Abstract

The effective control of diseases in areas shared with wildlife depends on the validity of the epidemiologic parameters that guide interventions. Epidemiologic data on animal trypanosomosis in Lambwe valley are decades old, and the recent suspected outbreaks of the disease in the valley necessitate the urgent bridging of this data gap. This cross-sectional study estimated the prevalence of bovine trypanosomosis, identified risk factors, and investigated the occurrence of species with zoonotic potential in Lambwe valley. The area is ~324 km2, of which 120 km2 is the Ruma National Park. Blood was sampled from the jugular and marginal ear veins of 952 zebu cattle between December 2018 and February 2019 and tested for trypanosomes using the Buffy Coat Technique (BCT) and PCR-High-Resolution Melting (HRM) analysis of the 18S RNA locus. Risk factors for the disease were determined using logistic regression. The overall trypanosome prevalence was 11.0% by BCT [95% confidence interval (CI): 9.0–13.0] and 27.9% by PCR-HRM (95% CI: 25.1–30.8). With PCR-HRM as a reference, four species of trypanosomes were detected at prevalences of 12.7% for T. congolense savannah (95% CI: 10.6–14.8), 7.7% for T. brucei brucei (CI: 6.0–9.4), 8.7% for T. vivax (CI: 6.9–10.5), and 1.3% for T. theileri (CI: 0.6–2.0). About 2.4% of cattle had mixed infections (CI: 1.4–3.41). No human-infective trypanosomes were found. Infections clustered across villages but were not associated with animal age, sex, herd size, and distance from the park. Approximately 85% of infections occurred within 2 km of the park. These findings add to evidence that previous interventions eliminated human trypanosomosis but not bovine trypanosomosis. Risk-tailored intervention within 2 km of Ruma Park, especially in the north and south ends, coupled with stringent screening with molecular tools, could significantly reduce bovine trypanosomosis.

Highlights

  • Since time immemorial, several countries in sub-Saharan Africa have struggled with the debilitating burden of human and animal trypanosomosis

  • The overall trypanosome infection prevalence using Buffy Coat Technique (BCT) and polymerase chain reaction (PCR)-High-Resolution Melting (HRM) tests was 11.0% and 27.9%, respectively (Figure 3, Table 2)

  • We found that the prevalence of bovine trypanosomosis in Lambwe valley was high and comparable to previous years

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Summary

Introduction

Several countries in sub-Saharan Africa have struggled with the debilitating burden of human and animal trypanosomosis. This group of diseases caused by protozoan parasites of the genus Trypanosoma and transmitted primarily by tsetse flies limits human health and livestock production in more than 32 countries of sub-Saharan Africa [1]. Several interventions with varied intensity, frequency, approach, and success rates [2, 3] have been implemented in different regions, with significant progress in controlling the disease in humans and animals. Animal African Trypanosomomosis (AAT) is still widespread, occurring in more than 10 million km of land where it kills about 3 million cattle every year [1]. The impact of AAT is disproportionate; persons living near wildernesses, wildlife protectorates, and other interfaces with wildlife, such as that of the Ruma National Park (RNP) in Lambwe valley, bear the brunt of the disease

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