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Fromsa A, Conlan AJK, Srinivasan S, Zeleke M, Worku D, Lakew M, Abdela MG, Bahiru G, Wood JLN, Bakker D, Gumi B, Ameni G, Kapur V. Bovine tuberculosis in Central Ethiopian slaughterhouses and the identification of causative mycobacteria by multiplex real-time PCR. BMC Microbiol 2024; 24:394. [PMID: 39379812 PMCID: PMC11462752 DOI: 10.1186/s12866-024-03543-7] [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: 05/11/2024] [Accepted: 09/23/2024] [Indexed: 10/10/2024] Open
Abstract
BACKGROUND Bovine tuberculosis (bTB) is a chronic disease caused by members of the Mycobacterium tuberculosis complex (MTBC) that ultimately leads to the development of progressive granulomatous lesions. Although the disease is widespread, especially in crossbred cattle in Ethiopia, routine investigations and surveillance are lacking. Thus, the aim of this study was to determine the prevalence, associated risk factors, and species of mycobacteria causing bTB in slaughtered cattle at four slaughterhouses in Central Ethiopia. METHODS Postmortem examination of 7,640 cattle was conducted using a cross-sectional slaughterhouse survey. A total of 388 tuberculous-like lesions (TBLs) were collected from 173 animals and cultured. Six target genes were used to differentiate mycobacterial species using multiplex real-time PCR (mRT-PCR). Multivariate logistic regression analyses and related odds ratios (ORs) were used to gauge the strength of the associations between risk factors, TBL incidence and culture growth. RESULTS The prevalence of TBL was 2.3% (95% CI = 2.0-2.6). Logistic regression analysis indicated an increased risk of TBL in crossbred cattle (OR = 11.8, 95% CI: 6.4, 21.2, p < 0.001). Animals slaughtered at Adama (OR = 3.2, 95% CI: 1.2, 7.3, p = 0.009) or Burayu (OR = 5.8, 95% CI: 3.9, 8.9, p < 0.001) had a greater risk of TBL than those slaughtered at Sululta. There were significantly more TBL-positive lesions in the lungs and lymph nodes related to the lung (OR = 7.1; 95% CI: 2.7, 24.5, p < 0.001) and the head lymph node (OR = 5.6; 95% CI: 1.8, 21.7; p = 0.006) compared to gut associated lymph nodes. Among the 173 TBL-positive animals, 36% (95% CI = 28.8, 43.2), and among the 388 TBL-positive tissues, 24.2% (95% CI = 20, 29) were culture and mRT-PCR positive. All the culture-generated isolates were positive for M. bovis in mRT-PCR. Among them, two animals had mixed infections including one zebu cattle tested positive for both M. caprae and M. bovis, and a crossbred cow tested positive for both M. tuberculosis and M. bovis in mRT-PCR. This suggests persistent transmission within the cattle population, posing a substantial public health threat. CONCLUSION This study revealed an eleven-fold greater risk of bTB-related lesions in crossbred cattle compared to local zebu cattle. This finding highlights the necessity for targeted interventions, continuous vigilance, and thorough carcass inspection to mitigate public health risks.
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Affiliation(s)
- Abebe Fromsa
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia.
- College of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, Ethiopia.
| | - Andrew J K Conlan
- Disease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
| | - Sreenidhi Srinivasan
- Huck Institutes of Life Sciences, The Pennsylvania State University, University Park, PA, USA
| | - Miserach Zeleke
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia
| | - Dawit Worku
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia
| | | | - Musse Girma Abdela
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia
| | | | - James L N Wood
- Disease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, Cambridge, UK
| | - Douwe Bakker
- Indepedent Researcher, Lelystad, The Netherlands
| | - Balako Gumi
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia
| | - Gobena Ameni
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia.
- Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University, Al Ain City, United Arab Emirates.
| | - Vivek Kapur
- Huck Institutes of Life Sciences, The Pennsylvania State University, University Park, PA, USA.
- Department of Animal Science, The Pennsylvania State University, University Park, PA, USA.
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Abunna F, Gebresenbet G, Megersa B. Assessment of knowledge, attitude and practices (KAP) of farmers about transmission of zoonotic diseases in Ada'a district, Oromia, Ethiopia. Heliyon 2024; 10:e25713. [PMID: 38384538 PMCID: PMC10878875 DOI: 10.1016/j.heliyon.2024.e25713] [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: 12/03/2022] [Revised: 01/26/2024] [Accepted: 02/01/2024] [Indexed: 02/23/2024] Open
Abstract
In developing countries like Ethiopia, zoonotic diseases pose a significant health and economic burden, with high exposure of farmers to zoonotic infection given the prevailing traditional husbandry practices. A cross-sectional survey involving 388 farmers in the Ada'a district central Ethiopia was conducted to investigate their knowledge, attitudes, and practices (KAP) regarding the transmission of zoonotic diseases. The respondents' mean age was 41.0 ± 10.0 SD years. The majority of respondents (39.4%) were between the ages of 41 and 50, and 90.0% were married. Farmers claimed that conversations with family, colleagues, and friends were the primary sources of zoonoses information. Farmers stated that the primary sources of information on zoonotic diseases as community. They had a relatively low level (66.8%) of knowledge on zoonotic diseases and half of them (54.9%) did not have good information on zoonoses. Three-quarters (75.2%) of the farmers reported that they neither consume meat and milk nor use offal and hide/skin from sick or dead animals. Similarly, 71.1% of them stated that they do not eat meat from regularly aborting sheep/goats, and never consume raw meat and milk. Most of the respondents correctly answered that raw meat (82.7%) and raw milk (79.9%) are means of disease transmission from animals to humans. However, considerable proportions of them were unaware of zoonotic transmission of bovine tuberculosis (61.3%) and brucellosis (74.7%) transmission through raw milk intakes, and risk of taeniasis (71%) due to raw meat consumption. But, considerable proportions had never dewormed (48.7%), or tested their animals for brucellosis (82.7%) and bovine tuberculosis (83.3%), and more than three quarters (77.3%) did not used personal protective equipment when handling sick animals. Farmers who had a secondary education or above (OR = 6.8, CI = 2.4-18.0, p = 0.004), aged between 41 and 50 years (OR = 3.0, 95% CI: 1.2-7.2, p = 0.015), and those having good knowledge (OR = 2.1, CI = 1.3-3.5, p = 0.002), and positive attitude related to zoonotic diseases (OR = 7.8, CI = 4.7-12.9, p < 0.001) had better practices that reduce the risk of exposure to zoonotic infections than their counterparts. This study revealed a knowledge gaps, a low level of the desired attitude, and high-risk behavioral practices which call for awareness creation about zoonotic disease transmission.
