Browsing by Author "Lukambagire, Abdul-Hamid"

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Prevalence and risk factors for human leptospirosis at a hospital serving a pastoralist community, Endulen, Tanzania
(PLOS Neglected Tropical Diseases, 2023-12-20) MazeI, Michael; Shirima, Gabriel; Lukambagire, Abdul-Hamid; Bodenham, Rebecca; Rubach, Matthew; Cash-Goldwasser, Shama; Carugati, Manuela; Thomas, Kate; Sakasaka, Philoteus; Mkenda, Nestory; Allan, Kathryn; Kazwala, Rudovick; Mmbaga, Blandina; Buza, Joram; Maro, Venance; Galloway, Renee; Haydon, Daniel; T., John; Halliday, Jo
Background Leptospirosis is suspected to be a major cause of illness in rural Tanzania associated with close contact with livestock. We sought to determine leptospirosis prevalence, identify infecting Leptospira serogroups, and investigate risk factors for leptospirosis in a rural area of Tanzania where pastoralist animal husbandry practices and sustained livestock contact are common. Methods We enrolled participants at Endulen Hospital, Tanzania. Patients with a history of fever within 72 hours, or a tympanic temperature of ≥38.0°C were eligible. Serum samples were collected at presentation and 4–6 weeks later. Sera were tested using microscopic agglutination testing with 20 Leptospira serovars from 17 serogroups. Acute leptospirosis cases were defined by a ≥four-fold rise in antibody titre between acute and convalescent serum samples or a reciprocal titre ≥400 in either sample. Leptospira seropositivity was defined by a single reciprocal antibody titre ≥100 in either sample. We defined the predominant reactive serogroup as that with the highest titre. We explored risk factors for acute leptospirosis and Leptospira seropositivity using logistic regression modelling. Results Of 229 participants, 99 (43.2%) were male and the median (range) age was 27 (0, 78) years. Participation in at least one animal husbandry practice was reported by 160 (69.9%). We identified 18 (7.9%) cases of acute leptospirosis, with Djasiman 8 (44.4%) and Australis 7 (38.9%) the most common predominant reactive serogroups. Overall, 69 (30.1%) participants were Leptospira seropositive and the most common predominant reactive serogroups were Icterohaemorrhagiae (n = 20, 29.0%), Djasiman (n = 19, 27.5%), and Australis (n = 17, 24.6%). Milking cattle (OR 6.27, 95% CI 2.24–7.52) was a risk factor for acute leptospirosis, and milking goats (OR 2.35, 95% CI 1.07–5.16) was a risk factor for Leptospira seropositivity. Conclusions We identified leptospirosis in approximately one in twelve patients attending hospital with fever from this rural community. Interventions that reduce risks associated with milking livestock may reduce human infections.
Taenia multiceps in Northern Tanzania: An Important but Preventable Disease Problem in Pastoral and Agropastoral Farming Systems
(MDPI, 2022-08-26) Kibona, Tito; Buza, Joram; Shirima, Gabriel; Lankester, Felix; Nzalawahe, Jahashi; Lukambagire, Abdul-Hamid; Kreppel, Katharina; Hughes, Ellen; Allan, Kathryn; Cleaveland, Sarah
Coenurosis due to Taenia multiceps has emerged as a major concern to small ruminant- owning communities in northern Tanzania. Although a high incidence of disease has been reported, gaps still remain in our knowledge of the disease problem across different agro-ecological settings. The study aimed to determine the prevalence of coenurosis in small ruminants and taeniid infection in dogs and identify risk factors for infection. Questionnaire surveys, postmortem examination of small ruminants, and coproscopic examination of dog faeces were used to collect data on reported coenurosis cases and taeniid infections, respectively. The twelve-month period prevalence of co- enurosis in small ruminants was 8.4% (95% CI 8.2–8.6). The prevalence of taeniid infection in dogs was 12.5% (95% CI 9.1–17.4). The village-level prevalence of coenurosis in sheep and goats was significantly correlated with taeniid infection prevalence in dogs (r = 0.51, p = 0.029). Multivariable analysis indicated that home slaughter was significantly associated with the livestock owner-reported neurological syndrome due to coenurosis in sheep and goats (OR = 13.3, 95% CI 4.2–42.0, p < 0.001) and the practice of offering discarded brains to dogs was significantly associated with taeniid infec- tion prevalence in dogs (OR = 2.80, 95% CI 0.98–7.98, p = 0.05). Coenurosis is a major disease problem in livestock-keeping communities of northern Tanzania, but there is little awareness of transmission risks associated with home slaughter and dog feeding practices. There is a need for veterinary and animal health services to engage more actively with communities to increase awareness of the transmission cycle of T. multiceps and the preventive measures that can be taken to reduce the impact of disease in livestock-dependent communities
