Browsing by Author "Kungu, Joseph M."
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Item Comparison of the efficacy of crude methanolic extracts of Cassia occidentalis and Euphorbia hirta with levamisole-HCL against gastrointestinal nematodes of economic importance to goat production in Uganda(Tropical animal health and production, 2019) Nsereko, Godfrey; Emudong, Patrick; Omujal, Joseph; Acai, James; Kungu, Joseph M.; Kabi, Fredrick; Mugerwa, Swidiq; Bugeza, JamesNatural compounds from medicinal plants provide safe and sustainable alternatives to synthetic anthelmintics. In this study, we assessed in vitro and in vivo anthelmintic activity of Cassia occidentalis (NH-A) and Euphorbia hirta (NH-B) and compared it with levamisole-HCl. The shoots of NH-A and whole plant of NH-B were used to prepare extracts using 70% methanol which were used in the in vitro and in vivo assays. In vitro assays of crude methanolic extracts (CMEs) of NH-A and NH-B on larvae of mixed gastrointestinal nematodes (GINs) of goats revealed mortalities of 95.7%(at 100 mg ml−1) and 98.1%(at 50 mgml−1) 24 h postexposure. In vivo assays of NH-A administered orally at doses of 100, 300, 900, and 2700 mg kg−1 bwt revealed dose- and time-dependent anthelmintic effects in goats experimentally infected with mixed species of GINs. NH-B exhibited similar properties when administered at doses of 50, 100, 200, and 400 mg kg−1 bwt. Both NH-A (900 mg kg−1 bwt) and levamisole (7.5 mg kg−1 bwt) achieved a 100% reduction in fecal egg count per gram (EPG) on day 21 and day 14 respectively posttreatment. NH-B (400 mg kg−1 bwt) achieved 93.1% and 86.1% reduction in fecal EPG 7 and 14 days postexposure respectively compared with 88.2% and 82.3% reduction with levamisole-HCl 7 and 14 days postexposure. Our results show that extracts of both plants can disrupt helminth lifecycles by suppressing the egg-laying capacity in adult worms but also kill their infective larvae. Future studies should aim at establishing synergies or antagonisms between the two plant extracts and further development for control of helminths in goats.Item Prevalence and risk factors for brucellosis in prolonged fever patients in post-conflict Northern Uganda(African Health Sciences, 2018) Muloki, Harriet N.; Erume, Joseph; Owiny, David O.; Kungu, Joseph M.; Nakavuma, Jesca; Ogeng, Duncan; Nasinyama, George W.Background: Brucellosis is a disease with significant public and economic implications but strategies for controlling this disease remain problematic. Objectives: This study sought to determine the sero-prevalence of brucellosis in prolonged fever patients and to identify modifiable risk factors for the infection in humans in post conflict Northern Uganda. Methods: The study employed a cross-sectional method among prolonged fever patients who had visited selected health facilities in the study districts in Northern Uganda. Sero-prevalence of brucellosis was calculated for i-ELISA IgG/IgM. A structured questionnaire was used to obtain data on possible risk factors for brucellosis. Associations between sero-prevalence and risk factors were measured using the Odds Ratio. Results: Brucellosis was confirmed in 18.7% of the 251 patients that tested positive for the disease, with the rapid Brucella Plate Agglutination Test, and ages 10-84 years (median age 47+0.86). Sex (p = 0.001; OR 3.79; 95% CI 1.75 - 8.24), rearing livestock (p < 0.005; OR 8.44; 95% CI 2.84-25.03) and consumption of unpasteurised milk (p = 0.023; OR 2.57; 95% CI 1.14-5.80) were factors associated with brucellosis. Conclusion: Control of brucellosis in animals, training and sensitisation of the community on brucellosis is needed to stimulate action on human brucellosis control.Item Risk factors, perceptions and practices associated with Taenia solium cysticercosis and its control in the smallholder pig production systems in Uganda: a cross-sectional survey(BMC infectious diseases, 2017) Kungu, Joseph M.; Dione, Michel M.; Ejobi, Francis; Ocaido, Michael; Grace, DeliaPrevalence studies report Taenia solium cysticercosis in pig and human populations in Uganda. However, the factors influencing occurrence in smallholder pig production systems are not well documented and little is known about farmers’ perceptions of T. solium cysticercosis or farmer practices that could reduce transmission. Methods: To determine the risk factors, perceptions and practices regarding T. solium cysticercosis, a household survey using a semi-structured questionnaire was conducted in 1185 households in the rural and urban pig production systems in Masaka, Mukono and Kamuli