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Affiliation(s)
- Fufa Abunna
- College of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, Ethiopia
| | - Girma Gebresenbet
- Department of Energy and Technology, Swedish University of Agricultural Sciences, Uppsala, Sweden
| | - Bekele Megersa
- College of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, Ethiopia
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MONDE N, MUNYEME M, SIZIYA S, ZULU M, CHONGWE G, KABELENGA E, DAKA V, SIAME KK, TEMBO R, MALAMA S. Risk factors associated with zoonotic tuberculosis at the animal-human interface in a tuberculosis-endemic sub-Saharan country. J Vet Med Sci 2023; 85:1136-1141. [PMID: 37574280 PMCID: PMC10600531 DOI: 10.1292/jvms.22-0565] [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: 12/27/2022] [Accepted: 07/18/2023] [Indexed: 08/15/2023] Open
Abstract
We aimed to assess the proportion of tuberculosis in humans and tuberculosis (TB)-associated abattoir condemnations from the animal sector, as well as determine risk factors of zoonotic tuberculosis at the animal-human interface in Zambia. The study involved 255 presumptive TB patients and 156 cattle carcasses and was conducted from April 2020 to December 2021. Univariable and multivariable logistic regressions were performed for risk factor analysis for zoonotic TB. The overall proportion of bovine tuberculosis in traditional cattle and the proportion of tuberculosis among presumptive TB patients were 39.7% and 10.2%, respectively. Consumption of raw milk (adjusted odds ratio (AOR)=2.72, 95% confidence interval (CI): 1.73-4.28) and history of previous contact with a TB patient (AOR=1.86, 95% CI: 1.17-2.95) were risk factors for zoonotic TB at the animal-human interface of Zambia. Therefore, community campaigns and sensitization on zoonotic TB transmission are recommended.
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Affiliation(s)
- Ngula MONDE
- Department of Biomedical Sciences, Tropical Diseases
Research Center, Ndola, Zambia
- Department of Disease Control, School of Veterinary
Medicine, University of Zambia, Lusaka, Zambia
| | - Musso MUNYEME
- Department of Disease Control, School of Veterinary
Medicine, University of Zambia, Lusaka, Zambia
| | - Seter SIZIYA
- Micheal Chilufya Sata School of Medicine, Copperbelt
University, Ndola, Zambia
| | - Mildred ZULU
- Department of Disease Control, School of Veterinary
Medicine, University of Zambia, Lusaka, Zambia
- Department of Pathology and Microbiology, School of
Medicine, University of Zambia, Lusaka, Zambia
| | - Gershom CHONGWE
- Department of Biomedical Sciences, Tropical Diseases
Research Center, Ndola, Zambia
| | - Elijah KABELENGA
- Department of Obstetrics and Gynaecology, Ndola Teaching
Hospital, Postal Agency, Ndola, Zambia
| | - Victor DAKA
- Micheal Chilufya Sata School of Medicine, Copperbelt
University, Ndola, Zambia
| | | | - Rabecca TEMBO
- Department of Pathology and Microbiology, School of
Medicine, University of Zambia, Lusaka, Zambia
| | - Sydney MALAMA
- Department of Disease Control, School of Veterinary
Medicine, University of Zambia, Lusaka, Zambia
- Department of Biological Sciences, School of Natural
Sciences, University of Zambia, Lusaka, Zambia
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Tora E, Getachew M, Seyoum W, Abayneh E. Public Awareness, Prevalence and Potential Determinants of Bovine Tuberculosis in Selected Districts of Gamo Zone, Southern Ethiopia. Vet Med (Auckl) 2022; 13:163-172. [PMID: 35959096 PMCID: PMC9359360 DOI: 10.2147/vmrr.s370733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 07/27/2022] [Indexed: 11/23/2022]
Abstract
Purpose Bovine tuberculosis (bTB) is infectious chronic disease of animals mainly caused by bacillus Mycobacterium bovis. It is known endemic disease of cattle in Ethiopia. In the current study sites, there is little information on bovine tuberculosis. Thus, this study was aimed to assess public awareness; and estimate prevalence and potential a risk factors of bovine tuberculosis. Methods A cross-sectional study was conducted, November 2018 to May 2019, on dairy cattle randomly selected from smallholder farms of Arba Minch Zuria and Chencha districts. Comparative intradermal tuberculin test (CIDT) was used in the diagnosis of bTB in dairy animals. CIDT was administered to 221 dairy cattle. Questionnaire survey was performed on 110 smallholders to assess risk factors accountable for the event of bTB in human population. Results 8.2% animal level prevalence of bTB was documented in the study sites. Dairy cattle with age of 4 to 8 eight years were 34% more likely to be affected by bTB less than 4 years age cattle (OR=1.34). However, factors like housing, body condition, herd size and parity were not significantly related with the event of bTB. The assessment of bTB awareness was shown 29.7% participants knew that cattle could be infected, and 13.4% of the respondents believed that it can spread from animal to human and vice versa. Besides, 66.1% of participants had habit for consumption of raw milk and soured milk products. Moreover, respondent’s attitude about zoonoses and consequences of bTB was risky. Conclusion Present study discloses that bTB is animal health problem affecting dairy cattle in Gamo zone, Southern Ethiopia. Based on the current findings, public awareness creation, bovine tuberculosis test and segregation strategy should be applied to minimize the public health hazards and risk factors for bovine origin tuberculosis.
