental contamination from abortion of infected cows, and eventual excretion of B. abortus S19 strain from vaccinated heifers. The occurrence of Brucella spp. in O. bezoarticus and T. peccari represent a risk for wildlife conservation. These data indicate that Brucella spp. are enzootic in the Pantanal wetland, sustained by a reservoir system including domestic and wild mammals. Due to marked seasonality and large populations of wildlife species sharing same environments with livestock, brucellosis acquires great complexity in Pantanal and, therefore, must be analyzed considering both animal production and conservation.
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Affiliation(s)
- Gabriel Carvalho de Macedo
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil
| | - Heitor Miraglia Herrera
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil
| | - Grasiela Edith de Oliveira Porfírio
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil
| | - Filipe Martins Santos
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil
| | - William Oliveira de Assis
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil
| | - Gisele Braziliano de Andrade
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil
| | - Wesley Arruda Gimenes Nantes
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil
| | | | - Pedro Fernández-Llario
- Innovation in Management and Conservation of Ungulates (INGULADOS) 10002, Cáceres, Spain
| | - Carina Elisei de Oliveira
- Post-Graduation Program in Environmental Sciences and Agricultural Sustainability, Dom Bosco Catholic University (UCDB), 79117-010, Av. TamandaréJardim Seminário 79117-900, Campo Grande, Mato Grosso Do Sul, 6000, Brazil.
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Muema J, Oboge H, Mutono N, Makori A, Oyugi J, Bukania Z, Njuguna J, Jost C, Ogoti B, Omulo S, Thumbi SM. Sero - epidemiology of brucellosis in people and their livestock: A linked human - animal cross-sectional study in a pastoralist community in Kenya. Front Vet Sci 2022; 9:1031639. [PMID: 36467641 PMCID: PMC9716101 DOI: 10.3389/fvets.2022.1031639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 11/03/2022] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Brucellosis is associated with massive livestock production losses and human morbidity worldwide. Efforts to control brucellosis among pastoralist communities are limited by scarce data on the prevalence and risk factors for exposure despite the high human-animal interactions in these communities. This study simultaneously assessed the seroprevalence of brucellosis and associated factors of exposure among pastoralists and their livestock in same households. METHODS We conducted a cross-sectional study in pastoralist communities in Marsabit County - Kenya. A total of 1,074 women and 225 children participated and provided blood samples. Blood was also drawn from 1,876 goats, 322 sheep and 189 camels. Blood samples were collected to be screened for the presence of anti-Brucella IgG antibodies using indirect IgG Enzyme-Linked Immunosorbent Assay (ELISA) kits. Further, Individual, household and herd-level epidemiological information were captured using a structured questionnaire. Group differences were compared using the Pearson's Chi-square test, and p-values < 0.05 considered statistically significant. Generalized mixed-effects multivariable logistic human and animal models using administrative ward as the random effect was used to determine variables correlated to the outcome. RESULTS Household-level seropositivity was 12.7% (95% CI: 10.7-14.8). The individual human seroprevalence was 10.8% (9.1-12.6) with higher seroprevalence among women than children (12.4 vs. 3.1%, p < 0.001). Herd-level seroprevalence was 26.1% (23.7-28.7) and 19.2% (17.6-20.8) among individual animals. Goats had the highest seroprevalence 23.1% (21.2 - 25.1), followed by sheep 6.8% (4.3-10.2) and camels 1.1% (0.1-3.8). Goats and sheep had a higher risk of exposure OR = 3.8 (95% CI 2.4-6.7, p < 0.001) and 2.8 (1.2-5.6, p < 0.007), respectively relative to camels. Human and animal seroprevalence were significantly associated (OR = 1.8, [95%CI: 1.23-2.58], p = 0.002). Herd seroprevalence varied by household head education (OR = 2.45, [1.67-3.61, p < 0.001]) and herd size (1.01, [1.00-1.01], p < 0.001). CONCLUSIONS The current study showed evidence that brucellosis is endemic in this pastoralist setting and there is a significant association between animal and human brucellosis seropositivity at household level representing a potential occupational risk. Public health sensitization and sustained human and animal brucellosis screening are required.
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Affiliation(s)
- Josphat Muema
- Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya
- Washington State University Global Health Program - Kenya, Nairobi, Kenya
- Feed the Future Innovation Lab for Animal Health, Washington State University, Pullman, WA, United States
| | - Harriet Oboge
- Washington State University Global Health Program - Kenya, Nairobi, Kenya
- Feed the Future Innovation Lab for Animal Health, Washington State University, Pullman, WA, United States
| | - Nyamai Mutono
- Washington State University Global Health Program - Kenya, Nairobi, Kenya
- Feed the Future Innovation Lab for Animal Health, Washington State University, Pullman, WA, United States
- Centre for Epidemiological Modeling and Analysis, University of Nairobi, Nairobi, Kenya
| | - Anita Makori
- Washington State University Global Health Program - Kenya, Nairobi, Kenya
- Centre for Epidemiological Modeling and Analysis, University of Nairobi, Nairobi, Kenya
| | - Julius Oyugi
- Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya
| | - Zipporah Bukania
- Center for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - Joseph Njuguna
- Food and Agriculture Organization of the United Nations, Nairobi, Kenya
| | - Christine Jost
- United States Agency for International Development's Bureau for Humanitarian Assistance (USAID/BHA), Washington, DC, United States
- Global Health Support Initiative III, Social Solutions International, Washington, DC, United States
| | - Brian Ogoti
- Washington State University Global Health Program - Kenya, Nairobi, Kenya
- Centre for Epidemiological Modeling and Analysis, University of Nairobi, Nairobi, Kenya
| | - Sylvia Omulo
- Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya
- Washington State University Global Health Program - Kenya, Nairobi, Kenya
- Paul G. Allen School for Global Health, Washington State University, Pullman, WA, United States
| | - S. M. Thumbi
- Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya
- Feed the Future Innovation Lab for Animal Health, Washington State University, Pullman, WA, United States
- Paul G. Allen School for Global Health, Washington State University, Pullman, WA, United States
- South African Center for Epidemiological Modeling Analysis, Stellenbosch, South Africa
- Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom
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Obaidat MM, Malania L, Arner RJ, Roess AA. Seroprevalence and Risk Factors for Brucella Infections in Jordan. Am J Trop Med Hyg 2022; 107:576-580. [PMCID: PMC9490649 DOI: 10.4269/ajtmh.21-0952] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 03/03/2022] [Indexed: 06/22/2024] Open
Abstract
Brucellosis is a significant zoonotic disease and is endemic in several regions of the world. This study is aimed to determine the nationwide spatial distribution, seroprevalence, and risk factors for Brucella infections in Jordan. Serum samples of 938 individuals from 11 governorates were tested for Brucella spp. antibodies using Rose Bengal and Brucellacapt® tests. A validated questionnaire was used to collect demographic, animal ownership, and food consumption data. The seroprevalence of Brucella infection in Jordan’s population was 6.7% (95% CI, 5.2–8.5%). The multivariate model showed that location of residence, consuming raw milk/milk products, and owning small ruminants (goat and/or sheep) were significantly associated with seropositivity after controlling for age and gender. Individuals living in the northern Badia region had 8.82 greater odds (95% CI, 4.56–17.03) of seropositivity than individuals living in the Middle region of the country. Individuals who reported consumption of raw milk/milk products had 3.7 higher odds (95% CI, 2.01–6. 81) of seropositivity compared with individuals not consuming raw milk/milk products. In addition, individuals who own small ruminants (goat and/or sheep) had 2.14 higher odds (95% CI, 1.11–4.12) of seropositivity compared with individuals who do not own small ruminants. The identified geographic hotspots and small ruminants’ ownership, risk of raw milk products highlight the need for tailored training, education campaigns, and resources for controlling brucellosis in Jordan.
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Affiliation(s)
- Mohammad M. Obaidat
- Department of Veterinary Pathology and Public Health, Faculty of Veterinary Medicine, Jordan University of Science and Technology, Ar-Ramtha, Irbid, Jordan
| | - Lile Malania
- National Center for Disease Control and Public Health, Tbilisi, Georgia
| | - Ryan J. Arner
- Ryan Arner Science Consulting, LLC, Freeport, Pennsylvania
| | - Amira A. Roess
- Department of Global and Community Health, College of Health and Human Services, George Mason University, Fairfax, Virginia
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Wainaina M, Lindahl JF, Dohoo I, Mayer-Scholl A, Roesel K, Mbotha D, Roesler U, Grace D, Bett B, Al Dahouk S. Longitudinal Study of Selected Bacterial Zoonoses in Small Ruminants in Tana River County, Kenya. Microorganisms 2022; 10:microorganisms10081546. [PMID: 36013964 PMCID: PMC9414833 DOI: 10.3390/microorganisms10081546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 07/20/2022] [Accepted: 07/22/2022] [Indexed: 11/19/2022] Open
Abstract
Brucellosis, Q fever, and leptospirosis are priority zoonoses worldwide, yet their epidemiology is understudied, and studies investigating multiple pathogens are scarce. Therefore, we selected 316 small ruminants in irrigated, pastoral, and riverine settings in Tana River County and conducted repeated sampling for animals that were initially seronegative between September 2014 and June 2015. We carried out serological and polymerase chain reaction tests and determined risk factors for exposure. The survey-weighted serological incidence rates were 1.8 (95% confidence intervals [CI]: 1.3–2.5) and 1.3 (95% CI: 0.7–2.3) cases per 100 animal-months at risk for Leptospira spp. and C. burnetii, respectively. We observed no seroconversions for Brucella spp. Animals from the irrigated setting had 6.83 (95% CI: 2.58–18.06, p-value = 0.01) higher odds of seropositivity to C. burnetii than those from riverine settings. Considerable co-exposure of animals to more than one zoonosis was also observed, with animals exposed to one zoonosis generally having 2.5 times higher odds of exposure to a second zoonosis. The higher incidence of C. burnetii and Leptospira spp. infections, which are understudied zoonoses in Kenya compared to Brucella spp., demonstrate the need for systematic prioritization of animal diseases to enable the appropriate allocation of resources.
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Affiliation(s)
- Martin Wainaina
- Department of Biological Safety, German Federal Institute for Risk Assessment, 12277 Berlin, Germany; (A.M.-S.); (S.A.D.)
- Department of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany; (K.R.); (D.M.)
- Animal & Human Health Program, International Livestock Research Institute, Nairobi 00100, Kenya; (J.F.L.); (D.G.); (B.B.)
- Correspondence:
| | - Johanna F. Lindahl
- Animal & Human Health Program, International Livestock Research Institute, Nairobi 00100, Kenya; (J.F.L.); (D.G.); (B.B.)
- Zoonosis Science Center, Department of Medical Biochemistry and Microbiology, Uppsala University, 75237 Uppsala, Sweden
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, 75007 Uppsala, Sweden
| | - Ian Dohoo
- Centre for Veterinary Epidemiologic Research, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada;
| | - Anne Mayer-Scholl
- Department of Biological Safety, German Federal Institute for Risk Assessment, 12277 Berlin, Germany; (A.M.-S.); (S.A.D.)
| | - Kristina Roesel
- Department of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany; (K.R.); (D.M.)
- Animal & Human Health Program, International Livestock Research Institute, Nairobi 00100, Kenya; (J.F.L.); (D.G.); (B.B.)
| | - Deborah Mbotha
- Department of Veterinary Medicine, Freie Universität Berlin, 14163 Berlin, Germany; (K.R.); (D.M.)
- Animal & Human Health Program, International Livestock Research Institute, Nairobi 00100, Kenya; (J.F.L.); (D.G.); (B.B.)
| | - Uwe Roesler
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, 14163 Berlin, Germany;
| | - Delia Grace
- Animal & Human Health Program, International Livestock Research Institute, Nairobi 00100, Kenya; (J.F.L.); (D.G.); (B.B.)
- Natural Resources Institute, University of Greenwich, Kent ME4 4TB, UK
| | - Bernard Bett
- Animal & Human Health Program, International Livestock Research Institute, Nairobi 00100, Kenya; (J.F.L.); (D.G.); (B.B.)
| | - Sascha Al Dahouk
- Department of Biological Safety, German Federal Institute for Risk Assessment, 12277 Berlin, Germany; (A.M.-S.); (S.A.D.)
- Department of Internal Medicine, RWTH Aachen University Hospital, 52074 Aachen, Germany
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Akinyemi KO, Fakorede CO, Amisu KO, Wareth G. Human and Animal Brucellosis in Nigeria: A Systemic Review and Meta-Analysis in the Last Twenty-One Years (2001–2021). Vet Sci 2022; 9:vetsci9080384. [PMID: 35893777 PMCID: PMC9394481 DOI: 10.3390/vetsci9080384] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 07/15/2022] [Accepted: 07/22/2022] [Indexed: 01/14/2023] Open
Abstract
Simple Summary Brucellosis caused by Brucella spp. is transmitted by direct or indirect contact with infected animals or their secretions and through the consumption of infected animal meat and unpasteurized milk/milk products. Brucellosis is classified as one of the top neglected zoonosis by the World Health Organization (WHO), and despite this, it does not attract the appropriate attention it requires from both the Federal and State ministries of health in Nigeria. Currently, there is a lack of coordinated national data on the prevalence and distribution of human and animal brucellosis. Thus, published research works between 2001 and 2021 were studied based on set criteria to estimate the burden and distribution of brucellosis in Nigeria. The results of the national seroprevalence of human and animal brucellosis were 17.6% (554/3144) and 13.3% (8547/64,435), respectively. Specifically, 15.8% (7178/45,363) seroprevalence of brucellosis was recorded in northern Nigeria as against 8.7% (1902/21,740) in the southern part. Brucella abortus, B. melitensis, B. suis, and B. canis were reported in 27 of the 36 states. Improved sanitation at the abattoirs, use of personal protective equipment by animal handlers, vaccination of animals against brucellosis, and ranching of animals to curb the spread of the disease should be paramount to all stakeholders. Abstract The global burden of human and animal brucellosis remains enormous. The disease, which is endemic in Nigeria, lacks appropriate attention and national data. This review estimated the burden and distribution of human and animal brucellosis in Nigeria in the last twenty-one years (2001–2021). Publications reporting the detection of brucellosis in Nigeria were sorted from different search engines, including PubMed, ResearchGate, Scopus, and Google Scholar, to generate data on its prevalence, spatial distribution, and predisposing factors. The results of the national seroprevalence of human and animal brucellosis as revealed in this study were 17.6% (554/3144) and 13.3% (8547/64,435), respectively. Specifically, 15.8% (7178/45,363) seroprevalence of brucellosis was recorded in northern Nigeria as against 8.7% (1902/21,740) seroprevalence in the southern part. It also indicated that 78.7% of the detected brucellae were un-typed. The Brucella species detected were B. abortus (15.2%), B. melitensis (4%), B. suis (1.8%), and B. canis (0.4%). This study revealed that brucellosis is endemic in Nigeria. Culture and molecular methods for detecting brucellosis and reports on antimicrobial susceptibility testing remain a conjecture. This review will help researchers redirect their research focus and serve as a guide for policymakers on measures for managing brucellosis in Nigeria.
