How can we realise the full potential of animal health systems for delivering development and health outcomes?

Animal health services play an essential role in supporting livestock production, with the potential to address the challenges of hunger, poverty, health, social justice and environmental health as part of the path towards the Sustainable Development Goal (SDG) defined in the United Nations, 2030 Agenda. However, the provision of animal health services remains chronically underfunded. Although the aspiration that â€Ëœno one will be left behind' is core to the SDG agenda, animal health service provision still fails to meet the basic needs of many of the poorest livestock owners. This review draws largely on experience from Tanzania and highlights the obstacles to equitable provision of animal health services, as well as identifying opportunities for improvement. Delivery models that rely on owners paying for services, whether through the private sector or public?private partnerships, can be effective for diseases that are of clear economic importance to animal keepers, particularly in more market-orientated production systems, but are currently constrained by issues of access, affordability, availability and quality. Substantial challenges remain when attempting to control diseases that exert a major burden on animal or human health but are less well recognised, as well as in the delivery of veterinary public health or other public good interventions. Here, the authors propose solutions that focus on: improving awareness of the potential for animal health services to address the SDGs, particularly those concerning public and environmental health; linking this more explicitly with advocacy for increased investment; ensuring that the voices of stakeholders are heard, particularly those of the rural poor; and embracing a cross-cutting and expanded vision for animal health services to support more adaptive development of livestock systems.

Les services de santé animale accomplissent une fonction essentielle en faveur de la production animale tout en ayant un potentiel d'action pour relever les défis de la faim, de la pauvreté, de la santé, de la justice sociale et de la santé dans la perspective des objectifs de développement durable (ODD) définis dans l'Agenda 2030 des Nations Unies. Toutefois, la prestation de services de santé animale souffre d'un sous-financement chronique. Bien que l'aspiration de « ne laisser personne pour compte ¼ soit au coeur du programme des ODD, à ce jour la prestation de services de santé animale ne parvient pas encore à répondre aux besoins fondamentaux de nombreux propriétaires de bétail parmi les plus pauvres. Les auteurs s'appuient largement sur l'expérience de la Tanzanie pour mettre en évidence les obstacles à une prestation équitable de services de santé animale, et relever des perspectives d'amélioration. Les modèles de prestation assurés dans le cadre du secteur privé ou de partenariats public-privé et reposant sur le paiement des services par les propriétaires se révèlent efficaces lorsqu'il s'agit de maladies qui ont une importance économique évidente pour les détenteurs d'animaux, en particulier dans les systèmes de production orientés vers le marché, mais ils sont actuellement limités par des problèmes d'accès, de coût, de disponibilité de l'offre et de qualité. Des difficultés encore plus grandes subsistent lorsqu'il s'agit de lutter contre des maladies moins connues bien qu'ayant un impact important sur la santé animale ou humaine, ou d'assurer des services de santé publique vétérinaire ou d'autres interventions relevant du bien public. Les auteurs proposent des solutions centrées sur : une meilleure sensibilisation concernant le potentiel des services de santé animale à réaliser les ODD, en particulier ceux qui portent sur la santé publique et la santé environnementale ; la mise en place de liens plus explicites avec les plaidoyers en faveur d'investissements accrus ; des mesures garantissant que les voix de toutes les parties prenantes soient entendues, en particulier celles des pauvres du monde rural ; l'adoption d'une stratégie transversale et de grande ampleur pour les services de santé animale en faveur d'un développement plus adaptatif des systèmes d'élevage.

Los servicios de sanidad animal cumplen una esencial función de apoyo a la producción ganadera, potencialmente útil para abordar problemas relacionados con el hambre, la pobreza, la salud, la justicia social y la salud ambiental como parte del camino hacia los Objetivos de Desarrollo Sostenible (ODS) marcados en la Agenda 2030 de las Naciones Unidas. Sin embargo, la prestación de servicios zoosanitarios está lastrada por un déficit crónico de financiación. Aunque en la base misma de los ODS late la aspiración de «no dejar a nadie atrás¼, la prestación estos servicios aún no alcanza para responder a las necesidades básicas de muchos de los propietarios de ganado más pobres. Los autores, basándose principalmente en la experiencia de Tanzania, destacan los obstáculos que dificultan una prestación equitativa de servicios zoosanitarios y señalan las posibilidades existentes para progresar al respecto. Los modelos de prestación que requieren que el propietario pague por los servicios recibidos, ya sea del sector privado o de alianzas publicoprivadas, pueden resultar eficaces en el caso de enfermedades que revisten una clara importancia económica para los productores, especialmente en sistemas productivos con una marcada orientación comercial, aunque actualmente se ven lastrados por problemas de acceso, asequibilidad, disponibilidad y calidad. Por otro lado, subsisten dificultades de gran calado a la hora de combatir enfermedades menos reconocidas, aunque estas entrañen una pesada carga sanitaria o zoosanitaria, y también a la hora de implantar medidas de salud pública veterinaria u otras intervenciones de interés público. Los autores proponen soluciones centradas en: dar mejor a conocer el potencial que encierran los servicios de sanidad animal para perseguir los ODS, sobre todo los relacionados con la salud pública y ambiental; vincular más explícitamente esto último a la labor de sensibilización para lograr inversiones más cuantiosas; hacer oír la voz de todos los interesados, en especial la de los pobres de zonas rurales; y adoptar una visión más amplia y transversal de los servicios zoosanitarios para favorecer un desarrollo más flexible de los sistemas ganaderos.