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Affiliation(s)
- Ephrem Tora
- Department of Animal Science, College of Agricultural Sciences, Arba Minch University, Arba Minch, Ethiopia
- Correspondence: Ephrem Tora, Email
| | - Minale Getachew
- Department of Animal Science, College of Agricultural Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Wasihun Seyoum
- Department of Animal Science, College of Agricultural Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Edget Abayneh
- Department of Animal Science, College of Agricultural Sciences, Arba Minch University, Arba Minch, Ethiopia
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Deneke TT, Bekele A, Moore HL, Mamo T, Almaw G, Mekonnen GA, Mihret A, Tschopp R, Yeheyis L, Hodge C, Wood JLN, Berg S. Milk and meat consumption patterns and the potential risk of zoonotic disease transmission among urban and peri-urban dairy farmers in Ethiopia. BMC Public Health 2022; 22:222. [PMID: 35114957 PMCID: PMC8815239 DOI: 10.1186/s12889-022-12665-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 01/25/2022] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND In the Ethiopian dairy farming system, prevalence of zoonotic diseases such as bovine tuberculosis (bTB) is high in the cattle population. This, combined with some risky milk and meat consumption habits, such as raw milk and uninspected raw meat consumption, poses a considerable risk of zoonotic disease transmission. A survey was conducted to investigate milk and meat consumption patterns, and the level of exposure to urban and peri-urban dairy-keeping households for risks of zoonotic disease transmission. METHODS Data on milk and meat consumption behaviours and other socioeconomic and demographic variables were collected from 480 urban and peri-urban dairy farms randomly surveyed in major towns in Ethiopia (Mekele, Hawassa, and Gondar towns, Addis Ababa city, as well as five Oromia towns around Addis Ababa). Determinants of raw milk consumption associated with a number of demographic and socio-economic factors were analysed using a generalised ordered logistic model. RESULTS The results indicated that about 20% the population consumed raw milk and their awareness about pasteurisation and its benefits were low. Location, gender of the household head, previous bTB testing of cattle on the farm, knowledge of zoonotic risks associated with raw milk consumption, household size, and per-capita milk consumption were found to be important determinants of the frequency of raw milk consumption. About 60% of the respondents were exposed to the risk of zoonotic diseases through their habit of frequently consuming raw meat. This was despite that over 90% of the respondents were aware of possible zoonotic risks of raw meat consumption. The determinants of raw meat consumption behaviours were associated with location, gender and age of the household head, household size, meat type preference, per-capita meat consumption, knowledge about disease transmission risks, and training on zoonoses. CONCLUSION Creating awareness about the risk factors for zoonotic transmission of diseases through training and media campaigns, improving meat hygiene through better abattoir services, and inducing behavioural change around meat sourcing, raw meat and raw milk consumption, are all crucial to the successful prevention and control of the spread of zoonotic diseases, including bTB.
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Affiliation(s)
| | - Adam Bekele
- Ethiopian Institute of Agricultural Research, Addis Ababa, Ethiopia
| | - Henrietta L Moore
- Institute for Global Prosperity, University College London, London, UK
| | - Tadele Mamo
- Ethiopian Institute of Agricultural Research, Addis Ababa, Ethiopia
| | - Gizat Almaw
- National Animal Health Diagnostic and Investigation Center, Sebeta, Ethiopia
| | | | - Adane Mihret
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia
| | - Rea Tschopp
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Likawent Yeheyis
- Amhara Regional Agricultural Research Institute, Bahar Dar, Ethiopia
| | - Catherine Hodge
- Institute for Global Prosperity, University College London, London, UK
| | | | - Stefan Berg
- Animal and Plant Health Agency, Weybridge, UK
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Taye H, Alemu K, Mihret A, Wood JLN, Shkedy Z, Berg S, Aseffa A. Global prevalence of Mycobacterium bovis infections among human tuberculosis cases: Systematic review and meta-analysis. Zoonoses Public Health 2021; 68:704-718. [PMID: 34169644 PMCID: PMC8487997 DOI: 10.1111/zph.12868] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 03/12/2021] [Accepted: 05/23/2021] [Indexed: 12/30/2022]
Abstract
Tuberculosis (TB) is a chronic communicable bacterial disease caused by Mycobacterium tuberculosis complex (MTBC) species. M. tuberculosis is the main causative agent of human TB, and cattle are the primary host of Mycobacterium bovis; due to close interaction between cattle and humans, M. bovis poses a zoonotic risk. This review summarizes and estimates the prevalence of M. bovis infection among human cases. Studies reporting TB prevalence data that were published in English during 10 years from 20 April 2009 to 17 April 2019 were identified through search of PubMed and other sources. Quality of studies and risk of bias were assessed using standard tools for prevalence study reports. Characteristics of included studies and their main findings were summarized in tables and discussed with narrative syntheses. Meta-analysis was performed on 19 included studies, with a total of 7,185 MTBC isolates identified; 702 (9.7%) of them were characterized as of subspecies M. bovis, but there was a large prevalence difference between the studies, ranging from 0.4% to 76.7%. The genotyping-based studies reported significantly lower prevalence of zoonotic TB than did the studies based on older techniques. The overall pooled prevalence of M. bovis aggregated from all included studies was 12.1% of the total MTBC isolates, while the corresponding pooled figure from the 14 genotyping-based studies was only 1.4%. Generally, human M. bovis cases reported from different countries of the world suggest that the impact of zoonotic TB is still important in all regions. However, it was difficult to understand the true picture of the disease prevalence because of methodological differences. Future investigations on zoonotic TB should carefully consider these differences when evaluating prevalence results.
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Affiliation(s)
- Hawult Taye
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia
- Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia
| | - Kassahun Alemu
- Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia
| | - Adane Mihret
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia
| | - James L. N. Wood
- Department of Veterinary Medicine, University of Cambridge, Cambridge, UK
| | - Ziv Shkedy
- Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia
- Biostatistics and bioinformatics, University of Hasselt, Hasselt, Belgium
| | - Stefan Berg
- Bacteriology Department, Animal and Plant Health Agency, Weybridge, UK
| | - Abraham Aseffa
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia
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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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Occupational exposure and challenges in tackling M. bovis at human-animal interface: a narrative review. Int Arch Occup Environ Health 2021; 94:1147-1171. [PMID: 33725176 PMCID: PMC7961320 DOI: 10.1007/s00420-021-01677-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 01/12/2021] [Indexed: 01/09/2023]
Abstract
Zoonotic tuberculosis caused by Mycobacterium bovis (M. bovis), a member of Mycobacterium tuberculosis complex (MTBC) has increasingly gathered attention as a public health risk, particularly in developing countries with higher disease prevalence. M. bovis is capable of infecting multiple hosts encompassing a number of domestic animals, in particular cattle as well as a broad range of wildlife reservoirs. Humans are the incidental hosts of M. bovis whereby its transmission to humans is primarily through the consumption of cattle products such as unpasteurized milk or raw meat products that have been contaminated with M. bovis or the transmission could be due to close contact with infected cattle. Also, the transmission could occur through aerosol inhalation of infective droplets or infected body fluids or tissues in the presence of wound from infected animals. The zoonotic risk of M. bovis in humans exemplified by miscellaneous studies across different countries suggested the risk of occupational exposure towards M. bovis infection, especially those animal handlers that have close and unreserved contact with cattle and wildlife populations These animal handlers comprising of livestock farmers, abattoir workers, veterinarians and their assistants, hunters, wildlife workers as well as other animal handlers are at different risk of contracting M. bovis infection, depending on the nature of their jobs and how close is their interaction with infected animals. It is crucial to identify the underlying transmission risk factors and probable transmission pathways involved in the zoonotic transmission of M. bovis from animals to humans for better designation and development of specific preventive measures and guidelines that could reduce the risk of transmission and to protect these different occupational-related/populations at risk. Effective control and disease management of zoonotic tuberculosis caused by M. bovis in humans are also hindered by various challenges and factors involved at animal–human interface. A closer look into factors affecting proper disease control and management of M. bovis are therefore warranted. Hence, in this narrative review, we have gathered a number of different studies to highlight the risk of occupational exposure to M. bovis infection and addressed the limitations and challenges underlying this context. This review also shed lights on various components and approaches in tackling M. bovis infection at animal–human interface.
