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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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Zerfu TA, Nguyen G, Duncan AJ, Baltenweck I, Brown F, Iannotti LL, McNeill G. Associations between livestock keeping, morbidity and nutritional status of children and women in low- and middle-income countries: a systematic review. Nutr Res Rev 2023; 36:526-543. [PMID: 36522652 DOI: 10.1017/s0954422422000233] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Livestock keeping can positively influence the nutritional status of populations and households through increased consumption of animal-source foods (ASF) and other indirect pathways, but can also adversely affect health by increasing the risk of diseases. We conducted a systematic review synthesising the current state of knowledge on the associations among livestock keeping, infectious disease and the nutritional status of children under 5 years and women of reproductive age in low- and lower-middle-income countries (LMICs). A comprehensive search of 12 electronic databases and grey literature sources published from 1991 to the end of December 2020 was conducted. Investigations exploring relationships between livestock keeping and risk of infectious disease transmission and nutritional status were selected using pre-defined inclusion criteria. After screening and filtering of 34,402 unique references, 176 references were included in the final synthesis. Most (160/176, 90.1%) of the references included in the final synthesis were from sub-Saharan Africa (SSA) and Asia. About two out of every five (42%) studies reviewed showed that livestock production is associated with improved height-for-age Z scores (HAZ) and weight-for-length/height Z scores (WHZ), while close to a third (30.7%) with improved weight-for-age Z scores (WAZ). Similarly, livestock production showed a positive or neutral relationship with women's nutritional status in almost all the references that reported on the topic. Conversely, four-fifths (66/81, 79.5%) of the references reporting on infection and morbidity outcomes indicated that livestock keeping is linked to a wide range of infectious disease outcomes, which are spread primarily through water, food and insects. In conclusion, in many LMIC settings, livestock production is associated with better nutritional outcomes but also a higher risk of disease transmission or morbidity among women and children.This review was prospectively registered on PROSPERO 2020 [CRD42020193622].
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Affiliation(s)
- Taddese Alemu Zerfu
- Global Academy of Agriculture and Food Systems, University of Edinburgh, Edinburgh, UK
- International Livestock Research Institute (ILRI), Nairobi, Kenya
| | - Giang Nguyen
- Global Academy of Agriculture and Food Systems, University of Edinburgh, Edinburgh, UK
| | - Alan J Duncan
- Global Academy of Agriculture and Food Systems, University of Edinburgh, Edinburgh, UK
- International Livestock Research Institute (ILRI), Nairobi, Kenya
| | | | - Fiona Brown
- Library and University Collections, Information Services, University of Edinburgh, Edinburgh, UK
| | - Lora L Iannotti
- Brown School, Washington University in St. Louis, St. Louis, MO, USA
| | - Geraldine McNeill
- Global Academy of Agriculture and Food Systems, University of Edinburgh, Edinburgh, UK
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Akoko JM, Mwatondo A, Muturi M, Wambua L, Abkallo HM, Nyamota R, Bosire C, Oloo S, Limbaso KS, Gakuya F, Nthiwa D, Bartlow A, Middlebrook E, Fair J, Ogutu JO, Gachohi J, Njenga K, Bett B. Mapping brucellosis risk in Kenya and its implications for control strategies in sub-Saharan Africa. Sci Rep 2023; 13:20192. [PMID: 37980384 PMCID: PMC10657468 DOI: 10.1038/s41598-023-47628-1] [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: 05/31/2023] [Accepted: 11/16/2023] [Indexed: 11/20/2023] Open
Abstract
