New Tanzania project launched to curb disease transmission from consumption of bushmeat

New Tanzania project launched to curb disease transmission from consumption of bushmeat

New Tanzania project launched to curb disease transmission from consumption of bushmeat

The Arusha-based, Nelson Mandela University and the US Centre[s] for Disease Control have now entered into a project aimed at curbing the transmission of diseases from wild animals to human beings.

The Nelson Mandela University ‘will be granted 5 billion/- to undertake a comprehensive study under which wild animal meat can transmit diseases to human beings.

‘The grant is from the Cooperative Biological Engagement Programme of the US Defence Threat Reduction Agency (DTRA) and will define the role of wild animal meat as vehicles from transmitting important zoonotic pathogens to humans.

‘The project will focus on surveillance of especially dangerous pathogens, including anthrax, ‘Brucella’, “Coxiella’ and the Ebola, Marburg and Monkey-pox viruses whose viruses in bush meat in Tanzania, local experts say remain unknown.

‘. . . Local partners in the project include the Tanzania National Parks (TANAPA), Tanzania Wildlife Research Institute (TAWIRI) and the ministries of Livestock Development and Fisheries and Health and Social Servicesthrough their respective departments dealing with veterinary services and public health respectively.

Other partners include the Bill & Melinda Gates [Foundation] which has provided the funds, the Frankfurt Zoological Society, the Penn State University in the US and the Nairobi-based International Livestock Research Institute (ILRI), among others.

‘Veterinary investigators in the project from all these institutions will map the distribution of pathogens in bush meat from different geographical and ecological regions of Tanzania using powerful molecular diagnostics assays and genomics-based tools, said the officials at the project launch event. . . .’

Read the whole article in Daily News (Tanzania): Bush meat can be dangerous, 11 Jan 2016.

Article originally appeared on the ILRI website on 11th January, 2016 authored by Susan Macmillan available at:  http://clippings.ilri.org/2016/01/11/new-tanzania-project-launched-to-curb-disease-transmission-from-consumption-of-bushmeat/

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Deforestation linked to rise in cases of emerging zoonotic malaria

Deforestation linked to rise in cases of emerging zoonotic malaria

Deforestation linked to rise in cases of emerging zoonotic malaria

Research suggests environmental changes are driving increase in Plasmodium knowlesi malaria – an infection usually found only in monkeys – among people in Malaysia.

MacaqueA steep rise in human cases of P. knowlesi malaria in Malaysia is likely to be linked to deforestation and associated environmental changes, according to new research published in Emerging Infectious Diseases. The study, led by the London School of Hygiene & Tropical Medicine, is the first to explore how changes in land use are impacting the emergence of the disease.

Plasmodium knowlesi is a zoonotic malaria parasite, transmitted between hosts by mosquitoes, which is common in forest-dwelling macaque monkeys. Although only recently reported in humans, it is now the most common form of human malaria in many areas of Malaysia, and has been reported across southeast Asia. In recent years, Malaysia has seen widespread deforestation alongside rapid oil palm and other agricultural expansion. It is thought changes in the way land is used could be a key driver in the emergence of P. knowlesi, but until now this has not been investigated in detail.

The study focused on the Kudat and Kota Marudu districts in Sabah, Malaysia, covering an area of more than 3,000km² with a population of approximately 120,000 people. Researchers used hospital records for 2008-2012 to collect data on the number of P. knowlesi malaria cases from villages in the districts. Information collected from satellite data helped the team to map the local forest, land use, and environmental changes around 450 villages, in order to correlate how these changes might affect human infection.

They found that the number of P. knowlesi cases was strongly linked to deforestation in areas surrounding the villages.  This could be explained by a number of factors, including humans coming into closer contact with the forest inhabited by the macaques and the mosquito vectors, due to employment in tree clearance and expanding agriculture. Another factor could be that as land use changes in this way, macaque populations are becoming more densely concentrated in areas of forest where humans are present.