Planetary boundaries and Veterinary Services.

National Veterinary Services (NVS) play a crucial role in animal health, production and welfare. They are also intimately involved with safeguarding global health security and the health of the planet. Climate change is just one of the nine planetary boundaries (PBs), i.e. Earth system processes, that can be used to monitor the vital signs of our living planet. In this paper, the authors identify the positive and negative impacts of humaninduced management of aquatic and terrestrial animals in relation to these PBs. In the context of NVS, the authors provide an overview of the real and potential impacts of NVS policies on Earth systems and offer suggestions as to how new sustainability paradigms may assist with reviewing and revising NVS mandates and facilitating stakeholder engagement. Opportunities are proposed for the World Organisation for Animal Health to contribute to the global debate on the role of aquatic and terrestrial animal agriculture and wildlife in sustainable development. In addition, the paper suggests that a wider debate is required in relation to recent significant increases in domestic animal populations and PBs. Intersectoral and interdisciplinary collaboration are required to achieve the transformation of the framework in which NVS operate. While such transformations cannot be driven by the veterinary profession alone, veterinarians have proven very effective operators in the One Health arena. By building on these intersectoral linkages, it will be possible for our profession and NVS to actively contribute to the crucial discussions and transformations required to pull Earth system metrics back within safe boundaries.

Les Services vétérinaires nationaux jouent un rôle crucial dans les domaines de la santé animale, de la production animale et du bien-être des animaux. Mais ils sont aussi fortement engagés dans la protection de la sécurité sanitaire mondiale et de la santé de la planète. Le changement climatique est l'une des neuf frontières planétaires existantes, c'est-à-dire les neuf processus du système terrestre qui peuvent nous aider à surveiller les signes vitaux de notre planète vivante. Les auteurs font le point sur les impacts positifs et négatifs de la gestion par l'homme des animaux aquatiques et terrestres dans la perspective de ces frontières planétaires. S'agissant des Services vétérinaires nationaux, les auteurs donnent un aperçu de l'impact réel des politiques des Services vétérinaires sur les systèmes terrestres ainsi que des possibilités en la matière et font quelques propositions pour que les mandats de ces Services soient repensés et modifiés et la participation des parties prenantes facilitée à la lumière des nouveaux paradigmes de durabilité. Ils évoquent plusieurs occasions au cours desquelles l'Organisation mondiale de la santé animale (OIE) pourrait contribuer aux discussions à l'échelle mondiale sur le rôle des animaux terrestres et aquatiques, tant d'élevage que sauvages, dans le développement durable. En outre, les auteurs estiment qu'un débat plus général est nécessaire concernant l'augmentation récente et significative des populations d'animaux domestiques et les frontières planétaires. Une collaboration intersectorielle et interdisciplinaire sera nécessaire pour transformer le cadre dans lequel interviennent les Services vétérinaires nationaux. Certes, une transformation de cette nature ne peut être menée par la profession vétérinaire seule, mais les vétérinaires ont déjà fait preuve de l'efficacité de leurs capacités opérationnelles dans l'arène Une seule santé. En s'appuyant sur ces liens intersectoriels, la profession vétérinaire et les Services vétérinaires nationaux seront à même de contribuer activement aux discussions cruciales ainsi qu'aux transformations indispensables pour ramener les variables mesurables de la Terre à l'intérieur de frontières sûres.