In Sub-Saharan Africa (SSA), effective brucellosis control is limited, in part, by the lack of long-term commitments by governments to control the disease and the absence of reliable national human and livestock population-based data to inform policies. Therefore, we conducted a study to establish the national prevalence and develop a risk map for Brucella spp. in cattle to contribute to plans to eliminate the disease in Kenya by the year 2040. We randomly generated 268 geolocations and distributed them across Kenya, proportionate to the area of each of the five agroecological zones and the associated cattle population. Cattle herds closest to each selected geolocation were identified for sampling. Up to 25 cattle were sampled per geolocation and a semi-structured questionnaire was administered to their owners. We tested 6,593 cattle samples for Brucella immunoglobulin G (IgG) antibodies using an Enzyme-linked immunosorbent assay (ELISA). We assessed potential risk factors and performed spatial analyses and prevalence mapping using approximate Bayesian inference implemented via the integrated nested Laplace approximation (INLA) method. The national Brucella spp. prevalence was 6.8% (95% CI: 6.2-7.4%). Exposure levels varied significantly between agro-ecological zones, with a high of 8.5% in the very arid zone with the lowest agricultural potential relative to a low of 0.0% in the agro-alpine zone with the highest agricultural potential. Additionally, seroprevalence increased with herd size, and the odds of seropositivity were significantly higher for females and adult animals than for males or calves. Similarly, animals with a history of abortion, or with multiple reproductive syndromes had higher seropositivity than those without. At the herd level, the risk of Brucella spp. transmission was higher in larger herds, and herds with a history of reproductive problems such as abortion, giving birth to weak calves, or having swollen testes. Geographic localities with high Brucella seroprevalence occurred in northern, eastern, and southern regions of Kenya all primarily characterized by semi-arid or arid agro-ecological zones dominated by livestock pastoralism interspersed with vast areas with mixed livestock-wildlife systems. The large spatial extent of our survey provides compelling evidence for the widespread geographical distribution of brucellosis risk across Kenya in a manner easily understandable for policymakers. Our findings can provide a basis for risk-stratified pilot studies aiming to investigate the cost-effectiveness and efficacy of singular and combined preventive intervention strategies that seek to inform Kenya's Brucellosis Control Policy.
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Affiliation(s)
- James M Akoko
- International Livestock Research Institute, Nairobi, Kenya.
| | - Athman Mwatondo
- International Livestock Research Institute, Nairobi, Kenya
- Zoonotic Disease Unit, Nairobi, Kenya
- Department of Medical Microbiology and Immunology, Faculty of Health, University of Nairobi, Nairobi, Kenya
| | - Mathew Muturi
- International Livestock Research Institute, Nairobi, Kenya
- Zoonotic Disease Unit, Nairobi, Kenya
- Faculty of Veterinary Medicine, Dahlem Research School of Biomedical Sciences, Freie Universität Berlin, Berlin, Germany
| | - Lillian Wambua
- International Livestock Research Institute, Nairobi, Kenya
- World Organisation for Animal Health, Sub-Regional Representation for Eastern Africa, Nairobi, Kenya
| | | | | | | | - Stephen Oloo
- International Livestock Research Institute, Nairobi, Kenya
| | | | - Francis Gakuya
- Wildlife Research and Training Institute, Naivasha, Kenya
| | - Daniel Nthiwa
- Department of Biological Sciences, University of Embu, Embu, Kenya
| | | | | | - Jeanne Fair
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - Joseph O Ogutu
- Biostatistics Unit, Institute of Crop Science, University of Hohenheim, Stuttgart, Germany
| | - John Gachohi
- Global Health Programme, Washington State University, Nairobi, Kenya
- School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
- Paul G, Allen School of Global Health, Washington State University, Pullman, WA, 99164, USA
| | - Kariuki Njenga
- Global Health Programme, Washington State University, Nairobi, Kenya
- Paul G, Allen School of Global Health, Washington State University, Pullman, WA, 99164, USA