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Affiliation(s)
- Kabiru O. Akinyemi
- Department of Microbiology, Lagos State University, Km 15, Badagry Expressway, Lasu Post Office, Ojo, P.O. Box 0001, Lagos 102101, Nigeria; (C.O.F.); (K.O.A.)
- Correspondence:
| | - Christopher O. Fakorede
- Department of Microbiology, Lagos State University, Km 15, Badagry Expressway, Lasu Post Office, Ojo, P.O. Box 0001, Lagos 102101, Nigeria; (C.O.F.); (K.O.A.)
| | - Kehinde O. Amisu
- Department of Microbiology, Lagos State University, Km 15, Badagry Expressway, Lasu Post Office, Ojo, P.O. Box 0001, Lagos 102101, Nigeria; (C.O.F.); (K.O.A.)
| | - Gamal Wareth
- Friedrich-Loeffler-Institut (FLI), Institute of Bacterial Infections and Zoonoses, Naumburger Str. 96a, 07743 Jena, Germany;
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Human brucellosis: Widespread information deficiency hinders an understanding of global disease frequency. PLoS Negl Trop Dis 2022; 16:e0010404. [PMID: 35580076 PMCID: PMC9113565 DOI: 10.1371/journal.pntd.0010404] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 04/08/2022] [Indexed: 12/02/2022] Open
Abstract
Background For decades, human brucellosis has been recognized worldwide as a significant cause of morbidity, yet the annual incidence of this disease remains unknown. We analyzed this frequency, using international reports (2005–2019), identifying information gaps, and distinguishing a possible path forward. Methodology/Principal findings A novel approach to estimating the incidence of this disease was explored. We utilized annual health data extracted from the World Organization for Animal Health (OIE)–World Animal Health Information System (WAHIS) database, assessing the dataset completeness and representativeness of the data for the world population. Additionally, we assessed the reported country level human brucellosis case counts and the factors that influenced the observed changes over time. Our analysis revealed incomplete and unrepresentative information, preventing the estimation of annual human brucellosis case incidence at the global level. In the OIE-WAHIS database, only 48.4% of the required reports have been submitted as of 2019, with approximately 47.3% of the world population represented. Additionally, geographic regions were disproportionate in completeness, representativeness, and actual reported case counts. Africa and Asia constituted the majority of reported cases, while simultaneously submitting the lowest percentage of reports as well as covering the lowest percentage of their populations within those reports, when compared to the rest of the world. Conclusions/Significance The global annual frequency of human brucellosis cases remains elusive. Furthermore, there exists great heterogeneity in diagnostic, surveillance, and reporting systems worldwide, calling into question the validity of available information. This study reveals that the Neglected Zoonotic Disease priority status for brucellosis should be restored. Despite brucellosis being a major concern worldwide, particularly for populations residing within resource-limited settings, a suitable estimate of annual incidence is currently nonexistent for human disease. To our knowledge, this is the first study to characterize global human brucellosis frequency by utilizing nationally reported case data supplied to the global intergovernmental public health authorities. The combined records demonstrate that within currently available and established international reporting systems, there are insufficient data to calculate the annual global frequency of human brucellosis. Furthermore, the regional differences in populations represented within reports, as well as actual reported case counts, bias the correct interpretation of the overall human brucellosis disease frequency. This suggests that broadcasting a specific global quantity of new cases each year is misleading and, accordingly, there is presently no way to assess the global public health impact of this disease. In past years, disease prioritization by individual countries, including the reallocation of funds to national surveillance, have been demonstrated to positively impact the completeness and representativeness of the data. In the future, the international community must similarly reallocate resources to understand and fill gaps within the available information. Application of this information can be directed towards effectively pinpointing disease burden and efficient control strategies. The reinstatement of human brucellosis as a priority Neglected Zoonotic Disease by the WHO would substantially facilitate this process.
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Mutua EN, Bett BK, Bukachi SA, Estambale BA, Nyamongo IK. From policy to practice: An assessment of biosecurity practices in cattle, sheep and goats production, marketing and slaughter in Baringo County, Kenya. PLoS One 2022; 17:e0266449. [PMID: 35390055 PMCID: PMC8989345 DOI: 10.1371/journal.pone.0266449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Accepted: 03/21/2022] [Indexed: 11/28/2022] Open
Abstract
Globally, biosecurity is instrumental in prevention, control and management of livestock diseases and protection of human health. It is defined, prescribed, adopted and enforced through global, regional and national frameworks, laws, policies and strategies. There is more biosecurity practice research conducted in developed countries than developing ones. Consequently, the gap between the ideals recommended in biosecurity frameworks and what is practical in under-resourced rural settings is poorly understood. This anthropological study sought to assess adoption of biosecurity practices across a cattle, sheep and goat value chains continuum to demonstrate where risks lie. The cross-sectional mixed-methods study took place in Baringo County, Kenya. Qualitatively, it utilized 26 focus group discussions with community members and 10 observational interviews with slaughter facility workers. Quantitatively, it included a household survey with 560 community members and a separate survey with 231 livestock traders. Results show that producers, traders and slaughter facility workers did observe some biosecurity practices but not others due but not limited to personal preference, limitations in veterinary service delivery and enforcement of some biosecurity measures, and lack of requisite infrastructure. The study concludes that the implementation of biosecurity measures in rural settings is more complex than envisioned in biosecurity policies and frameworks. It can be hampered by resource limitations, poor enforcement, and contestations with cultural practices. The study recommends that further studies on willingness to adopt biosecurity measures targeting community members in under-resourced settings be conducted to identify possible critical points of intervention at county and national levels.
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Affiliation(s)
- Edna N. Mutua
- Institute of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya
- Animal and Human Health Group, International Livestock Research Institute, Nairobi, Kenya
- * E-mail:
| | - Bernard K. Bett
- Animal and Human Health Group, International Livestock Research Institute, Nairobi, Kenya
| | - Salome A. Bukachi
- Institute of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya
| | - Benson A. Estambale
- Research, Innovation and Outreach, Jaramogi Oginga Odinga University of Science and Technology, Bondo, Kenya
| | - Isaac K. Nyamongo
- Cooperative Development, Research and Innovation, The Cooperative University of Kenya, Nairobi, Kenya
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Sibhat B, Tessema TS, Nile E, Asmare K. Brucellosis in Ethiopia: A comprehensive review of literature from the year 2000-2020 and the way forward. Transbound Emerg Dis 2022; 69:e1231-e1252. [PMID: 35196417 DOI: 10.1111/tbed.14495] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 02/02/2022] [Accepted: 02/13/2022] [Indexed: 11/28/2022]
Abstract
Brucellosis is a zoonotic disease of considerable economic and public health significance globally. Despite the limited bacteriological evidence, a large number of serological works revealed that it is prevalent both in livestock and humans in Ethiopia. The current comprehensive review was carried out to provide apparent pooled seroprevalence (APS) estimates at individual animal and herd levels in livestock, and identify factors causing variability between studies conducted over the last two decades, show the spatial distribution, as well as summarizes Brucella species reported from livestock. It also provides APS of brucellosis in humans and evaluates the public health awareness of zoonotic brucellosis. In this review, systematic and synthetic review approaches were followed to summarize the available information. For the systematic review and meta-analysis, articles were selected based on predefined criteria. Data extracted from these articles were analyzed using meta-analytical approaches to provide APS estimates and in-between study variations for humans and all livestock species considered. Sensitivity analyses and bias assessments were conducted using influence plot analysis and, Egger's and Begg's statistics along with funnel plots, respectively. Synthetic review approaches were used to summarize data on isolates and public health awareness. Pooled seroprevalence estimate of brucellosis at national level was 2.6% (95% CI, 2.2-3.0) in cattle, 4% (95% CI, 3.1-5.1) in goats, 3% (95% CI, 2.3-3.9) in sheep and 3% (95% CI, 2.4-3.7) in camels. At a herd level, 16.3% (95% CI, 12.9, 20.5) of cattle, 12.1% (7.1, 19.9) of goat, 13.3% (7.6, 22.1) of sheep and 19.7% (13.8, 27.4) of camel herds in the country had at least one seropositive animal. Cattle in the pastoral/agropastoral production systems had significantly higher (p < 0.05) APS compared to mixed crop-livestock and urban/peri-urban dairy production systems. Pooled seroprevalence of brucellosis in small ruminants (8.3%, 95% CI, 6.3, 10.8) and camels (4.4%, 95% CI, 3.5, 5.6) in Afar were significantly higher (p<0.05) than in other regions. Reports conducted using ELISA and serial Rose Bengal plate test (RBPT)-ELISA had higher (p<0.05) APS estimates than serial RBPT and complement fixation test. Brucella melitensis and B. abortus were reported from goats and cattle, respectively, from three available reports. The APS of brucellosis in humans was 5% (95% CI: 3.3, 7.3). Public awareness of brucellosis was low (18.4%), while, practices that expose humans to Brucella infection were high. Scenario-based control interventions on regions and production systems using one health approach are suggested. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Berhanu Sibhat
- College Veterinary Medicine, Haramaya University, P.O. Box 138, Dire Dawa, Ethiopia.,Institute of Biotechnology, Addis Ababa University, P. O. Box 1176, Addis Ababa, Ethiopia
| | - Tesfaye Sisay Tessema
- Institute of Biotechnology, Addis Ababa University, P. O. Box 1176, Addis Ababa, Ethiopia
| | - Emmor Nile
- Oregon Department of Forestry, 2600 State St., Salem, Oregon, USA
| | - Kassahun Asmare
- Faculty of Veterinary Medicine, Hawassa University, P.O. Box 05, Hawassa, Ethiopia
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20
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Middlebrook EA, Romero AT, Bett B, Nthiwa D, Oyola SO, Fair JM, Bartlow AW. Identification and distribution of pathogens coinfecting with Brucella spp., Coxiella burnetii and Rift Valley fever virus in humans, livestock and wildlife. Zoonoses Public Health 2022; 69:175-194. [PMID: 35034427 PMCID: PMC9303618 DOI: 10.1111/zph.12905] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Indexed: 01/20/2023]
Abstract
Zoonotic diseases, such as brucellosis, Q fever and Rift Valley fever (RVF) caused by Brucella spp., Coxiella burnetii and RVF virus, respectively, can have devastating effects on human, livestock, and wildlife health and cause economic hardship due to morbidity and mortality in livestock. Coinfection with multiple pathogens can lead to more severe disease outcomes and altered transmission dynamics. These three pathogens can alter host immune responses likely leading to increased morbidity, mortality and pathogen transmission during coinfection. Developing countries, such as those commonly afflicted by outbreaks of brucellosis, Q fever and RVF, have high disease burden and thus common coinfections. A literature survey provided information on case reports and studies investigating coinfections involving the three focal diseases. Fifty five studies were collected demonstrating coinfections of Brucella spp., C. burnetii or RVFV with 50 different pathogens, of which 64% were zoonotic. While the literature search criteria involved ‘coinfection’, only 24/55 studies showed coinfections with direct pathogen detection methods (microbiology, PCR and antigen test), while the rest only reported detection of antibodies against multiple pathogens, which only indicate a history of co‐exposure, not concurrent infection. These studies lack the ability to test whether coinfection leads to changes in morbidity, mortality or transmission dynamics. We describe considerations and methods for identifying ongoing coinfections to address this critical blind spot in disease risk management.