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Chidumayo NN. Estimation of Brucella and Mycobacterium bovis contamination in bovine milk in Africa. INTERNATIONAL JOURNAL OF ONE HEALTH 2021. [DOI: 10.14202/ijoh.2021.37-41] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background and Aim: Bovine brucellosis and tuberculosis are zoonotic bacterial diseases transmitted through the consumption of raw milk and dairy products. Many developed countries have eliminated bovine brucellosis and tuberculosis in their cattle herds, however, the diseases are still endemic in Africa. Despite the public health risk of these pathogens, the sale and consumption of unpasteurized milk are still common in some African countries. This study aimed to estimate the prevalence of Brucella and Mycobacterium bovis in bovine milk.
Materials and Methods: A conceptual model for milk contamination was constructed and 1 million simulations were performed using data from published articles.
Results: Brucella milk contamination was estimated at a median of 8.68% (interquartile range [IQR]: 5.95-11.97%; range: 2.41-25.16%). The median prevalence of M. bovis was estimated at 6.86% (IQR: 4.25-9.40%; range: 0.01-15.16%).
Conclusion: These results indicate that there is a risk of Brucella and M. bovis transmission through the consumption of unpasteurized milk. The findings of this study highlight the need to improve the safety and quality of informally marketed milk in the region.
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Affiliation(s)
- Nozyechi Ngulube Chidumayo
- Department of Clinical Studies, University of Zambia, School of Veterinary Medicine, P. O. Box 32379, Lusaka, Zambia
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Alonso N, Griffa N, Moyano RD, Mon ML, Colombatti Olivieri MA, Barandiaran S, Vivot MM, Fiorini G, Canal AM, Santangelo MP, Singh M, Romano MI. Development of a lateral flow immunochromatography test for the rapid detection of bovine tuberculosis. J Immunol Methods 2020; 491:112941. [PMID: 33321133 DOI: 10.1016/j.jim.2020.112941] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 12/05/2020] [Accepted: 12/08/2020] [Indexed: 12/20/2022]
Abstract
Detection of specific antibodies would be a useful test strategy for bovine tuberculosis (bTB) as a complement to the single skin test. We developed a lateral flow immunochromatography (LFIC) test for rapid bTB detection based on the use of a conjugate of gold nanoparticles with a recombinant G protein. After evaluating 3 Mycobacterium bovis (MB) antigens: ESAT-6, CFP-10 and MPB83 for the control line, we selected MPB83 given it was the most specific. The performance of the test was analyzed with 820 bovine sera, 40 sera corresponding to healthy animals, 5 sera from animals infected with Mycobacterium avium subsp. paratuberculosis (MAP) and 775 sera of animals from herds with bTB. All these sera were also submitted to a validated bTB-ELISA using whole-cell antigen from MB. From the 775 sera of animals from herds with bTB, 87 sera were positive by the bTB-ELISA, 45 were positive by LFIC and only 5 animals were positives by skin test (TST). To confirm bTB infection in the group of TST (-), bTB-ELISA (+) and LFIC (+) animals, we performed postmortem examination in 15 randomly selected animals. Macroscopically, these 15 animals had numerous small and large yellow-white granulomas, characteristic of bTB, and the infection was subsequently confirmed by PCR in these tissues with lesions (gold standard). No false positive test result was detected with the developed LFIC either with the sera from healthy animals or from animals infected with MAP demonstrating that it can be a useful technique for the rapid identification of animals infected with bTB.
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Affiliation(s)
- Natalia Alonso
- Instituto de Agrobiotecnología y Biología Molecular (IABIMO), CONICET-INTA, Buenos Aires, Argentina
| | - Natanael Griffa
- Instituto de Agrobiotecnología y Biología Molecular (IABIMO), CONICET-INTA, Buenos Aires, Argentina
| | - Roberto D Moyano
- Instituto de Agrobiotecnología y Biología Molecular (IABIMO), CONICET-INTA, Buenos Aires, Argentina.
| | - Maria L Mon
- Instituto de Agrobiotecnología y Biología Molecular (IABIMO), CONICET-INTA, Buenos Aires, Argentina
| | | | - Soledad Barandiaran
- Facultad de Veterinaria, Universidad de Buenos Aires, Buenos Aires, Argentina
| | | | | | - Ana M Canal
- Facultad de Ciencias Veterinarias, Universidad Nacional del Litoral, Argentina
| | - María P Santangelo
- Instituto de Agrobiotecnología y Biología Molecular (IABIMO), CONICET-INTA, Buenos Aires, Argentina
| | - Mahavir Singh
- LIONEX Diagnostics & Therapeutics GmbH, Braunschweig 38126, Germany
| | - María I Romano
- Instituto de Agrobiotecnología y Biología Molecular (IABIMO), CONICET-INTA, Buenos Aires, Argentina
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11
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Gompo TR, Shrestha A, Ranjit E, Gautam B, Ale K, Shrestha S, Bhatta DD. Risk factors of tuberculosis in human and its association with cattle TB in Nepal: A one health approach. One Health 2020; 10:100156. [PMID: 33117873 PMCID: PMC7582213 DOI: 10.1016/j.onehlt.2020.100156] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 07/26/2020] [Accepted: 07/27/2020] [Indexed: 01/05/2023] Open
Abstract
Tuberculosis (TB) in humans is primarily caused by Mycobacterium tuberculosis (M. tuberculosis), with millions of infections and hundreds of thousands of deaths worldwide. It creates a substantial economic burden on the community. Unlike M. tuberculosis, Mycobacterium bovis infects cattle and causes bovine TB, also known as zoonotic TB. People can contract zoonotic TB after consumption of unpasteurized dairy products, handling the sick animals, and via occupational exposures. The association between the zoonotic TB in humans and cattle is not well known in Nepal. The study examined the associated risk factors, including exposure to infected cattle, that contribute to TB's development in human beings in Nepal. The study consists of human and animal subjects. Firstly, a retrospective matched case-control study was conducted at the National Tuberculosis Center (NTC), Bhaktapur, Nepal. A total of 290 people (equal numbers of TB cases and control subjects) were interviewed to obtain information on socio-demographic, behavioral, and occupational risks, including the history of cattle related exposures. Secondly, a cross-sectional study was performed among the cattle owned by the TB-confirmed patients. Comparative tuberculin skin test, rapid antibody test, and ELISA were used in parallel to detect M. bovis infection in cattle. The risk factors for the development of TB in humans were smokers (OR = 4.6, 95% CI: 2.1–10.0, p < 0.001), previous history of TB (OR = 7.9, 95% CI: 3.0–20.6, p < 0.001) and history of cattle exposures (OR = 3.9, 95% CI: 2.1–7.4, p = 0.001). Out of 123 cattle sampled, 12 cattle (9.76%, 95% CI: 5.37–16.76, p < 0.0001) were positive by the tuberculin test, 46 (37.4%, 95% CI: 28.97–46.62, p = 0.007) were tested positive by the rapid test, and 7 (5.7%, 95% CI: 2.52–11.80, p < 0.0001) by ELISA test. The inter-test agreement between the tuberculin and ELISA was very strong (κ = 0.72, 95% CI: 0.48–0.95, p < 0.01). This study indicates that exposure to infected cattle and socio-demographic risk factors can contribute to the development of TB in human beings.
