Responding to Emerging Diseases Requires Multi-disciplinary and One Health Training, Egypt.

BACKGROUND: In Egypt, several infectious diseases of zoonotic origin have emerged in recent years like H1N1, MERSCoV and H5N1, the latter now endemic. Responding to these diseases requires a workforce trained in multi-disciplinary approaches to zoonotic disease research and control. It is difficult to deliver multidisciplinary and one health training globally because of the limited number of higher education programs that support such training. In low and middle-income countries where the impacts of emerging zoonotic diseases are felt more directly there is enthusiasm for such training and the use of e-technology can foster international, long-term collaborations. OBJECTIVES: To provide health training for infectious diseases research and to foster multidisciplinary collaboration. METHODS: We designed and simultaneously held two training workshops, one focused on pediatric infectious diseases and another on emerging infectious diseases to meet the objective. Both workshops had pre- and post-workshop activities for multi-disciplinary methods with an emphasis on the use of mobile technologies to enhance emerging infectious diseases surveillance and research for public health professionals in Egypt. Faculty and scientists from all universities in Egypt and from the National Research Center were invited to participate. RESULTS: 85 participants attended, 31 abstracts were submitted, and over a 3 year period 3 international grant applications were submitted, and 4 abstracts were presented at international conferences. An online forum was developed to continue building collaboration. CONCLUSIONS: Interactive on-site workshops are suitable for providing multi-disciplinary training for disease surveillance, research and disease control. Participants shared the opinion that grant proposal and scientific manuscript writing were important skills that they felt they did not have. Long term investments in workshops of this nature are needed to build upon the excitement generated by these activities.

The role of Pleistocene refugia and rivers in shaping gorilla genetic diversity in central Africa.

The role of Pleistocene forest refugia and rivers in the evolutionary diversification of tropical biota has been the subject of considerable debate. A range-wide analysis of gorilla mitochondrial and nuclear variation was used to test the potential role of both refugia and rivers in shaping genetic diversity in current populations. Results reveal strong patterns of regional differentiation that are consistent with refugial hypotheses for central Africa. Four major mitochondrial haplogroups are evident with the greatest divergence between eastern (A, B) and western (C, D) gorillas. Coalescent simulations reject a model of recent east-west separation during the last glacial maximum but are consistent with a divergence time within the Pleistocene. Microsatellite data also support a similar regional pattern of population genetic structure. Signatures of demographic expansion were detected in eastern lowland (B) and Gabon/Congo (D3) mitochondrial haplogroups and are consistent with a history of postglacial expansion from formerly isolated refugia. Although most mitochondrial haplogroups are regionally defined, limited admixture is evident between neighboring haplogroups. Mantel tests reveal a significant isolation-by-distance effect among western lowland gorilla populations. However, mitochondrial genetic distances also correlate with the distance required to circumnavigate intervening rivers, indicating a possible role for rivers in partitioning gorilla genetic diversity. Comparative data are needed to evaluate the importance of both mechanisms of vicariance in other African rainforest taxa.

Morbidity and mortality of wild animals in relation to outbreaks of Ebola haemorrhagic fever in Gabon, 1994-2003.

Antibody to Ebola virus was found in 14 (1.2%) of 1147 human sera collected in Gabon in 1981-1997. Six seropositive subjects were bled in the northeast in 1991, more than 3 years prior to recognition of the first known outbreak of Ebola haemorrhagic fever (EHF), whilst eight came from the southwest where the disease has not been recognised. It has been reported elsewhere that 98 carcasses of wild animals were found in systematic studies in northeastern Gabon and adjoining northwestern Republic of the Congo (RoC) during five EHF epidemics in August 2001 to June 2003, with Ebola virus infection being confirmed in 14 carcasses. During the present opportunistic observations, reports were investigated of a further 397 carcasses, mainly gorillas, chimpanzees, mandrills and bush pigs, found by rural residents in 35 incidents in Gabon and RoC during 1994-2003. Sixteen incidents had temporal and/or spatial coincidence with confirmed EHF outbreaks, and the remaining 19 appeared to represent extension of disease from such sites. There appeared to be sustained Ebola virus activity in the northeast in 1994-1999, with sequential spread from 1996 onwards, first westwards, then southerly, and then northeastwards, reaching the Gabon-RoC border in 2001. This implies that there was transmission of infection between wild mammals, but the species involved are highly susceptible and unlikely to be natural hosts of the virus.

