'One Health´ approach to end zoonotic TB.

dc.contributor.author

Villa, S

dc.contributor.author

Carugati, M

dc.contributor.author

Rubach, MP

dc.contributor.author

Cleaveland, S

dc.contributor.author

Mpagama, SG

dc.contributor.author

Khan, SS

dc.contributor.author

Mfinanga, S

dc.contributor.author

Mmbaga, BT

dc.contributor.author

Crump, JA

dc.contributor.author

Raviglione, MC

dc.date.accessioned

2024-01-23T15:05:00Z

dc.date.available

2024-01-23T15:05:00Z

dc.date.issued

2023-02

dc.description.abstract

Mycobacterium bovis has a wide host range causing TB in animals, both in wildlife and cattle (bovine TB bTB), and in humans (zoonotic TB zTB). The real burden of bovine and zoonotic TB (b/zTB) remains unknown due to diagnostic challenges. Although progress has been made to reduce the burden of TB, b/zTB has been neglected in low- and middle-income countries (LMICs) with little improvement in prevention, diagnosis or treatment. Using Tanzania as a case study, because of its high TB burden, large wildlife diversity and wide reliance on livestock, we developed an approach to comprehensively estimate the burden and implement multidisciplinary actions against b/zTB. We performed a review of the literature on b/zTB, but there is a lack of available data on the b/zTB burden in Tanzania and, notably, on epidemiological indicators other than incidence. We propose a five-action programme to address b/zTB in Tanzania, and we believe our proposed approach could benefit other LMICs as it operates by implementing and strengthening surveillance and health delivery. The resulting knowledge and system organisation could further prevent and mitigate the effects of such conditions on human and animal health, livestock production, population livelihood and the economy.

dc.identifier.issn

1027-3719

dc.identifier.issn

1815-7920

dc.identifier.uri

https://hdl.handle.net/10161/29809

dc.language

eng

dc.publisher

International Union Against Tuberculosis and Lung Disease

dc.relation.ispartof

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease

dc.relation.isversionof

10.5588/ijtld.22.0393

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Animals

dc.subject

Cattle

dc.subject

Humans

dc.subject

Mycobacterium bovis

dc.subject

Tuberculosis

dc.subject

Tanzania

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Bacterial Zoonoses

dc.title

'One Health´ approach to end zoonotic TB.

dc.type

Journal article

duke.contributor.orcid

Carugati, M|0000-0002-3187-5905

duke.contributor.orcid

Mmbaga, BT|0000-0002-5550-1916

duke.contributor.orcid

Crump, JA|0000-0002-4529-102X

pubs.begin-page

101

pubs.end-page

105

pubs.issue

2

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Duke University

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Medicine

pubs.organisational-group

Medicine, Infectious Diseases

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

University Institutes and Centers

pubs.organisational-group

Duke Global Health Institute

pubs.publication-status

Published

pubs.volume

27

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