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ПРОФЕССИОНАЛЬНАЯ ЗНАЧИМОСТЬ ЛИЧНОСТИПРОФЕССИИ ВЫБО

The sero-prevalence of brucellosis in cattle and their herders in Bahr el Ghazal region, South Sudan

<div><p>Background</p><p>Brucellosis is a worldwide recognized bacterial zoonotic disease. There is currently no information on bovine brucellosis sero-prevalence in South Sudan regardless of the economic, social and public health impact on populations. Therefore, for the first time in 33 years, we report the sero-prevalence of brucellosis in cattle and their herders. Furthermore, we characterize the drivers associated with the disease at the human-animal interface in Bahr el Ghazal region, South Sudan.</p><p>Methods</p><p>A total of 893 and 87 animal and human sera respectively were examined between December 2015 and May 2016. Rose Bengal Plate Test (RBPT) and Competitive Enzyme Linked Immuno Sorbent Assay (c-ELISA) were used in parallel to detect anti-<i>Brucella</i> antibodies. Questionnaires were administered to collect relevant metadata used for the association analysis in R version 3.2.3. Odds Ratio (OR) and Confidence Intervals (CI) were determined.</p><p>Results</p><p>Overall bovine brucellosis prevalence was 31% (95%CI = 28.0–34.2), with the highest 63% (95%CI = 53–70) and lowest 10% (95%CI = 4.5–20.1) prevalence estimates in Wau and Gogrial states respectively. The bovine sero-prevalence was approximately equally distributed among the male 30.4% (26.9–34.2) and the females 32.5% (26.8–38.7). Poor body condition (OR = 0.22; 95%CI = 0.07–0.54) and larger herd sizes (OR = 0.05; 95%CI = 0.008–0.173) were protective factors for brucellosis, while the opposite was true for the second (OR = 1.70; 95%CI = 1.08–2.67) and third (OR = 2.5; 95%CI = 1.46–4.47) lactation stage. The overall brucellosis sero-prevalence in herders was estimated at 33.3% (23.9–44.3).</p><p>Conclusion</p><p>We report a high prevalence of anti-<i>Brucella</i> antibodies in cattle and their herders in Bahr el Ghazal, indicating an enzootic status in the cattle population being an important source of infection for humans. This represents a genuine public health challenge. Therefore, there is need to raise awareness and build capacity and infrastructure in this fragile state to underwrite future public health strategies for brucellosis.</p></div

Prevalence of brucellosis among patients attending Wau Hospital, South Sudan

<div><p>Brucellosis is a zoonotic disease of public health importance; its prevalence varies globally. In low-income countries, brucellosis is an endemic and neglected disease affecting both animals and humans. This study was intended to establish brucellosis sero-prevalence among patients attending Wau hospital, South Sudan. Across sectional study, was done among randomly selected patients attending Wau hospital. Data was collected using questionnaires and laboratory investigations. Rose Bengal plate Test (RBPT), Serum agglutination test (SAT) and Competitive Enzyme Linked Immuno Sorbent Assay (c-ELISA) was used in the analysis of blood samples serially starting with RBPT which is more sensitive and least specific then SAT. c-ELISA test which is most specific and less sensitive compared to RBPT and SAT was then used to confirm presence of Brucella antibodies in the samples. A total of 416 participants out of 1664 were enrolled to this study. The majority of participants were between 7-to-76 years of age with mean age of 30.72 (SD+/- 12.83). The sero-positivity of patient’s blood samples for brucellosis using c-ELISA was 23.3% (97/416) among patients presenting to Wau hospital. Socio-demographic characteristics, occupation, clinical signs of disease and types of animals reared by animal owners showed no significant correlation with occurrence of sero-positivity among patient’s blood samples for brucellosis. While ethnicity (Nilotic), knowledge of zoonotic disease, and consumption of animal urine were statistically significant (p<0.05). The study found a high prevalence of brucellosis among febrile patients attending Wau hospital general outpatient clinic. There is need for co-ordination and collaboration between veterinary and health sectors of government to help prevent and control brucellosis in the region.</p></div

The epidemiology of zoonotic brucellosis in Bahr el Ghazal region of South Sudan

Background - In this study, we focused on three zoonotic brucellosis risk groups; abattoir workers, febrile cases at Wau hospital and cattle herders, in Bahr el Ghazal region, South Sudan. Competitive c-ELISA was used to detect anti-Brucella antibodies in 725 individuals between December 2015 and May 2016. In addition, questionnaire metadata, focus group discussions and key informant interviews were used to characterize the epidemiology of zoonotic brucellosis in this region. Results - Overall, we estimate 27.2 % (95% CI = 23.9–30.6) brucellosis sero-prevalence; 32.1% (95% CI = 26.2–38.4), 23.0% (95% CI = 19.1–27.4) and 34.6% (95% CI = 24.4–46.3) among abattoir workers, febrile cases, and herders, respectively. Marital status (Single, OR = 0.58, 95%CI: 0.36–0.91, P = 0.02) and ethnicity (Kerash OR = 6.01, 95%CI: 1.97–21.10, P = 0.003 and Balanda, OR = 3.78, 95%CI: 1.42–12.02, P = 0.01) were associated with brucellosis. While gender and ethnicity were important factors for general awareness of zoonotic diseases. Highly ranked occupations at risk included veterinarian, butchers and milk handlers. We also identified covariate patterns for clinical diagnostics and public health interventions. Conclusion - We report the highest sero-prevalence of zoonotic brucellosis in three risk groups in the East African region. All this is not only occurring in a population with limited awareness that brucellosis is a zoonotic disease but also where one in nine health workers tested was sero-positive. We identified social demographic associations with brucellosis, however, the qualitative analysis suggests these are more complex and nuanced. Therefore, future studies could benefit from the use of the mixed methods approach to add extensiveness and depth to our understanding of zoonotic disease drivers, in order to implement mitigating measures such as cattle vaccination