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Affiliation(s)
- Earl A Middlebrook
- Biosecurity and Public Health, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - Alicia T Romero
- Biosecurity and Public Health, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
| | - Daniel Nthiwa
- International Livestock Research Institute, Nairobi, Kenya.,Department of Biological Sciences, University of Embu, Embu, Kenya
| | - Samuel O Oyola
- International Livestock Research Institute, Nairobi, Kenya
| | - Jeanne M Fair
- Biosecurity and Public Health, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - Andrew W Bartlow
- Biosecurity and Public Health, Los Alamos National Laboratory, Los Alamos, NM, USA
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21
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Lokamar PN, Kutwah MA, Munde EO, Oloo D, Atieli H, Gumo S, Akoko JM, Ouma C. Prevalence of brucellosis in livestock keepers and domestic ruminants in Baringo County, Kenya. PLOS GLOBAL PUBLIC HEALTH 2022; 2:e0000682. [PMID: 36962768 PMCID: PMC10021631 DOI: 10.1371/journal.pgph.0000682] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 06/19/2022] [Indexed: 11/18/2022]
Abstract
Brucellosis is widely distributed in more than 170 countries around the world, where it poses a huge threat to animal husbandry and human health. Brucellosis is a worldwide re-emerging zoonotic disease that poses serious public health problems in many developing countries including Kenya. However, prevalence of brucellosis has not been determined in Baringo County, Kenya, yet there is a continuous movement of cattle resulting from trade and grazing, thus predisposing many herds to brucellosis infection. We investigated the sero-prevalence of brucellosis in humans and domestic ruminants: sheep, goats, cattle and camels among livestock keeping communities in Baringo County, Kenya. In addition, we analyzed the seropositive samples for molecular detection of Brucella species. The study adopted a cross-sectional survey using quantitative data collection methods. The diagnosis was carried out using a competitive enzyme-linked immunosorbent assay (c-ELISA) and the real-time PCR assays. The sero-prevalence of brucellosis among human blood samples was 0.6% (n = 4/640) in Baringo County. About 22.30% (n = 143/640) of animal blood samples examined tested positive for Brucella genus-specific ELISA test. Cattle had a high prevalence of 22.88% (n = 93/322) followed by camels 20.00% (n = 21/105), goats 15.48% (n = 24/155) and subsequently sheep at 8.62% (n = 5/58). Overall, 7.5% (n = 6/80) of the seropositive samples amplified with the genus-specific primers. Brucella melitensis was detected in one out of the six genus positive samples, while none amplified with the B. abortus target. Even though there was high prevalence of brucellosis among livestock in Baringo County, the highest prevalence was invariably noted in cattle, followed by camels, goats and sheep, respectively. Livestock keepers had low prevalence of brucellosis. This implies that there was low risk of transmission of brucellosis between livestock keepers and their livestock.
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Affiliation(s)
- Peter N Lokamar
- Department of Public Health, School of Public Health and Community Development, Maseno University, Kisumu, Kenya
- Department of Disease Surveillance and Epidemic Response, Ministry of Health, Nairobi, Kenya
| | - Moses A Kutwah
- Kenya Nutritionist and Dieticians Institute, Nairobi, Kenya
| | - Elly O Munde
- Department of Clinical Medicine, School of Health Sciences, Kirinyaga University, Kerugoya, Kenya
| | - Dickens Oloo
- Department of Zoology, School of Physical and Biological Sciences, Maseno University, Kisumu, Kenya
| | - Harrysone Atieli
- Department of Public Health, School of Public Health and Community Development, Maseno University, Kisumu, Kenya
| | - Sussy Gumo
- Department of Theology and Philosophy, School of Arts and Social Sciences, Maseno University, Kisumu, Kenya
| | - James M Akoko
- Department of Biomedical Sciences and Technology, School of Public Health and Community Development, Maseno University, Kisumu, Kenya
- International Livestock Research Institute, Nairobi, Kenya
| | - Collins Ouma
- Department of Biomedical Sciences and Technology, School of Public Health and Community Development, Maseno University, Kisumu, Kenya
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22
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Xiong X, Li B, Zhou Z, Gu G, Li M, Liu J, Jiao H. The VirB System Plays a Crucial Role in Brucella Intracellular Infection. Int J Mol Sci 2021; 22:ijms222413637. [PMID: 34948430 PMCID: PMC8707931 DOI: 10.3390/ijms222413637] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 12/09/2021] [Accepted: 12/15/2021] [Indexed: 01/18/2023] Open
Abstract
Brucellosis is a highly prevalent zoonotic disease caused by Brucella. Brucella spp. are gram-negative facultative intracellular parasitic bacteria. Its intracellular survival and replication depend on a functional virB system, an operon encoded by VirB1–VirB12. Type IV secretion system (T4SS) encoded by the virB operon is an important virulence factor of Brucella. It can subvert cellular pathway and induce host immune response by secreting effectors, which promotes Brucella replication in host cells and induce persistent infection. Therefore, this paper summarizes the function and significance of the VirB system, focusing on the structure of the VirB system where VirB T4SS mediates biogenesis of the endoplasmic reticulum (ER)-derived replicative Brucella-containing vacuole (rBCV), the effectors of T4SS and the cellular pathways it subverts, which will help better understand the pathogenic mechanism of Brucella and provide new ideas for clinical vaccine research and development.
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Affiliation(s)
- Xue Xiong
- College of Veterinary Medicine, Southwest University, Chongqing 402460, China; (X.X.); (B.L.); (Z.Z.); (G.G.); (M.L.)
| | - Bowen Li
- College of Veterinary Medicine, Southwest University, Chongqing 402460, China; (X.X.); (B.L.); (Z.Z.); (G.G.); (M.L.)
| | - Zhixiong Zhou
- College of Veterinary Medicine, Southwest University, Chongqing 402460, China; (X.X.); (B.L.); (Z.Z.); (G.G.); (M.L.)
| | - Guojing Gu
- College of Veterinary Medicine, Southwest University, Chongqing 402460, China; (X.X.); (B.L.); (Z.Z.); (G.G.); (M.L.)
| | - Mengjuan Li
- College of Veterinary Medicine, Southwest University, Chongqing 402460, China; (X.X.); (B.L.); (Z.Z.); (G.G.); (M.L.)
| | - Jun Liu
- Changchun Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Yujinxiang Street 573, Changchun 130122, China
- Correspondence: (J.L.); (H.J.)
| | - Hanwei Jiao
- College of Veterinary Medicine, Southwest University, Chongqing 402460, China; (X.X.); (B.L.); (Z.Z.); (G.G.); (M.L.)
- National Center of Technology Innovation for Pigs, Chongqing 402460, China
- Veterinary Scientific Engineering Research Center, Chongqing 402460, China
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing 402460, China
- Correspondence: (J.L.); (H.J.)
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23
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Brucellosis in Camels and Humans: Seroprevalence and Associated Risk Factors in Amibara District of Afar Region, Ethiopia. Vet Med Int 2021; 2021:5482725. [PMID: 34876974 PMCID: PMC8645381 DOI: 10.1155/2021/5482725] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 11/10/2021] [Indexed: 11/17/2022] Open
Abstract
Brucellosis is an important neglected zoonotic disease caused by infection with bacteria of the genus Brucella affecting different mammalian species including humans. A cross-sectional study was conducted to estimate the seroprevalence of brucellosis in camels and humans and its associated risk factors in Amibara District of Afar Region in Northeast Ethiopia, from October 2019 to May 2020. A total of 250 camel and 120 human sera were serially tested using the Rose Bengal plate test (RBPT) and complement fixation test (CFT). The overall seroprevalence of camel brucellosis in this study was 7.6% (95% CI: 4.9-11.56) by RBPT and 3.2% (95% CI: 1.63-6.2) by combined RBPT and CFT. In humans, twelve (10%) of the collected sera were positive by RBPT among which only four of them (3.33%) were positive by CFT. The risk factor analysis indicated that age, body condition, number of parity, and abortion history were significantly associated with Brucella seropositivity in camel (P ≤ 0.05). In humans, occupation and nonprotective handling of dystocia cases showed an apparent association with Brucella seropositivity. The results of this study indicated that brucellosis is a common health problem in camels and humans in Amibara District of Afar Region. The public health importance of this disease is associated with raw milk consumption and close contact with the animals having history of recent abortion. Therefore, controlling the risk factors, establishing Brucella diagnostic service in human clinics and hospitals, continuous social training with feedback assessments, and overall implementing of One Health approach framework to attain optimal health for people and domestic animals in area are recommended to safeguard the health of society.
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24
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Nyokabi S, Luning PA, de Boer IJ, Korir L, Muunda E, Bebe BO, Lindahl J, Bett B, Oosting SJ. Milk quality and hygiene: Knowledge, attitudes and practices of smallholder dairy farmers in central Kenya. Food Control 2021. [DOI: 10.1016/j.foodcont.2021.108303] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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25
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Njeru J, Nthiwa D, Akoko J, Oyas H, Bett B. Incidence of Brucella infection in various livestock species raised under the pastoral production system in Isiolo County, Kenya. BMC Vet Res 2021; 17:342. [PMID: 34717610 PMCID: PMC8556948 DOI: 10.1186/s12917-021-03036-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 09/29/2021] [Indexed: 02/07/2023] Open
Abstract
Background We implemented a longitudinal study to determine the incidence of Brucella infection in cattle, camels, sheep and goats that were being raised in a pastoral area in Isiolo County, Kenya. An initial cross-sectional survey was implemented to identify unexposed animals for follow up; that survey used 141 camels, 216 cattle, 208 sheep and 161 goats. Sera from these animals were screened for Brucella spp. using the Rose Bengal Plate test (RBPT), a modified RBPT, and an indirect multispecies Enzyme Linked Immunosorbent Assay (iELISA). Results of RBPT and iELISA were interpreted in parallel to determine seroprevalence. A total of 30 camels, 31 cattle, 22 sheep and 32 goats that were seronegative by all the above tests were recruited in a subsequent longitudinal study for follow up. These animals were followed for 12 months and tested for anti-Brucella antibodies using iELISA. Seroconversion among these animals was defined by a positive iELISA test following a negative iELISA result in the previous sampling period. All seropositive samples were further tested using real-time PCR-based assays to identify Brucella species. These analyses targeted the alkB and BMEI1162 genes for B. abortus, and B. melitensis, respectively. Data from the longitudinal study were analysed using Cox proportional hazards model that accounted for within-herds clustering of Brucella infections. Results The overall incidence rate of Brucella infection was 0.024 (95% confidence interval [CI]: 0.014–0.037) cases per animal-months at risk. Brucella infection incidence in camels, cattle, goats and sheep were 0.053 (0.022–0.104), 0.028 (0.010–0.061), 0.013 (0.003–0.036) and 0.006 (0.0002–0.034) cases per animal-month at risk, respectively. The incidence rate of Brucella infection among females and males were 0.020 (0.009–0.036) and 0.016 (0.004–0.091), respectively. Real-time PCR analyses showed that B. abortus was more prevalent than B. melitensis in the area. Results of multivariable Cox regression analysis identified species (camels and cattle) as an important predictor of Brucella spp. exposure in animals. Conclusions This study estimated an overall brucellosis incidence of 0.024 cases per animal-months at risk with camels and cattle having higher incidence than sheep and goats. These results will inform surveillance studies in the area. Supplementary Information The online version contains supplementary material available at 10.1186/s12917-021-03036-z.
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Affiliation(s)
- Josiah Njeru
- International Livestock Research Institute, Nairobi, Kenya
| | - Daniel Nthiwa
- International Livestock Research Institute, Nairobi, Kenya. .,Department of Biological Sciences, University of Embu, Embu, Kenya.
| | - James Akoko
- International Livestock Research Institute, Nairobi, Kenya.,Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya
| | - Harry Oyas
- Veterinary Epidemiology and Economics Unit, Directorate of Veterinary Services, Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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Cao J, Cai Q, Su W, Ge Z, Zhao H, Zhou X, Ma K, Xia Z. Case Report: Metagenomic Next-Generation Sequencing Confirmed a Case of Central Nervous System Infection With Brucella melitensis in Non-endemic Areas. Front Med (Lausanne) 2021; 8:723197. [PMID: 34595192 PMCID: PMC8476800 DOI: 10.3389/fmed.2021.723197] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 08/19/2021] [Indexed: 11/13/2022] Open
Abstract
Brucellosis is a highly contagious zoonotic disease caused by bacteria that belong to the genus Brucella. It is a major endemic disease in northern China. We reported a rare case of central nervous system (CNS) infection caused by Brucella melitensis in a patient living in non-endemic areas. The medical history of the patient included chronic headache and trunk numbness. Based on the presented clinical symptoms and medical examinations, a clinical diagnosis of binocular uveo-encephalitis was made in the local hospital. The patient's symptoms were unrelieved after being treated with empiric therapy. Soon after, the patient was admitted to our hospital because of the obnubilation and coma in the trip. We ran a few examinations and sent the cerebrospinal fluid (CSF) for metagenomic next-generation sequencing (mNGS) immediately. The Magnetic resonance imaging (MRI) examination was unremarkable, and bilateral mastoid inflammation was attached. Metagenomic next-generation sequencing suggested a CNS infection caused by Brucella melitensis. Then, the results of the serum agglutination test and quantitative polymerase chain reaction assay also confirmed that. After being treated with doxycycline, rifampin, and cefatriaxone, consciousness of the patient was restored and headache diminished. Two months later, a lumbar puncture was used to check the pressure of the CSF, and the total course of treatment was more than 6 months. This case highlighted the potential value of mNGS in early clinal diagnosis. We believe that mNGS may be a complementary method for rapid identification of infection of CNS caused by the pathogen.
