Intersectoral collaboration between the medical and veterinary professions in low-resource societies: The role of research and training institutions

Marcotty, Tanguy; Thys, É.; Conrad, Patricia A.; Godfroid, Jacques; Craig, Philip S.; Zinsstag, Jakob; Meheus, Filip; Boukary, A. R.; Badé, Mallam Abdou; Sahibi, Hamid; Filali, Hind; Hendrickx, Saskia C.J.; Pissang, C.; Herp, Michel Van; Roost, Dirk Van; Thys, Séverine; Hendrickx, David; Claes, Marleen; Demeulenaere, Tine; Mierlo, Joep van; Dehoux, Jean Paul; Boelaert, Marleen

doi:10.1016/j.cimid.2012.10.009

Cited by 39 publications

(35 citation statements)

References 39 publications

(22 reference statements)

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“…22 Other factors contributing to underreporting of human brucellosis include low numbers of those seeking for health care due to long distances to health facilities, unreliable supplies of diagnostic materials, limited diagnostic capacity, lack of awareness and limited knowledge of brucellosis among health providers and the community, and inadequate inter-sectoral collaboration. 22,23,26 Lack of knowledge of the transmission and symptoms of brucellosis was found in 88.4% of the respondents in the present study, but it was not significantly associated with seropositivity. Related investigations have reported high lack of awareness and knowledge of brucellosis in Tajikistan (85%), 27 Nigeria (78.5%), 28 and Uganda (69.6%), 29 while in one study in Kenya up to 78% of the respondents did not know that brucellosis existed.…”

Section: Discussioncontrasting

confidence: 67%

Seroprevalence of Brucellosis among Patients Attending a District Hospital in Rwanda

Gafirita

Kiiza

Murekatete³

et al. 2017

The American Journal of Tropical Medicine and Hygiene

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Studies on human brucellosis in Rwanda are scarce, and the incidence is likely to be higher than official estimates. In a recent study using Rose Bengal Test (RBT) on women who had aborted or had still births in Huye district, 25% were seroprevalent. Thus, purpose of the present study was to investigate the seroprevalence in patients presenting with the key signs and symptoms of brucellosis. Cross-sectional study was done in Nyagatare District in the Eastern Province of Rwanda. A total of 198 patients were recruited from Nyagatare District Hospital, blood samples were collected, and sera analyzed with RBT. A questionnaire was used to explore the risk factors. A total of 12 patients (6.1%; 95% confidence interval [CI] = 0.662-7.820) were seropositive. Infection was significantly associated with drinking unboiled milk (odds ratio [OR] = 8.3; 95% CI = 2.4-29.2) and having had recurrent fever (OR = 5.6; 95% CI = 1.5-21.3) Drinking unboiled milk is a risk factor for infection. Provision of adequate resources and trainings to staff in brucellosis diagnosis is needed to reduce recurrence of fevers probably because of misdiagnosis. Public awareness creation on transmission routes of brucellosis is to be intensified.

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Section: Discussioncontrasting

confidence: 67%

Seroprevalence of Brucellosis among Patients Attending a District Hospital in Rwanda

Gafirita

Kiiza

Murekatete³

et al. 2017

The American Journal of Tropical Medicine and Hygiene

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“…Such collaboration coupled with adoption of the concept of “ One health approach ” would be particularly beneficial in a regional framework, especially in West Africa where national resources and capabilities for prevention, control and surveillance of infectious diseases of public importance such as brucellosis are still scarse (Saegerman et al, 2010, 2012; Marcotty et al, 2013). It is also essential to ensure a sustainable system of data collection on prevailing strains covering the whole West African region with a better coverage of other susceptible domestic and wild animals in order to document sources of human infections and to produce strong molecular evidence informing on the epidemiologic links between strains of Brucella within this region.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Diversity of Field Strains of Brucella abortus Biovar 3 Isolated in West Africa

