Diseases Caused by Bacteria in Cattle: Tuberculosis

Tuberculosis is an infectious, chronic or acute, localized or disseminated granulomatous disease that affects all animal species, caused by members of the genus mycobacteria. In cattle, the disease is caused by obligatory pathogenic and opportunistic species of mycobacteria and is transmitted between animals mainly through inhalation. It is a major public health concern and humans are infected chiefly through consumption of raw animal products. The disease is characterized by progressive emaciation, which may be terminally fatal. Pathological lesions comprising of be caseous or calcified granulomas are found mainly in the respiratory tract but animals infected through ingestion develop lesions in the lymph nodes of the head and the mesentery. Lesions may disseminate to involve other internal organs and tissues. Histologically, lesions manifest typical granulomas with a necrotic center surrounded by inflammatory cells and a fibrous capsule. Diagnosis is based on history, clinical signs, antemortem tests, and postmortem examination. Culture, isolation, and identification of the organism are confirmatory tests. The disease is a listed under the OIE Terrestrial Animal Health Code and the main method of control is testing and slaughter of affected animals. The importance of the disease is the zoonosis, loss in productivity in affected animals, and the cost of control

Salmonellosis in Food and Companion Animals and Its Public Health Importance

Salmonellosis in animals is caused by typhoidal and non-typhoidal Salmonella organisms. Non-typhoidal salmonellosis is a zoonosis of major public health concern occasioning over 155, 000 mortalities yearly worldwide. The majority of the human infections are mainly acquired directly through consumption of contaminated foods of animal origin, particularly poultry, eggs and dairy products or consumption of contaminated fruits. Rodents and will birds are the main reservoirs of non-typhoidal salmonellosis. Salmonellosis has a great economic and health impact occasioned by the cost of surveillance, investigation, treatment, and prevention in both animals and humans. Non-typhoidal salmonellosis is further complicated by the wide host range and the emergence of multidrug resistant Salmonella strains due to intensification of livestock production and uncontrolled antimicrobial drug use. There is a need for more innovative prevention and control measures to safeguard losses in animals and human health. This chapter will discuss salmonellosis in food and companion animals, the public health importance, and the challenges facing its control

Integrating tuberculosis case finding and treatment into postnatal care

Under the USAID funded FRONTIERS program, the Population Council conducted a study in six health facilities in Western Kenya that demonstrated that screening for TB within an antenatal care (ANC) setting is feasible and acceptable among the service providers. However, a major challenge remains: although TB detection is encouraged among ANC clients within the maternal and child health clinics in the country, providers in these settings fail to appreciate the need for a continuum of care from pregnancy through to the postnatal period. In order to address this gap, the APHIA II Operations Research Project developed and tested an intervention to improve TB screening, case detection, treatment, and care among postnatal women. The findings demonstrate that while it is feasible to use postnatal care services as a platform for TB screening and case detection, the actual number of cases detected was extremely low, even though the facilities were located in areas expected to have high prevalence. It might be important for program managers and policymakers to decide whether routine TB screening in RH services is justifiable, given the very low cases of TB detected

Tree species diversity and abundance in coffee farms adjacent to areas of different disturbance histories in Mabira forest system, central Uganda

Coffee production in Uganda is done on small-scale farms containing a very significant tree component. However, there is little information on how tree species abundance, richness and diversity change in coffee farms as distance from forest changes. The main objectives of this study, therefore, were to assess (a) abundance and (b) diversity of tree species in the coffee production systems in proximity to disturbed and undisturbed forest around Mabira forest, one of Uganda's Robusta coffee-growing areas. Seventy-nine 0.1 ha plots were established in nine villages close to undisturbed and disturbed forest, and over 5 km from the forest. A total of 875 trees belonging to 63 species were recorded. There was significant similarity in species composition among the three study sites (analysis of similarity R = 0.09, p < 0.01; analysis of variance: F3,12 = 0.353, p = 0.79). Non-metric dimensional scaling supported these findings (stress value = 0.224 at k = 2) and showed that tree species composition in the three proximity categories was very similar. These results demonstrate that tree species composition and diversity is similar in coffee farms regardless of their distance from the nearest natural forest and forest exploitation history. (Résumé d'auteur

Combating Desertification through Enhancement of Woody Floral Diversity in the Drylands of Kenya: Analysis, Milestones, and Strategies