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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Muturi M, Mwatondo A, Nijhof AM, Akoko J, Nyamota R, Makori A, Nyamai M, Nthiwa D, Wambua L, Roesel K, Thumbi SM, Bett B. Ecological and subject-level drivers of interepidemic Rift Valley fever virus exposure in humans and livestock in Northern Kenya. Sci Rep 2023; 13:15342. [PMID: 37714941 PMCID: PMC10504342 DOI: 10.1038/s41598-023-42596-y] [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: 05/19/2023] [Accepted: 09/12/2023] [Indexed: 09/17/2023] Open
Abstract
Nearly a century after the first reports of Rift Valley fever (RVF) were documented in Kenya, questions on the transmission dynamics of the disease remain. Specifically, data on viral maintenance in the quiescent years between epidemics is limited. We implemented a cross-sectional study in northern Kenya to determine the seroprevalence, risk factors, and ecological predictors of RVF in humans and livestock during an interepidemic period. Six hundred seventy-six human and 1,864 livestock samples were screened for anti-RVF Immunoglobulin G (IgG). Out of the 1,864 livestock samples tested for IgG, a subset of 1,103 samples was randomly selected for additional testing to detect the presence of anti-RVFV Immunoglobulin M (IgM). The anti-RVF virus (RVFV) IgG seropositivity in livestock and humans was 21.7% and 28.4%, respectively. RVFV IgM was detected in 0.4% of the livestock samples. Participation in the slaughter of livestock and age were positively associated with RVFV exposure in humans, while age was a significant factor in livestock. We detected significant interaction between rainfall and elevation's influence on livestock seropositivity, while in humans, elevation was negatively associated with RVF virus exposure. The linear increase of human and livestock exposure with age suggests an endemic transmission cycle, further corroborated by the detection of IgM antibodies in livestock.
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Affiliation(s)
- Mathew Muturi
- Department of Veterinary Medicine, Dahlem Research School of Biomedical Sciences (DRS), Freie Universität Berlin, Berlin, Germany.
- International Livestock Research Institute, Nairobi, Kenya.
- Kenya Zoonotic Disease Unit, Ministry of Health and Ministry of Agriculture, Nairobi, Kenya.
- Center for Epidemiological Modelling and Analysis-University of Nairobi, Nairobi, Kenya.
| | - Athman Mwatondo
- International Livestock Research Institute, Nairobi, Kenya
- Kenya Zoonotic Disease Unit, Ministry of Health and Ministry of Agriculture, Nairobi, Kenya
- Department of Medical Microbiology and Immunology, University of Nairobi, Nairobi, Kenya
| | - Ard M Nijhof
- Veterinary Centre for Resistance Research, Freie Universität Berlin, Berlin, Germany
- Institute for Parasitology and Tropical Veterinary Medicine, Freie Univesität Berlin, Berlin, Germany
| | - James Akoko
- International Livestock Research Institute, Nairobi, Kenya
| | | | - Anita Makori
- Center for Epidemiological Modelling and Analysis-University of Nairobi, Nairobi, Kenya
- Paul G Allen School for Global Health, Washington State University, Pullman, WA, USA
| | - Mutono Nyamai
- Center for Epidemiological Modelling and Analysis-University of Nairobi, Nairobi, Kenya
- Paul G Allen School for Global Health, Washington State University, Pullman, WA, USA
| | - Daniel Nthiwa
- Department of Biological Sciences, University of Embu, Embu, Kenya
| | - Lilian Wambua
- International Livestock Research Institute, Nairobi, Kenya
| | | | - S M Thumbi
- Center for Epidemiological Modelling and Analysis-University of Nairobi, Nairobi, Kenya
- Paul G Allen School for Global Health, Washington State University, Pullman, WA, USA
- Institute for Immunology and Infection Research, University of Edinburgh, Edinburgh, Scotland, UK
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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5
