A systematic review and meta-analysis of the prevalence of parasitic infections in equids in Ethiopia.

We performed this review to determine the weighted prevalence of equids parasitic infections in Ethiopia. Article searches on parasites of equids were conducted using PubMed, PubMed Central, Google Scholar, Science Direct, Web of Sciences, Scopus, AJOLs and Research Gate. A random effects model was used to estimate the weighted prevalence and to study heterogeneity. The primary searches generated, 3082 potential studies, of which 66 reports met the inclusion criteria and were included in the meta-analysis. There were 32 reports involving two or more equids species, eighteen on donkeys, and sixteen on horses. Moreover, fifty of the reports mentioned helminth infections in equids, thirteen on protozoans, and three on ectoparasites. The estimated weighted prevalence of parasitic infections in equids was 58.3% (95% CI 50.8-65.4%, I2 = 99%). Helminths were the most prevalent parasites in equids, accounting for 77.1% (95% CI 71.4%, 82%, I2 = 98.5%), followed by ectoparasites at 35.4% (95% CI 33.4-37.52%, I2 = 88.2%) and haemoparasites (protozoans) at 10.84% (95% CI 6.6%, 17.3%, I2 = 98.1%). Furthermore, with a prevalence of 82.3% (95% CI 75.9-87.3%, I2 = 97.4%), donkeys were the most affected equids with helminth parasites. From the reports, we found forty-three species of helminth parasites affecting equids, including thirty-four nematode species (Strongylus, Cyathostomum, Coronocyclus, Cylicocyclus, Cylicostephanus, Trichostrongylus, Oesophagodontus, Strongyloides, Triodontophorus, Gyalocephalus, Poteriostomum, Dictyocaulus, Oxyuris, Habronema, Draschia, Parascaris, Setaria, and Probstmayria species), three trematodes (two Fasciola and one Gastrodiscus species), three cestodes (two Anoplocephala and one Anoplocephaloides species) and three botfly larvae (one Rhinoestrus and two Gasterophilus species). Trypanosoma species (T. congolense, T. vivax, T. brucei, T. equiperdum, and T. evansi), piroplasms (Theileria equi and Babesia caballi), and Eimeria species have also been reported to affect equids. Ticks (Amblyomma variegatum, A. gemma, Rhipicephalus decoloratus, R. evertisi evertisi, R. pulchellus, R. muhsame, R. sanguineus, Hyalomma rufipes, and Hy. truncatum) and lice (Bovicola equi and Haematopinus asini) were the ectoparasites recorded to affect equids. The risk of publication bias across studies was likely to be high due to differences in publication year and diagnostic techniques. In conclusion, parasitic infections of equids are common in Ethiopia and are caused by a variety of parasite species, putting the performance and well-being of these packing animals at risk. Therefore, more research is needed to identify infection risk factors and raise awareness of the consequences of parasitism in order to provide strategies to mitigate the problems in equids. Supplementary Information: The online version contains supplementary material available at 10.1007/s12639-023-01598-3.

Seroepidemiology of peste des petits ruminants virus in small ruminants in selected districts in Northwest Ethiopia.

BACKGROUND: Peste des petits ruminants (PPR) is one of the most severe diseases of small ruminants, causing the loss of millions of dollars annually. A cross-sectional study was conducted to determine the seroepidemiology of peste des petits ruminants virus (PPRV) in unvaccinated sheep and goats in selected districts in Northwest Ethiopia. OBJECTIVES: The study was designed to investigate the epidemiology of PPRV in unvaccinated sheep and goats and risk factors in the study areas. METHODS: A multi-stage sampling was used to select study districts, villages and households with a random sampling approach. Study animals (403 sheep and goats) older than 5 months were selected with a systematic random sampling approach. From the animals, blood samples were aseptically collected and PPRV antibodies from the serum were analysed with enzyme-linked immunosorbent assay (ELISA). RESULTS: The overall seroprevalence of antibodies to PPRV was 32.5% in both species. It was higher in goats with a prevalence of 34.7% than in sheep (28.3%). District, herd size, sex, animal origin and grazing management were significantly associated with seropositivity of animals to PPRV antibodies. If an animal was from the Dangur district, it had 2.6 times higher chance of being positive than in the Dibati district (OR = 2.6, p = 0.01 and 95% CI = 1.2- 5.6). Herd size was also significantly correlated with the seropositivity with (OR = 4, p = 0.001, and 95% CI = 1.8-9). Also, male animals had 1.7 times higher chance of being positive than females. Further, if an animal comes from the market, it has 2.7 times higher chance of being positive compared to animals born and raised on the farm. CONCLUSIONS: The seropositivity indicates that the disease is circulating in the study areas. Hence, preventive approaches, like vaccination campaigns and strict biosecurity measures, are highly advised to avoid the catastrophic impact of the diseases if an outbreak occurs.