La función de los Servicios Veterinarios nacionales, además de ser crucial para la sanidad, la producción y el bienestar animales, guarda estrecha relación con la salvaguarda de la seguridad sanitaria mundial y la salud del planeta. El cambio climático es solo uno de los nueve límites planetarios, esto es, procesos del sistema terrestre, que cabe utilizar para seguir de cerca los signos vitales del ser vivo que es nuestro planeta. Los autores exponen los efectos tanto positivos como negativos que en relación con estos límites planetarios trae consigo la gestión antrópica de animales acuáticos y terrestres. Por lo que respecta a los Servicios Veterinarios nacionales, los autores presentan a grandes líneas las repercusiones que las políticas de estos Servicios Veterinarios tienen o pueden tener en los sistemas terrestres y proponen fórmulas para que los nuevos paradigmas de la sostenibilidad ayuden a examinar y revisar el mandato de los Servicios Veterinarios nacionales y a facilitar la participación de los demás interlocutores. También señalan las oportunidades que tiene ante sí la Organización Mundial de Sanidad Animal para contribuir a las deliberaciones mundiales sobre la función de la producción de animales acuáticos y terrestres y de la gestión de la fauna silvestre con vistas al desarrollo sostenible. Los autores, además, consideran necesario un debate más amplio en relación con el reciente y considerable crecimiento de las poblaciones de animales domésticos y los límites planetarios. Para lograr una transformación de las coordenadas en las que operan los Servicios Veterinarios de los países se requiere una colaboración tanto intersectorial como interdisciplinar. Aunque estos cambios no pueden venir únicamente de la mano de la profesión veterinaria, la labor de los veterinarios en el ruedo de Una sola salud ha demostrado que son agentes muy eficaces. Profundizando en estos vínculos intersectoriales, será posible que nuestra profesión y los Servicios Veterinarios nacionales contribuyan activamente a las cruciales deliberaciones y transformaciones que se necesitan para que el valor de los parámetros del sistema terrestre vuelva a situarse dentro de los márgenes de seguridad.

Identifying Age Cohorts Responsible for Peste Des Petits Ruminants Virus Transmission among Sheep, Goats, and Cattle in Northern Tanzania.

Peste des petits ruminants virus (PPRV) causes a contagious disease of high morbidity and mortality in global sheep and goat populations. To better control this disease and inform eradication strategies, an improved understanding of how PPRV transmission risk varies by age is needed. Our study used a piece-wise catalytic model to estimate the age-specific force of infection (FOI, per capita infection rate of susceptible hosts) among sheep, goats, and cattle from a cross-sectional serosurvey dataset collected in 2016 in Tanzania. Apparent seroprevalence increased with age, reaching 53.6%, 46.8%, and 11.6% (true seroprevalence: 52.7%, 52.8%, 39.2%) for sheep, goats, and cattle, respectively. Seroprevalence was significantly higher among pastoral animals than agropastoral animals across all ages, with pastoral sheep and goat seroprevalence approaching 70% and 80%, respectively, suggesting pastoral endemicity. The best fitting piece-wise catalytic models merged age groups: two for sheep, three for goats, and four for cattle. The signal of these age heterogeneities were weak, except for a significant FOI peak among 2.5-3.5-year-old pastoral cattle. The subtle age-specific heterogeneities identified in this study suggest that targeting control efforts by age may not be as effective as targeting by other risk factors, such as production system type. Further research should investigate how specific husbandry practices affect PPRV transmission.

Street-level diplomacy and local enforcement for meat safety in northern Tanzania: knowledge, pragmatism and trust.

BACKGROUND: With increasing demand for red meat in Tanzania comes heightened potential for zoonotic infections in animals and humans that disproportionately affect poor communities. A range of frontline government employees work to protect public health, providing services for people engaged in animal-based livelihoods (livestock owners and butchers), and enforcing meat safety and food premises standards. In contrast to literature which emphasises the inadequacy of extension support and food safety policy implementation in low- and middle-income countries, this paper foregrounds the 'street-level diplomacy' deployed by frontline actors operating in challenging contexts. METHODS: This research is based on semi-structured interviews with 61 government employees, including livestock extension officers/meat inspectors and health officers, across 10 randomly-selected rural and urban wards. RESULTS: Frontline actors combined formal and informal strategies including the leveraging of formal policy texts and relationships with other state employees, remaining flexible and recognising that poverty constrained people's ability to comply with health regulations. They emphasised the need to work with livestock keepers and butchers to build their knowledge to self-regulate and to work collaboratively to ensure meat safety. Remaining adaptive and being hesitant to act punitively unless absolutely necessary cultivated trust and positive relations, making those engaged in animal-based livelihoods more open to learning from and cooperating with extension officers and inspectors. This may result in higher levels of meat safety than might be the case if frontline actors stringently enforced regulations. CONCLUSION: The current tendency to view frontline actors' partial enforcement of meat safety regulations as a failure obscures the creative and proactive ways in which they seek to ensure meat safety in a context of limited resources. Their application of 'street-level diplomacy' enables them to be sensitive to local socio-economic realities, to respect local social norms and expectations and to build support for health safety interventions when necessary. More explicitly acknowledging the role of trust and positive state-society relations and the diplomatic skills deployed by frontline actors as a formal part of their inspection duties offers new perspectives and enhanced understandings on the complicated nature of their work and what might be done to support them.

