Ayoola Modupe Comfort, Akinseye Victor Oluwatoyin, Cadmus Eniola, Awosanya Emmanuel, Popoola Olufemi Akinyele, Akinyemi Oluwaseun Oladapo, Perrett Lorraine, Taylor Andrew, Stack Judy, Moriyon Ignacio, Cadmus Simeon Idowu
Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Community Medicine, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Pan Afr Med J. 2017 Sep 22;28:68. doi: 10.11604/pamj.2017.28.68.10925. eCollection 2017.
Brucellosis is a neglected zoonosis of public health importance. This study was conducted to determine the prevalence and risk factors of brucellosis among slaughtered cattle as well as challenges to the protection of abattoir workers in Nigeria.
A slaughterhouse study was conducted in a major abattoir in Ibadan from March to August, 2013. To diagnose brucellosis, serum samples from 1,241 slaughtered cattle were tested using Rose-Bengal test (RBT) and competitive enzyme-linked immunosorbent assay (cELISA); again, 57 milk samples were tested with milk ring test (MRT) and indirect ELISA (iELISA). Furthermore, a survey on the usage of personal protective equipment (PPE) and challenges to its use by abattoir workers was done. Data were analysed using Stata 12.
Seroprevalence by RBT was 7.8%; 77.3% (75/97) of these were corroborated by cELISA. Prevalence in milk samples by MRT and indirect ELISA were 33.3% and 3.5%, respectively. Sex (OR: 2.5; 95%CI:1.3-4.5) was the factor significantly associated with seropositivity. None of the abattoir workers used standard protective overalls; while, 99.6% of the meat handlers and 84.1% of the butchers worked barefoot. Most of the workers (75.7%) wore no protective gloves. The respondents agreed that provision of free PPE and sanctions against non-users would encourage its use.
Our findings indicate moderate prevalence (7.8%) of bovine brucellosis with sex of cattle being a risk factor. A notable barrier to better protection of abattoir workers against brucellosis is perceived inconvenience arising from use of gloves. Therefore, preventive and control measures against brucellosis must include education and use of PPE among abattoir workers.
布鲁氏菌病是一种被忽视但对公共卫生具有重要意义的人畜共患病。本研究旨在确定屠宰牛群中布鲁氏菌病的患病率和风险因素,以及尼日利亚屠宰场工人防护面临的挑战。
2013年3月至8月在伊巴丹的一家主要屠宰场进行了一项屠宰场研究。为诊断布鲁氏菌病,对1241头屠宰牛的血清样本采用虎红平板凝集试验(RBT)和竞争酶联免疫吸附测定(cELISA)进行检测;此外,对57份牛奶样本采用乳环试验(MRT)和间接酶联免疫吸附测定(iELISA)进行检测。此外,还对个人防护装备(PPE)的使用情况以及屠宰场工人使用PPE面临的挑战进行了调查。使用Stata 12对数据进行分析。
RBT血清阳性率为7.8%;其中77.3%(75/97)经cELISA证实。MRT和间接ELISA检测牛奶样本的阳性率分别为33.3%和3.5%。性别(比值比:2.5;95%置信区间:1.3 - 4.5)是与血清阳性显著相关的因素。没有一名屠宰场工人使用标准防护工作服;而99.6%的肉类处理人员和84.1%的屠夫赤脚工作。大多数工人(75.7%)未佩戴防护手套。受访者一致认为,提供免费PPE以及对不使用者进行制裁将鼓励其使用。
我们的研究结果表明牛布鲁氏菌病患病率中等(7.8%),牛的性别是一个风险因素。屠宰场工人更好地预防布鲁氏菌病的一个显著障碍是使用手套带来的不便。因此,布鲁氏菌病的预防和控制措施必须包括对屠宰场工人进行教育并让其使用PPE。