Toxoplasma gondii infection in slaughtered domestic ruminants in Northwest Ethiopia: occurrence, bioassay and virulence assessment.

This study investigated the occurrence, isolation and virulence of Toxoplasma gondii in slaughtered domestic ruminants in Gondar, Northwest Ethiopia. Three hundred thirty-five blood samples (135 sheep, 50 goats, and 150 cattle) were purposefully collected from abattoirs and slaughterhouses. T. gondii antibodies were assessed using a commercial Toxo-Latex agglutination test. Tissue digestion with the pepsin enzyme was also performed on 39 heart muscles of seropositive animals, and viable T. gondii was isolated in white albino mice. As a result, the occurrence of T. gondii infection was 55.8%. T. gondii antibodies were found in 59.3% of cattle, 58% of goats, and 51.1% of sheep. The prevalence of T. gondii antibodies in sheep was significantly higher in females (χ2 = 4.55, p = 0.033) and adults (χ2 = 7.57, p = 0.006). Similarly, in cattle, the presence of T. gondii antibodies was associated with old groups (χ2 = 7.81, p = 0.005) and cross-breeds (χ2 = 6.30, p = 0.012). The overall viable T. gondii isolates in bioassayed mice were 38.5%, and the parasites were isolated from sheep (8/16), cattle (3/14) and goats (4/9) samples, with the majority of these isolates (87.2%) being avirulent. In conclusion, the presence of T. gondii antibodies and a high proportion of viable T. gondii in this study may indicate the parasite's prevalence and zoonotic importance in the study area. To plan control strategies, more research on the genotype and transmission dynamics of this parasite is required. Public education about T. gondii transmission routes and control methods is critical for preventing T. gondii transmission.

Knowledge, attitude and practices of residents toward antimicrobial usage and resistance in Gondar, Northwest Ethiopia.

BACKGROUND: Antimicrobials are essential for human and animal health. Drug resistance to an antimicrobial agent follows the introduction of a new antimicrobial agent. Evidence suggests that the public plays an important role in the risk, increase, and spread of antimicrobial resistance. This study aimed to assess the knowledge, attitudes, and practices of the Gondar City residents regarding antimicrobial use and resistance. METHODS: A cross-sectional study was conducted from April to July 2021 on 400 randomly selected Gondar city residents using a pretested semi-structured questionnaire. The descriptive and chi-square tests were used to analyse the data. RESULTS: The response rate was one hundred percent. Approximately 75% of respondents were men, with 32% having completed secondary school. Nearly 74% and 35% of participants were married and worked in various government jobs. Furthermore, 48%, 54%, and 50% of respondents, respectively, had moderate knowledge, a positive attitude, and good practice concerning antimicrobial use and resistance. The chi-square analysis revealed a significant (p < 0.05) disparity between knowledge and educational level, marital status, and position in the house. The respondents' attitude levels were also significantly associated (p < 0.05) with their educational level, marital status, occupation, and position in the house. Respondents' practice levels were also significantly associated (p < 0.05) with their educational level and occupation. The study also found a significant relationship between respondents' knowledge and attitude (χ2 = 215.23, p ≤ 0.01), knowledge and practice (χ2 = 147.2, p ≤ 0.01), and attitude and practice (χ2 = 116.03, p ≤ 0.01). CONCLUSION: This study found that study participants had some misconceptions about antimicrobial use and resistance. As a result, both enforcing antimicrobial regulation and educating people about antimicrobial use are advised.

Cryptosporidium infection in cattle and humans in Ethiopia: A systematic review and meta-analysis.

