The potential distribution of Bacillus anthracis suitability across Uganda using INLA.

To reduce the veterinary, public health, environmental, and economic burden associated with anthrax outbreaks, it is vital to identify the spatial distribution of areas suitable for Bacillus anthracis, the causative agent of the disease. Bayesian approaches have previously been applied to estimate uncertainty around detected areas of B. anthracis suitability. However, conventional simulation-based techniques are often computationally demanding. To solve this computational problem, we use Integrated Nested Laplace Approximation (INLA) which can adjust for spatially structured random effects, to predict the suitability of B. anthracis across Uganda. We apply a Generalized Additive Model (GAM) within the INLA Bayesian framework to quantify the relationships between B. anthracis occurrence and the environment. We consolidate a national database of wildlife, livestock, and human anthrax case records across Uganda built across multiple sectors bridging human and animal partners using a One Health approach. The INLA framework successfully identified known areas of species suitability in Uganda, as well as suggested unknown hotspots across Northern, Eastern, and Central Uganda, which have not been previously identified by other niche models. The major risk factors for B. anthracis suitability were proximity to water bodies (0-0.3 km), increasing soil calcium (between 10 and 25 cmolc/kg), and elevation of 140-190 m. The sensitivity of the final model against the withheld evaluation dataset was 90% (181 out of 202 = 89.6%; rounded up to 90%). The prediction maps generated using this model can guide future anthrax prevention and surveillance plans by the relevant stakeholders in Uganda.

Echinococcosis in sub-Saharan Africa: emerging complexity.

Cystic echinococcosis occurs in most regions of sub-Saharan Africa, but the frequency of this zoonosis differs considerably among and within countries. Especially human cases seem to be focally distributed. A number of environmental and behavioural factors partially explain this pattern, i.e. density of livestock, presence of dogs, uncontrolled slaughter, and hygiene. In addition, the various taxa of Echinococcus spp. are known to differ considerably in infectivity to different host species including humans. Genetic characterizations of isolates, which are necessary to evaluate the impact of this factor - so far done in only a few countries - indicate that the diversity of Echinococcus spp. in Sub-Saharan Africa is greater than on any other continent. The very incomplete data which are available show that sympatrical taxa may infect different hosts, others may be geographically restricted, some life cycles involve livestock, others wild animals. Possible implications of this complexity for public health, livestock economy and conservation are briefly discussed.

Disease incidence in ranch and pastoral livestock herds around Lake Mburo National Park, in South Western Uganda.

A longitudinal study was done to monitor incidence of livestock diseases in ranch and pastoral herds around Lake Mburo National Park, in South-western Uganda with a high level of wildlife (impala and zebra) and livestock (cattle and goats) interactions. East Coast Fever (ECF), abortions, helminthosis and starvation due to drought were major livestock disease problems encountered. ECF was a major disease affecting mainly calves, causing mortality both in ranch (8.5%) and pastoral (8.2%) herds. Meanwhile, drought was a more serious in pastoral than ranch herds (p < 0.05), killing 28.5% and 5.8% of adult female cattle in respective production systems. Other endemic diseases found and controlled by vaccination were FMD, CBPP and blackquarter. In both cattle and goats helminthosis was causing mortalities, 3.3% and 0.8% among calves in pastoral and ranches respectively; and 4.8% and 6.9% among kids and sub-adult goats respectively. Many cases of abortions occurred among pastoral herds. In conclusion, the disease incidence among livestock was the same or relatively low as compared to other areas without wildlife.

Economic impact of ticks and tick-borne diseases on cattle production systems around Lake Mburo National Park in South Western Uganda.

A longitudinal economic impact study of Ticks and Tick-Borne Diseases (TTBDs) in cattle around Lake Mburo National Park (LMNP) was done. Impact was valued using Uganda Shilling (Ug. Shs) (exchange rate of 1USD to Ug. Shs 1,420). The costs for controlling TTBDs was constituting 85.6 +/- 3.2% (pastoral) and 73.8 +/- 4.2% (ranches) to total disease control costs. The main costs were on tick control, constituting 83.1% (ranches) and 87.9% (pastoral). In pastoral herds, the costs were negatively correlated to herd size (r = -0.99). The mean annual cost per cattle for controlling TTBDs for ranch and pastoral herds was similar Ug. Shs 5,900 +/- 545. The mean annual Economic Cost (EC) of TTBDs per cattle was not significantly different (p > 0.05) between pastoral (Ug. Shs 6,700 +/- 580) and ranch herds (Ug. Shs 7,600 +/- 970). The mean annual EC per cattle was negatively correlated (r = -0.99) with herd size in pastoral systems contrary to positive correlation (r = 0.99) observed among the ranches. The major component of EC of TTBDs of 88.2% (pastoral) and 78.6% (ranches) was due to their control. The other component was owed to mortality, which was positively correlated (p < 0.01) to the ranch herd size. The total annual EC of TTBDs around LMNP was Ug. Shs 437,754,600 (USD 308,144).

Knowledge gaps, attitude and beliefs of the communities about sickle cell disease in Eastern and Western Uganda.

BACKGROUND: The management of sickle cell disease (SCD) has remained insurmountable in developing countries such as Uganda, because most communities are not aware of it. OBJECTIVE: To determine knowledge gaps, attitudes and beliefs of the communities about sickle cell disease in Eastern and Western Uganda. DESIGN: Cross sectional descriptive study. SETTING: The districts of Sironko and Mbale in Eastern Uganda and Mbarara and Ntungamo in Western Uganda. SUBJECTS: Households, students and health workers. RESULTS: Household respondents from Eastern Uganda were more aware of SCD than those from Western (p < 0.001), with the majority reporting that they had seen more people with SCD in their communities than those from the West (p < 0.001). Fewer (< 1.9%) believed SCD was due to witch craft. Eight per cent of household respondents in Eastern believed it was a curse from God compared to 2% in the West. Less than 18% of the household respondents knew they could have children with SCD and (< 52%) of health workers knew SCD screening methods. Fewer (< 14%) of the health workers had participated in screening. Less than 20% of the respondents knew their sickle cell status. CONCLUSION: Respondents from Eastern Uganda were more aware of SCD than those from Western. Minority of the respondents knew their SCD status and few health staff knew how to screen it. There is need to sensitise communities and policy makers about prevention, screening and treatment of SCD.

The ecto-, gastro-intestinal and haemo-parasites of live pigeons (Columba livia) in Kampala, Uganda.

In a study from October, 1996 to March, 1997, 34 pigeons in three different locations were studied for parasites. The majority of birds in Nakulabye appeared clinically sick, while those within Makerere University and Wandegeya were apparently healthy. Biometric data were taken for each bird and, during the process, ectoparasites were collected. Faecal and blood samples were obtained. The study of ectoparasites revealed that Pseudolynchia canariensis (the 'pigeon fly') was the most prevalent parasite (100%). The louse Columbicola columbae was next in prevalence (94.1%). It is postulated that the pigeon fly transports this parasite. Three lice of economic importance were found: Menopon gallinae, Menacanthus stramineus and Chelopistes meleagridis. Cestodes were the only helminths found, occurring in 23.5% of the birds. Identification of the cestodes was not possible. Haemoparasites were mainly of two genera, Haemoproteus and Plasmodium. Haemaproteus was the most prevalent (76.5%). This was possibly due to the high abundance of its vector, P. canariensis.