Analysing livestock network data for infectious disease control: an argument for routine data collection in emerging economies.

Livestock movements are an important mechanism of infectious disease transmission. Where these are well recorded, network analysis tools have been used to successfully identify system properties, highlight vulnerabilities to transmission, and inform targeted surveillance and control. Here we highlight the main uses of network properties in understanding livestock disease epidemiology and discuss statistical approaches to infer network characteristics from biased or fragmented datasets. We use a 'hurdle model' approach that predicts (i) the probability of movement and (ii) the number of livestock moved to generate synthetic 'complete' networks of movements between administrative wards, exploiting routinely collected government movement permit data from northern Tanzania. We demonstrate that this model captures a significant amount of the observed variation. Combining the cattle movement network with a spatial between-ward contact layer, we create a multiplex, over which we simulated the spread of 'fast' ( R0 = 3) and 'slow' ( R0 = 1.5) pathogens, and assess the effects of random versus targeted disease control interventions (vaccination and movement ban). The targeted interventions substantially outperform those randomly implemented for both fast and slow pathogens. Our findings provide motivation to encourage routine collection and centralization of movement data to construct representative networks. This article is part of the theme issue 'Modelling infectious disease outbreaks in humans, animals and plants: epidemic forecasting and control'. This theme issue is linked with the earlier issue 'Modelling infectious disease outbreaks in humans, animals and plants: approaches and important themes'.

One Health contributions towards more effective and equitable approaches to health in low- and middle-income countries.

Emerging zoonoses with pandemic potential are a stated priority for the global health security agenda, but endemic zoonoses also have a major societal impact in low-resource settings. Although many endemic zoonoses can be treated, timely diagnosis and appropriate clinical management of human cases is often challenging. Preventive 'One Health' interventions, e.g. interventions in animal populations that generate human health benefits, may provide a useful approach to overcoming some of these challenges. Effective strategies, such as animal vaccination, already exist for the prevention, control and elimination of many endemic zoonoses, including rabies, and several livestock zoonoses (e.g. brucellosis, leptospirosis, Q fever) that are important causes of human febrile illness and livestock productivity losses in low- and middle-income countries. We make the case that, for these diseases, One Health interventions have the potential to be more effective and generate more equitable benefits for human health and livelihoods, particularly in rural areas, than approaches that rely exclusively on treatment of human cases. We hypothesize that applying One Health interventions to tackle these health challenges will help to build trust, community engagement and cross-sectoral collaboration, which will in turn strengthen the capacity of fragile health systems to respond to the threat of emerging zoonoses and other future health challenges. One Health interventions thus have the potential to align the ongoing needs of disadvantaged communities with the concerns of the broader global community, providing a pragmatic and equitable approach to meeting the global goals for sustainable development and supporting the global health security agenda.This article is part of the themed issue 'One Health for a changing world: zoonoses, ecosystems and human well-being'.

Prevalence of echinococcosis and Taenia hydatigena cysticercosis in slaughtered small ruminants at the livestock-wildlife interface areas of Ngorongoro, Tanzania.

AIM: Echinococcosis or hydatidosis (due to the larval stage of Echinococcus spp.) and cysticercosis (due to the larval stage of Taenia hydatigena) pose a significant economic losses due to slaughter condemnation and risk to public health in developing countries such as Tanzania where sanitation is poor and people live in close proximity with each other and with animals. This study was conducted to determine the prevalence of and to identify the predisposing factors for echinococcosis and cysticercosis in sheep and goats at three slaughter slabs located in the livestock-wildlife interface areas of Ngorongoro, Tanzania. MATERIALS AND METHODS: A cross-sectional based survey was conducted, from January 2013 to April 2013, whereby a total of 180 animals comprising 90 goats and 90 sheep of both sexes were examined at postmortem for the evidence of larval stages of Echinococcus spp. (hydatid cyst) and T. hydatigena (Cysticercus tenuicollis) through visual inspection, incision and palpation of organs and viscera. RESULTS: The prevalence of echinococcosis was 22.2% and 16.6%, in goats and sheep, respectively, while the overall infection rates for cysticercosis were 61.1% in goats and 42.2% in sheep. The result of this study revealed that goats and sheep in Malambo slaughter slab had significantly higher prevalence of T. hydatigena (C. tenuicollis) and hydatid cysts (p<0.05) compared to other slab points. T. hydatigena (C. tenuicollis) cysts were more frequently detected in the omentum than other visceral organs among the animals examined. CONCLUSION: In conclusion, the observed high prevalence of the two metacestodes larval stages leads to high condemnation rates of edible offals and raises significant public health concerns. This underscores for the need to undertake more extensive epidemiological investigations to better determine the causal factors, economic impact, and public health importance of the disease in this livestock-wildlife interface setting.