Impacts of roads and hunting on central African rainforest mammals.

Road expansion and associated increases in bunting pressure are a rapidly growing threat to African tropical wildlife. In the rainforests of southern Gabon, we compared abundances of larger (>1 kg) mammal species at varying distances from forest roads and between hunted and unhunted treatments (comparing a 130-km2 oil concession that was almost entirely protected from bunting with nearby areas outside the concession that had moderate hunting pressure). At each of 12 study sites that were evenly divided between hunted and unhunted areas, we established standardized 1-km transects at five distances (50, 300, 600, 900, and 1200 m) from an unpaved road, and then repeatedly surveyed mammals during the 2004 dry and wet seasons. Hunting had the greatest impact on duikers (Cephalophus spp.), forest buffalo (Syncerus caffer nanus), and red river hogs (Potamochoerus porcus), which declined in abundance outside the oil concession, and lesser effects on lowland gorillas (Gorilla gorilla gorilla) and carnivores. Roads depressed abundances of duikers, sitatungas (Tragelaphus spekei gratus), and forest elephants (Loxondonta africana cyclotis), with avoidance of roads being stronger outside than inside the concession. Five monkey species showed little response to roads or hunting, whereas some rodents and pangolins increased in abundance outside the concession, possibly in response to greater forest disturbance. Our findings suggest that even moderate hunting pressure can markedly alter the structure of mammal communities in central Africa. Roads had the greatest impacts on large and small ungulates, with the magnitude of road avoidance increasing with local hunting pressure.

Catastrophic ape decline in western equatorial Africa.

Because rapidly expanding human populations have devastated gorilla (Gorilla gorilla) and common chimpanzee (Pan troglodytes) habitats in East and West Africa, the relatively intact forests of western equatorial Africa have been viewed as the last stronghold of African apes. Gabon and the Republic of Congo alone are thought to hold roughly 80% of the world's gorillas and most of the common chimpanzees. Here we present survey results conservatively indicating that ape populations in Gabon declined by more than half between 1983 and 2000. The primary cause of the decline in ape numbers during this period was commercial hunting, facilitated by the rapid expansion of mechanized logging. Furthermore, Ebola haemorrhagic fever is currently spreading through ape populations in Gabon and Congo and now rivals hunting as a threat to apes. Gorillas and common chimpanzees should be elevated immediately to 'critically endangered' status. Without aggressive investments in law enforcement, protected area management and Ebola prevention, the next decade will see our closest relatives pushed to the brink of extinction.

Diet and habitat preference of Mandrillus sphinx in gabon: Implications of foraging strategy.

An ecological study of the mandrill was conducted in northeastern and central Gabon from November 1982 to October 1983. The purpose of the study was to gather basic ecological data on the mandrill as a foundation for a future long-term study of this species. Data were collected by direct observation, by collecting evidence left along fresh trails, and by fecal and stomach content analyses. Fruits constituted the mandrill's major dietary item, supplemented by various plant parts and numerous insect species. Small vertebrates were also occasionally consumed. Mandrills fed primarily on the forest floor but also climbed trees to obtain food, probably on a more frequent basis than do the Papio species. The majority of mandrill sightings and identified foods were attributed to primary forest, but foraging also occurred in secondary, riparian, and inundated forests. The patchy distribution and seasonal fluctuation of fruiting trees in the rainforests of Gabon may influence mandrill home range usage. The electric feeding behavior and large home ranges estimated for mandrill groups suggest that this species may play an important role in seed dispersal. Interspecific competition for food sources may be mitigated by species' preferences for different fruit parts. The mandrill is able to utilize foods in both arboreal and terrestrial ecological niches.