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Vincent K. A review of gender in agricultural and pastoral livelihoods based on selected countries in west and east Africa. FRONTIERS IN SUSTAINABLE FOOD SYSTEMS 2022. [DOI: 10.3389/fsufs.2022.908018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This scoping paper presents the results of a review of the landscape of research on gender and agricultural and pastoral livelihoods in select countries in west and east Africa (Burkina Faso, Chad, Eritrea, Ethiopia, Kenya, Mali, Mauritania, Niger, Nigeria, Sudan, South Sudan, Somalia, and Uganda) published over 5 years (January 2016–March 2021). A keyword search of the Scopus database gave rise to an ultimate dataset of 169 papers which were coded for geographical location, approaches to gender, and theme based on inductive identification of clusters of research. There has been an increase in the number of published papers but there is an uneven geographical distribution of research. Studies vary in the way they treat gender: with an almost even split between modeling-based studies, where gender is one of many variables to be correlated with, or to determine, an outcome (e.g., poverty—for example, as a dummy variable in regressions); and studies where the expressed aim is to look at gender differences, whether through the gender of an individual or the gender of a household head. Clusters of papers look at gender differences in assets, health, perceptions of environmental degradation, agricultural perceptions and outcomes, and climate change perceptions, vulnerability, and adaptation. There is also a number of papers exploring women's empowerment, including intra-household decision making. Intersectional approaches have been employed both through modeling studies and through more in-depth qualitative studies that are able to trace changes in identity over time, and the implications therein. The household and household headship have remained common entry points and units of analysis, despite known critiques. The results highlight a need to address geographical gaps in gender research, expand the evidence base of intersectional approaches, explore other aspects of social inequality, and expand more innovative methodological studies.
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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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7
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Thomas KM, Kibona T, Claxton JR, de Glanville WA, Lankester F, Amani N, Buza JJ, Carter RW, Chapman GE, Crump JA, Dagleish MP, Halliday JEB, Hamilton CM, Innes EA, Katzer F, Livingstone M, Longbottom D, Millins C, Mmbaga BT, Mosha V, Nyarobi J, Nyasebwa OM, Russell GC, Sanka PN, Semango G, Wheelhouse N, Willett BJ, Cleaveland S, Allan KJ. Prospective cohort study reveals unexpected aetiologies of livestock abortion in northern Tanzania. Sci Rep 2022; 12:11669. [PMID: 35803982 PMCID: PMC9270399 DOI: 10.1038/s41598-022-15517-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 06/24/2022] [Indexed: 11/15/2022] Open
Abstract
Livestock abortion is an important cause of productivity losses worldwide and many infectious causes of abortion are zoonotic pathogens that impact on human health. Little is known about the relative importance of infectious causes of livestock abortion in Africa, including in subsistence farming communities that are critically dependent on livestock for food, income, and wellbeing. We conducted a prospective cohort study of livestock abortion, supported by cross-sectional serosurveillance, to determine aetiologies of livestock abortions in livestock in Tanzania. This approach generated several important findings including detection of a Rift Valley fever virus outbreak in cattle; high prevalence of C. burnetii infection in livestock; and the first report of Neospora caninum, Toxoplasma gondii, and pestiviruses associated with livestock abortion in Tanzania. Our approach provides a model for abortion surveillance in resource-limited settings. Our findings add substantially to current knowledge in sub-Saharan Africa, providing important evidence from which to prioritise disease interventions.
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Affiliation(s)
- Kate M Thomas
- Centre for International Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
- Kilimanjaro Clinical Research Institute, Good Samaritan Foundation, Moshi, United Republic of Tanzania.
- Ministry for Primary Industries, New Zealand Food Safety, Wellington, New Zealand.