A survey of zoonotic diseases in trade cattle slaughtered at Tanga city abattoir: a cause of public health concern.

OBJECTIVE: To estimate the prevalence of hydatidosis, cysticercosis, tuberculosis, leptospirosis, brucellosis and toxoplasmosis in slaughtered bovine stock (aged ±3 years) at Tanga city abattoir, Tanzania. METHODS: Prevalence estimation of the five zoonotic diseases was undertaken through an active abattoir and sero-survey was carried out in Tanga city, during the period of January 2002 and March 2004. Serum samples collected from a sub-sample (n=51) of the slaughter stock were serologically screened for antibodies against brucellosis, leptospirosis and toxoplasmosis using Rose Bengal plate test, microscopic agglutination test (for 5 serovars of Leptospira interrogans) and Eiken latex agglutination test, respectively. The same animals were tested for tuberculosis using the single intradermal tuberculin test. RESULTS: Post mortem examination of 12 444 slaughter cattle (10 790 short horn zebu and 1 654 graded) over a period of twenty two months, showed a prevalence of 1.56% (194) for hydatidosis, 1.49% (185) for cysticercosis and 0.32% (40) for tuberculosis. In all three zoonoses, a statistically significant difference in infection rates was noted between the short horn zebu and graded breeds (P<0.05). The overall seroprevalences of animals with brucellosis, toxoplasmosis and leptospirosis antibodies were found to be 12%, 12% and 51%, respectively. The most common leptospiral antibodies detected were those against antigens of serovars Leptospira hardjo (29%), Leptospira tarassovi (18%), Leptospira bataviae (4%) and Leptospira pomona (0%). With regard to tuberculosis, 10% (n=5) of the animals tested were classified as non-specific reactors or inconclusive. CONCLUSIONS: The study findings suggest that brucellosis, toxoplasmosis and leptospirosis are prevalent in Tanga and provide definitive evidence of slaughtered stock exposure to these zoonotic agents with concurrent public health consequences.

A serological survey for infectious bursal disease virus antibodies in free-range village chickens in northern Tanzania.

A study of infectious bursal disease (IBD) or 'Gumboro disease' seroprevalence rates in healthy, non-vaccinated indigenous scavenging chickens in northern Tanzania was conducted in November and December 2009 on 362 chickens raised in a traditional management system. Individual bird and flock-level information was collected using a semi-structured questionnaire, and serum samples were screened for IBD virus (IBDV) antibodies using the enzyme-linked immunosorbent assay (ELISA). The study revealed high rates of IBDV antibodies, yielding an overall seropositive rate of 58.8 % and with at least one positive bird detected in 82.8 % (74/90) of flocks. Univariate logistic regression analysis revealed that seropositivity to IBDV varied significantly (chi2 = 16.1, P < 0.001) between the study sites. The flock seroprevalence was found to vary from 37.5 % to 91 % between districts and from 75 % to 90 % between regions. The results of this study showed that IBD is an endemic and widely distributed disease in northern Tanzania.

Microbial quality and associated health risks of raw milk marketed in the Tanga region of Tanzania.

OBJECTIVE: To evaluate microbial quality and associated health risks of raw milk marketed in the Tanga region of Tanzania. METHODS: A microbial quality assessment of marketed raw milk was undertaken by evaluating 59 samples of milk from selling points (collecting centres =15), bicycle boys (12) and kiosks/restaurants (32) in Tanga city during April-May 2005. Quality and milk-borne hazards were assessed using a combination of tests in order to quantify the occurrence of Brucellosis (milk ring test), Escherichia coli (E. coli) O157:H7 (culture), the coliform bacteria as well as standard plate count (SPC). Specific gravity (SG) determination was used as an indicator of adulteration. RESULTS: The mean coliform plate count (c.f.u/mL) of milk handled by bicycle boys (4.2×10(6)) was significantly higher than that handled by collecting centres (3.0×10(6)) and kiosk/ restaurants (1.4×10(6)), respectively (P < 0.05). Of the 59 milk samples collected, 33 (56%) were Brucella milk ring test (MRT)-positive and 78% and 17% of the samples graded satisfactorily based on SG and coliform plate counts as prescribed by East African Community standards for raw milk. There was no verocytotoxigenic E. coli (VTEC) O157: H7 in any of the milk samples collected and analysed during the present study. CONCLUSIONS: It can be concluded that raw market milk in the study area is of poor bacteriological quality and hazardous for human consumption. This highlights the need to implement good hygiene practices and effective monitoring from production through the delivery chain to the consumer. Further studies are needed for detection of toxins that are produced by E. coli, other pathogenic spore forming bacteria (Bacillus spp. and Clostridium spp.) and other harmful microorganisms.