Lead author Kimberly Fornace, Research Fellow at the London School of Hygiene & Tropical Medicine, said: “The dramatic rise in the number of P. knowlesi malaria cases in humans in Malaysia in the past ten years has been most common in areas with deforestation, as well as areas that are close to patches of forest where humans, macaques and mosquitoes are coming into closer and more frequent contact. This suggests that there is a higher risk of P. knowlesi transmission in areas where land use is changing, and this knowledge will help focus efforts on these areas and also predict and respond to future outbreaks. Given our findings, we view deforestation as having distinct public health consequences which need to be urgently addressed.”

The findings show the study region had undergone significant environmental changes, with many villages substantially affected by deforestation. During the five-year study alone, 39% of the region’s villages lost more than 10% of the forest cover in their surrounding 1km radius, and half of villages lost more than 10% within a 5km radius. Overall, forest cover in Kudat and Kota Marudu declined by 4.8% during the study period.

The findings also confirmed that P. knowlesi is the most common cause of human malaria cases in the region.

The authors note that some cases of malaria may have been unreported as they were asymptomatic or resolved without treatment. P. knowlesi can be mistaken for other forms of human malaria in microscope diagnosis, however the authors adjusted for this uncertainty in the study. They also highlight that the environmental data were limited as they could not discriminate between types of forest or crops, meaning further work is needed to investigate whether vegetation type is a risk factor for P. knowlesi.

This study was funded by the Biotechnology and Biosciences Research Council, Economic and Social Research Council, Medical Research Council, and Natural Environment Research Council, through the Environmental and Social Ecology of Human Infectious Diseases Initiative (ESEI).

The research was carried out in collaboration with the Infectious Disease Society Kota Kinabalu Sabah, Malaysia; Hospital Queen Elizabeth Clinical Research Centre, Malaysia; Menzies School of Health Research, Australia; Sabah Department of Health, Malaysia; and the University of Glasgow, UK.

Publication:

Article originally appeared on the London School of Hygiene and Tropical Medicine website on 18th December, 2015 at: http://www.lshtm.ac.uk/newsevents/news/2015/deforestation_malaria_link.html

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Bats, People and a complex web of disease transmission

Bats, People and a complex web of disease transmission

Bats, People and a complex web of disease transmission

It might seem strange that after millennia of human history, outbreaks of new, ’emerging’ diseases that we’ve never seen before still regularly occur around the world, some of which go on to become pandemic. However, this may not be so surprising considering how quickly and how intensively the world is changing – expansion of populations, industries, and travel and trade networks are all thought to play a role.

BatsMany current strategies to deal with emerging diseases are reactive, rather than proactive, i.e. the response is focused on dealing with outbreaks after they happen. But what if we could improve our response by projecting where the next outbreak will be and how it will occur? Or better yet, prevent it altogether?

This is the aim of the PREDICT programme, a consortium of worldwide disease biologists. Working with several PREDICT members from the EcoHealth Alliance, our team at University College London, in collaboration too with the STEPS-led Dynamic Drivers of Disease in Africa Consortium, aimed to quantify how these global changes affect the risk of emerging bat-borne viruses.

Bats and disease

The majority of human diseases are zoonoses, that is, they originate via transmission from animals, and bats are no exception. Many devastating viral outbreaks of the last 15 years are suspected to have their origins in bats, from Nipah virus disease in 1999 and SARS in 2002 to the recent outbreaks of Ebola disease and Middle East respiratory syndrome (MERS) in the last several years.

We started by mapping out the potential distribution of each of the 33 viruses shared between bats and humans, collaborating with the Vonhof group at Western Michigan University who have been collecting together data on all viruses known in bats, and which species they infect.

Next, we collected together spatial data on global changes and the wider environment, as well as human density and agriculture. This also included data on domestic animals as bat viruses can sometimes reach people through our livestock, and bushmeat hunting, as bats are hunted and consumed in many parts of the world. It’s critical to understand not just whether these factors affect disease emergence, but also through what means.

Virus risk hotspots

We grouped factors together depending on whether they were likely to increase risk through either increasing richness of viruses (the total number of viruses present) or increasing transmission potential from contact between bats and humans.

