Factors associated with pastoral community knowledge and occurrence of mycobacterial infections in human-animal interface areas of Nakasongola and Mubende districts, Uganda

<p>Abstract</p> <p>Background</p> <p>Nontuberculous mycobacteria (NTM) are emerging opportunistic pathogens whose role in human and animal disease is increasingly being recognized. Major concerns are their role as opportunistic pathogens in HIV/AIDS infections. The role of open natural water sources as source and livestock/wildlife as reservoirs of infections to man are well documented. This presents a health challenge to the pastoral systems in Africa that rely mostly on open natural water sources to meet livestock and human needs. Recent study in the pastoral areas of Uganda showed infections with same genotypes of NTM in pastoralists and their livestock. The aim of this study was to determine the environmental, animal husbandry and socio-demographic factors associated with occurrence and the pastoral community knowledge of mycobacterial infections at the human-environment-livestock/wildlife interface (HELI) areas in pastoral ecosystems of Uganda.</p> <p>Methods</p> <p>Two hundred and fifty three (253) individuals were subjected to a questionnaire survey across the study districts of Nakasongola and Mubende. Data were analyzed using descriptive statistics and multivariable logistic regression analysis.</p> <p>Results</p> <p>Humans sharing of the water sources with wild animals from the forest compared to savannah ecosystem (OR = 3.3), the tribe of herding pastoral community (OR = 7.9), number of rooms present in household (3-5 vs. 1-2 rooms) (OR = 3.3) were the socio-demographic factors that influenced the level of knowledge on mycobacterial infections among the pastoral communities. Tribe (OR = 6.4), use of spring vs. stream water for domestic use (OR = 4.5), presence of sediments in household water receptacle (OR = 2.32), non separation of water containers for drinking and domestic use (OR = 2.46), sharing of drinking water sources with wild animals (OR = 2.1), duration of involvement of >5 yrs in cattle keeping (OR = 3.7) and distance of household to animal night shelters (>20 meters) (OR = 3.8) were significant socio-demographic factors associated with the risk of occurrence of mycobacterioses among the pastoral communities in Uganda.</p> <p>Conclusion</p> <p>The socio-demographic, environmental and household related factors influence the risk of occurrence as well as pastoralists' knowledge of mycobacterial infections in the pastoral households at the human-environment-livestock/wildlife pastoral interface areas of Uganda.</p

Isolation of non-tuberculous mycobacteria from pastoral ecosystems of Uganda: Public Health significance

<p>Abstract</p> <p>Background</p> <p>The importance of non-tuberculous mycobacteria (NTM) infections in humans and animals in sub-Saharan Africa at the human-environment-livestock-wildlife interface has recently received increased attention. NTM are environmental opportunistic pathogens of humans and animals. Recent studies in pastoral ecosystems of Uganda detected NTM in humans with cervical lymphadenitis and cattle with lesions compatible with bovine tuberculosis. However, little is known about the source of these mycobacteria in Uganda. The aim of this study was to isolate and identify NTM in the environment of pastoral communities in Uganda, as well as assess the potential risk factors and the public health significance of NTM in these ecosystems.</p> <p>Method</p> <p>A total of 310 samples (soil, water and faecal from cattle and pigs) were examined for mycobacteria. Isolates were identified by the INNO-Lipa test and by 16S rDNA sequencing. Additionally, a questionnaire survey involving 231 pastoralists was conducted during sample collection. Data were analysed using descriptive statistics followed by a multivariable logistic regression analysis.</p> <p>Results</p> <p>Forty-eight isolates of NTM were detected; 25.3% of soil samples, 11.8% of water and 9.1% from animal faecal samples contained mycobacteria. Soils around water sources were the most contaminated with NTM (29.8%). Of these samples, <it>M. fortuitum-peregrinum </it>complex, <it>M. avium </it>complex, <it>M. gordonae</it>, and <it>M. nonchromogenicum </it>were the most frequently detected mycobacteria. Drinking untreated compared to treated water (OR = 33), use of valley dam versus stream water for drinking and other domestic use (OR = 20), sharing of water sources with wild primates compared to antelopes (OR = 4.6), sharing of water sources with domestic animals (OR = 5.3), and close contact with cattle or other domestic animals (OR = 13.8) were the most plausible risk factors for humans to come in contact with NTM in the environment.</p> <p>Conclusions</p> <p>The study detected a wide range of potentially pathogenic NTM from the environment around the pastoral communities in Uganda. Drinking untreated water and living in close contact with cattle or other domestic animals may be risk factors associated with the possibility of humans and animals acquiring NTM infections from these ecosystems.</p

A novel herpesvirus in the sanctuary chimpanzees on Ngamba Island in Uganda

Background: Recent studies in non-human primates have led to the discovery of novel primate herpesviruses. In order to get more information on herpesvirus infections in apes, we studied wild born captive chimpanzees. Methods: Chimpanzees of the Ngamba island sanctuary, Uganda, were analyzed with pan-herpes polymerase chain reaction (PCR) targeting the herpesvirus DNA polymerase gene and the glycoprotein B gene. The obtained sequences were connected by long-distance PCR, and analyzed phylogenetically. Results: Twenty-one of 40 individuals were infected with members of the Gammaherpesvirinae, two of them with a novel member of this subfamily. Phylogenetically, the novel virus fell into a clade of primate rhadinoviruses and the Kaposi sarcoma herpesvirus (human herpesvirus 8), representing a third distinct rhadinovirus in chimpanzees. Conclusion: Non-human primates harbor several herpesviruses many of which are still unknown. This has implications to management of primates in sanctuaries requiring continuous updates on the management protocols to deal with potential occupational pathogens