Spatial and temporal distribution of rabies in northern Tanzania in the period of 1993-2002.

A retrospective study was carried out to investigate the occurrence and distribution patterns of rabies cases in northern Tanzania. Data on laboratory confirmed brain samples and associated case reports submitted to the Arusha Veterinary Investigation Centre, for a period of ten years (1993-2002) was retrieved and reviewed. A total of 98 suspected rabies brain specimens from different animal species and geographical areas were submitted and processed during the period under review. Rabies was confirmed using Fluorescent Antibody Technique test. Of the 98 brain specimens processed, 65 (66.3%) were confirmed to be rabies cases. Canine rabies accounted for 73.8% of the cases and was diagnosed in dogs (43), jackals (4) and hyenas (1). Rabies in wildlife accounted for 5 out of 48 canine confirmed cases. Most of the cases were from Arusha Municipality (20) followed by Arumeru (19), Ngorongoro (9) and Moshi (8) districts. Rabies positive cases in other animal species were in the following order of frequencies: bovine (9 out of 11); feline (5 out of 10); equine (1 out of 2); caprine (2 out of 2). One porcine brain specimen was rabies negative. The high proportion of rabies positive cases confirmed suggests the level of their endemicity in the northern regions of Tanzania. Moreover, the findings highlights the need for sustained surveillance and institution of control measures among dog population and awareness creation particularly among general public and children whom are at high risk of contracting rabies because of their close contact with dogs.

Risk factors for smallholder dairy cattle mortality in Tanzania.

A retrospective cross-sectional study of mortality was conducted on smallholder dairy farms in 2 separate regions (Iringa and Tanga) of Tanzania during the period of January to April 1999. A total of 1789 cattle from 400 randomly sampled smallholder dairy farms (200 each from Iringa and Tanga regions) were included in the study. These animals contributed a total risk period of 690.4 and 653.95 years for Tanga and Iringa, respectively. The overall mortality rates were estimated to be 8.5 and 14.2 per 100 cattle years risk for Tanga and Iringa regions, respectively; 57.7% of the reported deaths were of young stock less than 12 months old; 45% of reported young stock deaths (< or = 12 months old) were due to tickborne diseases, mainly East Coast Fever (ECF) and anaplasmosis. Disease events including ECF were reported to occur in all months of the year. Survival analysis using Cox proportional hazard models indicated that, in both regions, death rate and risk was higher in young stock less than 12 months than in older animals (relative risk RR = 4.92, P < 0.001 for Iringa; RR = 5.03 P = 0.005 for Tanga). In the Tanga region reported mortality rates were significantly higher for male animals (RR = 3.66, P = 0.001) and F2 compared with F1 animals (RR = 3.04, P = 0.003). In the Iringa region, reported mortality rates were lower for cattle on farms where the owner had attended a dairy development project training course (RR = 0.47, P = 0.012). Farms located in Iringa urban district and Pangani were associated with higher risk (mortality risk 21% for Iringa urban and 34% for Pangani). Our findings suggest that timely health and management interventions on these factors are necessary to alleviate losses from disease and emphasise that understanding variation in mortality risk within a population can enhance early response to potential outbreaks, reducing losses.

Risk factors associated with the seroprevalence of leptospirosis, amongst at-risk groups in and around Tanga city, Tanzania.

The epidemiological status of human leptospirosis in Tanzania has not been well defined because of a general lack of awareness of the disease and difficulties in its diagnosis. A cross-sectional seroprevalence study, using the microscopic agglutination test with a threshold titre of 1 : 160, was therefore conducted, among various occupational groups from Tanga city, in November 2005. Of the 199 subjects investigated, 30 (15.1%) were found to have antibodies that reacted with antigens from at least one of the six Leptospira interrogans serovars used in the agglutination test. Of the seropositive samples, 36.6% were positive for serovar Icterohaemorrhagiae, 30.0% for Bataviae, 20.0% for Hardjo, 6.6% for Tarrassovi, 3.3% for Ballum and 3.3% for Pomona. Amongst the occupational groups examined, livestock farmers, veterinary/meat inspectors and abattoir workers appeared to be most at risk, with seroprevalences of 19.4%, 18.1% and 17.1%, respectively. Subjects who reported that they milked cows were significantly more likely to be found seropositive for Leptospira infection than the other subjects (odds ratio=3.44; P<0.001). These findings indicate that a significant proportion of the population of Tanga city is being exposed to pathogenic Leptospira. Public-health interventions against leptospirosis will need to target not only the occupational groups considered to be at high risk of infection but also the general population at large.

Human brucellosis: seroprevalence and risk factors related to high risk occupational groups in Tanga Municipality, Tanzania.