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Affiliation(s)
- Tulsi Ram Gompo
- Central Veterinary Laboratory (CVL), Department of Livestock Services, Nepal
| | - Asmita Shrestha
- Institute of Agriculture and Animal Science, Tribhuvan University, Nepal
| | - Eliza Ranjit
- Nepal Agriculture Research Council (NARC), Nepal
| | - Bhanu Gautam
- Agriculture and Forestry University (AFU), Nepal
| | - Khim Ale
- Agriculture and Forestry University (AFU), Nepal
| | | | - Diker Dev Bhatta
- Central Veterinary Laboratory (CVL), Department of Livestock Services, Nepal
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12
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Sichewo PR, Vander Kelen C, Thys S, Michel AL. Risk practices for bovine tuberculosis transmission to cattle and livestock farming communities living at wildlife-livestock-human interface in northern KwaZulu Natal, South Africa. PLoS Negl Trop Dis 2020; 14:e0007618. [PMID: 32226029 PMCID: PMC7145264 DOI: 10.1371/journal.pntd.0007618] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Revised: 04/09/2020] [Accepted: 03/11/2020] [Indexed: 11/19/2022] Open
Abstract
Bovine tuberculosis (bTB) is a disease of cattle that is transmitted through direct contact with an infected animal or ingestion of contaminated food or water. This study seeks to explore the local knowledge on bTB, obtain information on social and cultural practices regarding risk of bTB transmission to cattle and humans (zoonotic TB) in a traditional livestock farming community with a history of bTB diagnosis in cattle and wildlife. Information was collected using a qualitative approach of Focus Group Discussions (FGDs) targeting household members of livestock farmers that owned bTB tested herds. We conducted fourteen FGDs (150 individuals) across four dip tanks that included the following categories of participants from cattle owning households: head of households, herdsmen, dip tank committee members and women. The qualitative data was managed using NVivo Version 12 Pro software. Social and cultural practices were identified as major risky practices for bTB transmission to people, such as the consumption of undercooked meat, consumption of soured /raw milk and lack of protective measures during slaughtering of cattle. The acceptance of animals into a herd without bTB pre-movement testing following traditional practices (e.g. lobola, 'bride price', the temporary introduction of a bull for 'breeding'), the sharing of grazing and watering points amongst the herds and with wildlife were identified as risky practices for M. bovis infection transmission to cattle. Overall, knowledge of bTB in cattle and modes of transmission to people and livestock was found to be high. However, the community was still involved in risky practices that expose people and cattle to bovine TB. An inter-disciplinary 'One Health' approach that engages the community is recommended, to provide locally relevant interventions that allows the community to keep their traditional practices and socio-economic systems whilst avoiding disease transmission to cattle and people.
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Affiliation(s)
- Petronillah Rudo Sichewo
- Department of Veterinary Tropical Diseases, Bovine Tuberculosis and Brucellosis Research Programme, Faculty of Veterinary Sciences, University of Pretoria, South Africa
- Department of Animal Sciences, Faculty of Natural Resources Management and Agriculture, Midlands State University, Zimbabwe
| | - Catiane Vander Kelen
- Department of Public Health, Neglected Tropical Diseases Unit, Institute of Tropical Medicine, Belgium
| | - Séverine Thys
- Department of Virology, Parasitology, and Immunology, Faculty of Veterinary Medicine, Ghent University, Belgium
| | - Anita Luise Michel
- Department of Veterinary Tropical Diseases, Bovine Tuberculosis and Brucellosis Research Programme, Faculty of Veterinary Sciences, University of Pretoria, South Africa
- Research Associate at the National Zoological Gardens of South Africa, Pretoria, South Africa
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13
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Luciano SA, Roess A. Human zoonotic tuberculosis and livestock exposure in low- and middle-income countries: A systematic review identifying challenges in laboratory diagnosis. Zoonoses Public Health 2020; 67:97-111. [PMID: 31919980 PMCID: PMC7027859 DOI: 10.1111/zph.12684] [Citation(s) in RCA: 20] [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: 12/07/2018] [Revised: 09/18/2019] [Accepted: 12/11/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND Zoonotic tuberculosis (zTB) accounts for 1.4% of the global tuberculosis burden, with the largest disease burden in low- and middle-income countries (LMICs). These populations have increased exposure to zTB due to livestock rearing practices and raw dairy consumption. This qualitative systematic literature review evaluates the quality of the literature that examines the association between human zTB in LMICs and frequent exposure to livestock and livestock products and summarizes current gaps in laboratory detection methods. METHODS The Navigation Guide, a systematic review framework utilized to assess environmental health exposures, was used to conduct this literature review. Peer-reviewed research articles were selected and evaluated for risk of bias and quality of evidence. Only studies conducted in LMICs that mentioned livestock or livestock product exposure and had a confirmed diagnosis were eligible. RESULTS Fifteen studies met the inclusion criteria. Reported prevalence of human zTB ranged from 0% to 28%, with cattle and raw dairy the primary exposures. All confirmed zTB cases were Mycobacterium bovis. Eight of the 15 studies included livestock sampling, predominantly cattle and reported prevalence of zTB between 0% and 23%. Laboratory methods used included nearly a dozen different culture methods and a variety of molecular methods, some of which are not appropriate for zTB. CONCLUSIONS This review revealed the need for appropriate and standardized laboratory diagnostic methods, and large prospective studies of at-risk populations to determine exposures that lead to an increased risk of tuberculosis conversion/infection to better understand the true burden of disease. Standardized, easy to implement laboratory diagnostics is an imperative focus for this scientific field to better identify the burden of zTB. Future studies pairing livestock and human subjects will allow better characterization of the high zTB transmission areas for targeted control and prevention programmes.
