Browsing by Author "Mahero, Michael"

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    Epidemiology of Increasing Hemo-Parasite Burden in Ugandan Cattle
    (Open Journal of Veterinary Medicine, 2014) Kasozi, Keneth Iceland; Matovu, Enoch; Tayebwa, Dickson Stuart; Natuhwera, Jemimah; Mugezi, Israel; Mahero, Michael
    Hemo-parasites (HP) are one of the major constraints to the economic development of the livestock industry in Uganda. Generally, the occurrence and importance of HP is a reflection of complex interactions involving the causative organisms, tick vectors, the vertebrate hosts and the environment. We carried out a cross sectional study to identify and determine the prevalence of the major HPs in Central and Western Uganda, to form a baseline for appropriate interventions. A total of 295 bovine samples were analyzed from 15 districts of Uganda; 56.3% being from the Central and 43.7% from the Western region of the country for a period of six months, and a questionnaire was administered to the farmers. Thin peripheral blood smears stained with Giemsa were used during the laboratory identification of the parasites. The disease prevalence was established at 47.4%, 6.7%, 1.9% and 14.4% for Theleria parva, Babesia spp., Trypanasoma brucei, Anaplasma spp. with a corresponding disease risk ratio (DRR) of 67.4%, 9.5%, 2.6%, 20.5% respectively in Uganda. The odds of having an infection from the Central region were 1.7 times greater (P < 0.05) than those from the Western region with a corresponding risk ratio of 1.2 (CI.1.1, 2.84, 95%), which showed that there exist marked differences between the two regions. Mean PCV was at 29.8%, and majority (59%) of infected animals had low PCV which varied across the months. These showed that generally, cattle in the West are more severely affected by HP than those from the Central region. The questionnaire revealed that 100% of the farmer treatments are based on clinical sign presentation, with occasional reliance on veterinarians. In conclusion, the burden of hemo-parasites is steadily increasing across the regions, and the current policies are not helping farmers who are hit the hardest by the development of antibiotic and acaricide resistance. These findings, along with previous studies, suggest that eradication HP is not feasible unless there are radical changes implemented, and that current practices are expensive and unsustainable. Further studies would be carried out to provide knowledge on the level of antibiotic resistance for the promotion of veterinary public health and trade.
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    Leptospira Seroprevalence and Risk Factors in Health Centre Patients in Hoima District, Western Uganda
    (PLoS Neglected Tropical Diseases, 2016) Dreyfus, Anou; Dyal, Jonathan W.; Pearson, Raewynne; Kankya, Clovice; Kajura, Charles; Alinaitwe, Lordrick; Kakooza, Steven; Pelican, Katharine M.; Travis, Dominic A.; Mahero, Michael; Boulware, David R.; Mugisha, Lawrence
    The burden of human leptospirosis in Uganda is unknown. We estimated the seroprevalence of Leptospira antibodies, probable acute/recent leptospirosis, and risk factors for seropositivity in humans in rural Western Uganda. Methodology and Principal Findings 359 non-pregnant adults visiting the Kikuube and Kigorobya Health Centers were sequentially recruited during March and April 2014. A health history survey and serum were collected from consented participants. Overall, 69% reported having fever in the past year, with 49% reporting malaria, 14% malaria relapse, 6% typhoid fever, 3% brucellosis, and 0% leptospirosis. We tested sera by microscopic agglutination test (MAT) against eight Leptospira serovars representing seven serogroups. Leptospira seroprevalence was 35% (126/ 359; 95%CI 30.2–40.3%) defined as MAT titer 1:100 for any serovar. The highest prevalence was against L. borgpetersenii Nigeria (serogroup Pyrogenes) at 19.8%(71/359; 95% CI 15.9–24.4%). The prevalence of probable recent leptospirosis (MAT titer 1:800) was 1.9% (95%CI 0.9–4.2%) and uniquely related to serovar Nigeria (serogroup Pyrogenes). Probable recent leptospirosis was associated with having self-reported malaria within the past year (p = 0.048). Higher risk activities included skinning cattle (n = 6) with 12.3 higher odds (95%CI 1.4–108.6; p = 0.024) of Leptospira seropositivity compared with those who had not. Participants living in close proximity to monkeys (n = 229) had 1.92 higher odds (95%CI 1.2–3.1; p = 0.009) of seropositivity compared with participants without monkeys nearby. Conclusions/Significance The 35% prevalence of Leptospira antibodies suggests that exposure to leptospirosis is common in rural Uganda, in particular the Nigeria serovar (Pyrogenes serogroup). Leptospirosis should be a diagnostic consideration in febrile illness and “smear-negative malaria” in rural East Africa.
