Craighead L, Meyer A, Chengat B, Musallam I, Akakpo J, Kone P, Guitian J, Häsler B
Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire, AL9 7TA, United Kingdom.
Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire, AL9 7TA, United Kingdom.
Acta Trop. 2018 Mar;179:96-108. doi: 10.1016/j.actatropica.2017.12.026. Epub 2017 Dec 26.
Brucellosis is a neglected endemic zoonosis in West and Central Africa. In this narrative review, evidence of livestock and human infection is presented along with details of past and current control strategies in 14 selected countries. Data from available literature is combined with expert opinion elicited during a regional workshop on brucellosis diagnostics. Demographic changes that affect both the epidemiology of brucellosis and the success of control or surveillance are also considered. The evidence suggests that brucellosis prevalence in emerging peri-urban dairy cattle systems may be higher than that found in traditional transhumant extensive systems. Accurate microbiological and epidemiological evidence across the region is lacking but it appears there is inherent interest in controlling the disease. There are many data gaps which require collaborative future research to evaluate fully the social and economic impact of the disease in an evolving livestock sector heavily influenced by high rates of urbanisation and regional population growth.
布鲁氏菌病是西非和中非一种被忽视的地方性人畜共患病。在这篇叙述性综述中，介绍了牲畜和人类感染的证据以及14个选定国家过去和当前控制策略的详细情况。现有文献数据与布鲁氏菌病诊断区域研讨会上征集的专家意见相结合。还考虑了影响布鲁氏菌病流行病学以及控制或监测成功与否的人口变化。证据表明，新兴的城郊奶牛养殖系统中布鲁氏菌病的患病率可能高于传统游牧粗放养殖系统中的患病率。该地区缺乏准确的微生物学和流行病学证据，但似乎对控制该病存在内在兴趣。存在许多数据缺口，需要未来开展合作研究，以全面评估在受城市化高速率和区域人口增长严重影响的不断发展的畜牧业中，该病的社会和经济影响。
