Milton Arockiasamy Arun Prince, Das Samir, Ghatak Sandeep
Division of Animal Health, ICAR Research Complex for NEH Region, Umiam, India.
Epidemiol Health. 2020;42:e2020073. doi: 10.4178/epih.e2020073. Epub 2020 Dec 4.
Brucellosis and tuberculosis are lingering zoonotic infections that are endemic in many developing parts of the world, with considerable economic and health costs. Although guidelines for the control of these diseases exist, we highlight neglected transmission routes of these diseases. We show that informal, door-to-door marketing of unpasteurized milk provides an important route for disease transmission through kitchen cross-contamination. Furthermore, the practice of discarding the first strippings of milk at farms needs adjustment to avoid floor and environmental contamination. Herein, we propose handling guidelines and a design for a milk stripping collection vessel. We believe that taking action to block these hitherto unrecognized transmission routes will complement existing efforts and guidelines.
布鲁氏菌病和结核病是长期存在的人畜共患感染病，在世界许多发展中地区呈地方性流行，造成了可观的经济和健康成本。尽管存在这些疾病的防控指南，但我们强调了这些疾病被忽视的传播途径。我们发现，未经巴氏杀菌的牛奶进行非正规的挨家挨户销售，是通过厨房交叉污染导致疾病传播的一条重要途径。此外，农场丢弃初乳的做法需要调整，以避免地面和环境污染。在此，我们提出了处理指南以及一种挤奶收集容器的设计方案。我们认为，采取行动阻断这些迄今未被认识到的传播途径将补充现有的努力和指南。