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Affiliation(s)
- Sarah Anne Luciano
- Department of Environmental and Occupational HealthThe George Washington UniversityWashingtonDistrict of Columbia
| | - Amira Roess
- Department of Global and Community HealthGeorge Mason UniversityFairfaxVirginia
- Department of Global HealthThe George Washington UniversityWashingtonDistrict of Columbia
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14
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Tuberculosis at Farmer-Cattle Interface in the Rural Villages of South Gondar Zone of Northwest Ethiopia. Tuberc Res Treat 2019; 2019:2106981. [PMID: 31737364 PMCID: PMC6816001 DOI: 10.1155/2019/2106981] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 08/04/2019] [Indexed: 11/18/2022] Open
Abstract
Background Tuberculosis (TB) has been an important public health concern in Ethiopia, particularly at areas of human-animal intersection. However, limited epidemiological information is available in this respect in the country. Therefore, the present study was conducted to investigate the transmission of TB at human-cattle interface, associated risk factors and public awareness about the disease at South Gondar Zone, northwest Ethiopia. Methods A cross sectional study was conducted between March 2015 and April 2018 on 186 farmers and 476 cattle in South Gondar Zone, northwest Ethiopia. Bacteriological examination, region of difference (RD) 9-based polymerase chain reaction (PCR), single intradermal comparative tuberculin test (SICTT), and questionnaire were used for undertaking this study. Results Culture positivity in farmers was 59.7% (111/186) and all the culture positive isolates were M. tuberculosis. About 68% (74/111) of culture positive respondents did not know about the transmission of TB from cattle to human or vice versa. The animal and herd prevalence of bovine TB were 1.5% (7/476) and 7.4% (7/95), respectively. Although the result was not statistically significant, the odds of bovine TB in cattle owned by TB positive households was slightly higher than those owned by TB free households (adjusted odds ratio, AOR = 1.39; 95% CI: 0.31–7.10; p = 0.76). Conclusion Although SIDCTT reactivity was slightly higher in cattle owned by TB positive households, all the human isolates were M. tuberculosis and no M. bovis was isolated from farmers, which could be due to the low prevalence of bovine TB in the area.
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Mekonnen D, Derbie A, Chanie A, Shumet A, Biadglegne F, Kassahun Y, Bobosha K, Mihret A, Wassie L, Munshea A, Nibret E, Yimer SA, Tønjum T, Aseffa A. Molecular epidemiology of M. tuberculosis in Ethiopia: A systematic review and meta-analysis. Tuberculosis (Edinb) 2019; 118:101858. [PMID: 31430694 PMCID: PMC6817397 DOI: 10.1016/j.tube.2019.101858] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 06/12/2019] [Accepted: 08/05/2019] [Indexed: 10/26/2022]
Abstract
The molecular epidemiology of Mycobacterium tuberculosis (M. tuberculosis, Mtb) is poorly documented in Ethiopia. The data that exists has not yet been collected in an overview metadata form. Thus, this review summarizes available literature on the genomic diversity, geospatial distribution and transmission patterns of Mtb lineages (L) and sublineages in Ethiopia. Spoligotyping and Mycobacterial Interspersed Repetitive Units-Variable Number Tandem Repeats (MIRU-VNTR) based articles were identified from MEDLINE via PubMed and Scopus. The last date of article search was done on 12th February 2019. Articles were selected following the PRISMA flow diagram. The proportion of (sub)lineages was summarized at national level and further disaggregated by region. Clustering and recent transmission index (RTI) were determined using metan command and random effect meta-analysis model. The meta-analysis was computed using Stata 14 (Stata Corp. College Station, TX, USA). Among 4371 clinical isolates, 99.5% were Mtb and 0.5% were M. bovis. Proportionally, L4, L3, L1 and L7 made up 62.3%, 21.7%, 7.9% and 3.4% of the total isolates, respectively. Among sublineages, L4.2. ETH/SIT149, L4.10/SIT53, L3. ETH1/SIT25 and L4.6/SIT37 were the leading clustered isolates accounting for 14.4%, 9.7%, 7.2% and 5.5%, respectively. Based on MIRU-VNTR, the rate of clustering was 41% and the secondary case rate from a single source case was estimated at 29%. Clustering and recent transmission index was higher in eastern and southwestern Ethiopia compared with the northwestern part of the country. High level of genetic diversity with a high rate of clustering was noted which collectively mirrored the phenomena of micro-epidemics and super-spreading. The largest set of clustered strains deserves special attention and further characterization using whole genome sequencing (WGS) to better understand the evolution, genomic diversity and transmission dynamics of Mtb.
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Affiliation(s)
- Daniel Mekonnen
- Department of Medical Microbiology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; Biotechnology Research Institute, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Awoke Derbie
- Department of Medical Microbiology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; The Centre for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), Addis Ababa University, Addis Ababa, Ethiopia.
| | - Asmamaw Chanie
- Institute of Land Administration, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Abebe Shumet
- Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia.
| | - Fantahun Biadglegne
- Department of Medical Microbiology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Yonas Kassahun
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia.
| | - Kidist Bobosha
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia.
| | - Adane Mihret
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia; Department of Medical Microbiology, Immunology and Parasitology, College of Medicine and Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
| | - Liya Wassie
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia.
| | - Abaineh Munshea
- Biotechnology Research Institute, Bahir Dar University, Bahir Dar, Ethiopia; Department of Biology, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Endalkachew Nibret
- Biotechnology Research Institute, Bahir Dar University, Bahir Dar, Ethiopia; Department of Biology, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Solomon Abebe Yimer
- Department of Microbiology, University of Oslo, PO Box 4950, Nydalen, NO-0424, Oslo, Norway; Coalition for Epidemic Preparedness Innovations, CEPI, P.O. Box 123, Torshov 0412, Oslo, Norway.
| | - Tone Tønjum
- Department of Microbiology, University of Oslo, PO Box 4950, Nydalen, NO-0424, Oslo, Norway.
| | - Abraham Aseffa
- Armauer Hansen Research Institute, Addis Ababa, Ethiopia.
