Mlowe Fredy, Mlangwa James, Mkupasi Ernatus, Winkler Andrea S, Nyerere Antony D, Churi Ayubu, Ngowi Helena, Karimuribo Esron
Department of Veterinary Medicine and Public Health, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Center for Global Health, Department of Neurology, Technical University of Munich, Munich, Germany.
Vet Med Int. 2024 Feb 17;2024:5592872. doi: 10.1155/2024/5592872. eCollection 2024.
cysticercosis and taeniosis (TSCT) are two forms of a zoonotic disease caused by tapeworm. Towards promotion of a One Health approach to the control of TSCT, we assessed TSCT reporting in the medical and veterinay sectors in Tanzania. We conducted a cross-sectional study between January and April 2020 in Babati and Mbulu districts (northern Tanzania), Kongwa district (central Tanzania), Mbinga and Nyasa districts (southern Tanzania), and the Zonal Veterinary Centres in Iringa (southern Tanzania) and Arusha (northern Tanzania) regions. A questionnaire was administered to 154 officers in charge (OsIC) of primary healthcare facilities (PHFs) and 110 meat inspectors (MIs) to collect quantitative data. Key informant interviews (KIIs) were conducted to 16 medical and 17 veterinary officers from level one healthcare facilities and district livestock offices, respectively, to their respective ministries. OsIC admitted absence of specific reporting (100%, = 154) of taeniosis and neurocysticercosis (NCC) in the medical diseases reporting system (MDRS) despite the presence of optimum facilitation in terms of report preparation and submission (92.2%, = 154) with 83.8% ( = 154) timely report submission rate. The veterinary diseases reporting system (VDRS) accommodated porcine cysticercosis (PCC) reporting. Nevertheless, approximately 77.3% ( = 110) of the MIs admitted inadequate facilitation in VDRS that hindered efficient reporting of PCC among other diseases. In addition, all MIs admitted that disease reports submitted were incomplete, submitted late (73.3%, = 110), or not submitted at all (88.8%, = 110). Similarly, KIIs results revealed suboptimal facilitation and reporting efficiency in VDRS than it was with the MDRS. It is concluded that the MDRS did not provide for specific reporting of taeniosis and NCC. Inadequate facilitation of the general VDRS hindered efficient PCC reporting despite its provision for PCC reporting. A One Health approach in strengthening the medical and veterinary diseases reporting systems for efficient TSCT reporting is recommended.
囊尾蚴病和绦虫病（TSCT）是由绦虫引起的人畜共患病的两种形式。为了推动采用“同一健康”方法来控制TSCT，我们评估了坦桑尼亚医疗和兽医部门对TSCT的报告情况。2020年1月至4月期间，我们在巴巴蒂和姆布卢区（坦桑尼亚北部）、孔瓜区（坦桑尼亚中部）、姆宾加和尼亚萨区（坦桑尼亚南部）以及伊林加（坦桑尼亚南部）和阿鲁沙（坦桑尼亚北部）地区的区域兽医中心开展了一项横断面研究。我们向154名基层医疗保健设施负责人（OsIC）和110名肉类检查员（MI）发放了问卷，以收集定量数据。分别对来自一级医疗保健设施和地区畜牧办公室的16名医疗官员和17名兽医官员进行了关键信息人访谈。尽管在报告编写和提交方面提供了最佳便利条件（92.2%，n = 154），且及时报告提交率为83.8%（n = 154），但OsIC承认在医疗疾病报告系统（MDRS）中没有对绦虫病和神经囊尾蚴病（NCC）进行具体报告。兽医疾病报告系统（VDRS）纳入了猪囊尾蚴病（PCC）报告。然而，约77.3%（n = 110）的肉类检查员承认VDRS提供的便利不足，这阻碍了PCC以及其他疾病的有效报告。此外，所有肉类检查员都承认提交的疾病报告不完整、提交延迟（73.3%，n = 110）或根本未提交（88.8%，n = 110）。同样，关键信息人访谈结果显示，VDRS的便利条件和报告效率不如MDRS。得出的结论是，MDRS没有规定对绦虫病和NCC进行具体报告。尽管VDRS规定了PCC报告，但一般VDRS提供的便利不足阻碍了PCC的有效报告。建议采用“同一健康”方法来加强医疗和兽医疾病报告系统，以实现TSCT的有效报告。