Using spatial statistical modelling, we then combined all of this into a single risk map. What we see from this is that, overall, there is a large hotspot of risk in sub-Saharan Africa, including West Africa, where the most recent Ebola virus outbreaks have occurred.

Global map of risk of bat-human shared viruses from statistical model based on ecological and human drivers.

However, when we break down the model into whether the risks occur through richness of viruses or bat-human contact, the resulting maps look very different. Central and South America seem to be a risk hotspot because a naturally high diversity of viruses occurs there, and associations in our model suggest this is a result of a high diversity of bat hosts. Contrastingly, South and East Asia seem to a be a risk hotspot because of high bat-human contact potential, a reflection of high densities of humans and domestic animals, as well as bushmeat practices in some areas.

This tells us something critical – that those places where wild bat populations host many viruses do not seem to be the same as those places where people frequently come into contact with bats, and that both contribute to risk in a different way.  Our risk maps take that first step in untangling the complex, multi-step process behind the emergence of a new bat-borne virus in humans.

One Health

In the last decade, there has been a real shift in the way public health is viewed to a much more modern, holistic – or ‘One Health‘ – approach. This acknowledges that animal health and human health are fundamentally connected through our wider ecology, and has guided much of our thinking in the Dynamic Drivers of Disease in Africa Consortium.

Future work will be able to delve deeper into the specific connections between bats and people that could help prevent future disease outbreaks. Although there is much we have yet to understand, what is clear is that bats should not be vilified for their association with emerging diseases. They can be key contributors to environmental stability and ecosystem services, and – admittedly, more sentimentally – they’re fascinating animals, whose world we’ve only just ventured into.

Kate Jones is Professor of Ecology and Biodiversity at University College London and a partner in the STEPS-led Dynamic Drivers of Disease in Africa Consortium. She will be speaking at the One Health for the Real World: zoonoses, ecosystems and wellbeing symposium, being held at the Zoological Society of London, 17-18 March 2016.

Quantifying Global Drivers of Zoonotic Bat Viruses: A Process-Based Perspective’, authored by Liam Brierley, Maarten J. Vonhof , Kevin J. Olival, Peter Daszak and Kate E. Jones, is published in The American Naturalist.

Article originally appeared on the Steps Centre website at: http://steps-centre.org/2016/blog/bats-people/ authored by Kate Jones and Liam Brierley on 5th January 2016

Kate Jones and Liam Brierley
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Scientists Study Slums for Signs of Spreading Superbugs

Scientists Study Slums for Signs of Spreading Superbugs

Scientists Study Slums for Signs of Spreading Superbugs

The next superbug could emerge from the slums of the developing world, researchers warn.

Rapid, unplanned growth in many urban areas has people, livestock and wildlife living in close proximity and with inadequate sanitation. These are ideal conditions for microbes to evolve and spread.

So a major project is underway, designed to shed light on how microbes move through the slums of Nairobi and beyond.

It’s known as the Urban Zoo project. “Zoo” is short for zoonosis, the spread of diseases from animals to humans. From salmonella to swine flu, that’s how we get most of our diseases.

Slum farm

But “zoo” also suggests the menagerie of creatures found in Nairobi’s slums that could carry those diseases.

At the garbage dump in Nairobi’s Viwandani neighborhood, people, goats and Marabou storks pick through the trash side by side. (Credit: S. Baragona/VOA)

At the garbage dump in Nairobi’s Viwandani neighborhood, people, goats and Marabou storks pick through the trash side by side. (Credit: S. Baragona/VOA)

Fenced in by sheets of rusting corrugated metal in Nairobi’s Viwandani neighborhood, Joseph Mwai and his family share a couple thousand square feet with three cows, a handful of chickens, about a dozen goats and a small herd of pigs.

These are far from optimal conditions for raising livestock. But Mwai says he doesn’t have much of a choice.

“It’s important to me because I don’t have any job to do,” he said. “I make a living from them.”

A garbage dump smolders behind Mwai’s tiny homestead, across a stream polluted with raw sewage. People, goats and Marabou storks pick through the trash side by side, looking for anything useful or edible. Plastic bags are pulled from the heaps, rinsed in the contaminated river and resold.