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Affiliation(s)
- Jun Cao
- Department of Emergency and Critical Care Medicine, Fudan University Affiliated North Huashan Hospital, Shanghai, China
| | - Qingqing Cai
- Genoxor Medical Science and Technology Inc., Shanghai, China
| | - Wentao Su
- Department of Emergency and Critical Care Medicine, Fudan University Affiliated North Huashan Hospital, Shanghai, China
| | - Zi Ge
- Department of Emergency and Critical Care Medicine, Fudan University Affiliated North Huashan Hospital, Shanghai, China
| | - Hui Zhao
- Department of Emergency and Critical Care Medicine, Fudan University Affiliated North Huashan Hospital, Shanghai, China
| | - Xinjian Zhou
- Department of Emergency and Critical Care Medicine, Fudan University Affiliated North Huashan Hospital, Shanghai, China
| | - Ke Ma
- Department of Emergency and Critical Care Medicine, Fudan University Affiliated North Huashan Hospital, Shanghai, China
| | - Zhijie Xia
- Department of Emergency and Critical Care Medicine, Fudan University Affiliated North Huashan Hospital, Shanghai, China
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27
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Mehari S, Zerfu B, Desta K. Prevalence and risk factors of human brucellosis and malaria among patients with fever in malaria-endemic areas, attending health institutes in Awra and Gulina district, Afar Region, Ethiopia. BMC Infect Dis 2021; 21:942. [PMID: 34507538 PMCID: PMC8434724 DOI: 10.1186/s12879-021-06654-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 09/02/2021] [Indexed: 11/16/2022] Open
Abstract
Background Brucellosis is an important neglected bacterial zoonotic disease that has been affecting animals and humans for decades. Malaria has been considered major cause of illness in tropical areas, including Ethiopia. This study aimed to identify prevalence and risk factors of human brucellosis and malaria among patients with fever in malaria-endemic areas attending health institutes in Awra and Gulina district, Afar Region, Ethiopia. Methods A purposive cross-sectional study was conducted among febrile patients who attended health institutes in Awra and Gulina district of Afar region from February to May 2019. 3–5 ml blood samples were collected, thick and thin blood films were prepared and examined for malaria; serum was separated and tested for anti-Brucella using Rose Bengal Plate Test, and the seropositives were subjected to ELISA. Data were entered using EpiData3.1 and analyses were performed using Stata SE 14. Results A total of 444 febrile individuals (59.5% female) of age ranging from 2 to 83 years (mean = 26.1, SD = ± 11.8) were participated in this study. The overall seroprevalence of brucellosis was 31.5% (95% CI; 27.4–36.0%) by RBPT and 15.8% (95% CI; 12.7–19.7%) by ELISA, as well as the prevalence of malaria (P. falciparum) was 4.3% (95% CI; 2.7–6.6%) among febrile patients. Malaria was more common in males (7.2% 95% CI; 4.2–12.1%) than in female (2.3% 95% CI; 1.0–5.0%, p = 0.01) and in non-married than in married (7.6% 95% CI; 4.1–13.6% vs. 2.9% 95% CI; 1.5–5.4%, p = 0.02). Being male (AOR = 2.41, 95%CI: 1.36–4.26, p < 0.002), drinking raw milk (AOR = 26.68, 95%CI: 3.22- 221.13, p = 0.002) and boiled milk (AOR = 17.52, 95%CI: 2.06—149.04, p = 0.009) and touching aborted fetus/discharges without protective (AOR = 2.56, 95%CI: 1.01–6.528.50, p = 0.048) were independently associated with brucellosis among febrile patients. Conclusion The prevalence of brucellosis in fever patients in this study area is higher than malaria. Consumption of raw milk and contact with animal discharge can cause significant risk of Brucella infection. So, brucellosis disease must be sought in the differential diagnosis, like ELISA test that can be used to differentiate from other febrile diseases like malaria.
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Affiliation(s)
| | - Biruk Zerfu
- Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia.
| | - Kassu Desta
- Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia
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28
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Hassan-Kadle AA, Osman AM, Shair MA, Abdi OM, Yusuf AA, Ibrahim AM, Vieira RFC. Rift Valley fever and Brucella spp. in ruminants, Somalia. BMC Vet Res 2021; 17:280. [PMID: 34419043 PMCID: PMC8380344 DOI: 10.1186/s12917-021-02980-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Accepted: 07/20/2021] [Indexed: 02/04/2023] Open
Abstract
Background Fourteen-years after the last Rift Valley fever (RVF) virus (RVFV) outbreak, Somalia still suffers from preventable transboundary diseases. The tradition of unheated milk consumption and handling of aborted materials poses a public health risk for zoonotic diseases. Limited data are available on RVF and Brucella spp. in Somali people and their animals. Hence, this study has evaluated the occurrence of RVFV and Brucella spp. antibodies in cattle, goats and sheep sera from Afgoye and Jowhar districts of Somalia. Methods Serum samples from 609 ruminants (201 cattle, 203 goats and 205 sheep), were serologically screened for RVF by a commercial cELISA, and Brucella species by modified Rose Bengal Plate Test (mRBPT) and a commercial iELISA. Results Two out of 609 (0.3 %; 95 %CI: 0.04–1.2 %) ruminants were RVF seropositive, both were female cattle from both districts. Anti-Brucella spp. antibodies were detected in 64/609 (10.5 %; 95 %CI: 8.2–13.2 %) ruminants by mRBPT, which were 39/201 (19.4 %) cattle, 16/203 (7.9 %) goats and 9/205 (4.4 %) sheep. Cattle were 5.2 and 2.8 times more likely to be Brucella-seropositive than sheep (p = 0.000003) and goats (p = 0.001), respectively. When mRBPT-positive samples were tested by iELISA, 29/64 (45.3 %; 95 %CI: 32.8–58.3 %) ruminant sera were positive for Brucella spp. Only 23/39 (58.9 %) cattle sera and 6/16 (37.5 %) goat sera were positive to Brucella spp. by iELISA. Conclusions The present study showed the serological evidence of RVF and brucellosis in ruminants from Afgoye and Jowhar districts of Somalia. Considering the negligence of the zoonotic diseases at the human-animal interface in Somali communities, a One Health approach is needed to protect public health.
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Affiliation(s)
- Ahmed A Hassan-Kadle
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia. .,Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
| | - Aamir M Osman
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia.,Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Mohamed A Shair
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia.,Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Omar M Abdi
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia
| | - Abdulkarim A Yusuf
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia.,Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.,Department of Slaughterhouses, Somali Meat Company, Mogadishu, Somalia
| | - Abdalla M Ibrahim
- Abrar Research and Training Centre, Abrar University, Mogadishu, Somalia.,Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Rafael F C Vieira
- Vector-Borne Diseases Laboratory, Department of Veterinary Medicine, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.,Global One Health initiative (GOHi), The Ohio State University, Columbus, Ohio, USA
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Jiao H, Li B, Zheng Z, Zhou Z, Li W, Gu G, Liu J, Luo Y, Shuai X, Zhao Y, Liu Y, Wang Y, Wang X, Hu X, Wu L, Chen J, Huang Q. Transcriptome Landscape of Intracellular Brucella ovis Surviving in RAW264.7 Macrophage Immune System. Inflammation 2021; 43:1649-1666. [PMID: 32430895 PMCID: PMC7235551 DOI: 10.1007/s10753-020-01239-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Brucella ovis infection results in genital damage and epididymitis in rams, placental inflammation and rare abortion in ewes, and neonatal mortality in lambs. However, the mechanism underlying B. ovis infection remains unclear. In the present study, we used prokaryotic transcriptome sequencing to identify the differentially expressed genes (DEGs) between wild-type B. ovis and intracellular B. ovis in RAW264.7 macrophages. Gene ontology (GO) term enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis were performed, and quantitative reverse transcriptase PCR (qRT-PCR) was used to validate the top 10 upregulated and downregulated DEGs. The results showed that 212 genes were differentially expressed, including 68 upregulated and 144 downregulated genes, which were mainly enriched in 30 GO terms linked to biological process, cellular component, and molecular function. KEGG analysis showed that the DEGs were enriched in the hypoxia-inducible factor 1 (HIF-1) signaling pathway, mitogen-activated protein kinase (MAPK) signaling pathway, beta-alanine metabolism, and quorum sensing pathway. BME_RS01160, BME_RS04270, BME_RS08185, BME_RS12880, BME_RS25875, predicted_RNA865, and predicted_RNA953 were confirmed with the transcriptome sequencing data. Hence, our findings not only reveal the intracellular parasitism of B. ovis in the macrophage immune system, but also help to understand the mechanism of chronic B. ovis infection.
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Affiliation(s)
- Hanwei Jiao
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China. .,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China. .,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China.
| | - Bowen Li
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Zonglin Zheng
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China
| | - Zhixiong Zhou
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Wenjie Li
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Guojing Gu
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Juan Liu
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Yichen Luo
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Xuehong Shuai
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Yu Zhao
- Immunology Research Center, Medical Research Institute, Southwest University, Chongqing, 402460, People's Republic of China.,College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Yuxuan Liu
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China
| | - Yidan Wang
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China
| | - Xinglong Wang
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China
| | - Xiaoyan Hu
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China
| | - Li Wu
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Jixuan Chen
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
| | - Qingzhou Huang
- College of Animal Science, Southwest University, Chongqing, 402460, People's Republic of China.,Chongqing Veterinary Scientific Engineering Research Center, Southwest University, Chongqing, 402460, People's Republic of China
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Mburu CM, Bukachi SA, H. Tokpa K, Fokou G, Shilabukha K, Ezekiel M, Bonfoh B, Kazwala R, Kreppel K. Lay attitudes and misconceptions and their implications for the control of brucellosis in an agro-pastoral community in Kilombero district, Tanzania. PLoS Negl Trop Dis 2021; 15:e0009500. [PMID: 34111114 PMCID: PMC8219154 DOI: 10.1371/journal.pntd.0009500] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 06/22/2021] [Accepted: 05/21/2021] [Indexed: 12/26/2022] Open
Abstract
Brucellosis is a priority zoonotic disease in Tanzania that causes ill-health in people and affects livestock productivity. Inadequate awareness and behavior risking transmission can impede control efforts. We conducted a cross-sectional survey of 333 livestock owners in three villages in the Kilombero district, Tanzania, to understand their awareness, knowledge and behavior associated with brucellosis. Six Focus Group Discussions (FGDs), two in each village, were conducted, as well as an additional FGD with male herders from one of the villages. Factors associated with knowledge on brucellosis, food consumption and animal husbandry behavior risking transmission of this disease, were identified using generalized linear models. Predictors for knowledge of brucellosis were being male and having a higher educational level, while age was positively associated with a higher level of knowledge. Faith and ethnicity were associated with the performance of practices risking transmission. Following traditional religion and belonging to the Wamaasai ethnicity significantly increased the odds of carrying out these practices. Qualitative analysis gave insight into risk practices and reasoning. Of the 333 respondents, 29% reported that they had experienced abortions in their herds, 14% witnessed retained placentas, and 8% had seen still-births in their cattle within the previous year. However, survey results also showed that only 7.2% of participants had heard about brucellosis as a disease in livestock. Of those who had heard about brucellosis in livestock, 91% associated abortions with it and 71% knew that humans can get infected through raw milk consumption. People overwhelmingly attributed symptoms and transmission of brucellosis in livestock to infection with trypanosomiasis and to supernatural reasons instead. In the community, consumption of raw milk was valued and handling of aborted material was not considered a risk for infection. This agro-pastoralist community holds on to long-held beliefs and practices and lacks understanding of the biomedical concept of brucellosis. Transmission routes and symptoms of brucellosis in humans and livestock are completely unknown. The disparity between risk perception and actual transmission risk related to animal handling and consumption of animal products presents a challenge for disease awareness communication. This study recommends focused community engagement and sensitization to address the limited awareness and misconceptions among agro-pastoralists.
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Affiliation(s)
- Caroline M. Mburu
- Institute of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya
| | - Salome A. Bukachi
- Institute of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya
| | - Kathrin H. Tokpa
- Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Cote d’Ivoire
| | - Gilbert Fokou
- Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Cote d’Ivoire
| | - Khamati Shilabukha
- Institute of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya
| | - Mangi Ezekiel
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| | - Bassirou Bonfoh
- Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Cote d’Ivoire
| | | | - Katharina Kreppel
- Nelson Mandela African Institution for Science and Technology, Arusha, Tanzania
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31
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Djangwani J, Ooko Abong’ G, Gicuku Njue L, Kaindi DWM. Brucellosis: Prevalence with reference to East African community countries - A rapid review. Vet Med Sci 2021; 7:851-867. [PMID: 33421354 PMCID: PMC8136958 DOI: 10.1002/vms3.425] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 11/22/2020] [Accepted: 12/09/2020] [Indexed: 12/11/2022] Open
Abstract
Brucellosis is a zoonotic disease which is endemic to certain regions of the world including Sub-Saharan Africa. The aim of this article is to provide a recent and rapid review on brucellosis prevalence in East African Community (EAC) countries. Literature was obtained using Google Scholar search engine and screened for relevancy and fulfilment of criteria to 1, 17, 4, 4, 30 and 29 articles retained for brucellosis prevalence in Burundi, Kenya, Rwanda, South Sudan, Tanzania and Uganda. Recent literature (published in the last decade 2010 to 2019) was considered for prevalence results in this review. In EAC, livestock had an animal-level prevalence of 0.2% to 43.8%, 0.0% to 20.0% and 0.0% to 13.8% for cattle, goats and sheep respectively. In humans, the prevalence varied mostly between 0.0% and 35.8%. In conclusion, brucellosis is quite prevalent in the region. The reported prevalence calls for plans or more efforts from individual member countries and from EAC, as a region, to control brucellosis.
