Prevalence and Antimicrobial Resistance of Escherichia coli O157:H7 and Salmonella, and the Prevalence of Staphylococcus aureus in Dairy Cattle and Camels under Pastoral Production System.

Escherichia coli O157:H7, Salmonella and Staphylococcus aureus are common foodborne pathogens. We determined the prevalence of E. coli O157:H7 and Salmonella in feces and milk and the prevalence of S. aureus in milk from dairy cattle and camels in the Borana pastoral community in the Southern Oromia Region of Ethiopia. Paired individual cow composite (pooled from all quarters in equal proportions) milk and fecal samples were collected from cows (n = 154) and camels (n = 158). Samples were cultured on bacterial isolation and identification media. E. coli O157:H7 and Salmonella isolates were further tested for susceptibility against nine antimicrobial drugs. Different risk factors associated with hygienic milking practices were recorded and analyzed for their influence on the prevalence of these bacteria in milk and feces. The prevalence of E. coli O157:H7 and Salmonella in feces were 3.9% and 8.4%, respectively, in cows, and 0.6% and 2.5%, respectively, in camels. E. coli O157:H7 and Salmonella were detected in the composite milk samples of 2.6% and 3.9% of the cows, respectively, and 0% and 1.3% of the camels, respectively. S. aureus was detected in composite milk samples of 33.4% of the cows and 41.7% of the camels. All E. coli O157:H7 (n = 11) and Salmonella (n = 25) isolates from both animal species and sample types were resistant to at least one antimicrobial drug. Multidrug resistance was observed in 70% (7/10) of the E. coli O157:H7 fecal and milk isolates from cows and 33.3% (2/6) of the Salmonella fecal and milk isolates from camels. The prevalence of these bacteria in feces and milk was not affected by risk factors associated with milking practices. Given the very close contact between herders and their animals and the limited availability of water for hand washing and udder cleaning, these bacteria are most likely present in all niches in the community. Improving community awareness of the need to boil milk before consumption is a realistic public health approach to reducing the risk of these bacteria.

Causes and Flock Level Risk Factors of Sheep and Goat Abortion in Three Agroecology Zones in Ethiopia.

A cross-sectional survey was conducted to estimate the incidence of small ruminant abortion and identify its major causes and potential risk factors in goat and sheep flocks in three agroecology and production systems of Ethiopia. Information on pregnancy outcomes and management risk factors were collected for 299 goat and 242 sheep flocks. Blood samples were collected from 133 sheep and 90 goat flocks and tested for Coxiella burnetii, Brucella spp., Chlamydia abortus, and Toxoplasma gondii. A causal diagram outlined relationships between potential predictor variables and abortion in the flock. The effect of management and exposure to infectious causes on the number of abortions in the flock across agroecology was tested using zero-inflated negative binomial regression. Results showed that 142 (58.68%) goats and 53 (17.73%) sheep flocks reported abortions in the 12 months before the survey. The mean annual flock abortion percentages were 16.1% (±26.23) for does and 12.6% (±23.5) for ewes. Farmers perceived infectious diseases, extreme weather conditions, feed shortage, physical traumas, and plant poisoning as the most important causes of abortion. A higher proportion of abortion was recorded during the short rainy season (March to May) and start of the short dry and cold season (June to August) in the lowland mixed crop-livestock and pastoral agroecology and production system, respectively. Overall, 65.41% sheep and 92.22% goat flocks tested positive for one or more abortion causing agents, namely, C. burnetti, C. abortus, Brucella spp., and T. gondii; mixed infection was found in 31.58% sheep and 63.33% goat flocks. Spending the night in a traditional house and providing supplementary feed for pregnant dams were important management factors which significantly (p ≤ 0.05) decreased the risk of abortion by 2.63 and 4.55 times, respectively. However, the presence of other livestock species and dogs in the household and exposure of the flock to Brucella spp. or anyone of the four tested infectious agents significantly (p ≤ 0.05) increased the risk of abortion in sheep and goat flocks. In general, abortion is a challenge for small ruminant production in the study area especially in lowland agroecology and calls for improvement in husbandry practices, health care and biosecurity practices.