et al. 2017

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Brucellosis is one of the most widespread bacterial zoonotic diseases in the world, affecting both humans and domestic and wild animals. Identification and biotyping of field strains of Brucella are of key importance for a better knowledge of the epidemiology of brucellosis, for identifying appropriate antigens, for managing disease outbreaks and for setting up efficient preventive and control programmes. Such data are required both at national and regional level to assess potential threats for public health. Highly discriminative genotyping methods such as the multiple locus variable number of tandem repeats analysis (MLVA) allow the comparison and assessment of genetic relatedness between field strains of Brucella within the same geographical area. In this study, MLVA biotyping data retrieved from the literature using a systematic review were compared using a clustering analysis and the Hunter-Gaston diversity index (HGDI). Thus, the analysis of the 42 MLVA genotyping results found in the literature on West Africa [i.e., from Ivory Coast (1), Niger (1), Nigeria (34), The Gambia (3), and Togo (3)] did not allow a complete assessment of the actual diversity among field strains of Brucella. However, it provided some preliminary indications on the co-existence of 25 distinct genotypes of Brucella abortus biovar 3 in this region with 19 genotypes from Nigeria, three from Togo and one from Ivory Coast, The Gambia, and Niger. The strong and urgent need for more sustainable molecular data on prevailing strains of Brucella in this sub-region of Africa and also on all susceptible species including humans is therefore highlighted. This remains a necessary stage to allow a comprehensive understanding of the relatedness between field strains of Brucella and the epidemiology of brucellosis within West Africa countries.

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“…To this aim, working with a multisectoral and transdisciplinary approach, often mentioned as a One Health approach, can help to mediate different assumptions and views and to fill knowledge gaps [17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Enhancing Preparedness for Arbovirus Infections with a One Health Approach: The Development and Implementation of Multisectoral Risk Assessment Exercises

Dente

Riccardo

Bortel

et al. 2020

BioMed Research International

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Background. One Health is receiving attention for arbovirus infection prevention and control and for defining national “intersectoral” priorities. Increasing awareness of intersectoral priorities through multisectorial risk assessments (MRA) is promising, where data are not systematically shared between sectors. Towards this aim, the MediLabSecure project organized three MRA exercises (hereby called exercises): one on West Nile virus, one on Crimean–Congo haemorrhagic fever, and one on Rift Valley fever, assessing the added value of this approach. Methods. The exercises relied on RA methodologies of international organisations. Country representatives of the human and animal virology, medical entomology, and public health sectors (hereby called “sectors”) involved in the surveillance of vector-borne diseases participated in the exercises. Background documentation was provided before each exercise, and a guide was developed for the facilitators. All three exercises included technical and methodological presentations and a guided RA directed at bringing into play the different sectors involved. To assess the added value of the approach, each participant was asked to rank the level of perceived benefit of the multisectoral collaboration for each “risk question” included in the exercises. Results. In total, 195 participants from 19 non-EU countries in the Mediterranean and Black Sea regions took part in the exercises. The participants assessed the multisectoral approach as valuable in analysing comprehensively the situation by having access to information and knowledge provided by each of the sectors involved. Sharing of information and discussion facilitated reaching a consensus on the level of risk in each country. Conclusions. Increasing awareness of intersectoral priorities, including cross-border ones, through MRA is relevant to reduce gaps due to unavailability of shared data and information. Given that six out of the ten threats to global health listed by WHO are occurring at the human-animal-environmental interfaces, comprehensive regional RA with a One Health approach made by national authorities can be a relevant added value for the global health security.

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Intersectoral collaboration between the medical and veterinary professions in low-resource societies: The role of research and training institutions

Abstract: Background: Neglected zoonoses continue to significantly affect human health in low-

Cited by 39 publications

References 39 publications

Seroprevalence of Brucellosis among Patients Attending a District Hospital in Rwanda

Seroprevalence of Brucellosis among Patients Attending a District Hospital in Rwanda

Exploring the Diversity of Field Strains of Brucella abortus Biovar 3 Isolated in West Africa

Enhancing Preparedness for Arbovirus Infections with a One Health Approach: The Development and Implementation of Multisectoral Risk Assessment Exercises

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