Use of traditional medicine in middle-income countries: a WHO-SAGE study

It is frequently stated in the scientific literature, official reports and the press that 80% of Asian and African populations use traditional medicine (TM) to meet their healthcare needs; however, this statistic was first reported in 1983. This study aimed to update knowledge of the prevalence of TM use and the characteristics of those who access it, to inform health policy-makers as countries seek to fulfil the WHO TM strategy 2014–23 and harness TM for population health. Prevalence of reported use of TM was studied in 35 334 participants of the WHO-SAGE, surveyed 2007–10. TM users were compared with users of modern healthcare in univariate and multivariate analyses. Characteristics examined included age, sex, geography (urban/rural), income quintile, education, self-reported health and presence of specific chronic conditions. This study found TM use was highest in India, 11.7% of people reported that their most frequent source of care during the previous 3 years was TM; 19.0% reported TM use in the previous 12 months. In contrast <3% reported TM as their most frequent source of care in China, Ghana, Mexico, Russia and South Africa; and <2% reported using TM in the previous year in Ghana, Mexico, Russia and South Africa. In univariate analyses, poorer, less educated and rural participants were more likely to be TM-users. In the China multivariate analysis, rurality, poor self-reported health and presence of arthritis were associated with TM use; whereas diagnosed diabetes, hypertension and cataracts were less prevalent in TM users. In Ghana and India, lower income, depression and hypertension were associated with TM use. In conclusion, TM use is less frequent than commonly reported. It may be unnecessary, and perhaps futile, to seek to employ TM for population health needs when populations are increasingly using modern medicine

Infection of cattle in Kenya with Brucella abortus biovar 3 and Brucella melitensis biovar 1 genotypes

Brucella melitensis biovar 1 was isolated from bovine milk samples from a herd in central Kenya, and Brucella abortus biovar 3 was isolated from aborted fetus materials and vaginal discharge fluids from cattle in central and eastern provinces of Kenya. All infections including those with B. melitensis were in cattle with reproductive problems kept in mixed herds indicating that cross infection occurs from small ruminants. Multiple-locus variable-number tandem repeat analysis genotyping revealed a close molecular homology of the B. melitensis isolates with an isolate from Israel and a close homology of the B. abortus isolates with an isolate from Uganda indicating that these genotypes have a wide geographic distribution. Infection of cattle with B. melitensis may complicate the control of brucellosis in this countr

Prevalence Of Brucellosis In Livestock And Incidences In Humans In East Africaprevalence Of Brucellosis In Livestock And Incidences In Humans In East Africa

Research Article published by African Crop Science JournalBrucellosis is an emerging zoonotic disease that poses a threat to both livestock and public health in east Africa. There are several reports of occurrence of the disease in livestock populations especially in Tanzania and Kenya, suggesting chances of increased spread to humans, and the disease being misdiagnosed for malaria. The objective of this study was to determine brucellosis prevalence in livestock and incidence in humans among pastoralists and agro-pastoralists communities in some areas of Kenya and Tanzania. A total of 2349 ruminants were screened using different serological techniques, in the selected areas. Serum samples from the Southern Highlands Zone (SHZ), Northern zone (NZ) and Eastern Zone (EZ) were screened using Rose Bengal Plate Test (RBPT) antigen, and later positive samples were confirmed using competitive enzyme linked immune-sorbent assay (c-ELISA). Results showed prevalence of 11.4% in the SHZ (n=799), 2.4% in the EZ (n=169) and 1% in the NZ (n= 408). Milk ring test was used to test milk samples from Migori, West Pokot and Mwingi, and the prevalences recorded in cattle were 17.9% (n=56) in 2012 and 11.7 (n=77) in 2014. Within the same period, West Pokot recorded prevalence of up to 21.9% (n=96) in cattle and 16.7% (n=6) in goats. Generally, Migori had lower prevalence in Kenya, but being the third lower in Tanzania and Kenya with the prevalence being 4.3% (n=70) in goats and 2.2% (n=45) in goats. Serum from cattle and goats were tested using compliment fixation test (CFT); showing 0.9% (n=212) prevalence in Migori. In West Pokot, the prevalence was 4.0% (n=101) in cattle, 20% (n=100) in goats and 13.8% (=29) in sheep; whereas in Mwingi prevalence was 4.75% (n=43) and 9.5% (n=21) in cattle and goats respectively. A total of 1,140 human cases were followed up in selected study areas where livestock samples were collected, and an overall incidence of 22.7% (n=1140) was confirmed. Selected areas in Tanzania had an incidence of 28.2% (n=578) and in Kenya 17.1% (n=562). Brucellosis is endemic in many areas of Tanzania and Kenya and pose a high risk to human health

Sero-prevalence of Brucellosis in Humans and their Animals: A Linked Cross-sectional Study in Two Selected Counties in Kenya

Brucellosis is one of the world's most widespread zoonosis. We determined the sero-prevalence and risk factors for brucellosis in humans and their animals in Kajiado and Kiambu Counties of Kenya through simultaneous cross sectional surveys. The current study simultaneously investigated the linkage in sero-prevalence between humans and their animals within the same household at the same time. A human prevalence range of 2.2%-14.1% is reported while the prevalence in animals was 1.2%-3.4%. Having animal contact as well as handling hides and skins (OR =6.6, 95% CI: 4.5-9.7) predisposed humans to exposure to brucellosis

Sero-prevalence of Brucellosis in Humans and their Animals: A Linked Cross-sectional Study in Two Selected Counties in Kenya

Brucellosis is one of the world's most widespread zoonosis. We determined the sero-prevalence and risk factors for brucellosis in humans and their animals in Kajiado and Kiambu Counties of Kenya through simultaneous cross sectional surveys. The current study simultaneously investigated the linkage in sero-prevalence between humans and their animals within the same household at the same time. A human prevalence range of 2.2%-14.1% is reported while the prevalence in animals was 1.2%-3.4%. Having animal contact as well as handling hides and skins (OR =6.6, 95% CI: 4.5-9.7) predisposed humans to exposure to brucellosis