Knowledge, attitude, and practices to zoonotic disease risks from livestock birth products among smallholder communities in Ethiopia.

Many causes of abortion in livestock are due to zoonotic pathogens that pose serious infection risks for humans. Carefully designed, empirical One Health research allows to untangle the complexity around these risks and guides the development of practical health education guidelines and best prevention practices for veterinary public health interventions. To support this, the study presented here aimed at understanding knowledge, attitudes, and practices (KAP) on zoonotic risks from livestock birth products among rural communities in Ethiopia. From July 2018 to February 2019, a cross-sectional study design was conducted with 327 randomly selected farmers and pastoralists in five districts in three regions in Ethiopia. The structured questionnaire consisted of 48 items to evaluate knowledge (24), attitude (9), and prevention practices (15) related to zoonotic diseases risks from livestock birth products. A unidimensional two-parameter logistic (2-PL) Item Response Theory (IRT) model was used for zoonotic disease risk KAP scale construction and evaluation. The 2-PL IRT model was fitted to determine the probability of a person to appropriately respond to an item with a provided zoonotic disease KAP level. We then examined differential item functioning (DIF) concerning to five important covariates. The attitude subscale had the highest total mean score (37.3, ± 28.92%) and the knowledge subscale had the lowest mean score (22.4, ± 33.6%) among the three subscales. The mixed model regression analysis indicated that region was the only apparent factor explaining differences in zoonotic diseases knowledge, attitude, and practice total mean scores. The knowledge and attitude subscales had good internal consistency with a Cronbach's α at 0.83 and 0.81, respectively, whereas the practice subscale had lower internal consistency with 0.51. There was a positive association between responding to knowledge questions correctly and a positive attitude (r2 = 0.44, p < 0.0001) and self-reported good practice (r2 = 0.307, p < 0.0001). The differential item functioning test showed that 19 of 37 (51.35%) and 12 of 37 (32.43%) items of the retained KAPs survey items had non-uniform and uniform DIF linked to at least one covariate respectively and all the covariates were related with DIF in at least one item. This study found substantial knowledge gaps, a low level of the desired attitude, and high-risk behavioural practices regarding zoonotic disease from livestock birth products. Consequently, livestock keepers are likely exposed to pathogens and thus these practices are an important contributing factor for zoonotic disease infection in people.

Towards objective measurement of reproductive performance of traditionally managed goat flocks in the drylands of Ethiopia.

Reproductive performance is a key determinant for the efficiency of goat production. Regular monitoring of reproductive efficiency is essential to assess management and to avoid financial losses due to poor performance. To allow more objective measurement and comparisons over time, we propose a novel quantitative approach for defining annual reproductive performance by combining common performance indicators into a goat flock index. Commonly used reproductive performance measures were collected from 242 goat flocks in four districts in dryland of Ethiopia between July 2018 and February 2019. Principal component analysis (PCA) was performed to identify biologically meaningful latent components that explain annual reproductive output (ARO) and annual reproductive wastage (ARW). Together with the remaining annual reproductive performance measures, the ARO and ARW components were included in a PCA to derive an algorithm for a goat annual reproductive performance index (G-ARPI). One component representing variation in kidding interval, PCARO1 and PCARW1 was extracted and normalized to a 10-scale value. The flocks were classified into good performing (15.63%) with index > 8.5, moderately performing (48.21%) with index values ranging from 6.5 to 8.5 and poor performing (36.16%) with index < 6.5. Good performing flocks have higher scores for reproductive output measures, lower scores for reproductive wastage and lower kidding interval. The proposed G-ARPI can be used as an objective tool to compare reproductive performance between management systems, evaluate the costs of poor reproductive management and will be useful for economic models that aim to identify the most cost-efficient intervention option and monitor the impact of interventions. We present here the index for goat production in dryland systems in Ethiopia; the approach can easily be adapted to other production systems elsewhere.