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Affiliation(s)
- Juvenal Djangwani
- College of Agriculture and Veterinary SciencesDepartment of Food Science, Nutrition and TechnologyUniversity of NairobiKangemiKenya
- College of Agriculture, Animal Sciences and Veterinary MedicineSchool of Agriculture and Food SciencesUniversity of RwandaMusanzeRwanda
| | - George Ooko Abong’
- College of Agriculture and Veterinary SciencesDepartment of Food Science, Nutrition and TechnologyUniversity of NairobiKangemiKenya
| | - Lucy Gicuku Njue
- College of Agriculture and Veterinary SciencesDepartment of Food Science, Nutrition and TechnologyUniversity of NairobiKangemiKenya
| | - Dasel W. M. Kaindi
- College of Agriculture and Veterinary SciencesDepartment of Food Science, Nutrition and TechnologyUniversity of NairobiKangemiKenya
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32
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Akoko JM, Pelle R, Lukambagire AS, Machuka EM, Nthiwa D, Mathew C, Fèvre EM, Bett B, Cook EAJ, Othero D, Bonfoh B, Kazwala RR, Shirima G, Schelling E, Halliday JEB, Ouma C. Molecular epidemiology of Brucella species in mixed livestock-human ecosystems in Kenya. Sci Rep 2021; 11:8881. [PMID: 33893352 PMCID: PMC8065124 DOI: 10.1038/s41598-021-88327-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 04/09/2021] [Indexed: 12/12/2022] Open
Abstract
Brucellosis, caused by several species of the genus Brucella, is a zoonotic disease that affects humans and animal species worldwide. Information on the Brucella species circulating in different hosts in Kenya is largely unknown, thus limiting the adoption of targeted control strategies. This study was conducted in multi-host livestock populations in Kenya to detect the circulating Brucella species and assess evidence of host-pathogen associations. Serum samples were collected from 228 cattle, 162 goats, 158 sheep, 49 camels, and 257 humans from Narok and Marsabit counties in Kenya. Information on age, location and history of abortion or retained placenta were obtained for sampled livestock. Data on age, gender and location of residence were also collected for human participants. All samples were tested using genus level real-time PCR assays with primers specific for IS711 and bcsp31 targets for the detection of Brucella. All genus positive samples (positive for both targets) were further tested with a speciation assay for AlkB and BMEI1162 targets, specific for B. abortus and B. melitensis, respectively. Samples with adequate quantities aggregating to 577 were also tested with the Rose Bengal Test (RBT). A total of 199 (33.3%) livestock and 99 (38.5%) human samples tested positive for genus Brucella. Animal Brucella PCR positive status was positively predicted by RBT positive results (OR = 8.3, 95% CI 4.0-17.1). Humans aged 21-40 years had higher odds (OR = 2.8, 95% CI 1.2-6.6) of being Brucella PCR positive compared to the other age categories. The data on detection of different Brucella species indicates that B. abortus was detected more often in cattle (OR = 2.3, 95% CI 1.1-4.6) and camels (OR = 2.9, 95% CI 1.3-6.3), while B. melitensis was detected more in sheep (OR = 3.6, 95% CI 2.0-6.7) and goats (OR = 1.7, 95% CI 1.0-3.1). Both B. abortus and B. melitensis DNA were detected in humans and in multiple livestock host species, suggesting cross-transmission of these species among the different hosts. The detection of these two zoonotic Brucella species in humans further underpins the importance of One Health prevention strategies that target multiple host species, especially in the multi-host livestock populations.
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Affiliation(s)
- James M Akoko
- Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya.
- Biosciences Eastern and Central Africa-International Livestock Research Institute (BecA-ILRI) Hub KE, Nairobi, Kenya.
- International Livestock Research Institute, Nairobi, Kenya.
| | - Roger Pelle
- Biosciences Eastern and Central Africa-International Livestock Research Institute (BecA-ILRI) Hub KE, Nairobi, Kenya
| | | | - Eunice M Machuka
- Biosciences Eastern and Central Africa-International Livestock Research Institute (BecA-ILRI) Hub KE, Nairobi, Kenya
| | - Daniel Nthiwa
- Department of Biological Sciences, University of Embu, Embu, Kenya
| | | | - Eric M Fèvre
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
| | - Elizabeth A J Cook
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | - Doreen Othero
- Department of Public Health, Maseno University, Kisumu, Kenya
| | - Bassirou Bonfoh
- Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire
| | | | - Gabriel Shirima
- Nelson Mandela African Institute of Science and Technology, Arusha, Tanzania
| | | | - Jo E B Halliday
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK
| | - Collins Ouma
- Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya
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Campbell Z, Coleman P, Guest A, Kushwaha P, Ramuthivheli T, Osebe T, Perry B, Salt J. Prioritizing smallholder animal health needs in East Africa, West Africa, and South Asia using three approaches: Literature review, expert workshops, and practitioner surveys. Prev Vet Med 2021; 189:105279. [PMID: 33581421 PMCID: PMC8024747 DOI: 10.1016/j.prevetmed.2021.105279] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 12/18/2020] [Accepted: 01/18/2021] [Indexed: 12/15/2022]
Abstract
Managing the health needs of livestock contributes to reducing poverty and improving the livelihoods of smallholder and pastoralist livestock keepers globally. Animal health practitioners, producers, policymakers, and researchers all must prioritize how to mobilize limited resources. This study employed three approaches to prioritize animal health needs in East and West Africa and South Asia to identify diseases and syndromes that impact livestock keepers. The approaches were a) systematic literature review, b) a series of expert workshops, and c) a practitioner survey of veterinarians and para-veterinary professionals. The top constraints that emerged from all three approaches include endo/ ectoparasites, foot and mouth disease, brucellosis, peste des petits ruminants, Newcastle disease, and avian influenza. Expert workshops additionally identified contagious caprine pleuropneumonia, contagious bovine pleuropneumonia, mastitis, and reproductive disorders as constraints not emphasized in the literature review. Practitioner survey results additionally identified nutrition as a constraint for smallholder dairy and pastoralist small ruminant production. Experts attending the workshops agreed most constraints can be managed using existing veterinary technologies and best husbandry practices, which supports a shift away from focusing on individual diseases and new technologies towards addressing systemic challenges that limit access to veterinary services and inputs. Few research studies focused on incidence/ prevalence of disease and impact, suggesting better incorporation of socio-economic impact measures in future research would better represent the interests of livestock keepers.
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Affiliation(s)
- Zoë Campbell
- International Livestock Research Institute (ILRI), P.O. Box 30709, Nairobi, 00100, Kenya.
| | - Paul Coleman
- H20 Venture Partners, 33-35 George Street, Oxford, OX1 2AY, United Kingdom
| | - Andrea Guest
- H20 Venture Partners, 33-35 George Street, Oxford, OX1 2AY, United Kingdom
| | - Peetambar Kushwaha
- GALVmed Asia Office, Unit 118 & 120 B, Splendor Forum, Plot No 3, Jasola District Centre, Jasola, New Delhi, 110025, India
| | - Thembinkosi Ramuthivheli
- GALVmed Africa Office, International Livestock Research Institute (ILRI), Swing One, Naivasha Road, Nairobi, Kenya
| | - Tom Osebe
- GALVmed Africa Office, International Livestock Research Institute (ILRI), Swing One, Naivasha Road, Nairobi, Kenya
| | - Brian Perry
- Nuffield College of Clinical Medicine, University of Oxford, United Kingdom; College of Medicine and Veterinary Medicine, University of Edinburgh, Arthurstone House, Meigle, Blairgowrie, PH12 8QW, Scotland, United Kingdom
| | - Jeremy Salt
- GALVmed UK Office, Doherty Building, Pentlands Science Park, Bush Loan, Penicuik Edinburgh, EH26 0PZ, Scotland, United Kingdom
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Muturi M, Akoko J, Nthiwa D, Chege B, Nyamota R, Mutiiria M, Maina J, Thumbi SM, Nyamai M, Kahariri S, Sitawa R, Kimutai J, Kuria W, Mwatondo A, Bett B. Serological evidence of single and mixed infections of Rift Valley fever virus, Brucella spp. and Coxiella burnetii in dromedary camels in Kenya. PLoS Negl Trop Dis 2021; 15:e0009275. [PMID: 33770095 PMCID: PMC7997034 DOI: 10.1371/journal.pntd.0009275] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Accepted: 02/26/2021] [Indexed: 12/21/2022] Open
Abstract
Camels are increasingly becoming the livestock of choice for pastoralists reeling from effects of climate change in semi-arid and arid parts of Kenya. As the population of camels rises, better understanding of their role in the epidemiology of zoonotic diseases in Kenya is a public health priority. Rift Valley fever (RVF), brucellosis and Q fever are three of the top priority diseases in the country but the involvement of camels in the transmission dynamics of these diseases is poorly understood. We analyzed 120 camel serum samples from northern Kenya to establish seropositivity rates of the three pathogens and to characterize the infecting Brucella species using molecular assays. We found seropositivity of 24.2% (95% confidence interval [CI]: 16.5–31.8%) for Brucella, 20.8% (95% CI: 13.6–28.1%) and 14.2% (95% CI: 7.9–20.4%) for Coxiella burnetii and Rift valley fever virus respectively. We found 27.5% (95% CI: 19.5–35.5%) of the animals were seropositive for at least one pathogen and 13.3% (95% CI: 7.2–19.4%) were seropositive for at least two pathogens. B. melitensis was the only Brucella spp. detected. The high sero-positivity rates are indicative of the endemicity of these pathogens among camel populations and the possible role the species has in the epidemiology of zoonotic diseases. Considering the strong association between human infection and contact with livestock for most zoonotic infections in Kenya, there is immediate need to conduct further research to determine the role of camels in transmission of these zoonoses to other livestock species and humans. This information will be useful for designing more effective surveillance systems and intervention measures. Dromedary camels are well adapted to the arid and semi-arid environment that makes up about 80% of Kenya’s landmass. As such, camels play an important role in the socio-economic wellbeing and food security of pastoralists in the country. However, the species remains relatively neglected in scientific research, one of the main reasons being camels are mostly found in remote, low-income, arid regions of Africa and Asia. We carried out a study to determine the levels of exposure of camels in northern Kenya to Brucella spp., Coxiella burnetii and Rift Valley fever virus, three priority zoonotic pathogens in the country. We found high levels of exposure to the three pathogens, indicating the important role camels might play in the epidemiology of the zoonotic diseases in humans and other livestock. Based on the study findings, we argue for the immediate need for investments in disease surveillance and control strategies for priority zoonotic disease in camels in Kenya.
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Affiliation(s)
- Mathew Muturi
- Zoonotic Disease Unit Nairobi, Nairobi, Kenya
- International Livestock Research Institute, Nairobi, Kenya
- * E-mail:
| | - James Akoko
- International Livestock Research Institute, Nairobi, Kenya
| | - Daniel Nthiwa
- Department of Biological Sciences, University of Embu, Embu, Kenya
| | | | | | | | - Josphat Maina
- Zoonotic Disease Unit Nairobi, Nairobi, Kenya
- International Livestock Research Institute, Nairobi, Kenya
| | - S. M. Thumbi
- Center for Epidemiological and Modelling Analysis, University of Nairobi Institute of Tropical and Infectious Diseases, Nairobi, Kenya
- Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United Kingdom
- Paul G Allen School for Global Health, Washington State University, Pullman, Washington, United States of America
| | - Mutono Nyamai
- Center for Epidemiological and Modelling Analysis, University of Nairobi Institute of Tropical and Infectious Diseases, Nairobi, Kenya
- Paul G Allen School for Global Health, Washington State University, Pullman, Washington, United States of America
| | - Samuel Kahariri
- Kenya Directorate of Veterinary Services, Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Rinah Sitawa
- Food and Agriculture Organization of the United Nations, Nairobi, Kenya
| | - Joshua Kimutai
- Food and Agriculture Organization of the United Nations, Nairobi, Kenya
| | - Wilson Kuria
- Kenya Directorate of Veterinary Services, Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Athman Mwatondo
- Zoonotic Disease Unit Nairobi, Nairobi, Kenya
- International Livestock Research Institute, Nairobi, Kenya
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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Onyango DLA, Guitian J, Musallam I. Brucellosis risk factors and milk hygiene handling practices in pastoral communities in Isiolo county, Kenya. Vet Med Sci 2021; 7:1254-1262. [PMID: 33645902 PMCID: PMC8294356 DOI: 10.1002/vms3.453] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 01/12/2021] [Accepted: 02/02/2021] [Indexed: 11/21/2022] Open
Abstract
The study was conducted from June to August 2014 in Isiolo Central division of Isiolo Sub‐County and Sericho division of Garbatulla Sub‐County and comprised two components: (i) a cross‐sectional study on the milk‐handling hygiene practices, where milk traders’ households were the study units and (ii) a case‐control study on the risk factors for Brucella spp. infection in humans. Results of the cross‐sectional study showed that 26.74% of the respondents never washed their hands before milking, 60.47% never washed the udder before milking and 54.65% never withhold consumption of milk from animals under treatment with antibiotics. The case–control study included household units with previous cases of brucellosis (53.33%) and those without (46.67%) over the previous 5 years and identified drinking of raw milk as the main risk factor for infection (OR = 26.44; 95% CI: 8.04–86.99). Pastoralists’ unhygienic handling of milk from production to market is suboptimal and this is due to poor knowledge on hygienic practices, poor knowledge on the risks associated with poor milk hygiene and lack of sufficient and potable water for cleaning of milk containers. Many pastoralists still consume milk raw and this is a major public health risk for milk‐borne diseases.
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Affiliation(s)
- Diana Lynette A Onyango
- Veterinary Public Health, Department of Pathobiology and Population Sciences at the Royal Veterinary College, University of London, London, UK
| | - Javier Guitian
- Veterinary Public Health, Department of Pathobiology and Population Sciences at the Royal Veterinary College, University of London, London, UK
| | - Imadidden Musallam
- Veterinary Public Health, Department of Pathobiology and Population Sciences at the Royal Veterinary College, University of London, London, UK
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Kamau J, Ashby E, Shields L, Yu J, Murray S, Vodzak M, Kwallah AO, Ambala P, Zimmerman D. The intersection of land use and human behavior as risk factors for zoonotic pathogen exposure in Laikipia County, Kenya. PLoS Negl Trop Dis 2021; 15:e0009143. [PMID: 33606671 PMCID: PMC7894889 DOI: 10.1371/journal.pntd.0009143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 01/13/2021] [Indexed: 12/23/2022] Open
Abstract
A majority of emerging infectious diseases (EIDs) are zoonotic, mainly caused through spillover events linked to human-animal interactions. We conducted a survey-based human behavioral study in Laikipia County, Kenya, which is characterized by a dynamic human-wildlife-livestock interface. Questionnaires that assessed human-animal interactions, sanitation, and illnesses experienced within the past year were distributed to 327 participants among five communities in Laikipia. This study aimed to 1) describe variation in reported high-risk behaviors by community type and 2) assess the relationship between specific behaviors and self-reported illnesses. Behavioral trends were assessed in R via Fisher’s exact tests. A generalized linear mixed model with Lasso penalization (GLMMLasso) was used to assess correlations between behaviors and participants’ self-reported illness within the past year, with reported behaviors as independent variables and reported priority symptoms as the outcome. Reported behaviors varied significantly among the study communities. Participants from one community (Pastoralist-1) were significantly more likely to report eating a sick animal in the past year (p< 0.001), collecting an animal found dead to sell in the past year (p<0.0001), and not having a designated location for human waste (p<0.0001) when compared to participants from other communities. The GLMMLasso revealed that reports of an ill person in the household in the past year was significantly associated with self-reported illness. Sixty-eight percent of participants reported that bushmeat is available within the communities. Our study demonstrates community-level variation in behaviors that may influence zoonotic pathogen exposure. We further recommend development of targeted studies that explore behavioral variations among land use systems in animal production contexts. Many infectious diseases, such as H1N1, Ebola, and COVID-19, can be spread to humas from animals. In order to reduce the risk of disease “spillover” (disease transmission from an animal to a person), it is important to understand how interactions between humans and animals can influence spread. Certain behaviors, such as eating raw meat, hunting, or sharing drinking water with animals can put people at greater risk of contacting bacteria and viruses that can cause these diseases. Globally, communities that depend on animal production are at heightened risk due to increased contact with animals. In this study, the authors conducted human behavioral surveys among different communities in Kenya that raise livestock. Results show that reported behaviors varied greatly by community. One of the communities reported a significantly higher proportion of behaviors, such as eating raw meat or eating animals found dead. Communities that show high prevalence of these behaviors may be at greater risk for contracting diseases from animals. Understanding this variation is important for developing plans for community outreach and addressing behaviors that can influence risk of disease spread.
