Browsing by Author "Machado, Adelina da Conceicao"

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    Mapping of the distribution of Mycobacterium bovis strains involved in bovine tuberculosis in Mozambique
    (Stellenbosch : Stellenbosch University, 2015-12) Machado, Adelina da Conceicao; Van Helden, Paul David; Kallenius, Gunilla; Warren, Robin Mark; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Biomedical Sciences: Molecular Biology and Human Genetics.
    ENGLISH ABSTRACT: Bovine tuberculosis (BTB), caused by bacteria of the Mycobacterium tuberculosis complex is reported to cause economic and public health negative impact in countries where it is prevalent. The control of the disease has been a difficult task worldwide. The main object of this thesis was to use molecular tools to generate useful information to contribute to the design of appropriate BTB control measures in Mozambique. To do so we considered a deep knowledge of the BTB history in Mozambique to be essential. The search was largely based on the reports produced annually by the Veterinary Services and other available information. We found reports of BTB in Mozambique as early as 1940. These cases were mainly identified as a result of post-mortem meat inspection. The higher numbers of cases reported were from 8 locations, namely Maputo, Magude, Vilanculos, Beira, Chimoio, Tete, Quelimane and Nampula, and served as a basis to decide the locations to perform prevalence and molecular epidemiologic studies. Prevalence studies were done in 10 districts selected based on the history of a high number of BTB case reports (intentionally biased towards locations presumably with higher prevalence), a high cattle density, but also to represent districts from the south, centre and north of Mozambique. A representative sample was defined, based on all livestock areas or villages in Massingir and Govuro Districts or by randomly selecting small-scale and commercial herds in 8 districts, specifically Manhiça, Chibuto, Buzi, Gondola, Mutarara, Mogovolas, Angoche and Mecanhelas. Results were obtained from 6983 cattle tested using tuberculin testing. Apparent prevalence varied from 0.98% in Massingir to 39.6% in the Govuro, with prevalence as high as 71.4% in some livestock areas/herds. The analysis of risk factors showed no noteworthy difference with respect to the sex of the animal. Younger age had significantly lower odds of infection compared to the older age class. There was a tendency of cattle from small-scale herds to have lower prevalence when compared to the commercial herds. From the prevalence studies, 187 tissue and 41 milk samples from BTB reactors were collected. Additionally 220 tissue samples were obtained from the Central Veterinary Laboratory routine diagnostic work. Samples were subject to bacteriological culture and a collection of 170 M. bovis isolates were obtained. Eight additional isolates were supplied from another study. All isolates were subjected to molecular typing using spoligotyping, and a sub-sample using MIRU-VNTR and regions of difference (RD) analysis. Fifteen different spoligotype patterns were identified of which 8 were not previously registered in the Mbovis.org database. The pattern SB0961 accounted for 61% of the isolates and was found in all areas of the country investigated. We hypothesize that this was one of the first clones to be introduced in Mozambique. Twenty-nine isolates had the pattern SB0140, which is specific for the European 1 (Eu1) clonal complex. Eleven isolates with this spoligotype were subjected to RD analysis, and all isolates had the Eu1 specific deletion. These were all isolated from cattle from the south of Mozambique and the majority from commercial farms that imported cattle, mainly from South Africa, where the Eu1 clonal complex is common. There were no isolates of the African 1 (Af1) or African 2 (Af2) clonal complexes that are frequent in Central-West Africa and East Africa, respectively. The clones identified from different farms and districts, strongly suggest routes of transmission and/or common source of infection. In conclusion, our results show a potential increase in the prevalence of BTB in Mozambique even taking into consideration i) that the selection of locations in our study was biased towards locations with a history of higher BTB prevalence and ii) the use of a more sensitive technique i.e. the testing in the middle neck region as opposed to the testing in the caudal fold as used in previous studies. Even if no cattle to human transmission was found in studies done in Mozambique so far, the evidence of M. bovis shedding through milk and the lack of correct practices to prevent animal to human transmission (consumption of raw milk), strongly suggests that there is zoonotic risk; a subject that needs to be investigated. The results presented in this work also strengthen the need to reinforce the current regulations that require a negative BTB test result before cattle importation. The same should be enforced for the internal movements, as the frequency of shared genotypes (Spoligotype and MIRU) from cattle originating from different parts of the country strongly suggest intra-contry transmission of BTB.