Districts. Logistic regression was used to measure associations of risk factors with infection. Performance scores were calculated to summarise perceptions and practices of farmers regarding taeniosis, human cysticercosis and porcine cysticercosis as well as farmer behavior related to control or breaking transmission. Results: Pig breed type, farmers’ knowledge about transmission, sources of water used, and pig keeping homes where family members were unable to use the latrine were all significantly associated with T. solium cysticercosis in pigs. Performance scores indicated that farmers were more aware of taeniosis (63.0%; 95% Confidence Interval 60.0-65.8) than human or porcine cysticercosis; only three farmers (0.3%, 95% CI = 0.1–0.8) had knowledge on all three conditions. More farmers reported that they dewormed pigs (94.1%) than reported deworming themselves and their family members (62.0%). Albendazole was the most commonly used drug for deworming both pigs and humans (85.0 and 81.5% respectively). Just over half (54.6%) of the farmers interviewed had clean water near the latrines for washing hands. Of these, only 41.9% used water with soap to wash hands after latrine use. Conclusion: Factors that significantly influenced occurrence of T. solium cysticercosis in pigs were identified. Farmers had some knowledge about the disease but did not link taeniosis, human cysticercosis, and porcine cysticercosis. Therefore, there is need to employ strategies that raise awareness and interrupt transmission.Item Sero-prevalence of Taenia Solium cysticercosis in rural and urbansmallholder pig production settings in Uganda(Acta tropica, 2017) Kungu, Joseph M.; Dione, Michel M.; Ejobi, Francis; Harrison, Leslie J.S.; Poole, Jane; Pezo, Danilo; Grace, DeliaThe pork tapeworm, Taenia solium, is prevalent in Uganda although the prevalence has not been deter-mined in all areas of the country. A cross-sectional study, to determine the sero-prevalence of the parasitein pigs kept under rural and urban production settings, was carried out in three Ugandan districts, Masaka, Mukono and Kamuli. Serum samples from 1185 pigs were tested for the presence of T. solium cysticer-cosis antigen using the HP10 antigen-ELISA (Ag-ELISA) and the ApDia Ag-ELISA assays. Using parallel interpretation of the two tests showed lower levels of observed prevalence of T. solium in rural pro-duction settings (10.8%) compared to urban (17.1%). Additionally, Maximum Likelihood Estimation forevaluating assays in the absence of a gold standard, using TAGS on the R platform, estimated the true sero-prevalence to be lower in rural production setting, 0.0% [0.0–3.2%; 95% confidence interval (CI)] thanin urban production setting, 12.3% (4.2–77.5% CI). When the sensitivity/specificity (Se/Sp) of the assays were estimated, assuming conditional independence of the tests, HP10 Ag-ELISA was more sensitive and specific [(Se = 53.9%; 10.1–100% CI), (Sp = 97.0%; 95.9-100% CI)] than the ApDia assay [(Se = 20.2%;1.5–47.7% CI), (Sp = 92.2%; 90.5–93.9% CI)]. Subject to parasitological verification, these results indicate there may be a need to implement appropriate control measures for T. solium in the study areas.Item Serological and molecular investigation for brucellosis in swine in selected districts of Uganda(Tropical Animal Health and Production, 2016) Erume, Joseph; Roesel, Kristina; Dione, Michel M.; Ejobi, Francis; Mboowa, Gerald; Kungu, Joseph M.; Akol, Joyce; Pezo, Danilo; El-Adawy, Hosny; Melzer, Falk; Elschner, Mandy; Neubauer, Heinrich; Grace, DeliaBrucellosis is a notifiable zoonotic disease affecting livestock, humans, and wildlife in Uganda. Pigs can be infected with human pathogenic Brucella suis biovars 1 and 3 and can be a significant source of brucellosis for humans. Uganda has a rapidly growing pig population, and the pork consumption per capita is the highest in East Africa. The objective of this work was to determine the seroprevalence of brucellosis in Ugandan pigs. A cross-sectional serosurvey of pigs was conducted in three of the major pig-keeping districts in Uganda (Masaka (n= 381 samples), Mukono (n = 398), and Kamuli (n = 414)). In addition, pigs originating from these districts were sampled in the major pig abattoir in Kampala (n =472). In total, 1665 serum samples were investigated by serological and molecular tests. Only three putative brucellosis-positive samples were detected serologically using indirect ELISA. These sera were found negative for Brucella antibodies by CFT; however, two had antibodies against Yersinia enterocolitica as determined by SAT. Presence of