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Affiliation(s)
| | - Elizabeth Ashby
- Department of Environmental Science and Policy, George Mason University, Fairfax, Virginia, United States of America
- * E-mail:
| | | | - Jennifer Yu
- Global Health Program, Smithsonian Conservation Biology Institute, Smithsonian Institution, Washington, DC, United States of America
| | - Suzan Murray
- Global Health Program, Smithsonian Conservation Biology Institute, Smithsonian Institution, Washington, DC, United States of America
| | - Megan Vodzak
- Global Health Program, Smithsonian Conservation Biology Institute, Smithsonian Institution, Washington, DC, United States of America
| | | | - Peris Ambala
- Institute of Primate Research, Nairobi, Kenya
- Department of Biochemistry, Kenyatta University, Nairobi, Kenya
| | - Dawn Zimmerman
- Global Health Program, Smithsonian Conservation Biology Institute, Smithsonian Institution, Washington, DC, United States of America
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High incidence of human brucellosis in a rural Pastoralist community in Kenya, 2015. PLoS Negl Trop Dis 2021; 15:e0009049. [PMID: 33524052 PMCID: PMC7877737 DOI: 10.1371/journal.pntd.0009049] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 02/11/2021] [Accepted: 12/07/2020] [Indexed: 11/19/2022] Open
Abstract
Background Brucellosis occurs globally with highly variable incidence in humans from very low in North America and Western Europe to high in the Middle East and Asia. There are few data in Sub-Saharan Africa. This study estimated the incidence of human brucellosis in a pastoralist community in Kenya. Methods Between February 2015 and January 2016, we enrolled persons living in randomly selected households in Kajiado County. Free health care was offered at three facilities in the study area. Those who met the study clinical case definition completed a standardized questionnaire on demographics, clinical history and presentation. A blood sample was collected and tested by Rose Bengal test (RBT), then later tested at the Kenya Medical Research Institute laboratory for Brucella IgG and IgM by ELISA. Those who tested positive by both RBT and ELISA (IgG or IgM antibodies) were classified as confirmed while those that only tested positive for IgG or IgM antibodies were classified as probable. Further, sera were tested by polymerase chain reaction using a TaqMan Array Card (TAC) for a panel of pathogens causing AFI including Brucella spp. Annual incidence of brucellosis was calculated as the number of confirmed cases in one year/total number in the study population. Results We enrolled a cohort of 4746 persons in 804 households. Over half (52.3%) were males and the median age was 18 years (Interquartile range (IQR) 9 months– 32 years). A total of 236 patients were enrolled at three health facilities; 64% were females and the median age was 40.5 years (IQR 28–53 years). Thirty-nine (16.5%) were positive for Brucella antibodies by IgG ELISA, 5/236 (2.1%) by IgM ELISA and 4/236 (1.7%) by RBT. Ten percent (22/217) were positive by TAC. We confirmed four (1.7%) brucellosis cases giving an annual incidence of 84/100,000 persons/year (95% CI 82, 87). The incidence did not significantly vary by gender, age and location of residence. Conclusion We report a high incidence of brucellosis in humans among members of this pastoralist community. Brucellosis was the most common cause of febrile illness in this community. Brucellosis is a bacterial disease that affects both humans and animals. Humans get infected via ingestion of unpasteurized animal products from infected animals and direct contact during animal abortions and deliveries. Infected animals shed bacteria for life through milk and during deliveries posing a risk to those with occupational exposure to infected animals. As such, human disease is disproportionately high in regions with high prevalence of animal brucellosis. While human brucellosis is distributed globally, incidence is low in North America and Western Europe and high in Asia and the Middle East where the disease is endemic. Data from Africa are scarce. We set out to estimate the incidence of brucellosis in a pastoralist community with documented high Brucella sero-prevalence in humans and livestock. We followed up a cohort of 804 households for one year and tested household members who became ill in three designated health facilities. We estimated an incidence of 84 cases per 100,000 persons per year in this community. We also found that Brucella was the most common pathogen among persons who had febrile illness highlighting the importance of this pathogen in this rural pastoralist community. No brucellosis intervention measures were being implemented.
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Alumasa L, Thomas LF, Amanya F, Njoroge SM, Moriyón I, Makhandia J, Rushton J, Fèvre EM, Falzon LC. Hospital-based evidence on cost-effectiveness of brucellosis diagnostic tests and treatment in Kenyan hospitals. PLoS Negl Trop Dis 2021; 15:e0008977. [PMID: 33411798 PMCID: PMC7833147 DOI: 10.1371/journal.pntd.0008977] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 01/25/2021] [Accepted: 11/10/2020] [Indexed: 12/19/2022] Open
Abstract
Hospitals in Kenya continue to use the Febrile Antigen Brucella Agglutination Test (FBAT) to diagnose brucellosis, despite reports showing its inadequacy. This study generated hospital-based evidence on the performance and cost-effectiveness of the FBAT, compared to the Rose Bengal Test (RBT).Twelve hospitals in western Kenya stored patient serum samples that were tested for brucellosis using the FBAT, and these were later re-tested using the RBT. Data on the running time and cost of the FBAT, and the treatment prescribed for brucellosis, were collected. The cost-effectiveness of the two tests, defined as the cost in US Dollars ($) per Disability Adjusted Life Year (DALY) averted, was determined, and a basic sensitivity analysis was run to identify the most influential parameters. Over a 6-month period, 180 patient serum samples that were tested with FBAT at the hospitals were later re-tested with RBT at the field laboratory. Of these 24 (13.3%) and 3 (1.7%) tested positive with FBAT and RBT, respectively. The agreement between the FBAT and RBT was slight (Kappa = 0.12). Treatment prescribed following FBAT positivity varied between hospitals, and only one hospital prescribed a standardized therapy regimen. The mean $/DALY averted when using the FBAT and RBT were $2,065 (95% CI $481-$6,736) and $304 (95% CI $126-$604), respectively. Brucellosis prevalence was the most influential parameter in the cost-effectiveness of both tests. Extrapolation to the national level suggested that an estimated $338,891 (95% CI $47,000-$1,149,000) per year is currently spent unnecessarily treating those falsely testing positive by FBAT. These findings highlight the potential for misdiagnosis using the FBAT. Furthermore, the RBT is cost-effective, and could be considered as the mainstay screening test for human brucellosis in this setting. Lastly, the treatment regimens must be harmonized to ensure the appropriate use of antibiotics for treatment. Brucellosis is the most common bacterial zoonosis globally, with a higher burden in low-resource settings. In humans, the disease manifests itself with non-specific clinical signs, and current international guidelines recommend the use of two serological diagnostic tests to make a confirmatory diagnosis. Many hospitals in Kenya and some neighbouring countries have been using the Febrile Antigen Brucella Agglutination Test (FBAT) for diagnosis, despite reports showing its poor performance. In this study we compared the diagnostic performance and cost-effectiveness of the FBAT with that of the Rose Bengal Test (RBT), a serological assay recommended by international guidelines. Our results showed that, compared to the RBT, the FBAT incorrectly diagnosed a number of patients. This is of concern as it leads to unnecessary antibiotic treatments, increasing the economic burden of the disease and exacerbating the risk of antibiotic resistance. We also highlight the discrepancies in brucellosis treatment regimens currently being prescribed by various hospitals. Finally, we showed that the RBT is a more cost-effective diagnostic test. Our recommendation, therefore, is for the RBT to be considered as the mainstay diagnostic test for human brucellosis in all Kenyan hospitals, and for the harmonization of treatment guidelines.
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Affiliation(s)
- Lorren Alumasa
- International Livestock Research Institute, Nairobi, Kenya
| | - Lian F. Thomas
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
| | | | - Samuel M. Njoroge
- International Livestock Research Institute, Nairobi, Kenya
- Kenya Medical Research Institute, Nairobi, Kenya
| | - Ignacio Moriyón
- Departamento de Microbiología y Parasitología, Facultad de Medicina, and Institute for Tropical Health, Universidad de Navarra, Pamplona, Spain
| | | | - Jonathan Rushton
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
| | - Eric M. Fèvre
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
- * E-mail: (EMF); (LCF)
| | - Laura C. Falzon
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom
- * E-mail: (EMF); (LCF)
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Urazayeva A, Balmagambetova S, Bekenov Z, Urazayeva S, Tussupkaliyeva K. Arranging The Questionnaire To Identify Brucellosis Risk Factors In Western Kazakhstan. RUSSIAN OPEN MEDICAL JOURNAL 2020. [DOI: 10.15275/rusomj.2020.0407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background ― In some Kazakhstan regions, the epidemic situation on brucellosis remains tense, despite the observed trend to decrease in the incidence: 5.5 per 100,000 population by 2018 vs. 6.2 in 2017. The article aims at presenting the steps of preparing the brucellosis questionnaire to identify infection risk factors. Methods ― A questionnaire is developed based on the Health Belief Model to arrange interviews among the adult population of the Aktobe region. Stages of the drafting process included: 1) review of relevant literature sources; 2) assessment of the target audience to calculate N (number of interviewees); 3) development of the questionnaire itself; 4) testing the tool in focus-groups; 5) validation through Cronbach’s alpha (α) calculation to reach the internal consistency of the questionnaire; 6) final editing of the survey tool. The Cronbach’s alpha was calculated using the item-analysis in the SPSS Modeler.v.25. Results ― The designed questionnaire consisted of the three domains with twenty-two questions of the semi-closed type and underwent testing in the focus-group of ninety-eight livestock owners. A preliminary analysis revealed five items with unsatisfactory mean values, which were either modified or deleted so that the α resulted in 0.71 (moderately reliable). The adjusted tool eventually contained seventeen items (questions). Conclusion ― A simple design and adequate validation of the survey tool should facilitate information on population awareness of the clinical symptoms and paths of brucellosis infection transmission. Data on accepted practice on caring for livestock in private households across the region also become available for analysis owing to the presented questionnaire.
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Serum changes in pyridinoline, type II collagen cleavage neoepitope and osteocalcin in early stage male brucellosis patients. Sci Rep 2020; 10:17190. [PMID: 33057028 PMCID: PMC7560669 DOI: 10.1038/s41598-020-72565-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Accepted: 08/24/2020] [Indexed: 11/09/2022] Open
Abstract
Musculoskeletal changes are the most common clinical manifestation of brucellosis. The main objective of this study was to provide a better understanding of this disease, while also attempting to identify potential markers that can identify the early stage musculoskeletal changes associated with human brucellosis. In this case–control study, 41 male early-stage brucellosis patients (within 6 months of diagnosis) who had not received drug therapy and 44 matched controls were examined. Venous blood samples were collected and serum pyridinoline (PYD), type II collagen cleavage neoepitope (C2C) and osteocalcin (OC) levels were quantified using an enzyme-linked immunosorbent assay (ELISA). In the brucellosis group, the median serum levels of PYD (278.53 µg/L), C2C (82.23 µg/L) and OC (8.41 µg/L) were significantly elevated relative to the control group (Z = 5.686, 3.997, 3.579; P = 0.000). Serum PYD, C2C, and OC levels were increased in early-stage male brucellosis patients, and these factors appear to have promise as potential indicator biomarkers that can reflect the osteoarticular changes that occur in the early stage of human brucellosis.
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Kalule JB, Tomusange J, Namatovu T. Serological detection of brucellosis among febrile, malaria-negative children and domesticated dogs in an urban African setting. Afr J Lab Med 2020; 9:864. [PMID: 33102165 PMCID: PMC7564948 DOI: 10.4102/ajlm.v9i1.864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 07/06/2020] [Indexed: 11/03/2022] Open
Abstract
Background Childhood brucellosis and malaria are co-endemic febrile illnesses in some sub-Saharan African countries. Malaria and brucellosis co-infection or brucellosis sole infections are often missed due to an over emphasis on malaria and the lack of appropriate diagnostic infrastructure. Brucellosis in dogs is usually overlooked and yet there is extensive contact between humans and their pets. Objective This study investigated brucellosis in children and dogs using a confirmatory serological testing series that screens for three Brucella sp. Methods Residual blood samples from malaria smear-negative febrile children were collected and tested for Brucella sp and malaria parasite. During the same period, residual blood samples presented to a veterinary microbiology laboratory in the same area were tested for brucellosis using the same approach. Results A total of 105 human and 80 canine blood samples were tested for brucellosis antibodies. The seroprevalence of brucellosis was 22.86% (25/105) in children and 1.3% (1/80) in dogs using the Card, buffered acidified plate antigen, and standard plate agglutination tests but was 0% using the rivanol precipitation plate agglutination test. Conclusion Given that brucellosis can be caused by both smooth and rough colony strains, there is a need to modify the current serological surveillance strategy (targeted at only Brucella abortus and other smooth colony Brucella strains) to figure out the relative contribution of rough colony Brucella strains (B. ovis and B. canis). Since Uganda is endemic for brucellosis there is a need to modify the brucellosis surveillance strategy.