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Alelign A, Petros B, Ameni G. Smear positive tuberculosis and genetic diversity of M. tuberculosis isolates in individuals visiting health facilities in South Gondar Zone, northwest Ethiopia. PLoS One 2019; 14:e0216437. [PMID: 31393882 PMCID: PMC6687116 DOI: 10.1371/journal.pone.0216437] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Accepted: 07/16/2019] [Indexed: 11/18/2022] Open
Abstract
Background Tuberculosis (TB), a bacterial infectious disease, continues to be a public health concern in many developing countries. However, lack of data concerning the public health burden and potential risk factors for the disease hampers control programs in target areas. Therefore, the aims of present study were to determine the prevalence of TB and genetic diversity of M. tuberculosis isolates from individuals visiting health facilities in South Gondar Zone, northwest Ethiopia. Methods A cross-sectonal study was conducted between March 2015 and April 2017. Bacteriological examination, region of difference (RD) 9 based polymerase chain reaction (PCR) and spoligotyping were used. Results The overall prevalence of all smear positive TB was 6.3% (186/2953). Extra pulmonary TB (EPTB) was clinically characterized in about 62.4% (116/186) TB-positive cases. Some demographic characteristics, such as patients' origin (districts where patients were recruited) [patients’ origin (chi-square (χ2) value; 62.8,p<0.001) were found to be significantly associated risk factors for the occurrence of TB in the study area. All the mycobacterial isolates were found to be M. tuberculosis. Among the 35 different spoligotype patterns identified, 22 patterns were shared types.The three dominantly identified families were T, CAS and Manu, each consisting of 46.9%, 24.0% and 10.4% of the isolates, respectively. Conclusion The present study revealed that TB continues to be a public health problem in South Gondar Zone which suggests a need of implementing effective disease control strategies.
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Affiliation(s)
- Amir Alelign
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia
- College of Natural Sciences, Department of Microbial, Cellular and Molecular Biology, Addis Ababa University, Addis Ababa, Ethiopia
- College of Natural and Computational Sciences, Department of Biology, Debrebrhan University, Debrebrhan, Ethiopia
- * E-mail:
| | - Beyene Petros
- College of Natural Sciences, Department of Microbial, Cellular and Molecular Biology, Addis Ababa University, Addis Ababa, Ethiopia
| | - Gobena Ameni
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia
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Otchere ID, van Tonder AJ, Asante-Poku A, Sánchez-Busó L, Coscollá M, Osei-Wusu S, Asare P, Aboagye SY, Ekuban SA, Yahayah AI, Forson A, Baddoo A, Laryea C, Parkhill J, Harris SR, Gagneux S, Yeboah-Manu D. Molecular epidemiology and whole genome sequencing analysis of clinical Mycobacterium bovis from Ghana. PLoS One 2019; 14:e0209395. [PMID: 30830912 PMCID: PMC6398925 DOI: 10.1371/journal.pone.0209395] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Accepted: 02/19/2019] [Indexed: 11/19/2022] Open
Abstract
Background Bovine tuberculosis (bTB) caused by Mycobacterium bovis is a re-emerging problem in both livestock and humans. The association of some M. bovis strains with hyper-virulence, MDR-TB and disseminated disease makes it imperative to understand the biology of the pathogen. Methods Mycobacterium bovis (15) among 1755 M. tuberculosis complex (MTBC) isolated between 2012 and 2014 were characterized and analyzed for associated patient demography and other risk factors. Five of the M. bovis isolates were whole-genome sequenced and comparatively analyzed against a global collection of published M. bovis genomes. Results Mycobacterium bovis was isolated from 3/560(0.5%) females and 12/1195(1.0%) males with pulmonary TB. The average age of M. bovis infected cases was 46.8 years (7-72years). TB patients from the Northern region of Ghana (1.9%;4/212) had a higher rate of infection with M. bovis (OR = 2.7,p = 0.0968) compared to those from the Greater Accra region (0.7%;11/1543). Among TB patients with available HIV status, the odds of isolating M. bovis from HIV patients (2/119) was 3.3 higher relative to non-HIV patients (4/774). Direct contact with livestock or their unpasteurized products was significantly associated with bTB (p<0.0001, OR = 124.4,95% CI = 30.1–508.3). Two (13.3%) of the M. bovis isolates were INH resistant due to the S315T mutation in katG whereas one (6.7%) was RIF resistant with Q432P and I1491S mutations in rpoB. M. bovis from Ghana resolved as mono-phyletic branch among mostly M. bovis from Africa irrespective of the host and were closest to the root of the global M. bovis phylogeny. M. bovis-specific amino acid mutations were detected among MTBC core genes such as mce1A, mmpL1, pks6, phoT, pstB, glgP and Rv2955c. Additional mutations P6T in chaA, G187E in mgtC, T35A in Rv1979c, S387A in narK1, L400F in fas and A563T in eccA1 were restricted to the 5 clinical M. bovis from Ghana. Conclusion Our data indicate potential zoonotic transmission of bTB in Ghana and hence calls for intensified public education on bTB, especially among risk groups.
