African Animal Trypanosomiasis: A Systematic Review on Prevalence, Risk Factors and Drug Resistance in Sub-Saharan Africa

African animal trypanosomiasis (AAT) a parasitic disease of livestock in sub-Saharan Africa causing tremendous loses. Sub-Saharan continental estimation of mean prevalence in both large and small domestic animals, risk factors, tsetse and non-tsetse prevalence and drug resistance is lacking. A review and meta-analysis was done to better comprehend changes in AAT prevalence and drug resistance. Publish/Perish software was used to search and extract peer-reviewed articles in Google scholar, PubMed and CrossRef. In addition, ResearchGate and African Journals Online (AJOL) were used. Screening and selection of articles from 2000-2021 was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Articles 304 were retrieved; on domestic animals 192, tsetse and non-tsetse vectors 44, risk factors 49 and trypanocidal drug resistance 30. Prevalence varied by, host animals in different countries, diagnostic methods and species of Trypanosoma. Cattle had the highest prevalence with Ethiopia and Nigeria leading, T. congolense (11.80-13.40%) and T. vivax (10.50-18.80%) being detected most. This was followed by camels and pigs. Common diagnostic method used was buffy coat microscopy. However; polymerase chain reaction (PCR), CATT and ELISA had higher detection rates. G. pallidipes caused most infections in Eastern regions while G. palpalis followed by G. mortisans in Western Africa. Eastern Africa reported more non-tsetse biting flies with Stomoxys leading. Common risk factors were, body conditions, breed type, age, sex and seasons. Ethiopia and Nigeria had the highest trypanocidal resistance 30.00-35.00% and highest AAT prevalence. Isometamidium and diminazene showed more resistance with T. congolense being most resistant species 11.00-83.00%.

Coprological study of trematode infections and associated host risk factors in cattle during the dry season in and around Bahir Dar, northwest Ethiopia

This study was conducted to estimate the prevalence and identify risk factors associated with trematode infections in cattle in and around Bahir Dar, northwest Ethiopia. Fecal samples collected from randomly selected 369 cattle were examined using simple sedimentation technique for differential trematode eggs count. The animals were found shedding eggs of three groups of trematodes, namely Fasciola spp., paramphistomes and Schistosoma spp. The overall prevalence of trematodes was 61.0%, and specific prevalence for Fasciola, paramphistomes and Schistosoma was 20.1%, 48.5% and 16.5%, respectively. A substantial overlap was observed in the occurrence of Fasciola and paramphistomes. The prevalence of all the three trematodes identified in this study was significantly (P < 0.05) associated with body condition and breed, while the prevalence of Fasciola and paramphistomes was also associated with age. The mean (± SE) fecal egg count per gram of feces (EPG) for Fasciola, paramphistomes and Schistosoma was 4.3 (± 0.55), 25.7 (± 2.11) and 3.1 (± 0.42), respectively. EPG of Fasciola was significantly correlated with EPG of paramphistomes (P < 0.001). The EPG for all the three trematodes was associated with body condition and breed of animals (P < 0.05), while EPG for paramphistomes was also affected by age of the animals (P < 0.05). The prevalence of all the three major trematodes of animal health importance with high rate of mixed infection along with poor body condition, suggests substantial economic loss incurred due to reduced productivity in cattle in the study area.

A meta-analysis of the prevalence of bovine trypanosomiasis in some African countries from 2000 to 2018

Bovine trypanosomiasis is a disease of cattle. In sub-Saharan Africa, the disease mean prevalence estimates are unknown in most endemic countries. We therefore performed a meta-analysis with the aim of estimating national mean prevalence of bovine trypanosomiasis in endemic countries across sub-Saharan Africa. Relevant articles reporting bovine trypanosomiasis prevalence were retrieved through systematic literature search and scanning of articles reference-lists. Eligibility criteria included that articles reported sample size, prevalence, and diagnostic technique adopted. Overall, data from 180 eligible articles from 19 countries satisfied the inclusion criteria. Meta-analysis of prevalence data based on the random-effects model resulted in an overall mean prevalence of 15.10% (95% CI: 13.22-17.08). National prevalence estimates were generally high except those of Benin and Senegal where estimates ranked below 10.00%. Significant heterogeneity (I² = 98.75%. p = <0.0001) was noted between studies, and univariate meta-regression analysis identified choice of diagnostic method being major contributor to observed heterogeneity (R² = 36.37%); while country of study (R² = 9.57%) and sample size (R² = 3.47%) had marginal effect on heterogeneity. In spite of past and ongoing control activities, bovine trypanosomiasis remains highly prevalent in most endemic sub-Saharan African countries. Nevertheless, dearth of epidemiological data in some countries and the use of less sensitive diagnostic tools limit reliable estimation of the disease prevalence. Therefore, there is the need to intensify efforts in aspects of surveillance and increased application of molecular diagnostic tool(s) across endemic locations as this would raise the chances of achieving a near-accurate estimate of the disease prevalence which is the first step to attempting eradication.