The objective of this study was to describe the prevalence of brucellosis in various occupations in Tanga, Tanzania. During the year 2004, serum samples were collected from volunteers in various occupations and screened for brucella antibodies using Rose Bengal Plate Agglutination Test. Information on occupation, kind of work and contacts with livestock was collected and age and sex were recorded. The overall sero prevalence of antibodies to Brucella abortus was 5.52%. One variable in a multivariate regression model was significantly associated with seropositivity to B. abortus: abattoir workers. The prevalence of antibody was significantly higher (P < 0.05) among personnel employed in high-risk jobs such as cutting animal throats and cleaning slaughtered animals parts. None of the other factors investigated was associated with seropositivity to B. abortus. This study documents the serological evidence of B. abortus infection for the first time in abattoir workers in Tanzania.

Serological survey of antibodies to Ehrlichia ruminantium in small ruminants in Tanzania.

Sera from 497 sheep and 555 goats collected in a cross sectional study from different geographical locations in north-eastern Tanzania were examined for antibodies to Ehrlichia ruminantium using MAP 1-B ELISA technique. E. ruminantium antibodies were found in 68.6% (341/497) of sheep and 64.7% (359/555) of goats. Overall seroprevalence was 66.5% (700/1052). Infection rates were higher in sheep than goats (P < 0.05), in pastoral than in agro-pastoral production systems (P < 0.05) and in female sheep than males (P < 0.05). (131/143) 91.6% of the farms/flocks tested revealed sero-positive animals. E.ruminantium infections were found in all the geographical villages and districts tested. The infection rates per administrative district varied from 36.4% (Muheza) to 90% (Mkinga) in goats and from 11.9% (Muheza) to 94.6% (Mkinga) in sheep. The results shows E. ruminantium infection was prevalent and widely but unevenly distributed throughout the eight districts under study. These findings should be taken into consideration when future disease control and livestock upgrading programs are implemented.

Seroprevalence of Toxoplasma gondii infection amongst residents of Tanga district in north-east Tanzania.

Toxoplasmosis is a zoonotic disease, recognized as a serious public health problem worldwide. Toxoplasma gondii infection has become a major public health concern in recent years due to the ravaging HIV/AIDS pandemic. A serological survey was carried out in Tanga district of north-eastern Tanzania to assess T. gondii infection rates among occupationally-exposed groups including abattoir workers, livestock keepers, animal health workers and other groups. The survey was undertaken in November 2005 using modified Eiken latex agglutination test (LAT). Antibodies to T. gondii were detected in 91 (46%) of the 199 individuals studied. T. gondii seroprevalence was slightly higher amongst males (46.2%) than females (43.3%) although the difference was not significant (P > 0.05). Individuals, < or =20 and > or =60 years old had the highest prevalence of 60% and 61.5%, respectively. The lowest prevalence of (35.7%) was observed amongst the 50-60 years age group. The seroprevalence of toxoplasma antibodies was significantly higher amongst individuals who keep livestock (52.2%) and abattoir workers (46.3%). These results suggest exposure to T. gondii infection is present among residents of Tanga district in Tanzania and strengthen further on previous findings that consumption of raw or undercooked meat and keeping pets especially cats presents more of the risk factors than occupational groups. It also emphasizes on the necessity to create awareness of this disease, and advocate protection of risky groups from exposure to infected meat and contaminated environment.

The prevalence of serum antibodies to Ehrlichia ruminantium infection in ranch cattle in Tanzania: a cross-sectional study.

Serum samples collected in a cross-sectional survey of grazing cattle on Manyara Ranch, Monduli district, Tanzania, were tested by indirect major antigenic protein 1 fragment B (MAP 1-B) ELISA to determine the seroprevalence of Ehrlichia ruminantium and to assess ranch-level risk factors for heartwater. Heartwater-exposed cattle were widespread on the ranch and overall seroprevalence was 50.3% (95% CI, 44.9-55.6), enough to indicate an endemically unstable situation. Multivariate logistic regression modelling was used to identify risk factors associated with seropositivity. Two factors appeared to increase the herd's risk for contracting heartwater. Seroprevalence increased significantly with age (beta = 0.19 per year of age, P < 0.001) and animals carrying ticks of any species were associated with an increased risk of infection with E. ruminantium (Odds ratio, OR = 3.3, P < 0.001). The force of infection based on the age seroprevalence profile was estimated at 18 per 100 cattle year-risk. The current tick control measures on the ranch were associated with a decreased risk of infection with E. ruminantium (OR = 0.25 for no dipping and OR = 0.31 for low dipping, P < 0.001). Six tick species were identified; in order of frequency these were: Ambylomma variegatum 59.9%, Rhipicephalus evertsi evertsi 13.9%, Rhipicephalus pulchellus 12.5%, Hyalomma truncatum 7.03% and Rhipicephalus appendiculatus 6.07%. The least encountered tick was Rhipicephalus simus, which accounted for 0.38%. The cattle seemed well adapted to their environment and capable of resisting the tick burden under this extensive wildlife/livestock grazing and interaction system.