MILK Symposium review: Community-tailored training to improve the knowledge, attitudes, and practices of women regarding hygienic milk production and handling in Borana pastoral area of southern Ethiopia.

Milk and milk products are essential in the diets of the Borana pastoral community in Ethiopia. Traditional handling and processing of dairy products using basic equipment and infrastructure coupled with a preference for raw milk consumption pose potential health risks to consumers. We tested the effect of an intervention designed to improve the hygienic handling and safe consumption of milk on the knowledge, attitudes, and practices (KAP) of women who produce and sell dairy products. The intervention consisted of 16 h of training on good milk production practices and prevention of milk-borne diseases. A total of 120 women were trained and their KAP assessed at baseline (pretraining), immediately after training, and 6 mo after training. Overall, training increased the knowledge score of the participants from 75.6 to 91.4% in the immediate post-training assessment, and to 90.0% at 6 mo post-training. Compared with pretraining (58.8%), we found a statistically significant difference in the overall attitude score at the immediate post-training evaluation (64.7%) but not 6 mo after (61.4%). We observed a similar increase in the understanding of correct practices from 49.5% at pretraining to 64.7% 6 mo following the training. For some desirable attitudes and practices, the proportion of women reporting adoption at pretraining was low and the change derived from training still left one-third of respondents displaying a negative attitude and a quarter of them reporting wrong practices. We recommend that future training interventions be complemented with locally adaptable technologies, provision of incentives, and creation of an enabling environment including improved access to clean water and sanitation facilities to affect not only knowledge, but also attitudes and ultimately practices in the long term.

Antimicrobial Use in Extensive Smallholder Livestock Farming Systems in Ethiopia: Knowledge, Attitudes, and Practices of Livestock Keepers.

Antimicrobial resistance (AMR) is a major public health threat, and inappropriate antimicrobial use (AMU) in food animal production can contribute to the global burden of AMR in humans. This study was conducted to understand knowledge, attitude, and practice (KAP) of smallholder livestock owners regarding antimicrobial use, residue, and resistance in three agro-ecological zones and production systems in Ethiopia. A cross-sectional study based on structured interviews was conducted. Twenty-one items were used to assess farmers' KAP. Item response theory (IRT) model and Cronbach's alpha were used to assess the KAP measurement scales. Inferential analyses were used to compare the differences in the practices in terms of the farm and socio-economic characteristics. There was a difference in the type of antimicrobials reported use between agro-ecological zones and production systems. Pastoralists most commonly used antibiotics (86.7%) followed by anthelminthics (70.8%). Overall, tetracyclines (36.4%), aminoglycosides (31.3%), and trimethoprim-sulfonamides (6.2%) were the most frequently used classes of antibiotics across the study sites. Human preparation antibiotics (tetracyclines) were also being used for veterinary purposes by 18.5% of pastoralist households. About 81.6% of livestock owners surveyed reported to have access to veterinary drugs although access varied between agro-ecological zones and production system. About 72.3% of pastoralists administered antibiotics by not following through the full treatment course. Moreover, 70% of respondents were not aware of the recommended withdrawal periods of milk and meat after antibiotic treatment. It was noticed that around 80 and 70% of respondents had a tendency to give doses higher or lower than recommended of antimicrobials, respectively. The study confirms the need for interventions to increase knowledge among smallholder farmers to improve the way antimicrobials in general and antibiotics in particular are used in these settings. In addition, professional involvement, supervision, and guidance can also lead to more efficient antimicrobial use by smallholder livestock owners. The study also highlights the need for research into the development of usable tools that measure antibiotic knowledge and attitudes.

Importance of livestock diseases identified using participatory epidemiology in the highlands of Ethiopia.