Desertification remains one of the most challenging phenomena in the drylands of Kenya, where it affects about 80% of the country. This is because of persistent degradation of these areas by climatic variations, human activities, and overgrazing by livestock and wildlife. In these areas, inhabitants suffer from widespread acute poverty and other adverse effects of drought. In order to effectively and efficiently combat desertification and reduce the impacts of further degradation, the Government of Kenya and partners are committed to developing and implementing methods, approaches, strategies, and mechanisms that would slow down or reverse this phenomenon. This chapter covers an in-depth review of advances made so far in the area of woody resources restoration and sustainable management in the drylands of Kenya through biodiversity assessments, conservation, rehabilitation, afforestation, and reafforestation initiatives and research. Achievements, challenges, and opportunities encountered are highlighted for sustainable development and wise utilization of dryland woody and allied resources

Achieving minimum standards for infection prevention and control in Sierra Leone: Urgent need for a quantum leap in progress in the COVID-19 era!

From MDPI via Jisc Publications RouterHistory: accepted 2022-04-20, pub-electronic 2022-05-06Publication status: PublishedIntroduction: Good Infection prevention and control (IPC) is vital for tackling antimicrobial resistance and limiting health care-associated infections. We compared IPC performance before (2019) and during the COVID-19 (2021) era at the national IPC unit and all regional (4) and district hospitals (8) in Sierra Leone. Methods: Cross-sectional assessments using standardized World Health Organizations IPC checklists. IPC performance scores were graded as inadequate = 0−25%, basic = 25.1−50%, intermediate = 50.1−75%, and advanced = 75.1−100%. Results: Overall performance improved from ‘basic’ to ‘intermediate’ at the national IPC unit (41% in 2019 to 58% in 2021) and at regional hospitals (37% in 2019 to 54% in 2021) but remained ‘basic’ at district hospitals (37% in 2019 to 50% in 2021). Priority gaps at the national IPC unit included lack of: a dedicated IPC budget, monitoring the effectiveness of IPC trainings and health care-associated infection surveillance. Gaps at hospitals included no assessment of hospital staffing needs, inadequate infrastructure for IPC and lack of a well-defined monitoring plan with clear goals, targets and activities. Conclusion: Although there is encouraging progress in IPC performance, it is slower than desired in light of the COVID-19 pandemic. There is urgent need to mobilize political will, leadership and resources and make a quantum leap forward.19pubpub

Efficacy of two vaccine formulations against contagious bovine pleuropneumonia (CBPP) in Kenyan indigenous cattle

AbstractA live, attenuated vaccine is currently the only viable option to control of CBPP in Africa. It has been suggested that simple modifications to current vaccines and protocols might improve efficacy in the field. In this report we compared the current vaccine formulation with a buffered preparation that maintains Mycoplasma viability at ambient temperature for a longer time. Groups of animals were vaccinated with the two formulations and compared with non vaccinated groups. Half of the animals in each group were challenged 3months post vaccination, the other half after 16months. Protection levels were measured using the pathology index, calculated from post mortem scores of lesions from animals killed during the course of clinical disease. In the challenge at 3months post vaccination, the protection levels were 52% and 77% for the modified and current vaccine preparations, respectively. At 16months post vaccination, the protection levels were 56% and 62% for the modified and current vaccine preparations, respectively. These findings indicate that there are no differences in protection levels between the two vaccines. Because of its longer half life after reconstitution, the modified vaccine might be preferred in field situations where the reconstituted vaccine is likely not to be administered immediately

GWAS meta-analysis of intrahepatic cholestasis of pregnancy implicates multiple hepatic genes and regulatory elements

Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy-specific liver disorder affecting 0.5–2% of pregnancies. The majority of cases present in the third trimester with pruritus, elevated serum bile acids and abnormal serum liver tests. ICP is associated with an increased risk of adverse outcomes, including spontaneous preterm birth and stillbirth. Whilst rare mutations affecting hepatobiliary transporters contribute to the aetiology of ICP, the role of common genetic variation in ICP has not been systematically characterised to date. Here, we perform genome-wide association studies (GWAS) and meta-analyses for ICP across three studies including 1138 cases and 153,642 controls. Eleven loci achieve genome-wide significance and have been further investigated and fine-mapped using functional genomics approaches. Our results pinpoint common sequence variation in liver-enriched genes and liver-specific cis-regulatory elements as contributing mechanisms to ICP susceptibility

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Strategic Management Practices and Sustainability of Faith Based Organisations: An Empirical Study of Anglican, Diocese of Thika

Abstract Anglican Diocese of Thika was established in 1 st July 1998, an