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Brucellosis is endemic in livestock and humans in Uganda and its transmission involves a multitude of risk factors like consumption of milk from infected cattle. To shed new light on the epidemiology of brucellosis in Uganda the present... more
Brucellosis is endemic in livestock and humans in Uganda and its transmission involves a multitude 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.
A total of 363 cattle taken from six sub counties of Kashaari county were tested for presence of Theileria and Babesia species using reverse line blot hybridization assay (RLB). The prevalences of Theileria and Babesia species were found... more
A total of 363 cattle taken from six sub counties of Kashaari county were tested for presence of Theileria and Babesia species using reverse line blot hybridization assay (RLB). The prevalences of Theileria and Babesia species were found to be 19.8% (CI = 95%, 15.7-23.9%) and 0.6% (CI = 95%, -0.2-1.4%) respectively with at least 68% (CI = 95%, 63.2-72.8) dually infected with more than one Theileria sp. Theileria sp. detected include; T. parva, T. mutans, T. taurotragi, T. vilifera, T. buffeli, T. spp. (sable), T. spp. (buffalo) and T. bicornis at 24% (CI = 95%, 19.6-28.4% ), 18.4% (CI = 95%, 14.4-22.4%), 14% (CI = 95% , 10.4-17.6% ), 13.7% (CI = 95%, 10.2-17.2%), 12.6% (CI = 95%, 9.2-16.0%), 10.4% (CI = 95%, 7.26-13.54%), 4.4% (CI = 95%, 2.3-6.5%) and 3.8% (CI = 95%, 1.8-5.8%) respectively. The prevalences of different Theileria and Babesia species among different cattle age groups, breeds, management systems and sub county of origin are presented and discussed. A 2.5 times risk of ...
Decision-making and financial planning for tsetse control is complex, with a particularly wide range of choices to be made on location, timing, strategy and methods. This paper presents full cost estimates for eliminating or continuously... more
Decision-making and financial planning for tsetse control is complex, with a particularly wide range of choices to be made on location, timing, strategy and methods. This paper presents full cost estimates for eliminating or continuously controlling tsetse in a hypothetical area of 10,000km(2) located in south-eastern Uganda. Four tsetse control techniques were analysed: (i) artificial baits (insecticide-treated traps/targets), (ii) insecticide-treated cattle (ITC), (iii) aerial spraying using the sequential aerosol technique (SAT) and (iv) the addition of the sterile insect technique (SIT) to the insecticide-based methods (i-iii). For the creation of fly-free zones and using a 10% discount rate, the field costs per km(2) came to US$283 for traps (4 traps per km(2)), US$30 for ITC (5 treated cattle per km(2) using restricted application), US$380 for SAT and US$758 for adding SIT. The inclusion of entomological and other preliminary studies plus administrative overheads adds substantially to the overall cost, so that the total costs become US$482 for traps, US$220 for ITC, US$552 for SAT and US$993 - 1365 if SIT is added following suppression using another method. These basic costs would apply to trouble-free operations dealing with isolated tsetse populations. Estimates were also made for non-isolated populations, allowing for a barrier covering 10% of the intervention area, maintained for 3 years. Where traps were used as a barrier, the total cost of elimination increased by between 29% and 57% and for ITC barriers the increase was between 12% and 30%. In the case of continuous tsetse control operations, costs were estimated over a 20-year period and discounted at 10%. Total costs per km(2) came to US$368 for ITC, US$2114 for traps, all deployed continuously, and US$2442 for SAT applied at 3-year intervals. The lower costs compared favourably with the regular treatment of cattle with prophylactic trypanocides (US$3862 per km(2) assuming four doses per annum at 45 cattle per km(2)). Throughout the study, sensitivity analyses were conducted to explore the impact on cost estimates of different densities of ITC and traps, costs of baseline studies and discount rates. The present analysis highlights the cost differentials between the different intervention techniques, whilst attesting to the significant progress made over the years in reducing field costs. Results indicate that continuous control activities can be cost-effective in reducing tsetse populations, especially where the creation of fly-free zones is challenging and reinvasion pressure high.
A retrospective case-control study of human brucellosis in urban, peri-urban, and rural areas in Kampala, Uganda was undertaken to find the risks associated with the disease using the medical records of Mulago National Referral Hospital... more
A retrospective case-control study of human brucellosis in urban, peri-urban, and rural areas in Kampala, Uganda was undertaken to find the risks associated with the disease using the medical records of Mulago National Referral Hospital (Mulago Hospital). From the Brucella agglutination test (BAT) records between June 2004 and May 2006, 652 positive results were found. The case-control study showed that living in urban areas was a risk factor for brucellosis. The numbers of improved and cross-breed cattle per 1000 households were calculated on the basis of data obtained from interviews of 75 randomly selected local councils (LCls) in an area between 5 and 20 km radii from the city center of Kampala. Cattle-keeping activities were, however, unpopular in urban areas compared to peri-urban and rural areas. Poor correlation between the distribution of human brucellosis cases and the distribution of cattle suggested that most of the brucellosis cases resulted from consumption of raw milk transported from peri-urban and rural areas of Kampala and/or dairy production areas outside Kampala.
A retrospective case-control study was undertaken to examine the spatial risk factors for human brucellosis in Kampala, Uganda.