Cryptosporidium is an intracellular coccidian parasite causing gastrointestinal disturbances resulting in diarrhoea in humans and animals. It is more frequently detected in calves and early childhood, and one of the major causes of mortality in low-income countries. National estimates of Cryptosporidium infection rate in cattle and humans are lacking in Ethiopia. Therefore, this systematic review and meta-analysis estimated the prevalence and assess the risk factors of Cryptosporidium infection in cattle and humans over 20 years. Article searches were made using PubMed, HINARI, Research Gates, AJOLs and Google Scholar databases. Studies that met the inclusion criteria under the preferred reporting items for systematic reviews and meta-analyses (PRISMA) checklist were used. Random effects models and Inverse Variance Index were used to calculate the pooled prevalence of cryptosporidiosis and heterogeneity among studies, respectively. A total of 23 eligible studies published between 2000 and 2020 were selected for this study. The estimated pooled prevalence of cryptosporidiosis was found to be 16.2% and 11% in cattle and humans, respectively. Ten Cryptosporidium species were documented with cattle and human-based studies. C. andersoni, C. parvum, C. bovis and C. ryanae were the reported species in cattle. Similarly, in humans, seven types of Cryptosporidium species (such as C. parvum, C. hominis, C. viatorum, C. felis, C. meleagridis, C. canis and C. xiaoi) were recorded. C. parvum and C. hominis were the dominant and responsible species for human illness. Using gp60 gene locus analysis, various zoonotic C. parvum subgenotypes were determined in humans; but it was limited in anthroponotic C. hominis. In conclusion, the overall prevalence of Cryptosporidium infection in cattle and humans was high and linked with several risk factors. Thus, there is a need for further epidemiological and genetic diversity studies, and awareness of creations on the disease to provide strategies that mitigate the disease in cattle and humans.

Seroepidemiology of Toxoplasma gondii Among Pregnant Women Attending Antenatal Care in Northwest Ethiopia.

INTRODUCTION: Toxoplasmosis is a life-threatening disease in pregnant women, having social and economic impacts due to congenital toxoplasmosis. However, in Ethiopia, it is neglected zoonotic disease, which requires screening and identifying risk factors in pregnant women to plan a public health intervention. METHODS: This institutional-based cross-sectional study was employed from March to April 2019 to estimate the seropositivity and assess potential risk factors for T. gondii among pregnant women attending antenatal care in four public hospitals in Northwest Ethiopia. Four hundred and one pregnant women were recruited to collect serum samples. Toxoplasma gondii antibodies were tested using Toxo-Latex slide agglutination test. RESULTS: Thus, the overall seropositivity for T. gondii was found 70.8% (95% CI: 66.3-75.5). Multivariable logistic regression analysis showed that the average monthly income, occupational status, habits of handwashing practices after handling raw meat, water sources for drinking and agroclimatic situations revealed significant (p < 0.05) effects on seropositivity for T. gondii in pregnant women. CONCLUSION: This survey showed high seropositivity for T. gondii among pregnant women in Northwest Ethiopia. Therefore, further studies on bioassay, isolation and genotype of the pathogen are crucial. It also requires action to prevent and control the infection with T. gondii in pregnant women, which poses a potential threat to a foetus.

Seroepidemiology of Toxoplasma gondii in small ruminants in Northwest Ethiopia.

This cross-sectional study with a cluster random sampling method was undertaken from November 2018 to May 2019 to estimate the prevalence and assess the potential risk factors of T. gondii seropositivity, and to assess the association of the T. gondii seropositivity with reproductive losses in small ruminants in Northwest Ethiopia. A total of 576 blood samples from 135 small ruminant flocks were collected and assayed for T. gondii IgG antibodies using the Toxo-latex slide agglutination test. A questionnaire survey was also conducted to gather information on the potential risk factors of T. gondii seropositivity and on the status of reproductive losses in the small ruminant flocks. The study demonstrated a high flock and animal level T. gondii seroprevalence of 96.3% (95% CI: 91% - 98%) and 70.48% (95% CI: 68% - 79%), respectively. Mixed effect logistic regression analysis of the potential risk factors showed that the odds of seropositive for T. gondii was significantly higher in sheep (OR = 1.7, 95%CI: 1.19-2.46) than in goats, in adult (OR = 1.6, 95%, CI: 1.11-2.31) than in young, in the presence of cats (OR = 2, 95%CI:1.32-3.04) than in the absence of cats, in the lack of knowledge on the role of cats as a pathogen source than knowing it (OR = 1.82, 95% CI:1.21-2.77). The study also showed that the likelihoods of experiencing the abortion, neonatal death and weak birth in the previous one year in T. gondii seropositive flocks were 20.76 (95% CI: 2.2-195.1, p < 0.001), 8.90 (95% CI: 1.99-83.0, p = 0.021) and 9.33 (95% CI: 1.1-86.2, p = 0.019) times more than the seronegative flocks, respectively. In conclusion, this study revealed high flock and animal level seroprevalence of T. gondii in the small ruminant population in northwest Ethiopia, suggesting that lamb and goat might be a source of this pathogen for human infection if their infected meat is consumed undercooked or uncooked. Besides, the observed association of T. gondii seropositivity with reproductive losses may suggest the economic importance of the pathogen for the small ruminant producers. Therefore, it warrants control attention to reduce its economic and public health burden in the study areas. Further works on the economic impacts, bioassay, isolation, and genetic characterization of the pathogen are suggested.