It’s a rich environment for the spread of bacteria and other microbes.

Gene swappers

The Urban Zoo project is watching one microbe in particular: E. coli.

Mostly harmless, E. coli usually leads a quiet life in the digestive tract of warmblooded animals, from humans to birds to mice.

But some strains cause disease. And it’s of special interest to researchers for two other reasons.

Molecular biologist John Kiiru studies drug-resistant bacteria spreading in Nairobi’s slums at the Kenya Medical Research Institute. (Credit: S. Baragona/VOA)

Molecular biologist John Kiiru studies drug-resistant bacteria spreading in Nairobi’s slums at the Kenya Medical Research Institute. (Credit: S. Baragona/VOA)

First, it can spread easily and widely, according to molecular biologist John Kiiru with the Kenya Medical Research Institute. He explained, “E. coli is able to survive in the environment and it can also be shared between humans and animals.”

And E. coli are exceptionally good at swapping genes with other microbes, including genes that transform harmless bacteria into dangerous germs, or that render them immune to antibiotics.

These genes “can actually be transferred to other organisms which could be pathogenic,” Kiiru said.

That’s not a hypothetical. Kiiru says his team has identified E. coli that are resistant to four antibiotics, then found that same resistance pattern spreading to another germ, salmonella.

“And when we sequenced and analyzed these resistances,” he said, “we found that the same block of resistance genes that we had found in E. coli were actually now in salmonella.”

Even more concerning: Cholera germs may have picked up those resistance genes as well. “What you end up creating is a superbug” that’s highly virulent and highly resistant, Kiiru said.

Germ movement

But scientists know very little about how any bacteria move through this complex environment.

So the Urban Zoo project is visiting 99 households across Nairobi, rich and poor, with livestock and without. They’re taking samples from people, their animals, and whatever wildlife they can find nearby (and catch): storks, mice, bats, et cetera. They’re sampling the ground around homes, yards and livestock pens with white paper booties.

The aim, says University of Liverpool veterinarian Judy Bettridge, is “to try and understand on a small scale how those bacteria are shared” among each household’s people, livestock and environment. “And then when we scale it up, are the bacteria here being shared with the household that’s 50 meters over there? Or 100 meters over there? So, how far can they actually spread?”

Once they find out, Kiiru says, the researchers need to be sensitive about how they present their results. Livestock are technically illegal in the city, but they are important sources of food and income.

And they don’t want to make pariahs of people who are already marginalized.

“We are not necessarily investigating who is spreading the resistant or the virulent organisms,” he said. “But actually we are trying to solve a problem.”

Food networks

Another question is the role that food plays in spreading those bacteria. Mwai’s city livestock are one small part of the vast network that delivers meat, milk and eggs throughout Nairobi.

The Urban Zoo project is mapping those routes. In this modernizing East African capital, that includes everything from shiny, modern supermarkets to grimy street-food stalls.

Street food and other informal vendors are especially important in communities like Viwandani, where many people don’t have time — or kitchens — to prepare their own meals.

WATCH: Small Shops in Nairobi Get Food Safety Training

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“You can find [residents] depending entirely on the [informal] food vendors,” says Nicholas Ngomi with the African Population and Health Research Center. That makes street-food hawkers and cooks in tiny corner shops key to protecting the health of Viwandani’s residents, he adds.

But food poisoning is rampant here. As Urban Zoo researchers mapped Viwandani’s food networks, they talked with these informal cooks about foodborne disease. One request kept coming up, Ngomi said: “ ‘Teach us about how these diseases come about.’ ”

The project didn’t have much money to spare. But they set up a half-day training session for 25 neighborhood food handlers.

Lessons in food safety

They covered the basics: how to wash hands, produce and cutting surfaces, plus basic microbiology and food spoilage.

James Kuria, owner of the 11th Hour Butchery, learned that the meat that hangs in bright red slabs in his shop window goes bad quickly without refrigeration.

