Akoko James M, MacLeod Ewan, Thomas Lian F, Alarcon Pablo, Kang'ethe Erastus, Kivali Velma, Muloi Dishon, Muinde Patrick, Murungi Maurice K, Gachoya Julius M, Fèvre Eric M
International Livestock Research Institute, Nairobi, Kenya.
Division of Infection and Pathway Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
Parasite Epidemiol Control. 2019 Feb 7;4:e00093. doi: 10.1016/j.parepi.2019.e00093. eCollection 2019 Feb.
BACKGROUND & METHODS: a zoonotic tapeworm, responsible for neurocysticercosis in humans is a major public health threat, being a leading cause of acquired epilepsy in endemic regions. Eastern and southern African nations have experienced a recent rapid growth in pig production, including small-scale, free-range systems, with an accompanying increased risk of transmission. Seven hundred blood samples were collected from randomly selected pigs presented for slaughter at one of the largest porcine abattoir supplying unprocessed pork to Nairobi city and its surroundings. The samples were tested using an antigen ELISA to determine the prevalence of infection with spp.
The prevalence, adjusted for diagnostic test characteristics, was estimated to be 4.4% (95% CI: 1.9-7.1) with no significant statistical difference by pig sex or age. Infection with spp. was detected in pigs from all regions of the country supplying pigs to this slaughterhouse. Official post-mortem inspection did not detect cysticercosis in the duration of the study. Therefore, all the carcasses entered the food chains of Nairobi (70%), or neighboring counties (30%).
Circulating antigens of spp. were detected in pigs slaughtered in one of the largest porcine slaughterhouses in Kenya, which receives pigs from several regions in the country. This is an indication that pigs entering the value chain are raised under poor husbandry conditions and that pork consumers in Nairobi and its surroundings may be exposed to the important zoonotic parasite. Whilst further research utilizing full carcass dissection is required to confirm positive cases, interventions to improve food-safety throughout the pork value chains in Kenya should be seriously considered.
一种人畜共患绦虫是人类神经囊尾蚴病的病原体,是地方病流行区后天性癫痫的主要病因,对公共卫生构成重大威胁。东非和南部非洲国家的生猪生产,包括小规模散养系统,近期增长迅速,随之而来的是传播风险增加。从一家向内罗毕市及其周边地区供应未经加工猪肉的最大型猪屠宰场随机挑选了700份待宰猪的血样。使用抗原酶联免疫吸附测定法(ELISA)检测这些样本,以确定感染 spp. 的患病率。
经诊断检测特征调整后的患病率估计为4.4%(95%置信区间:1.9 - 7.1),猪的性别或年龄之间无显著统计学差异。在向该屠宰场供应生猪的该国所有地区的猪中均检测到 spp. 感染。在研究期间,官方尸检未检测到囊尾蚴病。因此,所有屠体进入了内罗毕(70%)或邻近县(30%)的食物链。
在肯尼亚最大的猪屠宰场之一宰杀的猪中检测到 spp. 的循环抗原,该屠宰场接收来自该国多个地区的猪。这表明进入价值链的猪饲养条件差,内罗毕及其周边地区的猪肉消费者可能接触到这种重要的人畜共患寄生虫。虽然需要进一步利用全尸解剖进行研究以确认阳性病例,但应认真考虑采取干预措施以改善肯尼亚整个猪肉价值链的食品安全。