Livestock are a major cornerstone for livelihoods of smallholders in the highlands of Ethiopia. However, infectious diseases are a key constraint in livestock production affecting productivity and food security. This study aimed to understand livestock producers' perception on importance and epidemiology of livestock diseases. Participatory tools using focus group discussions were used to identify and rank livestock species, major livestock diseases, and their epidemiological patterns in smallholder systems. The study covered 17 districts in four regions, with two or three kebeles (smallest administrative unit) included in each district. To capture views of women and men, separate focus group discussions (FGD) were conducted. Data collected through proportional piling were used in generalized linear model analysis. Taking sheep as a reference, cattle were significantly the most preferred species with the odds of cattle scoring higher than sheep being 2.08 times (P = 0.000). Sheep and poultry were equally the second most important livestock, followed by goat and equine. There were no statistically significant differences between men and women FGD groups and between the four regions in their preference for livestock species. Twelve out of 28 identified livestock diseases were mentioned by at least 10% of FGDs in their list of five most important diseases. Blackleg, foot, and mouth disease, lumpy skin disease, anthrax, and bovine pasteurellosis were ranked as the top five diseases by both men and women focus groups. Reasons for high scores included suddenness of death, zoonosis risks, animal age groups and species affected, frequency of occurrence, rate of transmission in herds, curability, and inefficient vaccination. Seasonality and agro-ecology were also factors associated with disease occurrence. The study also documents that adult men and women are more involved in activities related to disease transmission compared with other family members. When asked about impacts of diseases, loss of livelihood, displacement, and infection with zoonoses were mentioned, with women considered equally affected as men. In conclusion, participatory tools allowed understanding disease priorities of and their perceived epidemiology in smallholder systems. The perceptions and priorities of men and women are very similar, and both need to be involved in designing health management interventions. Based on the findings of this study, the intervention strategies listed in the 2013 animal health strategy of Ethiopia (MoA and ILRI 2013) seem pertinent and need to be implemented to overcome the challenges of diseases.

Application of Mixed Methods to Identify Small Ruminant Disease Priorities in Ethiopia.

Animal health interventions tend to focus on transboundary or zoonotic animal diseases and little attention is given to diseases that mainly affect livestock production and productivity which are of concern for smallholder farmers. To understand disease priorities of men and women livestock keepers and how these impact households, this study used participatory methods to elucidate priorities, reasons for prioritization, knowledge on small ruminant diseases and their transmission pathways. The study was conducted in 23 sites distributed across 14 districts in four regional states of Ethiopia. Ninety-two focus group discussions (FGD) were conducted with men or women only groups. Various tools, such as semi-structured interviews, simple scoring and proportional piling were used to facilitate the process. A follow-up household survey involving 432 households/interviewees collected in-depth data on key small ruminant diseases. Each focus group identified and scored their top five diseases. During analysis, the diseases were grouped in to seven major categories based on local names and clinical signs reported. Highest scores in proportional piling (out of 100 counters) were obtained for respiratory diseases and gastrointestinal parasites in highland areas (mixed crop-livestock systems) with strong agreement among respondent groups using Kendall's coefficient of concordance (W) (W = 0.395, p < 0.01); whereas in lowland areas (pastoral and agro-pastoral systems), the priorities were respiratory and neurological diseases, also with very strong agreement (W = 0.995, P < 0.01). There was no significant difference between men and women in prioritizing disease constraints. The reasons for prioritization were also used to define categories of impact of disease. The household survey confirmed disease priorities and highlighted the role of mortality for respiratory diseases. Despite differences in household roles, both men and women unvaryingly described the clinical signs in live animals the same way and reported similar observations of disease in carcasses of slaughtered animals. Overall, both men and women farmers had low awareness of zoonotic diseases. In conclusion, the priorities of national disease control programs do not fully match priorities of farmers. Such participatory tools should therefore, play a pivotal role when designing sustainable livestock health interventions.