Baseline epidemiology and associated dog ecology study towards stepwise elimination of rabies in Kwara state, Nigeria

Understanding domestic dog population dynamics and ecology is crucial to any effective rabies control program. This study was conducted as part of the baseline epidemiological studies necessary for the establishment of the Kwara Rabies Rapid Alert System "KRRAS". This study aimed to determine the dog population structure of Kwara State by assessing the dog ownership, vaccination status, and prevalence of dog bites. A total of 1460 questionnaires were administered to respondents in the three senatorial zones of the state using Open Data Kit (ODK) between June 2019 to January 2020. Of the 1460 households surveyed, 293 (20.1 %) owned at least one dog with an average of 2.25 dogs per household. The male to female ratio was 1.9:1 and 79.3 % (n = 523/659) of the owned dogs were local breeds. A total of 785 dogs was enumerated (659 dogs from 293 households and 126 free-roaming dogs) and 7811 persons which resulted in a dog-human ratio of 1:9.95. The estimated dog population is 376,789 (95 % CI: 343,700 - 379,878). Only 31 % (n = 204/659) of households vaccinated their dogs against rabies. The prevalence of dog-bite was 13 % (n = 193/1460) of which only 27 % of the victims (n = 61/225) received post-exposure prophylaxis (PEP). Dog ownership was significantly impacted by the ethnicity of respondents. Hausa (OR: 3.76; 95 % CI: 1.15-12.4; p &lt; 0.001) and Nupe (OR: 4.48; 95 % CI: 1.77-11.33; p &lt; 0.001) respondents owned dogs than Yoruba respondents. The rabies vaccination status of owned dogs was significantly impacted by the level of education (OR: 5.03; 95 % CI: 1.50-16.83; p &lt; 0.001); history of previous dog bite incidents (OR: 1.74; 95 % CI: 0.95-3.17; p &lt; 0.001); the breed of the dog with exotic dogs being more vaccinated (OR: 2.79: 95 % 0.64-12.05; p &lt; 0.001). Similarly, Male dogs (OR: 1.49, 95 % 1.03-2.86; p &lt; 0.001) and partially confined dogs (OR: 1.09, 95 % 0.45-2.11, p &lt; 0.001) were found to be vaccinated against rabies. The results of the study showed low dog vaccination coverage, and high number of free roaming dogs. Hence, a threat to public health. The low dog vaccination coverage is below the 70-80 % target recommended for herd immunity by the World Health Organization.</p

Behavioural risk-factors associated with the use of Facemask during Covid-19 pandemic lockdown period in Nigeria: online-based survey

Background:  The Coronavirus disease has rapidly become a public health challenge, with many countries adopting the usage of facemasks as one of the protective strategies against the virus. This study aimed to assess the behavioral risk factors associated with the use of facemasks during the Covid-19 pandemic lockdown period in Nigeria.  Methods:  The study recruited 500 participants in an online-based survey through a cloud-based platform called Google Forms. The main scales; facemask usage and behavioral risk factors were measured on a 0-27 and 0-24 point rating scale respectively, while the subscales are utilization, prevention, and perceived threats were measured on a 0-16, 0-19, and 0-5 point rating scale. Result: The usage of facemasks accounts for 32.8% (daily), 12.2% (weekly), 38.2% (monthly basis), and 16.8% use facemasks out of necessity. More than half (55.6%) use facemasks because of fear of punishment by the task force while challenges associated with the usage of facemasks include: difficulty breathing (47%) and suffocation (24%). A significant association was found between the use of facemasks and the prevention of COVID-19 (b= 0.029, 95% CI =0.055 - 0.114, p-value 0.049, r2=11.1%).  Conclusion:  The use of facemasks has become a norm and passed into law in Nigeria, however not a pleasant practice for most people Recommendation:  Therefore there is a need for mass awareness and education to improve the use of facemasks in Nigeria

Prevalence of antibody against rabies among confined, free-roaming and stray dogs in a transit city of Nigeria