Investigation of a syndrome characterised by passage of red urine in smallholder dairy cattle in East Usambara Mountains, Tanzania.

A case-control study was carried out to investigate a syndrome in smallholder dairy cattle in East Usambara Mountains characterised by urination of clotted blood. Smallholder dairy farms with the problem (cases) were matched with nearest farms without the problem (controls). In total, 30 farmers from Mbomole (19), Shebomeza (9) and Mlesa (2) villages in Amani division participated in the study. Using a structured questionnaire, information on risk factors associated with conditions characterised by passage of red urine in cattle was collected. In addition, serum samples from 80 smallholder dairy animals were collected and submitted for serodiagnosis of leptospirosis and babesiosis by microscopic agglutination test (MAT) and an indirect enzyme-linked immunosorbent assay (ELISA), respectively. Laboratory analysis showed that the seroprevalence of leptospirosis and babesiosis was 21.3% and 46.3%, respectively and there was no significant difference between'case' and 'control' farms (P > 0.05), hence the occurrence of urination of clotted blood syndrome in Amani was not explained. However, bracken fern (Pteridium aquilinum) was found to be ubiquitous in the area, and also found to be widespread in all areas used as sources of animal fodder Given the presence and distribution of bracken ferns and clinical signs and post-mortem lesions described by informants, chronic bracken-fern poisoning is more likely to be associated with the syndrome affecting animals in the study area. However, further investigation is required to confirm this observation so that appropriate control strategies can be devised.

Prevalence of subclinical mastitis and associated risk factors in smallholder dairy cows in Tanzania.

A cross-sectional study was carried out on 200 randomly selected farms in each of the Iringa and Tanga regions of Tanzania to estimate the prevalence and risk factors for subclinical mastitis in dairy cows kept by smallholders. Subclinical mastitis was assessed using the California mastitis test (cmt), and by the bacteriological culture of 1500 milk samples collected from 434 clinically normal cows. The percentages of the cows (and quarters) with subclinical mastitis were 75.9 per cent (46.2 per cent) when assessed by the cmt and 43.8 per cent (24.3 per cent) when assessed by culture. Factors significantly associated with an increased risk of a cmt-positive quarter were Boran breed (odds radio [or]=3.51), a brought-in cow (rather than homebred) (or=2.39), peak milk yield, and age. The stripping method of hand milking was associated with a significantly lower prevalence of cmt-positive quarters (or=0.51). The cmt-positive cows were more likely to be culture positive (or=4.51), as were brought-in (or=2.10) and older cows.

Seroprevalence of Babesia bigemina in smallholder dairy cattle in Tanzania and associated risk factors.

Variations in the seroprevalence of antibody to Babesia bigemina infection by farm and animal level risk factors were investigated for 2 contrasting regions of Tanga and Iringa in Tanzania. Tanga is situated in the eastern part of the country and has typical tropical coast climate while Iringa is situated in the Southern Highlands and has a tropical highland climate. Two hundred farms from each region were selected using simple random sampling procedure and visited once between January 1999 and April 1999. Blood samples were collected from 1329 smallholder dairy animals on selected farms for harvesting serum which was subsequently used for serodiagnosis of B. bigemina using an indirect enzyme linked immuno-sorbent assay (ELISA). Of the 1329 sera samples screened, 34.9 % were positive for B. bigemina. The prevalence was higher in Iringa Region [43%, 95% confidence intervals (CI) = 39.5-47.3] than in Tanga Region (27%, CI = 23.6-30.5). Using a logistic binomial regression model as an analytical method for predicting the likelihood of animal seropositivity, we found (in both regions) that the risk of positive reaction varied with the animal's age, history of grazing and geographical location. Seroprevalence increased with age (beta = 0.01 and 0.01 per year of age, P < 0.005 in Tanga and Iringa, respectively). Animals located in Lushoto and Iringa urban district were associated with increased risk of seropositivity [Odds ratio (OR) = 4.24, P = 0.001, for Lushoto, and OR = 1.81, P = 0.040, for Iringa Urban, respectively). Animals grazed 3 months prior to sampling had higher odds for seropositivity than zero/semi-grazed, despite farmer-reported high frequency of tick control (OR = 2.71, P = 0.0087, for Tanga, and OR = 4.53, P = 0.001, for Iringa). Our study suggests that even though herd sizes are small, B. bigemina infection is widespread in many smallholder dairy farms and endemic stability with respect to this disease has not yet been attained, but the observed levels are sufficiently high to ensure that clinical disease would be a risk.