| | - Tito Kibona
- Nelson Mandela African Institution of Science and Technology (NM-AIST), Tengeru, United Republic of Tanzania
| | - John R Claxton
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - William A de Glanville
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Felix Lankester
- Paul G. Allen School for Global Animal Health, Washington State University, Pullman, WA, USA
- Global Animal Health Tanzania, Arusha, United Republic of Tanzania
| | - Nelson Amani
- Kilimanjaro Clinical Research Institute, Good Samaritan Foundation, Moshi, United Republic of Tanzania
| | - Joram J Buza
- Nelson Mandela African Institution of Science and Technology (NM-AIST), Tengeru, United Republic of Tanzania
| | - Ryan W Carter
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Gail E Chapman
- School of Veterinary Medicine, University of Glasgow, Glasgow, UK
| | - John A Crump
- Centre for International Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
- Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania
| | | | - Jo E B Halliday
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | | | | | | | | | | | - Caroline Millins
- School of Veterinary Medicine, University of Glasgow, Glasgow, UK
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | - Blandina T Mmbaga
- Kilimanjaro Clinical Research Institute, Good Samaritan Foundation, Moshi, United Republic of Tanzania
- Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania
| | - Victor Mosha
- Kilimanjaro Clinical Research Institute, Good Samaritan Foundation, Moshi, United Republic of Tanzania
| | - James Nyarobi
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Obed M Nyasebwa
- Ministry of Livestock and Fisheries, Zonal Veterinary Centre-Arusha, Arusha, United Republic of Tanzania
| | | | - Paul N Sanka
- Tanzania Veterinary Laboratory Agency, Arusha, United Republic of Tanzania
| | - George Semango
- Nelson Mandela African Institution of Science and Technology (NM-AIST), Tengeru, United Republic of Tanzania
| | - Nick Wheelhouse
- School of Applied Sciences, Edinburgh Napier University, Edinburgh, UK
| | - Brian J Willett
- Medical Research Council, University of Glasgow Centre for Virus Research, Glasgow, UK
| | - Sarah Cleaveland
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Kathryn J Allan
- Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
- School of Veterinary Medicine, University of Glasgow, Glasgow, UK
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8
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Mwaki DM, Kidambasi KO, Kinyua J, Ogila K, Kigen C, Getange D, Villinger J, Masiga DK, Carrington M, Bargul JL. Molecular detection of novel Anaplasma sp . and zoonotic hemopathogens in livestock and their hematophagous biting keds (genus Hippobosca) from Laisamis, northern Kenya. OPEN RESEARCH AFRICA 2022; 5:23. [PMID: 37396343 PMCID: PMC10314185 DOI: 10.12688/openresafrica.13404.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/13/2022] [Indexed: 07/04/2023]
Abstract
Background: Livestock are key sources of livelihood among pastoral communities. Livestock productivity is chiefly constrained by pests and diseases. Due to inadequate disease surveillance in northern Kenya, little is known about pathogens circulating within livestock and the role of livestock-associated biting keds (genus Hippobosca) in disease transmission. We aimed to identify the prevalence of selected hemopathogens in livestock and their associated blood-feeding keds. Methods: We randomly collected 389 blood samples from goats (245), sheep (108), and donkeys (36), as well as 235 keds from both goats and sheep (116), donkeys (11), and dogs (108) in Laisamis, Marsabit County, northern Kenya. We screened all samples for selected hemopathogens by high-resolution melting (HRM) analysis and sequencing of PCR products amplified using primers specific to the genera: Anaplasma, Trypanosoma, Clostridium, Ehrlichia, Brucella, Theileria, and Babesia. Results: In goats, we detected Anaplasma ovis (84.5%), a novel Anaplasma sp. (11.8%), Trypanosoma vivax (7.3%), Ehrlichia canis (66.1%), and Theileria ovis (0.8%). We also detected A. ovis (93.5%), E. canis (22.2%), and T. ovis (38.9%) in sheep. In donkeys, we detected ' Candidatus Anaplasma camelii' (11.1%), T. vivax (22.2%), E. canis (25%), and Theileria equi (13.9%). In addition, keds carried the following pathogens; goat/sheep keds - T. vivax (29.3%) , Trypanosoma evansi (0.86%), Trypanosoma godfreyi (0.86%), and E. canis (51.7%); donkey keds - T. vivax (18.2%) and E. canis (63.6%); and dog keds - T. vivax (15.7%), T. evansi (0.9%), Trypanosoma simiae (0.9%) , E. canis (76%), Clostridium perfringens (46.3%), Bartonella schoenbuchensis (76%), and Brucella abortus (5.6%). Conclusions: We found that livestock and their associated ectoparasitic biting keds carry a number of infectious hemopathogens, including the zoonotic B. abortus. Dog keds harbored the most pathogens, suggesting dogs, which closely interact with livestock and humans, as key reservoirs of diseases in Laisamis. These findings can guide policy makers in disease control.