The prevalence of anti-glycoprotein antibodies against rabies virus is studied in the sera of confined, free-roaming and stray dogs in Ilorin, the capital city of Kwara State, Nigeria. A quantitative indirect enzyme-linked immuno-sorbent assay (i-ELISA) was used to detect rabies virus anti-glycoprotein antibodies in sera from 116 confined, 61 free-roaming, and 13 stray dogs. The sera were collected between June and December 2008 from apparently healthy dogs. Of these 190 dogs, 81 (42.6%), consisting of 57 confined (49.1%), 23 free-roaming (37.7%) and 1 stray (7.7%), had antibody titres that exceeded the positive threshold of 0.5 equivalent units (eu)/ml against rabies, while 109 (57.4%) presented titres that were below the threshold. Prevalence of rabies anti-glycoprotein antibody was higher in the confined dogs compared to free-roaming and stray dogs. Our results indicated low anti-rabies sero-prevalence (42.6%) in the dog population of Ilorin, a transit city that lies between northern and southern Nigeria. This is the first community-based prevalence report on the anti-rabies serological profile of dogs in Nigeria. The need for primary and booster mass vaccination of dogs and the impact of these findings on rabies control in Nigeria are discussed

Isolation of influenza A viruses from pigs in Ibadan, Nigeria

The authors investigated influenza virus types in pigs in Ibadan, a city in Oyo State, south-western Nigeria. From April to June 2008, nasal swabs were collected from pigs at three locations in Ibadan. Influenza A viruses (four A [H1N1], two A [H3N2] and one A [H1N1]-A [H3N2] double reactant) were isolated from 7 of the 50 apparently healthy Landrace pigs tested. This study is the first documented isolation of swine influenza viruses in Nigeria and it reveals that different strains of influenza viruses co-circulate in pigs in Ibadan. These pigs serve as reservoirs of different subtypes of influenza viruses and potential ‘mixing vessels’ in which genetic reassortment and the generation of future human pandemic strains could occur. These findings support the need for adequate and periodic surveillance among swine populations and pig handlers in Nigeria to detect circulating strains of influenza viruses. This would serve as an effective early warning system

Antibody levels against rabies among occupationally exposed individuals in a Nigerian University

The authors investigated the levels of anti-glycoprotein antibodies against rabies virus in the sera of occupationally exposed humans at the University of Ibadan, Nigeria. A quantitative indirect enzyme-linked immunosorbent assay (ELISA) was used to detect rabies virus anti-glycoprotein antibodies in sera from 20 zoological garden workers, 20 veterinarians and 30 clinical veterinary students at the University of Ibadan. The sera were obtained between September 2008 and February 2009. Of these 70 healthy individuals, 29 (41.4%) consisting of 15 zoological garden workers (75.0%), 13 veterinarians (65.0%) and 1 veterinary student (3.3%) were immune to rabies virus (antibody titre >0.5 equivalent units per ml), while 41 (58.6%) were not immune. The prevalence of rabies anti-glycoprotein antibody was higher within the older segment of the study population than among the younger veterinary students. Almost all those who had spent at least 10 years on the job had higher levels of rabies vaccination compliance and were immune. Our results indicated that there is low anti-rabies immunity among occupationally exposed individuals at the University of Ibadan. There is a need for a complete course of primary and booster vaccinations of professionals exposed to the rabies virus. The impact of these results on rabies control in Nigeria is discussed

Spatial pattern of foot-and-mouth disease virus serotypes in North Central Nigeria

Aim: This study aimed to determine the foot-and-mouth disease virus (FMDV) serotypes circulating, the prevalence of FMDV serotypes, and the spatial distribution of FMDV among sedentary and pastoral cattle herds in the North-Central Nigeria. Materials and Methods: A cross-sectional study was undertaken, during which a total of 155 sera that tested positive for foot-and-mouth disease (FMD) 3ABC non-structural protein antibodies were selected and screened for FMD structural protein serotypes, A, O, SAT 1, and SAT 2 using a solid-phase competitive enzyme-linked immunosorbent assay (ELISA). Epithelial tissue specimens were collected during outbreak investigations which were tested for FMD using an antigen capture ELISA for serotype A, O, SAT 1, and SAT 2. Results: An overall serotype-specific prevalence of 79.35 (95% confidence interval [CI]: 72.4-85.18) was recorded for serotype O, 65.2% (95% CI: 57.41-72.3) for serotype A, 52.9% (95% CI: 45.03-60.67) for SAT-2, and 33.55% (95% CI: 26.45-41.26) for SAT-1. Evidence of exposure to multiple FMDV serotypes showed that 12.26% of the sera samples had antibodies against four serotypes circulating, 30.97% had antibodies against three serotypes circulating, 22.58% had antibodies against two serotypes, and 17% showed exposure to only one serotype. Clinical specimens (epithelial tissue) collected during outbreak investigations showed that serotype O has the highest proportion of 50% with serotype A - 25%; SAT 2 - 20.8%; and SAT 1 - 4.1%. Conclusion: The study detected diffuse and co-circulation of serotypes A, O, SAT1, and SAT2 within the study area, and hence the need for the appropriately matched multivalent vaccine is strongly advocated for FMD control in Nigeria