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    Molecular Epidemiology of Anaplasmosis in Small Ruminants along a Human-Livestock-Wildlife Interface in Uganda
    (Heliyon, 2021) Kasozi, Keneth Iceland; Welburn, Susan Christina; Nalumenya, David Paul; Namayanja, Monica; Matama, Kevin; Zalwango, Kelly Katenta; Matovu, Wycliff; Zirintunda, Gerald; Ekou, Justine; Kembabazi, Stellamaris; Mugasa, Claire Mack; Kitibwa, Annah; Tayebwa, Dickson Stuart; Musinguzi, Simon Peter; Mahero, Michael; Ssengendo, Ibrahim; Nanteza, Anne; Matovu, Enock; MacLeod, Ewan Thomas
    Information as regards the epidemiology of the Anaplasmataceae in small ruminants in several low- and middle-income countries is scarce. In this study a total of 712 DNA samples collected from small ruminants were analyzed for Anaplasmataceae and Anaplasma ovis using the 16S rRNA and MSP4 genes respectively. Infection risk was assessed by location, sex and age of the animals and qGIS® was used to construct spatial maps. The prevalence of Anaplasmataceae spp was 89.1% (95% CI: 77.5–95.9) and 79.1% (95% CI: 75.9–82.1) in ovines and caprines respectively (RR = 1.1, 95% CI: 1.0–1.3); higher than those previously reported in other eastern African countries. The prevalence of A. ovis was 26.1% and 25.4% for both ovines and caprines respectively with ovines showing significantly higher levels of infection than caprines (P < 0.05). The risk of Anaplasma ovis infections was not affected by age (OR = 1.2, 95% CI: 0.9–1.7) or sex (OR = 1.1, 95% CI: 0.6–2.0). Small ruminants located at the forest edge (<0.3 km) showed higher A. ovis prevalence than those found inland with infections present in the midland regions associated with increased agricultural activity. Anaplasma ovis remains a major challenge for small ruminant husbandry in Uganda and infections are under-reported. Policy efforts to prioritize management of Anaplasmataceae for small ruminant health would promote livestock productivity in vulnerable communities, improving livelihoods and ecosystem health.
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    Systematic Review and Meta-Analysis on Knowledge Attitude and Practices on African Animal Trypanocide Resistance
    (Tropical Medicine and Infectious Disease, 2022) Kasozi, Keneth Iceland; MacLeod, Ewan Thomas; Waiswa, Charles; Mahero, Michael; Ntulume, Ibrahim; Welburn, Susan Christina
    African trypanocide resistance is an emerging public health emergency whose control requires a revisit on farmer’s knowledge, attitudes, and practices in developing countries. African animal trypanocide resistance (AATr) is rife in an environment where drug use and policy decisions are disjointed. The objective of the study was to identify community factors responsible for the development of AATr. This was important since diminazene aceturate (DA), isometamidium chloride (ISM), and homidium bromide (HB) have existed for over 30 years and no new drugs have been provided to farmers. Methods: An electronic keyword search across 12 databases was conducted using a search criterion from 1806 to June 2022. This generated a total of 24 publications, but after removing duplicates, review articles, and nonrelated articles, a total of eight papers were included in the analysis by following the PRISMA checklist. A meta-analysis was conducted on the data extracted and the risk ratio and inverse variance at 95% confidence interval were calculated using RevMan®. Results: All the eight articles in the study showed that DA was the most preferred trypanocide in both West and Eastern Africa. Poor farmer knowledge of AATr and limited drug options were major drivers for trypanocide resistance. In addition, farmer treatments, use of untrained personnel, poor administration, poor dosing, and preparation of trypanocides were major drivers for the development of AATr and similarities were identified in DA and ISM practices (P = 0.13). Conclusions: AATr is spread in developing countries due to a lack of community knowledge, attitudes, and drug-use practices. This situation could be reversed through interdisciplinary collaborations in endemic communities by promoting effective treatments and responsible drug handling.