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Affiliation(s)
- Daniel M. Mwaki
- Animal Health Department/Molecular Biology and Bioinformatics Unit, International Centre of Insect Physiology and Ecology (icipe), Nairobi, P.O. BOX 30772-00100, Kenya
- Department of Biochemistry, Jomo Kenyatta University of Agriculture and Technology (JKUAT), Nairobi, P.O. BOX 62000-00200, Kenya
- Department of Zoology, Jomo Kenyatta University of Agriculture and Technology (JKUAT), Nairobi, P.O. Box 62000-00200, Kenya
| | - Kevin O. Kidambasi
- Animal Health Department/Molecular Biology and Bioinformatics Unit, International Centre of Insect Physiology and Ecology (icipe), Nairobi, P.O. BOX 30772-00100, Kenya
| | - Johnson Kinyua
- Department of Biochemistry, Jomo Kenyatta University of Agriculture and Technology (JKUAT), Nairobi, P.O. BOX 62000-00200, Kenya
| | - Kenneth Ogila
- Department of Zoology, Jomo Kenyatta University of Agriculture and Technology (JKUAT), Nairobi, P.O. Box 62000-00200, Kenya
| | - Collins Kigen
- Animal Health Department/Molecular Biology and Bioinformatics Unit, International Centre of Insect Physiology and Ecology (icipe), Nairobi, P.O. BOX 30772-00100, Kenya
| | - Dennis Getange
- Animal Health Department/Molecular Biology and Bioinformatics Unit, International Centre of Insect Physiology and Ecology (icipe), Nairobi, P.O. BOX 30772-00100, Kenya
- Department of Biochemistry, Jomo Kenyatta University of Agriculture and Technology (JKUAT), Nairobi, P.O. BOX 62000-00200, Kenya
| | - Jandouwe Villinger
- Animal Health Department/Molecular Biology and Bioinformatics Unit, International Centre of Insect Physiology and Ecology (icipe), Nairobi, P.O. BOX 30772-00100, Kenya
| | - Daniel K. Masiga
- Animal Health Department/Molecular Biology and Bioinformatics Unit, International Centre of Insect Physiology and Ecology (icipe), Nairobi, P.O. BOX 30772-00100, Kenya
| | - Mark Carrington
- Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QW, UK
| | - Joel L. Bargul
- Animal Health Department/Molecular Biology and Bioinformatics Unit, International Centre of Insect Physiology and Ecology (icipe), Nairobi, P.O. BOX 30772-00100, Kenya
- Department of Biochemistry, Jomo Kenyatta University of Agriculture and Technology (JKUAT), Nairobi, P.O. BOX 62000-00200, Kenya
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Mwololo D, Nthiwa D, Kitala P, Abuom T, Wainaina M, Kairu-Wanyoike S, Lindahl JF, Ontiri E, Bukachi S, Njeru I, Karanja J, Sang R, Grace D, Bett B. Sero-epidemiological survey of Coxiella burnetii in livestock and humans in Tana River and Garissa counties in Kenya. PLoS Negl Trop Dis 2022; 16:e0010214. [PMID: 35239658 PMCID: PMC8923444 DOI: 10.1371/journal.pntd.0010214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 03/15/2022] [Accepted: 01/28/2022] [Indexed: 01/17/2023] Open
Abstract
Background Coxiella burnetii is a widely distributed pathogen, but data on its epidemiology in livestock, and human populations remain scanty, especially in developing countries such as Kenya. We used the One Health approach to estimate the seroprevalance of C. burnetii in cattle, sheep, goats and human populations in Tana River county, and in humans in Garissa county, Kenya. We also identified potential determinants of exposure among these hosts. Methods Data were collected through a cross-sectional study. Serum samples were taken from 2,727 animals (466 cattle, 1,333 goats, and 928 sheep) and 974 humans and screened for Phase I/II IgG antibodies against C. burnetii using enzyme-linked immunosorbent assay (ELISA). Data on potential factors associated with animal and human exposure were collected using a structured questionnaire. Multivariable analyses were performed with households as a random effect to adjust for the within-household correlation of C. burnetii exposure among animals and humans, respectively. Results The overall apparent seroprevalence estimates of C. burnetii in livestock and humans were 12.80% (95% confidence interval [CI]: 11.57–14.11) and 24.44% (95% CI: 21.77–27.26), respectively. In livestock, the seroprevalence differed significantly by species (p < 0.01). The highest seroprevalence estimates were observed in goats (15.22%, 95% CI: 13.34-17.27) and sheep (14.22%, 95% CI: 12.04–16.64) while cattle (3.00%, 95% CI: 1.65–4.99) had the lowest