Knowledge and practices of brucellosis among high-risk groups in Bahr El Ghazal Region, South Sudan

Background: Brucellosis is the most common zoonotic infections in pastoral settings. Lack of knowledge about the disease may cause devastating out come to the patients, thus sustained it in such communities. This study assessed knowledge and practices among high-risk groups in Bahr el Ghazal region, South Sudan. Methods: Across sectional survey involving abattoir workers, febrile patients at Wau referral hospital and cattle herders from cattle camps from four states namely, Wau, Tonj, Gogrial and Aweil. By using open-ended questionnaire and key informant guideline, for triangulations by for interviews, focus group discussions and key informant interview. Data collected include knowledge on causes, symptoms, transmission, treatment, prevention and risk factors of brucellosis. Using SPSS version 24 for analysis, X2 and Multivariable logistic regression analysis was performed. Results: In this study, 234, 416 and 87 abattoir workers, febrile patients and herders. Brucellosis prevalence is fair among abattoir workers and the febrile patients, all workers Knows Brucellosis and Tuberculosis more than other diseases. Brucellosis among febrile patients, female more than male’s respondents 23.7% (50/416), 22.9% (47/234/416) respectively, the prevalence is very high among age group 16 to 35. The disease was very high among non-educated people 25.4% (35/416). Nilotic group have high prevalence 21.8% (39/416), according to C-ELISA. In the cattle camps brucellosis prevalence among males was high than females 44.0% and 29.0% respectively. The prevalence was high among age groups 16- 35 years and 36-60years, 32.7% and 38.1 respectively, according to C- ELISA. The distribution of awareness of zoonotic diseases and brucellosis among abattoir workers, knowing zoonotic diseases 33.3% (30/90), knowing brucellosis 27.8% (25/90), knowing transmission of brucellosis 11.11% (10/25), however, knowledge of causes, signs of brucellosis in animals and signs human mode of transmission and treatment of brucellosis is very low. Conclusions: Brucellosis prevalence is fair among abattoir workers, febrile patients and high in the cattle camps. All workers Knows Brucellosis and Tuberculosis more than other diseases.in the community the prevalence look equally between gender, knowledge about the diseases causes, signs in human and animal also mode of transmission and treatment was very low between the three groups. Community sensitization and awareness about zoonotic diseases is neede

Sero-prevalence of brucellosis among slaughterhouse workers in Bahr el Ghazal region, South Sudan

Background - Brucellosis is an infectious zoonotic disease and is common especially among pastoral communities in most low and middle-income countries. The aim of this study was to determine sero-prevalence, and risk factors of Brucella infection among Slaughterhouse workers, in Bahr el Ghazal region, South Sudan. Methods - A cross sectional study was conducted among Slaughterhouse workers in Bahr el Ghazal region, South Sudan from December 2015 to May 2016. A pre-tested questionnaire was used in data collection. Each randomly selected participant was interviewed and a venous blood sample collected. The blood samples were screened for Brucellosis infection using Rose Bengal Plate Test (RBPT) and confirmed using Competitive Enzyme link Immuno Sorbet Assay (c-ELISA). Data was analyzed using Stata version 13 at 95% level of confidence. Results - A total of 234 Slaughterhouse workers were screen for Brucella infection. Overall, a third, 32.1% (75/234) of the participants were sero-positive for brucellosis. The prevalence of brucellosis was higher, 17.1% (40/234) in Wau state compared to other states. There was high prevalence among males, 28.6% (67/234) compared to females 3.4% (8/234). The mean age of study participants was 34.4 ± 9.6 years. A high proportion, 12.8% (30/234) of participants with confirmed brucellosis infection were 31–40 years of age. Brucellosis prevalence was high among butchers, 14.5% (34/234), and meat handlers, 9.0% (21/234). Conclusions - Brucellosis is common among animal slaughterhouse workers in Bahr el Ghazal region, South Sudan. There is need for public awareness campaigns and educational programs to help sensitize communities on Brucella infection

Isolation and Molecular Characterization of Brucella Isolates in Cattle Milk in Uganda

Brucellosis is endemic in livestock and humans in Uganda and its transmission involves amultitude of risk factors like consumption of milk from infected cattle. To shed new light on the epidemiology of brucellosis in Uganda the present study used phenotypic and molecular approaches to delineate the Brucella species, biovars, and genotypes shed in cattle milk. Brucella abortus without a biovar designation was isolated from eleven out of 207 milk samples from cattle in Uganda. These isolates had a genomic monomorphism at 16 variable number tandem repeat (VNTR) loci and showed in turn high levels of genetic variation when compared with other African strains or other B. abortus biovars from other parts of the world. This study further highlights the usefulness of MLVA as an epidemiological tool for investigation of Brucella infections

The map of Greater Bahr el Ghazal showing all the ten states.

<p>The map was generated using cartographic data from World Geodetic System 1984 (WGS 84) (<a href="https://confluence.qps.nl/pages/viewpage.action?pageId=29855173" target="_blank">https://confluence.qps.nl/pages/viewpage.action?pageId=29855173</a>) Black diamond- represents the location of the cattle camps where our sampling was conducted.</p