Seroprevalence and risk factors of porcine cysticercosis in Mpwapwa district, eastern-Central Tanzania.

Porcine cysticercosis, caused by the larval stage of species, poses significant health and economic challenges in low and lower-middle-income regions. This study assessed the seroprevalence and risk factors associated with the transmission of porcine cysticercosis in Mpwapwa District, eastern-central Tanzania, using a commercial antigen enzyme linked immunosorbent assay (Ag- ELISA). A cross-sectional survey was conducted in Gulwe, Ving'hawe, and Igovu villages during the dry season in June 2024. Blood samples were collected from 159 household pigs, and structured questionnaires were administered to heads or representatives of 51 pig-keeping households to identify potential risk factors. Serum samples from 29 pigs tested positive for porcine cysticercosis in the Ag-ELISA assay with an apparent prevalence of 18.24 % (95 % CI: 12.57 %-25.13 %), and estimated true prevalence of 17.91 % (95 % CI: 12.66 %-24.67 %). The apparent prevalence of porcine cysticercosis varied across the villages with Gulwe showing the highest prevalence (22.58 %; 95 % CI: 12.93 %-34.79 %), followed by Ving'hawe (21.21 % 95 % CI: 8.98 %-38.91 %), and Igovu (12.50 %; 95 % CI: 5.55 %-23.15 %). Female pigs exhibited a relatively higher seropositivity rate (13.84 %; 95 % CI: 8.88 %-20.20 %) compared to male pigs (4.40 %; 95 % CI: 1.79 %-8.86 %) although this difference was not statistically significant (χ = 0.629, -value = 0.428). DNA extracted from cysticerci isolated from infected pigs slaughter in the study villages was confirmed via gel electrophoresis to belong to . Seropositivity was higher in adult pigs (14.47 %; 95 % CI: 9.84 %-20.77 %) than in growers (3.77 %; 95 % CI: 1.74 %-7.99 %), but this difference was not statistically significant (χ = 0.385,  = value = 0.535). Risk factor analysis identified the pig management system (OR = 2.47,  = 0.005), household pig herd size (OR = 3.08,  = 0.003), pig pen design (OR = 2.49,  = 0.002), feed source (OR = 3.08,  = 0.000), ignorance of porcine cysticercosis (OR = 1.57,  = 0.031) and presence of open-field defecation (OR = 1.47,  = 0.025) as significant contributors to the transmission of porcine cysticercosis. This study identifies a significant burden of porcine cysticercosis in Mpwapwa District, highlighting the need for effective control strategies to combat this zoonotic disease, protect smallholder livelihoods, and align with the WHO's 2030 targets for intensified control.