antibodies against Yersiniae was confirmed by Y. enterocolitica antibody-specific ELISA. The two Yersiniae ELISA-positive samples were brucellosis negative using real-time PCR. We tested additional 142 sera from the 1665 samples with real-time PCR. All tested negative. Under this type of production system, we expect a maximum B. suis prevalence of less than 1 % at 95 % confidence level, and therefore, the risk of acquiring brucellosis from the pigs or their products is negligible. However, pigs may harbor the zoonotic Y. enterocolitica. This is the first study to investigate the occurrence of brucellosis in pigs in Uganda and the first study to report Y. enterocolitica antibodies in swine in Uganda.Item Stakeholders’ perceptions on performance of the Livestock Disease Surveillance system in Uganda: A case of Pallisa and Kumi Districts(Pastoralism, 2019) Namayanja, Josephine; Dione, Michel; Kungu, Joseph M.A reliable livestock disease surveillance system should detect changes in health events whenever they occur. Such a system ought to be evaluated regularly to ensure it provides valuable information in an efficient manner. Thus, a cross-sectional study was carried out in 2017 to assess eight attributes of the livestock disease surveillance systems in Pallisa and Kumi districts, Uganda. A total of 772 livestock farmers were interviewed to evaluate the surveillance system at their level, using a structured questionnaire. Guided interviews were also carried out with 13 key informants who included all veterinary staff at the districts and sub-county administrative units, as well as two officials at the Ministry of Agriculture Animal Industry and Fisheries (MAAIF). The stakeholders interviewed at the three different levels of the livestock diseases surveillance system perceived the system as useful, with ability to detect epidemics and initiate their control if they occurred. The surveillance system was perceived to be considerably representative, sensitive and acceptable, with the ability to generate data of good quality. However, key emerging issues that need improvement were noted. These included poor laboratory diagnostic services, inability to work within the means of available resources, slow data transmission and feedback, and nonspecific surveillance forms leading to poor quality of data collected. Poor communication along the surveillance system chain and inadequate staffing were noted as the major challenges faced by the surveillance system in the two districts. Although perceived to be functional, the livestock surveillance requires improvements for efficient disease detection and control. For better performance, the surveillance systemcould be strengthened by establishing and equipping laboratories for efficient confirmatory diagnosis of diseases; adjusting to work within the means of available resources; improving the reporting process through quick data transmission and quick feedback and designing precise surveillance form to improve quality of data collected.Item Status of Taenia solium cysticercosis and predisposing factors in developing countries involved in pig farming(International Journal of One Health, 2015) Kungu, Joseph M.; Dione, Michel M.; Ocaido, Michael; Ejobi, FrancisTaenia solium cysticercosis is a disease of pigs and humans populations considered endemic in many developing countries of Latin America, Africa, and South East Asia having serious impact on public health and agriculture. We conducted an in-depth comparative analysis of literature on the disease situation and predisposing factors in selected countries known to be at the interface of poverty-emerging livestock systems-zoonoses and with a growing small holder pig industry. Transmission, methods of diagnosis and employed control strategies of T. solium infection in pig and human populations in these countries are also discussed. Limited knowledge on porcine cysticercosis (PC) by various stakeholders expected to be key players in its control has undermined efforts for eliminating this potentially eradicable condition. Poor pig production practices, poor hygiene, and sanitation habits have also been important in the maintenance of the T. solium life-cycle. The major gaps identified in this review include scanty current information on PC prevalence in pigs with hardly any reports on the condition in humans in most developing countries. Factors affecting pattern of the infection and how they interact at the different levels of the pig value chain have not been exhaustively studied. Information on socioeconomic and public health impact is inadequate and not current.