Potential risk factors associated with seropositivity for Toxoplasma gondii among pregnant women and HIV infected individuals in Ethiopia: A systematic review and meta-analysis.

BACKGROUND: Toxoplasma gondii is an obligate intracellular and neurotropic apicomplexan protozoan parasite infecting almost all warm-blooded vertebrates including humans. To date in Ethiopia, no systematic study has been investigated on the overall effects of potential risk factors associated with seropositivity for Toxoplasma gondii among pregnant women and HIV infected individuals. We intended to determine the potential risk factors (PRFs) associated with seropositivity for Toxoplasma gondii from published data among pregnant women and HIV infected individuals of Ethiopia. METHODOLOGY: An systematic review of the previous reports was made. We searched PubMed, Science Direct, African Journals Online, and Google Scholar for studies with no restriction on the year of publication. All references were screened independently in duplicate and were included if they presented data on at least two risk factors. Meta-analysis using the random or fixed-effects model was made to calculate the overall effects for each exposure. RESULTS: Of the 216 records identified, twenty-four reports met our eligibility criteria, with a total of 6003 individuals (4356 pregnant women and 1647 HIV infected individuals). The pooled prevalences of anti-Toxoplasma gondii antibodies were found at 72.5% (95% CI: 58.7% - 83.1%) in pregnant women and 85.7% (95% CI: 76.3% - 91.8%) in HIV infected individuals. A significant overall effect of anti-Toxoplasma gondii seropositivity among pregnant women (p < 0.05) was witnessed with age, abortion history, contact with cats, cat ownership, having knowledge about toxoplasmosis, being a housewife and having unsafe water source. Age, cat ownership, and raw meat consumption were also shown a significant effect (p < 0.05) to anti-Toxoplasma gondii seropositivity among HIV infected individuals. CONCLUSIONS: This review showed gaps and drawbacks in the earlier studies that are useful to keep in mind to design accurate investigations in the future. The pooled prevalence of anti-Toxoplasma gondii antibodies was found to be higher among pregnant women and HIV infected individuals. This suggests that thousands of immunocompromised individuals (pregnant women and HIV infected patients) are at risk of toxoplasmosis due to the sociocultural and living standards of the communities of Ethiopia. Appropriate preventive measures are needed to reduce the exposure to Toxoplasma gondii infection. Further studies to investigate important risk factors are recommended to support the development of more cost-effective preventive strategies.

Toxoplasma gondii infection in backyard chickens (Gallus domesticus): Seroprevalence and associated risk factors in Northwest Ethiopia.

Limited data is accessible about the seroprevalence of Toxoplasma gondii infection in backyard (free-range) chickens in Ethiopia. This cross-sectional study was carried out from November 2018 to April 2019 to estimate the seroprevalence and assess associated risk factors of T. gondii infection in backyard chickens in Northwest Ethiopia. Serum samples were collected from 384 backyard chickens. Toxoplasma gondii antibodies were assayed using Toxo-Latex slide agglutination test. Seropositivity for T. gondii antibodies was confirmed in 72.4% of 384 birds. Altitude, presence of cat and dog around the house, age, breed and water source were considered as potential risk factors (p < .05) associated with Toxoplasma seropositivity in this study. But, sex was not identified as a predictor for Toxoplasma infection even though higher seroprevalence was observed in females (73.7%) than males (69.3%). In conclusion, this study indicates a high prevalence of T. gondii infection in backyard chickens in Northwest Ethiopia. Therefore, further works on epidemiology, bioassay, isolation and genetic characterization of the pathogen are imperative. It also warrants an action to prevent and control T. gondii infection in backyard chickens that could serve as an important intermediate host and pose a potential threat for consumers.