Evaluation of poliovirus antibody titers in orally vaccinated semi-captive chimpanzees in Uganda

Background: To understand immunological responses in chimpanzees vaccinated with live-attenuated vaccine (oral polio vaccine; OPV), serum neutralizing antibodies against poliovirus types 1, 2, and 3 were investigated over time. Methods: The neutralizing antibody titers against poliovirus types 1, 2, and 3 were determined by microneutralization test using 100 ID50 of poliovirus types 1, 2, and 3 (Sabin strains). Results: Neutralizing antibodies against poliovirus types 1, 2, and 3 were detected in 85.7%, 71.4%, and 65% of the serum from 42 chimpanzees tested 9 years post-vaccination. The neutralizing antibody titers in chimpanzees were similar to the documented levels in human studies as an indicator of vaccine efficacy. Conclusions: This study reveals persistence of neutralizing antibodies in chimpanzees for at least 9 years after vaccination with OPV. This first study in chimpanzees provides useful information for the evaluation of the success of vaccination with OPV in other captive apes

Retroviruses in Wild-Born Semi-Captive East African Sanctuary Chimpanzees (Pan troglodytes schweinfurthii)

Information on retroviruses infections in great apes is scarce, especially for apes kept in sanctuaries throughout Africa. To investigate the prevalence of retroviruses and possible transmission of different retroviruses originating from chimpanzees of different origin (Uganda, Congo and Rwanda), 38 wild-born captive orphan chimpanzees residing in a sanctuary on Ngamba Island were analyzed for retroviral infections. Samples from sanctuary chimpanzees were analyzed using enzyme-linked immunoassays and polymerase chain reactions (PCR). Viruses were characterized by phylogenetic analysis. All chimpanzees were negative for antibodies against Simian Immunodeficiency Virus (SIV) and Simian T-cell Leukemia Virus (STLV). However, 28/38 (73%) chimpanzees were positive to Simian Foamy Virus (SFV) by analysis of a 425-bp DNA segment obtained by PCR using generic integrase primers homologous to highly conserved portions of the polymerase gene. Phylogenetic analysis of SFV sequences obtained in this study formed four sub clusters within the specific SFV P. t. schweinfurthii clade with significant variability among the new SFVs strains. We provide evidence of on-going cross-transmission of SFV among chimpanzees within the sanctuary mostly likely through horizontal routes. We propose to test all chimpanzees introduced into sanctuaries for retroviral and other infections. This will help avoid the spread also of pathogenic viruses in captive populations

Structure and dynamics of livestock marketing in rural Uganda : constraints and prospects for research and development

The projected global expansion in consumption of meat and other livestock products potentially offers sub-Saharan African small-holder farmers opportunities to escape from the poverty trap. A necessary condition for exploiting this potential is the establishment of marketing systems that provide farmers with reasonable incentives to participate in the market. In this study, the functioning of livestock markets in rural Uganda is analyzed based on a survey of 401 livestock keepers, complimented with focus group discussions with livestock traders and policy planners. The first part is dedicated to the empirical analysis of key organizational and institutional arrangements. Constraints along the marketing chain as well as potential institutional solutions are illuminated. The second part is dedicated to propositions of new areas where more work and new results are needed to improve the functioning of the livestock marketing chain. Empirical findings indicated the following institutional constraints: a poor market information system, lack of grades and standards, lack of trade finance, poor contract enforcement and dispute settlement, disorganized actors, high transaction risks, and poorly developed marketing infrastructure. The study recommends a structured approach to livestock marketing, market infrastructure development, and emphasis on arbitration systems as specific ways of improving the efficiency of livestock marketing in Uganda and other developing countries

Assessing institutional development for livestock market participation of traditional cattle keepers in Uganda, Tanzania and Kenya

The potential of keeping livestock as a poverty reduction strategy cannot be fully exploited in rural Africa because of the low levels of market participation that characterize mixed and grassland-based farming systems dominating much of Africa. In a set of three former British colonies (Uganda, Tanzania and Kenya), an analysis was conducted to assess differences in institutional development, policy incentives and levels of livestock market participation. Livestock market participation has historically been higher in Kenya and Tanzania than in Uganda. National documents and official reports were subjected to qualitative content analysis. The findings suggest that Kenya has developed an institutional environment that is more conducive to the market participation of traditional cattle keepers than Tanzania and Uganda. The insights obtained from this study are important in redirecting governments, donors and multilateral development agencies from predominantly input-driven livestock development interventions to increased emphasis on institutional and policy support

Assessment of financial costs for the control of bovine trypanosomiasis in Mukono county, Uganda

Trypanosomosis is an endemic disease in cattle in Mukono District in south eastern Uganda. A multi-disciplinary project was formulated in order to better understand the infection dynamics, and drug sensitivities, of the trypanosome parasites prevalent in Mukono, and also to assess the economic importance of the disease in this pen-urban dairy production system. This paper describes the occurrence, methods and costs of control of bovine trypanosomosis, and its economic importance in dairy cattle in the pen-urban production system of Mukono County. It is hoped that the information generated from this study will help guide policy formulation on the control of bovine trypanosomosis in Mukono in particular, and Uganda in general