Meat inspection is the routine method used to identify cattle infected with Taenia saginata; however, the sensitivity of this method is low. We investigated the prevalence of T. saginata infection in cattle slaughtered in low throughput abattoirs (LTs) in Gauteng province, South Africa, based on meat inspection and serology. A total of 188 cattle carcasses from three abattoirs underwent meat inspection for the presence of T. saginata cysticerci, while serum was tested for the occurrence of antigens using antigen enzyme-linked immunosorbent assay (Ag-ELISA). Polymerase chain reaction (PCR)-sequencing was performed to confirm T. saginata cysts identified during enhanced inspection and incision of 10 randomly selected hearts. Apparent and true prevalence were calculated, and a logistic regression model was fit to evaluate associations between abattoir, sex, animal origin, age and T. saginata serological status. Out of the 188 carcasses, no positive cases (0%) were identified during routine meat inspection, yet three cysticerci-like lesions were identified from three hearts following additional incisions, of which one was confirmed as T. saginata. Fifty-four of the sampled cattle carcasses tested positive using Ag-ELISA (apparent and true prevalence: 29.0%, 71.8%). Feedlot cattle were less likely (odds ratios [OR]: 0.33, p = 0.043) to have a positive serological test result for T. saginata compared to non-feedlot cattle, and the odds of a positive result differed between abattoirs (p 0.05).Contribution: Our results confirmed the low sensitivity of routine meat inspection in LTs, which may pose a public health risk, and therefore other diagnostic methods need to be included in the surveillance system for T. saginata.
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