Presented by Edward Ssekawojwa at a workshop on an integrated approach to controlling brucellosis in Africa, Addis Ababa, Ethiopia, 29-31 January 2013.

1. Risk Factors for Brucella Sero-positivity in
Cattle, Goats and Humans in Mbarara,
Uganda
Dr. Edward Ssekawojwa BVM, MVPM
edsseka@yahoo.com
Workshop: An Integrated Approach to Controlling Brucellosis in Africa, Addis Ababa, 29-
31 January 2013

2. Presentation Outline
• Background
• Methods and Materials
• Results
• Recommendations

3. Background
• Mbarara District is
one of the most
important livestock
producing areas in
Uganda.
• Different livestock
production systems
are practiced in the
same district.
• Brucellosis is a major
socio-economic
threat
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Brucellosis in Africa
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4. Livestock Production Systems
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Pastoral Agro-pastoral

5. Materials and Methods
• Cross Sectional Survey: February to September 2005.
• Multistage sampling technique for cattle and goats.
• Serum collected from 1535 cattle and 812 goats from
98 farms.
• 161 humans randomly selected from Brucella positive
farms and 168 individuals attending HIV CTC in
Kampala were included in the study.
• Data on hypothesized risk factors was collected using
standard structured questionnaires and individual
animal data sheets.
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6. • Sampled areas:
– Pastoral areas –
Nyabushozi County
– Agro-pastoral –
Ibanda and Kashaari
Counties
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7. • Cattle and goats sera were screened with Rose
Bengal and confirmed with cELISA (all supplied
by Veterinary Laboratory Agency, UK)
• Human sera was tested using Plate
Agglutination Test (RBT), Standard Tube
Agglutination Test (STAT) and cELISA.
• Raw data was stored in MS Access and
analyzed with SPSS 12.0 for Windows and
additional modeling done using SAS IML
macro (SAS Institute Inc., version 6 1985)
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8. Results
• Four percent (95% CI , 3.1% – 5.1%) and 7% (95%
CI, 5.6% - 9.2%) of individual cattle and goats
respectively were sero-positive.
• Sero-positive cattle and goats were distributed in
21% (95%CI, 12.9% - 29.3%) and 20% (95%CI,
9.9% - 30%) cattle and goats herds respectively.
• In cattle, environmental risk factors included;
Pastoral Livestock Production System
(p<0.001,OR = 18.5), herd size, Contact with wild
life and water and / or pasture scarcity
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9. • Host level risk factors for cattle included:
– Age
– Sex
– Parity
– Breed
Abortion was strongly linked with Brucella sero-
positivity both in cattle (OR=5.9) and goats (OR= 5.5).
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10. Human Results
Distribution of hypothesized risk factors by District.
________________________________________________________________________
Variable Levels Kampala Mbarara Overall
%(n) %(n) %(n)
Sex Female 38.7(65) 36(58) 37.4(123)
Male 61.3(103) 64(103) 62.6(206)
Consumption of
un-boiled milk Yes 16.7(28) 37.9(55) 26.5(83)
No 83.3(140) 62(90) 73.5(230)
Contact with
animals Yes 17.3(29) 93.2(150) 54.4(179)
No 82.7(139) 6.8(11) 45.6(150)
History of brucellosis-
like symptoms 12months
preceding study Yes 88.7(149) 71.4(115) 80.2(264)
No 8.9(15) 28.6(46) 18.5(61)
Human brucellosis
awareness Yes 21.4(36) 39.8(64) 30.4(100)
No 78.6(132) 60.2(97) 69.6(229)
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11. Individual level seroprevalence based on
RBT, STAT, cELISA and STAT+cELISA, by
District
Area No Sampled Seroprevalence %, (n)
RBT STAT cELISA STAT/cELISA
Mbarara 161 18.0 (29) 7.5 (12) 9.3 (15) 13.0 (21)
Kampala 168 12.5 (21) 4.2 (7) 0.6 (1) 4.8 (8)
Total 329 15.2 (50) 5.8 (19) 4.9 (16) 8.8 (29)
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12. • Consumption of
un-boiled milk
was singnificantly
(p>0.001)
associated with
sero-posivitity in
Mbarara District
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13. Recommendations
• Address the challenges facing the pastoral
production system; vis –a- viz herd sizes,
rampant movements, contact with wildlife.
• Discourage consumption of raw milk for
humans – behavioral change?
• Public awareness and sensitization
• Urgent need for preventive measures:
vaccination
• One health approach to brucellosis control
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14. Acknowledgement
• My Supervisors; Prof Nasinyama G, Prof Opuda-Asibo J, Dr. Grimaud P.
• Mbarara District Veterinary Officer, Dr. John Barigye and Staff.
• Mbarara District Director of Health Services, Dr. Kaguna Amooti.
• Dean, Faculty of Medicine, Mbarara University of Science and Technology,
Dr. Jerome Kabakyenga.
• Prof Kang’ethe Erasmus, Department of Public Health, Pharmacology and
Toxicology, College of Agriculture and Veterinary Medicine, Nairobi
University.
• Dr. Hitimana, Mr. Mujulizi Tephy and staff of AIDS Informantion Center
(AIC), Kampala.
• Innovations @ Makerere, French Embassy in Uganda, Dairy Development
Authority through FSP/ACSS
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15. THANK YOU
FOR YOUR ATTENTION
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