Observational study shows that it is feasible to provide neuroprotective treatment for neonatal encephalopathy in low-income countries.

AIM: Perinatal asphyxia is one of the most frequent causes of neonatal morbidity and mortality worldwide, and 96% of the burden of neonatal encephalopathy occurs in low-income countries. This study investigated the feasibility of providing neuroprotective treatment for neonatal encephalopathy in low-income countries. METHODS: Neonates with a gestational age of at least 36 weeks, with signs of perinatal asphyxia, were included in this 2015 observational study in three hospitals in Kinshasa, capital of the Democratic Republic of Congo. Their characteristics were described, including the time to admission and Thompson score on admission. RESULTS: We found that 42 of 134 patients (31.3%) reached the hospital within six hours of birth with a Thompson score of at least seven on admission. Another 15 patients (11.2%) had a five-minute Apgar score of up to five, without a Thompson score, and were eligible for treatment. Of the 57 (42.5%) eligible patients, 31 were discharged (54.4%), 25 died (43.9%) and one (1.8%) remained in hospital at the end of the study. CONCLUSION: Interventional studies are feasible and necessary, especially in countries where the burden of neonatal encephalopathy is largest. A Thompson score of 7-15 might be a useful entry criterion for neuroprotective treatment in low-income countries.

Relationship between burden of infection in ungulate populations and wildlife/livestock interfaces.

In southern African transfrontier conservation areas (TFCAs), people, livestock and wildlife share space and resources in semi-arid landscapes. One consequence of the coexistence of wild and domestic herbivores is the risk of pathogen transmission. This risk threatens local livelihoods relying on animal production, public health in the case of zoonoses, national economies in the context of transboundary animal diseases, and the success of integrated conservation and development initiatives. The level of interaction between sympatric wild and domestic hosts, defining different wildlife/livestock interfaces, characterizes opportunities of pathogen transmission between host populations. Exploring the relationship between infection burden and different types of wildlife/domestic interfaces is therefore necessary to manage the sanitary risk in animal populations through control options adapted to these multi-host systems. Here, we assessed the infection burdens of sympatric domestic cattle (Bos taurus/Bos indicus) and African buffalo (Syncerus caffer) at an unfenced interface and compared the infection burdens of cattle populations at different wildlife/livestock interfaces in the Great Limpopo TFCA. Patterns of infection in ungulate populations varied between wild and domestic hosts and between cattle populations at different wildlife/livestock interfaces. Foot-and-mouth disease, Rift Valley fever and theileriosis infections were detected in buffalo and cattle at unfenced interfaces; bovine tuberculosis was only present in buffalo; and brucellosis and lumpy skin disease only in cattle. At unfenced interfaces, cattle populations presented significantly higher Theileria parva and brucellosis prevalence. We hypothesize that cattle populations at wildlife/livestock interfaces face an increased risk of infection compared to those isolated from wildlife, and that the type of interface could influence the diversity and quantity of pathogens shared. Additional host behavioural and molecular epidemiological studies need to be conducted to support this hypothesis. If it is confirmed, the management of wildlife/livestock interfaces will need to be considered through the prism of livestock and public health.

Distribution of Salmonella serovars and antimicrobial susceptibility of Salmonella Enteritidis from poultry in Zimbabwe.

A study was carried out to determine the distribution and antimicrobial susceptibility profiles of Salmonella serovars from chickens from large-scale commercial (LSC), small-scale commercial (SSC), and rural free-range (RFR) farms of Zimbabwe. Pooled cloacal swabs were collected for culture and isolation of Salmonella spp. A chi-square test was used to assess distribution differences of salmonellas among the farming sectors. Approximately 10% (283/2833) of the swabs were positive for Salmonella enterica, with only subspecies enterica (98.6%) and arizonae (1.4%) being detected. The prevalence of S. enterica varied significantly (P<0.05) among areas, with Harare (27.8%) and Buhera (1.3%) recording the highest and the least prevalence, respectively. S. enterica was only isolated from LSC and SSC farms, with the former having a significantly (P<0.001; χ(2)=155.3) higher prevalence than the latter. S. arizonae was only isolated from the SSC farms while none were obtained from the RFR farms. The serovars isolated were Salmonella Enteritidis (72.8%), Group C (20.1%), Group B (4.2%), Salmonella Typhimurium (1.1%) and Salmonella Gallinarum (0.4%). S. Enteritidis predominated in the urban/periurban areas. Approximately 26% (53/206) of S. Enteritidis isolates were resistant to one or more antimicrobial agents. Resistance to tetracycline was the most common, while no resistance was detected for furazolidone, neomycin and trimethoprim-sulfamethoxazole. There were 12.1% multi-drug-resistant S. Enteritidis isolates, and the resistance to ampicillin/kanamycin was predominant. The identification of multi-drug-resistant S. Enteritidis is of public health concern. Thus, stringent control of S. Enteritidis will reduce the public health risk of human salmonellosis.

A retrospective study of wildlife rabies in Zimbabwe, between 1992 and 2003.