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Affiliation(s)
- Isaac Darko Otchere
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
| | | | - Adwoa Asante-Poku
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
| | | | - Mireia Coscollá
- Institute for Integrative Systems Biology (I2SysBio), University of Valencia-CSIC, Valencia, Spain
| | - Stephen Osei-Wusu
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
| | - Prince Asare
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
| | - Samuel Yaw Aboagye
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
| | | | | | - Audrey Forson
- Department of Chest Diseases, Korle-Bu Teaching Hospital, Accra, Ghana
| | - Akosua Baddoo
- Department of Chest Diseases, Korle-Bu Teaching Hospital, Accra, Ghana
| | - Clement Laryea
- Public Health Department, 37 Military Hospital, Accra, Ghana
| | - Julian Parkhill
- Wellcome Sanger Institute, Wellcome Genome Campus, Hinxton, United Kingdom
| | - Simon R. Harris
- Wellcome Sanger Institute, Wellcome Genome Campus, Hinxton, United Kingdom
| | - Sebastien Gagneux
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Dorothy Yeboah-Manu
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
- * E-mail:
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Meisner J, Curtis K, Graham TW, Apamaku MB, Manhart LE, Rabinowitz PM. Cattle‐associated risk factors for human tuberculosis in rural livestock‐keeping communities, Uganda. Zoonoses Public Health 2018; 66:73-82. [DOI: 10.1111/zph.12530] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Revised: 09/06/2018] [Accepted: 09/24/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Julianne Meisner
- Department of Epidemiology University of Washington Seattle Washington
- Center for One Health Research University of Washington Seattle Washington
| | | | | | | | - Lisa E. Manhart
- Department of Epidemiology University of Washington Seattle Washington
| | - Peter M. Rabinowitz
- Center for One Health Research University of Washington Seattle Washington
- Department of Global Health University of Washington Seattle Washington
- Department of Environmental and Occupational Health Sciences University of Washington Seattle Washington
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Tulu B, Ameni G. Spoligotyping based genetic diversity of Mycobacterium tuberculosis in Ethiopia: a systematic review. BMC Infect Dis 2018; 18:140. [PMID: 29587640 PMCID: PMC5870191 DOI: 10.1186/s12879-018-3046-4] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Accepted: 03/16/2018] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Understanding the types of strains and lineages of Mycobacterium tuberculosis (M. tuberculosis) circulating in a country is of paramount importance for tuberculosis (TB) control program of that country. The main aim of this study was to review and compile the results of studies conducted on strains and lineages of M. tuberculosis in Ethiopia. METHODS A systematic search and review of articles published on M. tuberculosis strains and lineages in Ethiopia were made. PubMed and Google Scholar databases were considered for the search while the keywords used were M. tuberculosis, molecular epidemiology, molecular typing spoligotyping and Ethiopia. RESULT Twenty-one studies were considered in this review and a total of 3071 M. tuberculosis isolates and 3067 strains were included. These studies used spoligotyping and identified five lineages including Indo-Ocean, East Asian/Beijing, East African-Indian, Euro-American and Ethiopian in a proportion of 7.1%, 0.2%, 23.0%, 64.8%, and 4.1%, respectively. Thus, Euro-American was the most frequently (64.8%) occurring Lineage while East Asian was the least (0.2%) frequently occurring Lineage in the country. Surprisingly, the Ethiopian Lineage seemed to be localized to northeastern Ethiopia. In addition, the top five clades identified by this review were T, CAS, H, Manu and Ethiopian comprising of 48.0%, 23.0%, 11.0%, 6.0% and 4.1% of the strains, respectively. Furthermore, predominant shared types (spoligotype patterns) identified were SIT149, SIT53, SIT25, SIT37, and SIT21, each consisting of 420, 343, 266, 162 and 102 isolates, respectively, while, on the other hand, 15% of the strains were orphan. CONCLUSION According to the summary of the results of this review, diversified strains and lineages of M. tuberculosis were found in Ethiopia, and the frequencies of occurrence of these strains and lineages were variable in different regions of the country. This systematic review is registered in the PRISMA with the registration number of 42017059263.
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Affiliation(s)
- Begna Tulu
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P. O. Box 1176, Addis Ababa, Ethiopia. .,Department of Microbiology, Immunology and Parasitology, Bahir Dar University, P. O. Box 79, Bahir Dar, Ethiopia.
| | - Gobena Ameni
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P. O. Box 1176, Addis Ababa, Ethiopia
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Vayr F, Martin-Blondel G, Savall F, Soulat JM, Deffontaines G, Herin F. Occupational exposure to human Mycobacterium bovis infection: A systematic review. PLoS Negl Trop Dis 2018; 12:e0006208. [PMID: 29337996 PMCID: PMC5786333 DOI: 10.1371/journal.pntd.0006208] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2017] [Revised: 01/26/2018] [Accepted: 01/04/2018] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Mycobacterium bovis (M. bovis) is the main causative agent of bovine zoonotic tuberculosis. The aim of this systematic review is to highlight the occupational exposure to bovine tuberculosis due to M. bovis. METHODOLOGY/PRINCIPAL FINDINGS A computer based literature search was carried out to identify papers published between January 2006 and March 2017. "PubMed, Cochrane Library and Science Direct" databases were searched systematically. Articles presenting the following properties were included: (i) focusing on M. bovis; (ii) concerning occupational exposure to bovine tuberculosis. A quality assessment was performed after selection of studies. Our search strategy identified a total of 3,264 papers of which 29 studies met the inclusion criteria. Of the 29 articles, 17 were cross-sectional studies (6 were of high quality and scored in the range of 6-7, 11 were of moderate quality and scored in the range 3-5), 10 were case reports, and 2 were reviews. Different occupational fields exposing to the disease were described: livestock sector, particularly in contact with dairy cattle (farmers, veterinaries and assistants, abattoir workers) and working in contact with wildlife (hunters, taxidermists). CONCLUSIONS A specific guideline for occupational practitioners taking care of employees exposed to bovine tuberculosis is warranted and should be tailored to level of exposure. This review was intended to be the first step of such a project. Articles were identified from various continents and countries with different socio-economic situations, broadening our understanding of the worldwide situation. Published data on occupational exposure in developed countries are scarce. We had to extrapolate findings from countries with higher prevalence of the disease.
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Affiliation(s)
- Flora Vayr
- Service des Maladies Professionnelles et Environnementales, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Guillaume Martin-Blondel
- Département des maladies infectieuses et tropicales, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
- Institut National de la Santé et de la Recherche Médicale, Unité Mixte de Recherche 1043 –Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5282, Centre de Physiopathologie Toulouse-Purpan, Université Paul Sabatier Toulouse 3, Toulouse, France
| | - Frederic Savall
- Laboratoire d’Anthropologie Moléculaire et imagerie de synthèse, Centre National de la Recherche Scientifique Unité mixte de recherche 5288, Université Paul Sabatier Toulouse 3, Toulouse, France
- Service de Médecine Légale, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Jean-Marc Soulat
- Service des Maladies Professionnelles et Environnementales, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
- Laboratoire d’épidémiologie et analyses en santé publique, Institut National de la Santé et de la Recherche Médicale-Unité Mixte de Recherche 1027, Université Paul Sabatier Toulouse 3, Toulouse, France
| | - Gaëtan Deffontaines
- Caisse Centrale de la Mutualité Sociale Agricole, Les Mercuriales, Bagnolet, France
| | - Fabrice Herin
- Service des Maladies Professionnelles et Environnementales, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
- Laboratoire d’épidémiologie et analyses en santé publique, Institut National de la Santé et de la Recherche Médicale-Unité Mixte de Recherche 1027, Université Paul Sabatier Toulouse 3, Toulouse, France
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