seroprevalence. Herd-level seropositivity of C. burnetii in livestock was not positively associated with human exposure. Multivariable results showed that female animals had higher odds of seropositivity for C. burnetii than males, while for animal age groups, adult animals had higher odds of seropositivity than calves, kids or lambs. For livestock species, both sheep and goats had significantly higher odds of seropositivity than cattle. In human populations, men had a significantly higher odds of testing positive for C. burnetii than women. Conclusions This study provides evidence of livestock and human exposure to C. burnetii which could have serious economic implications on livestock production and impact on human health. These results also highlight the need to establish active surveillance in the study area to reduce the disease burden associated with this pathogen. Q fever caused by Coxiella burnetii is a significant zoonotic disease that affects wildlife, domestic animals and humans. This study determined the prevalence of antibodies to C. burnetii in livestock (cattle, sheep, and goats) and human populations in arid and semi-arid areas of Kenya between December 2013 and February 2014. We also identified potential factors that were associated with exposure among the above-targeted hosts. Results from this study showed considerable exposure in both livestock and human populations. However, human exposure to this pathogen at the household level was not correlated with herd-level seropositivity. Further studies are needed to elucidate the transmission routes of this pathogen among humans.
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Affiliation(s)
- Damaris Mwololo
- Directorate of Veterinary Services, Ministry of Agriculture, Livestock, Fisheries and Cooperatives, Nairobi, Kenya
| | - Daniel Nthiwa
- Department of Biological Sciences, University of Embu, Embu, Kenya
- International Livestock Research Institute, Nairobi, Kenya
- * E-mail:
| | - Philip Kitala
- Department of Public Health, Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Nairobi, Nairobi, Kenya
| | - Tequiero Abuom
- Department of Clinical Medicine, Faculty of Veterinary Medicine, University of Nairobi, Nairobi, Kenya
| | | | - Salome Kairu-Wanyoike
- Department of Veterinary Services, Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Johanna F. Lindahl
- International Livestock Research Institute, Nairobi, Kenya
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden
- Department of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, Sweden
| | - Enoch Ontiri
- International Livestock Research Institute, Nairobi, Kenya
| | - Salome Bukachi
- Institute of Anthropology, University of Nairobi, Nairobi, Kenya
| | - Ian Njeru
- Division of Disease Surveillance and Response, Ministry of Public Health and Sanitation, Kenyatta National Hospital, Nairobi, Kenya
| | - Joan Karanja
- Division of Disease Surveillance and Response, Ministry of Public Health and Sanitation, Kenyatta National Hospital, Nairobi, Kenya
| | | | - Delia Grace
- International Livestock Research Institute, Nairobi, Kenya
- Natural Resources Institute, University of Greenwich, Kent, United Kingdom
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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10
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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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11
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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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12
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Karlsson PA, Persson C, Akoko J, Bett B, Lundkvist Å, Lindahl JF. Using a One Health Case-Based Investigation for Improved Control of Brucellosis in Isiolo, Kenya. FRONTIERS IN TROPICAL DISEASES 2021. [DOI: 10.3389/fitd.2021.711425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Brucella is a highly pathogenic bacteria endemic in Kenya, and in spite of its severity in humans, the highly inadequate Febrile Antigen Brucella Agglutination Test (FBAT) remains a primary tool for its diagnosis. Blood samples were collected from febrile patients in Kinna health center and screened by the local routine. Milk samples were purchased from local milk