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Affiliation(s)
- John B Kalule
- Department of Biotechnical and Diagnostic Sciences, College of Veterinary Medicine, Animal Resources Animal and Biosecurity, Kampala, Uganda
| | - Joseph Tomusange
- Department of Biotechnical and Diagnostic Sciences, College of Veterinary Medicine, Animal Resources Animal and Biosecurity, Kampala, Uganda
| | - Teddy Namatovu
- Department of Biotechnical and Diagnostic Sciences, College of Veterinary Medicine, Animal Resources Animal and Biosecurity, Kampala, Uganda
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Wainaina M, Aboge GO, Omwenga I, Ngaywa C, Ngwili N, Kiara H, Wamwere-Njoroge G, Bett B. Detection of Brucella spp. in raw milk from various livestock species raised under pastoral production systems in Isiolo and Marsabit Counties, northern Kenya. Trop Anim Health Prod 2020; 52:3537-3544. [PMID: 32948966 PMCID: PMC7606284 DOI: 10.1007/s11250-020-02389-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 09/10/2020] [Indexed: 11/26/2022]
Abstract
Introduction Brucellosis is an important zoonotic disease in Kenya, and identifying the bacteria in milk is important in assessing the risk of exposure in people. Methods A cross-sectional study that involved 175 households was implemented in the pastoral counties of Marsabit and Isiolo in Kenya. Pooled milk samples (n = 164) were collected at the household level, and another 372 were collected from domesticated lactating animals (312 goats, 7 sheep, 50 cattle and 3 camels). Real-time polymerase chain reaction (qPCR) testing of the milk samples was performed to identify Brucella species. Brucella anti-LPS IgG antibodies were also detected in bovine milk samples using an indirect enzyme-linked immunosorbent assay (ELISA). Results Based on the qPCR, the prevalence of the pathogen at the animal level (considering samples from individual animals) was 2.4% (95% confidence interval (CI) 1.1–4.5) and 3.0% (CI: 1.0–7.0) in pooled samples. All 14 samples found positive by qPCR were from goats, with 10 contaminated with B. abortus and 4 with B. melitensis. The Brucella spp. antibody prevalence in bovine milk using the milk ELISA was 26.0% (95% CI: 14.6–40.3) in individual animal samples and 46.3% (95% CI: 30.7–62.6) in pooled samples. Conclusion The study is the first in Kenya to test for Brucella spp. directly from milk using qPCR without culturing for the bacteria. It also detected B. abortus in goats, suggesting transmission of brucellosis between cattle and goats. The high prevalence of Brucella spp. is a significant public health risk, and there is a need for intervention strategies necessary in the study area. Electronic supplementary material The online version of this article (10.1007/s11250-020-02389-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Gabriel O Aboge
- Department of Public Health Pharmacology and Toxicology, College of Agriculture and Veterinary Sciences, University of Nairobi, Nairobi, Kenya
- Centre for Biotechnology and Bioinformatics, College of Biological and Physical Sciences, University of Nairobi, Nairobi, Kenya
| | - Isaac Omwenga
- International Livestock Research Institute, Nairobi, Kenya
- Department of Public Health Pharmacology and Toxicology, College of Agriculture and Veterinary Sciences, University of Nairobi, Nairobi, Kenya
| | - Catherine Ngaywa
- International Livestock Research Institute, Nairobi, Kenya
- Centre for Biotechnology and Bioinformatics, College of Biological and Physical Sciences, University of Nairobi, Nairobi, Kenya
| | | | - Henry Kiara
- International Livestock Research Institute, Nairobi, Kenya
| | | | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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Hughes EC, Anderson NE. Zoonotic Pathogens of Dromedary Camels in Kenya: A Systematised Review. Vet Sci 2020; 7:vetsci7030103. [PMID: 32764264 PMCID: PMC7559378 DOI: 10.3390/vetsci7030103] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 06/21/2020] [Accepted: 07/01/2020] [Indexed: 01/26/2023] Open
Abstract
Kenya is home to Africa’s third largest population of dromedary camels, and production at commercial and local levels are increasingly important. In pastoral and nomadic communities in the arid and semi-arid lands (ASALs), camels play a vital role in food security, while commercial milk production and formalized export markets are rapidly emerging as camel populations expand into non-traditional areas. Until recently, little focus was placed on camels as hosts of zoonotic disease, but the emergence of Middle Eastern respiratory coronavirus (MERS-CoV) in 2012, and the discovery of exposure to the virus in Kenyan camels, highlighted the need for further understanding of this area. This systematised review utilised a robust search strategy to assess the occurrence of camel-associated zoonoses in Kenya and to evaluate the quality of the published literature. Seventy-four studies were identified, covering sixteen pathogens, with an increasing number of good quality studies in recent years. Despite this, the area remains under-researched and there is a lack of robust, high-quality research. Trypanosome spp., Echinococcus granulosus and Brucella spp. appeared most frequently in the literature. Pathogens with the highest reported prevalence were MERS-CoV (0–100%), Echinococcus granulosa (7–60%) and Rift Valley fever virus (7–57%). Exposure to Brucella spp., Coxiella burnetii and Crimean-Congo haemorrhagic fever virus showed higher levels in camel or camel-associated vectors than other livestock species, although brucellosis was the only disease for which there was robust evidence linking camel and human exposure. Zoonotic agents with less severe human health outcomes, such as Dermatophilosus congolensis and contagious ecthyma, were also represented in the literature. This review provides an important summary of the scope and quality of current knowledge. It demonstrates that further research, and improved adherence to robust study design and reporting are essential if the zoonotic risk from camels in Kenya, and elsewhere, is to be better understood.
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Affiliation(s)
- Ellen Clare Hughes
- The Royal (Dick) School of Veterinary Studies and the Roslin Institute, University of Edinburgh, Roslin EH25 9RG, UK;
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Henry Wellcome Building, Garscube Campus, Glasgow G61 1QH, UK
- Correspondence:
| | - Neil Euan Anderson
- The Royal (Dick) School of Veterinary Studies and the Roslin Institute, University of Edinburgh, Roslin EH25 9RG, UK;
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Ntirandekura JB, Makene VA, Kasanga CJ, Matemba LE, Kimera SI, Muma JB, Karimuribo ED. Molecular characterization of Brucella species detected in humans and domestic ruminants of pastoral areas in Kagera ecosystem, Tanzania. Vet Med Sci 2020; 6:711-719. [PMID: 32567249 PMCID: PMC7738721 DOI: 10.1002/vms3.298] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 04/21/2020] [Accepted: 05/22/2020] [Indexed: 12/23/2022] Open
Abstract
Brucellosis is a zoonotic disease of importance to both public health and the livestock industry. The disease is likely to be endemic in Tanzania and little is reported on molecular characterization of Brucella species in pastoral settings. This study aimed at characterizing Brucella species (targeting genus Brucella) infecting humans, cattle and goat in Kagera region (Ngara and Karagwe districts) using real-time PCR, PCR amplification of 16S rRNA genes and Sanger sequencing. Brucella spp. were detected in 47 samples (19 sera and 28 milk) out of 125 samples (77 sera, 35 milk and 13 aborted materials) using real-time PCR. All aborted materials (13 samples) were negative to real-time PCR. Out of the 47 real-time PCR positive samples (28 milk and 19 sera), 20 samples (10 milk and 10 sera) showed an expected 16S rRNA gene PCR product. Sequence analysis and blasting confirmed the presence of Brucella spp. in pastoral areas of Kagera region. The Brucella spp. from Kagera were phylogenetically grouped in two clades and three branches all closer to B. melitensis, B. abortus and B. suis from USA, Sudan and Iran. However, they were distinct from other species isolated also in USA, New Zealand, Germany and Egypt. This was expected based on the distance between the geographical regions from which the data (nucleotides sequences from 16S gene sequencing) for the phylogeny reconstruction were obtained. This is the first study to report Brucella species identified using 16S rRNA gene sequencing in East and Central Africa. A livestock vaccination program re-inforced with a high index of Brucella diagnosis is needed to eradicate brucellosis in animals and minimize suffering from Brucella infections in humans in Tanzania.
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Affiliation(s)
- Jean-Bosco Ntirandekura
- College of Veterinary Medicine and Biomedical Sciences, Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania.,Département de Santé et Productions Animales, Faculté d'Agronomie et de Bio-Ingénierie, Université du Burundi, Bujumbura, Burundi
| | - Victor A Makene
- Department of Molecular Biology and Biotechnology, The University of Dar es Salaam, Dar es Salaam, Tanzania
| | - Christopher J Kasanga
- College of Veterinary Medicine and Biomedical Sciences, Department of Microbiology, Parasitology and Biotechnology, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Lucas E Matemba
- The National Institute for Medical Research, Dodoma, Tanzania
| | - Sharadhuli I Kimera
- College of Veterinary Medicine and Biomedical Sciences, Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - John B Muma
- Department of Disease Control, TheUniversity of Zambia, School of Veterinary Medicine, Lusaka, Zambia
| | - Esron D Karimuribo
- College of Veterinary Medicine and Biomedical Sciences, Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
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Akoko J, Pelle R, Kivali V, Schelling E, Shirima G, Machuka EM, Mathew C, Fèvre EM, Kyallo V, Falzon LC, Lukambagire AS, Halliday JEB, Bonfoh B, Kazwala R, Ouma C. Serological and molecular evidence of Brucella species in the rapidly growing pig sector in Kenya. BMC Vet Res 2020; 16:133. [PMID: 32393374 PMCID: PMC7216537 DOI: 10.1186/s12917-020-02346-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 04/29/2020] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Brucellosis is an emerging yet neglected zoonosis that has been reported in Kenya. Epidemiological data on brucellosis in ruminants is readily accessible; however, reports on brucellosis in pigs remain limited. This study sought to detect Brucella infection in pig serum by both serological and molecular techniques. Serum from 700 pigs randomly collected at a centralized abattoir in Nairobi region, Kenya were screened in parallel, using both Rose Bengal Test (RBT) and competitive Enzyme-Linked Immuno-sorbent Assay (cELISA) for antibodies against Brucella spp. All sera positive by RBT and 16 randomly selected negative samples were further tested using conventional PCR targeting bcsp31 gene and real-time PCR (RT-PCR) assays targeting IS711 and bcsp31 genes. RESULTS A prevalence of 0.57% (n = 4/700) was estimated using RBT; none of these samples was positive on cELISA. All RBT positive sera were also positive by both PCRs, while two sero-negative samples also tested positive on RT-PCR (n = 6/20). Brucella abortus was detected in four out of the six PCR positive samples through a real-time multiplex PCR. CONCLUSION The detection of antibodies against Brucella spp. and DNA in serum from slaughterhouse pigs confirm the presence of Brucella in pigs. Therefore, investigation of the epidemiology and role of pigs in the transmission of brucellosis in Kenya is needed. Further targeted studies would be useful to systematically quantify and identify the spp. of Brucella in pigs.
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Affiliation(s)
- James Akoko
- Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya.
- Biosciences Eastern And Central Africa - International Livestock Research Institute, Nairobi, Kenya.
| | - Roger Pelle
- Biosciences Eastern And Central Africa - International Livestock Research Institute, Nairobi, Kenya
| | - Velma Kivali
- International Livestock Research Institute, Nairobi, Kenya
| | - Esther Schelling
- Department of Public Health and Epidemiology, Swiss Tropical Institute, Basel, Switzerland
| | - Gabriel Shirima
- Nelson Mandela African Institute of Science and Technology, Arusha, Tanzania
| | - Eunice M Machuka
- Biosciences Eastern And Central Africa - International Livestock Research Institute, Nairobi, Kenya
| | | | - Eric M Fèvre
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection and Global Health, University of Liverpool, Liverpool, UK
| | | | - Laura C Falzon
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection and Global Health, University of Liverpool, Liverpool, UK
| | | | | | - Bassirou Bonfoh
- Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Neuchâtel, Switzerland
| | | | - Collins Ouma
- Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya
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46
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Bodenham RF, Lukambagire AS, Ashford RT, Buza JJ, Cash-Goldwasser S, Crump JA, Kazwala RR, Maro VP, McGiven J, Mkenda N, Mmbaga BT, Rubach MP, Sakasaka P, Shirima GM, Swai ES, Thomas KM, Whatmore AM, Haydon DT, Halliday JEB. Prevalence and speciation of brucellosis in febrile patients from a pastoralist community of Tanzania. Sci Rep 2020; 10:7081. [PMID: 32341414 PMCID: PMC7184621 DOI: 10.1038/s41598-020-62849-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Accepted: 03/11/2020] [Indexed: 01/18/2023] Open
Abstract
Brucellosis is an endemic zoonosis in sub-Saharan Africa. Pastoralists are at high risk of infection but data on brucellosis from these communities are scarce. The study objectives were to: estimate the prevalence of human brucellosis, identify the Brucella spp. causing illness, describe non-Brucella bloodstream infections, and identify risk factors for brucellosis in febrile patients from a pastoralist community of Tanzania. Fourteen (6.1%) of 230 participants enrolled between August 2016 and October 2017 met study criteria for confirmed (febrile illness and culture positivity or ≥four-fold rise in SAT titre) or probable (febrile illness and single SAT titre ≥160) brucellosis. Brucella spp. was the most common bloodstream infection, with B. melitensis isolated from seven participants and B. abortus from one. Enterococcus spp., Escherichia coli, Salmonella enterica, Staphylococcus aureus and Streptococcus pneumoniae were also isolated. Risk factors identified for brucellosis included age and herding, with a greater probability of brucellosis in individuals with lower age and who herded cattle, sheep or goats in the previous 12 months. Disease prevention activities targeting young herders have potential to reduce the impacts of human brucellosis in Tanzania. Livestock vaccination strategies for the region should include both B. melitensis and B. abortus.
