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Conclusion

It is clear that many challenges remain in the quest to develop diagnostic tests of sufficient Se and Sp that are affordable and rapid, and that will allow resource­limited countries to develop protocols to deal with a disease that is increasingly becoming more complex to control.

Some of these factors include the major differences in the epidemiology of the disease in different countries and coinfections that influence the application and interpretation of the available tests. It is critical that combinations of applicable diagnostic tests are available for use in individual countries to enable effective control strategies to be designed.

It is inevitable that the lack of adequate information in resource-poor countries will lead to uncoordinated efforts and the failure of campaigns (Marcotty et al.

2009). Hopefully, soon, there will be ante- and postmortal diagnostic tests that have sufficient Se and Sp and are rapid and affordable to assist resource-limited countries to contribute to the international eradication of tuberculosis, including zoonotic TB, in humans. Until such time, the uncontrolled presence of BTB in under-resourced countries will remain an international threat and an impediment to the global drive to eradicate the disease, because of their inability to adequately diagnose, and thus to control BTB in livestock and wildlife.

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Source: Dibaba A.B., Kriek N.P.J., Thoen C.O. (eds.). Tuberculosis in Animals: An African Perspective. Springer,2019. — 453 p.. 2019
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