Improving dog bite victim survey and estimation of annual human deaths due to suspected rabies cases in three selected Liberian cities and environs, 2008-2017.

Rabies remains a public health challenge of unknown magnitude in Liberia in spite of the goal of ensuring that no human in the country dies of rabies by 2030. The annual prevalence of Dog Bite Victims (DBVs) and true load of Annual Human Deaths (AHDs) due to rabies were not known. We investigated three selected cities of Liberia for annual prevalence of DBVs and true load of AHD due to suspected rabies, using 10-year retrospective record, 2008-2017 obtained from Buchanan, Gbarnga, and Voinjama, three socio-economically important cities in post-conflict Liberia. Data were sourced at County Reference Hospitals and at the Liberia National Institute of Health for these cities and their local environs. In addition, household questionnaire survey was used to identify and audit data quality for unreported DBVs, and treatment received from traditional caregivers. The proportion was used to audit the 10-year data on unreported DBVs in the cities. Descriptive statistics was used to summarize annual DBVs over the 10-year period in the three cities, respectively. A standardized clinical decision tree model was used to estimate AHDs due to suspected rabies. Based on questionnaire survey, 140/365, 148/375 and 146/350 DBVs did not visit any orthodox health facility in Buchanan, Gbarnga and Voinjama cities, respectively in 2014. An estimated total of 559 DBVs died of suspected rabies in the three cities and their environs during the 10-year period. Mean yearly prevalence of DBVs was 179±106.82, 393±257.85 and 76.9±38.11 per 100,000 population, while mean AHDs due to suspected rabies was 14.3±8.47, 35.5±23.25, and 6.1±3.21 per 100,000 population in Buchanan, Gbarnga, and Voinjama cities, respectively. The present findings provide annual prevalence of suspected rabies cases, corrected for under-reporting in three selected cities of Liberia. The findings would be useful in planning for stepwise actions towards rabies elimination, ensuring that no human dies of rabies in Liberia by 2030

Comparative non-metric and morphometric analyses of rats at residential halls of the University of Benin campus, Nigeria

Background: In mammals and across rat species, the variation in conformation is markedly observed in the head and the variation in the shape of the head is mostly determined by the shape of the skull. Hence comparative topographic analysis and morphometry is a veritable tool in precise categorization of peri-domestic rats and species identification. Methods: Killed rodents around residential dwellings of students on campus were collected and measurements taken of external morphology. Thirty-one external head and corporal parameters; and 40 cranial measurements respectively were obtained. Topographic features and specific anatomical landmarks measured were matched using congruent anatomical landmarks and compared to referenced standard measurements. Results: External morphometry suggests that all retrieved samples were more closely related to the species Rattus rattus. However, craniodental analysis of captured rats reveals variations from the mean of typical R. rattus. In comparison with Mastomys natalensis, the mean averages of the rat species were perceptibly different for only two of the parameters viz palatine fissure length (PL) (p = 0.039) and distance between interparietal bone (DP) (p = 0.06). In contrast, the mean of whole length of skull (WL), length of diastema (PI), length of nasal bone (NL), length of frontal bone (LF) and occipital width (OH) were significantly different from that of R. rattus with p values of 0.047, 0.036, 0.048, 0.032 and 0.034 respectively. Conclusion: This study focuses on peridomestic rat’s identification within the University campus based on morphometry, providing unique landmarks for differentiation between Mastomys, Mus, Rattus and other rat species with emphasis on the need for more comprehensive investigation, categorization and morphometric profiling of rat population in Nigeria. Metric data generated for rat profiling in Nigeria is pivotal for a more comprehensive strategy for prevention of Lassa fever. Keywords: External morphometry, Craniodental morphometry, Lassa fever, Peridomestic rat, Mastomy