Retrospective analysis of laboratory diagnostic data to assess the prevalence and seasonal variation of Ehrlichia ruminantium in commercial farms of Lephalale Municipality, Limpopo, South Africa.

Heartwater is an economically important disease of livestock and some wild ruminants in Southern Africa. The study used retrospective laboratory data from Lephalale Veterinary Laboratory, Limpopo to establish the prevalence and seasonal occurrence of heartwater in commercial farms of Lephalale Municipality between 2010 and 2022. A total of 472 brain samples from livestock (cattle, goats, sheep) and game carcasses brought to the laboratory for postmortem examination were subjected to heartwater testing using Giemsa staining technique. The overall prevalence of heartwater in Lephalale Municipality was 34.1% (95% CI = 29.9-38.6, p < 0.001). During the years under investigation, there was a significant (p < 0.001) variation, with the highest and lowest prevalence in 2022 (72.2%) and 2019 (6.3%), respectively. The prevalence of heartwater was high in springbok (57.1%), sheep (49.3%), cattle (36.6%) and goats (32.2%). Heartwater was detected throughout the year with autumn having the highest (40.6%) frequency followed by summer (40.3%), spring (30.5%) and winter (25.5%). This study is the first to establish the prevalence and seasonality of heartwater in Lephalale Municipality which will serve as a baseline for prevention and control strategies as well as future epidemiological studies. Official surveillance programmes, more research on the distribution and genotypes of E. ruminantium in the area need to be undertaken for better understanding of the disease in the area.

Highly pathogenic avian influenza (A/H5N1) virus outbreaks in Lesotho, May 2021.

In May 2021, Lesotho reported its first outbreak of highly pathogenic avian influenza (HPAI) to the OIE. Samples were collected from infected poultry and the virus was confirmed by molecular tests to be of the H5N1 subtype. Full genome sequencing and phylogenetic analysis revealed that the viruses belonged to clade 2.3.4.4b and showed high identity with A/H5N1 viruses identified in Nigeria and Senegal in early 2021. The identification of A/H5N1 HPAI in Lesotho has important implications for disease management and food security in the region.

Spatial Patterns of Anthrax Outbreaks and Cases among Livestock in Lesotho, 2005-2016.

BACKGROUND: Although anthrax occurs globally, the burden of the disease remains particularly high in Africa. Furthermore, the disease anthrax has significant public health and economic implications. However, sufficient attention has not been given to the geographic distribution of anthrax outbreaks and cases in Lesotho. Therefore, this study investigates the spatial patterns of anthrax outbreaks and cases among livestock in Lesotho from 2005 to 2016. METHODS: A cross-sectional study design was adopted to realise the objectives of this study using retrospective data of anthrax outbreaks and cases recorded by the Department of Livestock Services (DLS) between 2005 and 2016. Anthrax outbreaks were geo-coded at village level and aggregated at district level. Proportions and 95% CI of anthrax outbreaks and cases by village and district were calculated. Cartographic maps displaying the distribution of anthrax outbreaks and cases at village and district level were constructed. RESULTS: A total of 38 outbreaks were reported over the study period, and they were clustered in the Lowlands districts of Lesotho. Most outbreaks (52.6%, 20/38) in livestock were reported in the Maseru district. The Leribe district reported the lowest proportions of outbreaks (5.3%, 2/38) and cases (0.6%, 3/526). At the village level, 18% (7/38) of outbreaks were in Maseru Urban, followed by Ratau (16%, 6/38) and Mofoka (13%, 5/38). The Maseru district reported the highest (1.3%, 369/29,070) proportion of cases followed by Mafeteng (0.9%, 73/8530). The village with the most cases was Kolo (10.5%, 21/200), followed by Thaba-Chitja (7.7%, 33/430). CONCLUSION: Anthrax outbreaks and cases exclusively occur in the Lowlands districts of Lesotho, with villages such as Mahobong, Pitseng, Kolo, and Thaba-Chitja having a higher risk of anthrax disease. Findings of the present study have serious public health implications in light of the fact that between 2003 and 2008 Lesotho's main abattoir was closed; hence, most of the meat in Lesotho was imported and/or sourced from the informal slaughter facilities. Much larger studies are needed to further investigate factors contributing to spatial disparities in anthrax outbreaks and cases observed in this study. Findings of the present study can be used to guide the formulation of a policy on prevention and control of anthrax in Lesotho.

Temporal patterns of anthrax outbreaks among livestock in Lesotho, 2005-2016.

BACKGROUND: Although anthrax is endemic in Lesotho, limited information is available on the patterns of the disease among livestock animals. This study investigated temporal patterns of anthrax outbreaks and cases among livestock animals in Lesotho. METHODS: Secondary data of anthrax outbreaks reported to the Department of Livestock Services between January 2005 and December 2016 was used for this study. Proportions of anthrax outbreaks and cases, and their corresponding 95% confidence interval were calculated and compared across year, season, month and region using the Chi-square or Fisher's exact test. The autoregression model was used to evaluate annual trends of anthrax outbreaks and cases. RESULTS: A total of 38 outbreaks were reported in the Lowlands districts of Lesotho. District was significantly (p<0.0001) associated with outbreaks and cases, with the highest proportions of outbreaks (52.6%) and cases (70.2%) reported in Maseru. Significantly (p = 0.0004) higher proportions of anthrax outbreaks (78.9%) and cases (95.1%) were reported in the rainy-hot season compared to the dry-cold season. Five hundred and twenty-six (n = 526) anthrax cases were reported with significantly (p<0.0001) higher proportion of cases (70.3%) in cattle compared to other species. Higher proportion of anthrax cases (35.9%) were reported in 2008 and during the months of February (30.8%) and April (30.2%). There was no significant annual trend in anthrax outbreaks (r = 0.0282; p = 0.6213) and cases (r = 0.0873; p = 0.3512) over the study period. CONCLUSION: The burden of anthrax in Lesotho is significantly higher in cattle. Anthrax outbreaks occur only in the lowland districts and follow a seasonal pattern. Therefore, more effort should be targeted at curbing the disease in cattle and the lowlands districts. Furthermore, there should be heightened monitoring of cases in the rainy season to ensure that resultant carcasses are disposed of appropriately to minimise future outbreaks.