To assess the epidemiological features of wildlife rabies in Zimbabwe, a retrospective study covering a period of 12 years (1992-2003) was conducted using rabies records of the Central Veterinary Laboratories (CVL), Department of Veterinary Technical Services at Harare. Records of monthly and annual wildlife rabies were perused with regard to total samples submitted to the CVL and corresponding positive cases. Positive cases were analyzed in relation to the animal species involved, seasonal trends, and land-use categories. A total of 2107 samples were submitted and 1 540 (73.1%) were positive. Jackals (Canis mesomelas and C. adustus), with a peak occurrence of rabies between January and March were the major maintenance host, representing approximately 91% of the total rabies cases confirmed. The Canidae family recorded the highest number of cases followed by the Viverridae, Mustelidae, Felidae, Herpestidae and Hyaenidae families in that order. During the present study rabies cases were confirmed in 7 additional wild animals. The majority of the positive cases (83.7%) were recorded in commercial farming areas in the northeast parts of the country.

Tick infestation, and udder and teat damage in selected cattle herds of Matabeleland South, Zimbabwe.

A cross-sectional survey was conducted to determine tick infestation, and udder and teat damage in 286 lactating cows and heifers at six properties in the smallholder and commercial sectors in Gwanda district of Matabeleland South Province, Zimbabwe. Eight tick species were identified: Amblyomma hebraeum, Hyalomma truncatum, Hyalomma marginatum rufipes, Rhipicephalus evertsi evertsi, Rhipicephalus (Boophilus) decoloratus, Rhipicephalus appendiculatus, Rhipicephalus zambeziensis and Rhipicephalus simus. Overall, 81.5% of the cattle were tick infested; prevalence of tick-infested cattle was significantly higher on communal land (93.8%) and recently claimed land (85.1%) than on commercial farms. The mean tick load on infested cattle on communal land was significantly higher than in the other two sectors. Although 53% of the sampled cattle had some degree of udder and teat damage, very few farmers (2.6%) treated their cattle for these conditions. Udder damage was ca. two times and three times, respectively, more likely to occur in cattle on communal land compared to cattle on recently claimed land and commercial farms. The occurrence of R. appendiculatus and R. zambeziensis indicate that the cattle population in the study area is at high risk of a theileriosis outbreak, a tick-borne disease that has not been reported from this area.

Novel identification and differentiation of Brucella melitensis, B. abortus, B. suis, B. ovis, B. canis, and B. neotomae suitable for both conventional and real-time PCR systems.

We describe the development of a novel PCR assay for the rapid detection of members of the Brucella genus, and the differentiation between six recognized Brucella species. The assay has proven to be highly specific with the additional advantage of being suitable for use with both conventional and real-time PCR.

A retrospective study of rabies in humans in Zimbabwe, between 1992 and 2003.

This study aimed at examining the epidemiological features of rabies in humans in Zimbabwe. The data were taken from internal reports of the department of veterinary technical services at Harare covering the period 1st January 1992-31st December 2003 inclusive. Positive cases were examined in relation to age and sex of the victim, animal vector involved, season, and land-use categories. The majority of the confirmed positive human cases (85.7%) were recorded in communal areas. The 5-19 year age group and males constituted a highly vulnerable group. Over 90% of the cases were due to dog bites with jackals (Canis adustus and C. mesomelas), and honey badgers (Mellivora capensis) also contributing to the positive cases. Rabid cats and rabid wild animals had a high relative risk (RR) of biting humans. Animal-to-human transmission was highest during the dry months of July to November.

Brucellosis surveillance and control in Zimbabwe: bacteriological and serological investigation in dairy herds.

Brucellosis in dairy cattle is endemic in Zimbabwe. The prevalence continues to be monitored intensively. Only milk and serum samples are routinely screened. Attempts to culture Brucella spp. from clinical specimens are seldom made. Consequently, incidence of various Brucella spp. within Zimbabwe is virtually unknown, despite the high serepositivity reported. This information is paramount in understanding the transmission cycle and is also significant to public health; particularly as B melitensis infects humans more often than do the other brucellae. This paper describes the results of bacteriological and serological investigations of brucellosis in a dairy from near Bulawayo. The said farm was selected for the present pilot study because of the high incidence of reported abortion. The milk ring test was employed to test the bulk pooled milk samples once a month for 14 months. The test was recorded highly positive on all 14 occasions. To locate reactors, milk samples from 36 individual cows were similarly tested. Of these, 21 (almost 59%) were found to be reacting positively. One hundred and seventy-seven animals were marked for serotesting. Of these 40 (approximately 25%) showed quite high serum titres (> 1:360) in both the STT and the Rosebengal test. The farmer was advised to havet all abortions full investigated. However, all the clinical material from cases of abortion, except one, were received in an advanced state of putrefaction. From this, Brucella was isolated on culture from stomach contents and cotyledons. The isolates from both the sites were characterized in detail, employing dye inhibition, phagetyping; the oxidative metabolic test and agglutination with monospecific sera. Both the isolates belonged to B. abortus biovar I, which was confirmed by the Central Veterinary Research Laboratory, Weybridge. The significance of isolation and the need to intensify similar studies have been discussed.