hawkers and analyzed for Brucella antibodies using the milk ring test (MRT). The MRT-positive milk was traced to farms, and lactating cattle were sampled for milk and blood. Milk was MRT-tested and the serum was analyzed using the Rose Bengal test (RBT) and iELISA. Available patient and farm samples were stored on FTA cards for qPCR analyses. Despite a limited sample size, our study, in line with previous reports, shows a low diagnostic sensitivity (67%) and specificity (40%) of FBAT when compared to qPCR. As many as 48% of the raw bulk cattle milk samples were MRT-positive for Brucella antibodies and 60% of cattle on three visited farms were IS711 qPCR-positive. This case-based One Health investigation confirms the suspected Brucella presence, suggesting a targeted vaccination at high-prevalence farms, urgent interventions on milk safety, and a re-evaluation of the diagnostic and treatment regimen.
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13
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Kothowa JP, Mfune RL, Godfroid J, Hang'Ombe BM, Simuunza M, Muma JB. Documenting the absence of bovine brucellosis in dairy cattle herds in the southern region of Malawi and the associated knowledge, attitudes and practices of farmers. J S Afr Vet Assoc 2021; 92:e1-e7. [PMID: 34476956 PMCID: PMC8424705 DOI: 10.4102/jsava.v92i0.2130] [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: 11/30/2020] [Revised: 05/30/2021] [Accepted: 06/01/2021] [Indexed: 11/21/2022] Open
Abstract
There is paucity of Brucella prevalence data in Malawi. For this reason, a cross-sectional study was conducted, from 06 January 2020 to 27 February 2020, to estimate the seroprevalence of brucellosis in dairy cattle herds amongst smallholder farmers, government and private dairy farms in the southern region. A total of 529 serum samples were screened for anti-Brucella antibodies using the Rose Bengal test (RBT) and a competitive enzyme-linked immunosorbent assay (cELISA). A pre-tested electronic (Epicollect tool, Wellcome Sanger Institute, United Kingdom) questionnaire was administered to 378 smallholder farmers to assess their knowledge, attitudes and practices towards brucellosis. Descriptive statistics were used to analyse the data in Microsoft Excel® and Statistical Package for Social Sciences (SPSS®) version 21. No animal tested positive for presence of anti-Brucella antibodies, indicating 0% prevalence (individual and herd levels). The majority (94.2%; 95% confidence interval [CI]: 91.8–96.5) of smallholder farmers had never heard about brucellosis. Furthermore, assisting during parturition without protective equipment (41.3%; 95% CI: 36.3–46.2) and using bulls for breeding (75%; 95% CI: 70.2–78.9) were amongst the common risk practices that were identified. We could not detect brucellosis in this study that indicates the disease could be very rare or even absent in the dairy cattle herds of the southern region of Malawi. However, further Brucella studies need to be conducted in cattle, small livestock, wildlife and humans to document the true status of brucellosis in the country. Brucellosis surveillance, monitoring, awareness and preventive measures are required to maintain this favourable situation.
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Affiliation(s)
- John P Kothowa
- Department of Disease Control, School of Veterinary Medicine, University of Zambia, Lusaka, Zambia; and, Department of Animal Health and Livestock Development, Ministry of Agriculture and Food Security, Malawi Government, Lilongwe.
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14
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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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15
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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: 4] [Impact Index Per Article: 1.3] [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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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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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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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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