After learning how quickly meat spoils without refrigeration, butcher James Kuria buys less and keeps it for less time. (Credit: S. Baragona/VOA)
After learning how quickly meat spoils without refrigeration, butcher James Kuria buys less and keeps it for less time. (Credit: S. Baragona/VOA)

“If it will last here for long, it will maybe bring some diseases to my customers,” he said. Now he only buys enough to last a couple of days. That also means he throws away less, he added, which cuts his losses.

For Charity Nyambura, who sells rice, beans and vegetables at a nearby street stall, the big discovery was that her cutting boards can harbor bacteria.

“When you cut the kale there are particles that come off the board, and you unknowingly give them to the customers along with the kale,” she said. “So, they eat the particles in the food and in the long run it affects their health.”

Now she washes her cutting boards, knives and vegetables before she starts chopping.

Only a few hawkers got training. But success breeds imitation, Nyambura said.

“In this business there’s a lot of competition,” she said. “They’re always trying to copy what I’m doing so they can also try and get customers.”

Charity Nyambura was one of 25 food vendors in Viwandani who received basic food safety training. (Credit: S. Baragona/VOA)

Charity Nyambura was one of 25 food vendors in Viwandani who received basic food safety training. (Credit: S. Baragona/VOA)

The hope is that other vendors will copy Nyambura, Kuria and the other trainees, so food safety practices will spread through the neighborhood, slowing the spread of illness.

Ultimately, the Urban Zoo project aims to provide evidence that will help policymakers improve conditions in Nairobi’s slums.

They are already making worrying discoveries.

“We have started seeing resistance among organisms that are easily recovered from animals or animal food products,” Kiiru said. “This evidence is going to give us a chance to … confidently tell the government, ‘We think there’s a challenge. Let’s improve the sanitation, the hygiene.’ ”

Originally appeared at the Voice of America website: http://www.voanews.com/content/scientists-study-slums-signs-spreading-superbugs/3116155.html

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India Virtually Eliminates Tetanus as a Killer

India Virtually Eliminates Tetanus as a Killer

India Virtually Eliminates Tetanus as a Killer

A year after eliminating polio, India has scored another public health victory. Following a 15-year campaign, the country has virtually eliminated tetanus as a killer of newborns and mothers.

Tetanus, caused by a bacterium common in soil and animal dung, usually infects newborns when the umbilical cord is cut with a dirty blade. Mothers often receive the infection by giving birth on dirty surfaces or being aided by midwives with unwashed hands.

The disease — also known as lockjaw, after its muscle spasms — usually sets in about a week after a birth and is invariably fatal if not promptly treated. Fifteen years ago, the World Health Organization estimated that almost 800,000 newborns died of tetanus each year; now fewer than 50,000 do.

But the effort to reduce tetanus has gone slowly. The World Health Assembly — the annual gathering of the world’s health ministers in Geneva — originally set 1995 as the target date for its global elimination as a health threat.

Unlike polio or smallpox, tetanus can never be eradicated because bacterial spores exist in soil everywhere, said Dr. Poonam Khetrapal Singh, the director of the W.H.O.’s Southeast Asia region.

India has reduced cases to less than one per 1,000 live births, which the W.H.O. considers “elimination as a public health problem.” The country succeeded through a combination of efforts.

In immunization drives, millions of mothers received tetanus shots, which also protect babies for weeks.

Mothers who insisted on giving birth at home, per local tradition, were given kits containing antibacterial soap, a clean plastic sheet, and a sterile scalpel and plastic clamp for cutting and clamping the cord.

The country also created a program under which mothers were paid up to $21 to give birth in a clinic or hospital. “Lady health workers” from their neighborhoods were paid up to $9 per mother and up to $4 for bus or taxi fare to make sure women in labor went to clinics. The workers earned the full amount only after visiting each baby at home and giving tuberculosis shots.

The program succeeded despite corruption. The Times of India recently reported that an audit had found clearly fraudulent payments — including some to a 60-year-old woman registered as having been pregnant five times in 10 months.

This article originally appeared at the health section of the New York Times.

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