Investigation of a human brucellosis outbreak in Douz, Tunisia, 2018

Charaa Nejib; Ghrab Rabaa; Ben Othman Aicha; Makhlouf Mohamed; Ltaief Hejer; Ben Alaya Nissaf; Chahed Mohamed

doi:10.4178/epih.e2022048

추천

검색

자료유형: 학술저널

저자정보: Charaa Nejib (Preventive Health Division Regional Directorate of Health Kebili Tunisia) Ghrab Rabaa (Douz Health District Douz Tunisia) Ben Othman Aicha (Douz Health District Douz Tunisia) Makhlouf Mohamed (Preventive Health Division Regional Directorate of Health Sfax Tunisia) Ltaief Hejer (National Observatory of New and Emerging Diseases Ministry of Health Tunis Tunisia) Ben Alaya Nissaf (National Observatory of New and Emerging Diseases Ministry of Health Tunis Tunisia) Chahed Mohamed (Departement of Preventive Medicine and Epidemiology Faculty of Medicine of Tunis Tunis Tunisia)

저널정보: 한국역학회 Epidemiology and Health Epidemiology and Health Vol.44

발행연도: 2022.1

수록면: 1 - 7 (7page)

DOI: 10.4178/epih.e2022048

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

OBJECTIVES: In 2017, the incidence of human brucellosis in Tunisia was 9.8 per 100,000 population. In the Douz district, 2 cases were reported in March 2018. Prior to that date, the last indigenous cases to be reported in Douz had been in 2015. This study aimed to identify the source of this new contamination and recommend control interventions.METHODS: This case-control study included residents of Douz who presented with clinical symptoms of brucellosis and had a subsequent Wright test antibody titer ≥ 1/160. The controls were neighbors of the infected cases who had a negative Rose Bengal test. Univariate and multivariate analyses were performed to estimate the odds ratios of risk factors. Goats belonging to the cases and controls were actively screened.RESULTS: Twenty-five infected cases and 52 uninfected controls were enrolled. All infected cases had consumed goat milk and 92% had purchased it from the same breeder. Consumption of goat milk from this breeder (adjusted odds ratio [aOR], 30.78; 95% confidence interval [CI], 6.47 to 235.91) and overall consumption of raw goat milk (aOR, 14.84; 95% CI, 2.04 to 310.44) were independent risk factors for brucellosis. The breeder had 18 goats, 5 of which were smuggled from a neighboring country. Three of those goats were diagnosed with brucellosis.CONCLUSIONS: Consumption of raw milk from smuggled sick goats was the main risk factor in this outbreak. The sick goats were slaughtered and an education campaign was conducted. Vaccination, control of cross-border animal movements, and control of goat milk sales must be strengthened to prevent the spread of brucellosis in southwestern Tunisia.

#Brucellosis #Outbreaks #Case-control studies #One Health #Zoonoses #Foodborne disease

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!