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Affiliation(s)
- Rebecca F Bodenham
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | | | - Roland T Ashford
- OIE/FAO Brucellosis Reference Laboratory, Department of Bacteriology, Animal & Plant Health Agency, Surrey, UK
| | - Joram J Buza
- Nelson Mandela African Institution for Science and Technology, Arusha, Tanzania
| | - Shama Cash-Goldwasser
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA.,Kilimanjaro Christian Medical Centre, Moshi, Tanzania
| | - John A Crump
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA.,Kilimanjaro Christian Medical Centre, Moshi, Tanzania.,Kilimanjaro Clinical Research Institute, Moshi, Tanzania.,Centre for International Health, University of Otago, Dunedin, New Zealand.,Kilimanjaro Christian Medical University College, Moshi, Tanzania.,Division of Infectious Diseases and International Health, Duke University Medical Center, North Carolina, USA
| | | | - Venance P Maro
- Kilimanjaro Christian Medical Centre, Moshi, Tanzania.,Kilimanjaro Christian Medical University College, Moshi, Tanzania
| | - John McGiven
- OIE/FAO Brucellosis Reference Laboratory, Department of Bacteriology, Animal & Plant Health Agency, Surrey, UK
| | - Nestory Mkenda
- Endulen Hospital, Ngorongoro Conservation Area, Arusha, Tanzania
| | - Blandina T Mmbaga
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA.,Kilimanjaro Christian Medical Centre, Moshi, Tanzania.,Kilimanjaro Clinical Research Institute, Moshi, Tanzania.,Kilimanjaro Christian Medical University College, Moshi, Tanzania
| | - Matthew P Rubach
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA.,Kilimanjaro Christian Medical Centre, Moshi, Tanzania.,Division of Infectious Diseases and International Health, Duke University Medical Center, North Carolina, USA.,Programme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore, Singapore
| | | | - Gabriel M Shirima
- Nelson Mandela African Institution for Science and Technology, Arusha, Tanzania
| | - Emanuel S Swai
- Directorate of Veterinary Services, Ministry of Livestock and Fisheries, Dodoma, Tanzania
| | - Kate M Thomas
- Kilimanjaro Clinical Research Institute, Moshi, Tanzania.,Centre for International Health, University of Otago, Dunedin, New Zealand
| | - Adrian M Whatmore
- OIE/FAO Brucellosis Reference Laboratory, Department of Bacteriology, Animal & Plant Health Agency, Surrey, UK
| | - Daniel T Haydon
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Jo E B Halliday
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
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Risk factors for acute human brucellosis in Ijara, north-eastern Kenya. PLoS Negl Trop Dis 2020; 14:e0008108. [PMID: 32236091 PMCID: PMC7153889 DOI: 10.1371/journal.pntd.0008108] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Revised: 04/13/2020] [Accepted: 02/01/2020] [Indexed: 11/19/2022] Open
Abstract
Brucellosis is an important zoonotic disease globally, with particularly high burdens in pastoral settings. While the zoonotic transmission routes for Brucella spp. are well known, the relative importance of animal contact, food-handling and consumption practices can vary. Understanding the local epidemiology of human brucellosis is important for directing veterinary and public health interventions, as well as for informing clinical diagnostic decision making. We conducted a cross-sectional study in Ijara District Hospital, north-eastern Kenya. A total of 386 individuals seeking care and reporting symptoms of febrile illness were recruited in 2011. Samples were tested for the presence of Brucella spp. using a real-time PCR (RT-PCR) and results compared to those from the test for brucellosis used at Ijara District Hospital, the febrile Brucella plate agglutination test (FBAT). A questionnaire was administered to all participants and risk factors for brucellosis identified using logistic regression with an information theoretic (IT) approach and least absolute shrinkage and selection (LASSO). Sixty individuals were RT-PCR positive, resulting in a prevalence of probable brucellosis of 15.4% (95% CI 12.0-19.5). The IT and LASSO approaches both identified consuming purchased milk as strongly associated with elevated risk and boiling milk before consumption strongly associated with reduced risk. There was no evidence that livestock keepers were at different risk of brucellosis than non-livestock keepers. The FBAT had poor diagnostic performance when compared to RT-PCR, with an estimated sensitivity of 36.6% (95% CI 24.6-50.1) and specificity of 69.3% (95% CI 64.0-74.3). Brucellosis is an important cause of febrile illness in north-eastern Kenya. Promotion of pasteurisation of milk in the marketing chain and health messages encouraging the boiling of raw milk before consumption could be expected to lead to large reductions in the incidence of brucellosis in Ijara. This study supports the growing evidence that the FBAT performs very poorly in the diagnosis of brucellosis.
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Cao LT, Liu HH, Li J, Yin XD, Duan Y, Wang J. Relationship of meteorological factors and human brucellosis in Hebei province, China. THE SCIENCE OF THE TOTAL ENVIRONMENT 2020; 703:135491. [PMID: 31740063 DOI: 10.1016/j.scitotenv.2019.135491] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Revised: 10/31/2019] [Accepted: 11/11/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Brucellosis has always been one of the major public health problems in China. Investigating the influencing factors of brucellosis is conducive to its prevention and control. The incidence trend of brucellosis shows an obvious seasonality, suggesting that there may be a correlation between brucellosis and meteorological factors, but related studies were few. We aimed to use the autoregressive integrated moving average (ARIMA) model to analyze the relationship between meteorological factors and brucellosis. METHODS The data of monthly incidence of brucellosis and meteorological factors in Hebei province from January 2004 to December 2015 were collected from the Chinese Public Health Science Data Center and Chinese meteorological data website. An ARIMA model incorporated with covariables was conducted to estimate the effects of meteorological variables on brucellosis. RESULTS There was a highest peak from May to July every year and an upward trend during the study period. Atmospheric pressure, wind speed, mean temperature, and relative humidity had significant effects on brucellosis. The ARIMA(1,0,0)(1,1,0)12 model with the covariates of atmospheric pressure, wind speed and mean temperature was the optimal model. The results showed that the atmospheric pressure with a 2-month lag (β = -0.004, p = 0.037), the wind speed with a 1-month lag (β = 0.030, p = 0.035), and the mean temperature with a 2-month lag (β = -0.003, p = 0.034) were significant predictors. CONCLUSION Our study suggests that atmospheric pressure, wind speed, mean temperature, and relative humidity have a significant impact on brucellosis. Further understanding of its mechanism would help facilitate the monitoring and early warning of brucellosis.
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Affiliation(s)
- Long-Ting Cao
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230036, China
| | - Hong-Hui Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230036, China
| | - Juan Li
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230036, China
| | - Xiao-Dong Yin
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230036, China
| | - Yu Duan
- Division of Life Sciences and Medicine, The First Affiliated Hospital of University of Science and Technology of China, Hefei, Anhui 230036, China
| | - Jing Wang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui 230036, China.
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49
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Kazanasmaz H, Geter S. Investigation of the Sensitivity and Specificity of Laboratory Tests Used in Differential Diagnosis of Childhood Brucellosis. Cureus 2020; 12:e6756. [PMID: 32140324 PMCID: PMC7039374 DOI: 10.7759/cureus.6756] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Objectives Childhood brucellosis is a common public health problem in developing countries. The diagnosis of brucellosis based on nonspecific symptoms is an ongoing problem for physicians, especially in endemic areas. In this study, it is aimed to discuss the efficacy of frequently used test methods in the differential diagnosis of brucellosis. Methods The records of 332 patients admitted to pediatric clinic on suspicion of brucellosis were retrospectively analyzed. Patients with brucellosis were included in the positive group (n = 262) and those without brucellosis were included in the negative group (n = 70). Results As a result of biochemical analysis of the cases, median alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase (GGT), erythrocyte sedimentation rate (ESR), and C reactive protein (CRP) values were significantly higher in the positive group than that in the negative group (p<0.05). There was no significant difference between median white blood cell, neutrophil, lymphocyte, neutrophil to lymphocyte ratio, hemoglobin, and platelet values between groups (p>0.05). Receiver operating curves were plotted to compare predictive values of CRP (area under curve (AUC): 0.635, p= 0.001), ESR(AUC:0.701, p<0.001), AST(AUC: 0.595, p=0.015), ALT(AUC:0.604, p=0.007), and GGT(AUC:0.593, p=0.016) in 332 patients with suspected brucellosis. Conclusions Increased levels of AST, ALT, GGT, CRP, and ESR may have a complementary role in the differential diagnosis of childhood brucellosis. However, all of these markers should be evaluated with clinical findings due to their low specificity and sensitivity.
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Affiliation(s)
| | - Süleyman Geter
- Pediatrics, Sanliurfa Training and Research Hospital, Sanliurfa, TUR
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50
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Nyataya J, Maraka M, Lemtudo A, Masakhwe C, Mutai B, Njaanake K, Estambale BB, Nyakoe N, Siangla J, Waitumbi JN. Serological Evidence of Yersiniosis, Tick-Borne Encephalitis, West Nile, Hepatitis E, Crimean-Congo Hemorrhagic Fever, Lyme Borreliosis, and Brucellosis in Febrile Patients Presenting at Diverse Hospitals in Kenya. Vector Borne Zoonotic Dis 2020; 20:348-357. [PMID: 31928511 DOI: 10.1089/vbz.2019.2484] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Data on pathogen prevalence is crucial for informing exposure and disease risk. We evaluated serological evidence of tick-borne encephalitis (TBE), West Nile (WN), Hepatitis E virus (HEV), Crimean-Congo Hemorrhagic Fever (CCHF), Yersiniosis, Lyme Disease (LD), and brucellosis in 1033 patients presenting with acute febrile illness at 9 health care facilities from diverse ecological zones of Kenya: arid and semiarid (Garissa District Hospital, Lodwar District Hospital, Marigat District Hospital, Gilgil District Hospital), Lake Victoria basin (Kisumu District Hospital, Alupe District Hospital, Kombewa Sub-County Hospital), Kisii highland (Kisii District Hospital), and coastal (Malindi District Hospital). Epidemiological information of the patients such as geography, age, gender, and keeping animals were analyzed as potential risk factors. Of the 1033 samples, 619 (59.9%) were seropositive to at least one pathogen by IgM (current exposure), IgG/IgM (recent exposure), and IgG (past exposure). Collective seroprevalence for current, recent, and past to the pathogens was 9.4%, 5.1%, and 21.1% for LD; 3.6%, 0.5%, and 12.4% for WN; 0.9%, 0.5%, and 16.9% for HEV; 5.8%, 1.3%, and 3.9% for brucellosis; 5.7%, 0.2%, and 2.3% for yersiniosis; 1.7%, 0%, and 6.2% for TBE; and 0.4%, 0%, and 1.9% for CCHF. Brucellosis risk was higher in patients recruited at Garissa District Hospital (odds ratio [OR] = 3.41), HEV (OR = 2.45) and CCHF (OR = 5.46) in Lodwar District Hospital, LD in Alupe District Hospital (OR = 5.73), Kombewa Sub-district hospital (OR = 8.17), and Malindi District hospital (OR = 3.3). Exposure to LD was highest in the younger age group, whereas yersiniosis did not vary with age. Age was a significant risk for WN, brucellosis, CCHF, TBE, and HEV and in those aged >14 years there was an increased risk to WN (OR = 2.30, p < 0.0001), brucellosis (OR = 1.84, p = 0.005), CCHF (OR = 4.35, p = 0.001), TBE (OR = 2.78, p < 0.0001), and HEV (OR = 1.94, p = 0.0001). We conclude that LD is pervasive and constitutes a significant health burden to the study population, whereas yersiniosis and CCHF are not significant threats. Going forward, community-based studies will be needed to capture the true seroprevalence rates and the associated risk factors.
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Affiliation(s)
- Josphat Nyataya
- Medical Research Directorate-Africa/Kenya Medical Research Institute, Basic Science Laboratory, Kisumu, Kenya
| | - Moureen Maraka
- Medical Research Directorate-Africa/Kenya Medical Research Institute, Basic Science Laboratory, Kisumu, Kenya
| | - Allan Lemtudo
- Medical Research Directorate-Africa/Kenya Medical Research Institute, Basic Science Laboratory, Kisumu, Kenya
| | - Clement Masakhwe
- Medical Research Directorate-Africa/Kenya Medical Research Institute, Basic Science Laboratory, Kisumu, Kenya
| | - Beth Mutai
- Medical Research Directorate-Africa/Kenya Medical Research Institute, Basic Science Laboratory, Kisumu, Kenya
| | - Kariuki Njaanake
- Department of Medical Microbiology, College of Health Sciences, University of Nairobi, Nairobi, Kenya
| | - Benson B Estambale
- Division of Research, Innovation and Outreach, Jaramogi Oginga Odinga University of Science and Technology, Bondo, Kenya
| | - Nancy Nyakoe
- Department of Biochemistry, Cell and Molecular Biology, West African Center for Cell Biology of Infectious Pathogens (WACCBIP), University of Ghana, Accra, Ghana
| | - Joram Siangla
- Medical Research Directorate-Africa/Kenya Medical Research Institute, Basic Science Laboratory, Kisumu, Kenya
| | - John Njenga Waitumbi
- Medical Research Directorate-Africa/Kenya Medical Research Institute, Basic Science Laboratory, Kisumu, Kenya
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