Taenia multiceps in Northern Tanzania: An Important but Preventable Disease Problem in Pastoral and Agropastoral Farming Systems
(MDPI, 2022-08-26) Kibona, Tito; Buza, Joram; Shirima, Gabriel; Lankester, Felix; Nzalawahe, Jahashi; Lukambagire, Abdul-Hamid; Kreppel, Katharina; Hughes, Ellen; Allan, Kathryn; Cleaveland, Sarah
Coenurosis due to Taenia multiceps has emerged as a major concern to small ruminant- owning communities in northern Tanzania. Although a high incidence of disease has been reported, gaps still remain in our knowledge of the disease problem across different agro-ecological settings. The study aimed to determine the prevalence of coenurosis in small ruminants and taeniid infection in dogs and identify risk factors for infection. Questionnaire surveys, postmortem examination of small ruminants, and coproscopic examination of dog faeces were used to collect data on reported coenurosis cases and taeniid infections, respectively. The twelve-month period prevalence of co- enurosis in small ruminants was 8.4% (95% CI 8.2–8.6). The prevalence of taeniid infection in dogs was 12.5% (95% CI 9.1–17.4). The village-level prevalence of coenurosis in sheep and goats was significantly correlated with taeniid infection prevalence in dogs (r = 0.51, p = 0.029). Multivariable analysis indicated that home slaughter was significantly associated with the livestock owner-reported neurological syndrome due to coenurosis in sheep and goats (OR = 13.3, 95% CI 4.2–42.0, p < 0.001) and the practice of offering discarded brains to dogs was significantly associated with taeniid infec- tion prevalence in dogs (OR = 2.80, 95% CI 0.98–7.98, p = 0.05). Coenurosis is a major disease problem in livestock-keeping communities of northern Tanzania, but there is little awareness of transmission risks associated with home slaughter and dog feeding practices. There is a need for veterinary and animal health services to engage more actively with communities to increase awareness of the transmission cycle of T. multiceps and the preventive measures that can be taken to reduce the impact of disease in livestock-dependent communities.
Taenia multiceps in Northern Tanzania: An Important but Preventable Disease Problem in Pastoral and Agropastoral Farming Systems
(MDPI, 2022-08-26) Kibona, Tito; Buza, Joram; Shirima, Gabriel; Lankester, Felix; Nzalawahe, Jahashi; Lukambagire, Abdul-Hamid; Kreppel, Katharina; Hughes, Ellen; Allan, Kathryn; Cleaveland, Sarah
Coenurosis due to Taenia multiceps has emerged as a major concern to small ruminant-owning communities in northern Tanzania. Although a high incidence of disease has been reported, gaps still remain in our knowledge of the disease problem across different agro-ecological settings. The study aimed to determine the prevalence of coenurosis in small ruminants and taeniid infection in dogs and identify risk factors for infection. Questionnaire surveys, postmortem examination of small ruminants, and coproscopic examination of dog faeces were used to collect data on reported coenurosis cases and taeniid infections, respectively. The twelve-month period prevalence of coenurosis in small ruminants was 8.4% (95% CI 8.2–8.6). The prevalence of taeniid infection in dogs was 12.5% (95% CI 9.1–17.4). The village-level prevalence of coenurosis in sheep and goats was significantly correlated with taeniid infection prevalence in dogs (r = 0.51, p = 0.029). Multivariable analysis indicated that home slaughter was significantly associated with the livestock owner-reported neurological syndrome due to coenurosis in sheep and goats (OR = 13.3, 95% CI 4.2–42.0, p < 0.001) and the practice of offering discarded brains to dogs was significantly associated with taeniid infection prevalence in dogs (OR = 2.80, 95% CI 0.98–7.98, p = 0.05). Coenurosis is a major disease problem in livestock-keeping communities of northern Tanzania, but there is little awareness of transmission risks associated with home slaughter and dog feeding practices. There is a need for veterinary and animal health services to engage more actively with communities to increase awareness of the transmission cycle of T. multiceps and the preventive measures that can be taken to reduce the impact of disease in livestock-dependent communities.