Molecular Epidemiology of M. bovis in Humans and Other Hosts in Africa
Although M. bovis mainly infects ungulates, it is known to infect other homoeothermic animals (Cosivi et al. 1995, 1998). In humans, it causes zoonotic tuberculosis that affects an estimated 70,000 people every year in Africa (Muller et al.
2013). The real contribution of zoonotic TB to the African tuberculosis burden is, however, yet to be determined given that the current diagnostics are not geared to detecting this form of tuberculosis (Cosivi et al. 1995; Muller et al. 2013). Molecular markers show that zoonotic TB occurs in all the regions in Africa (Figs. 8.18 and 8.19). Although most of these cases were caused by genotypes prevalent in the animal populations, there were a few genotypes that have only been recovered from humans, most of whom had pulmonary TB (Sunder et al. 2009; Sanou et al. 2014). This raises the question as to whether human-to-human transmission of zoonotic TB also occurs in Africa as has been documented elsewhere (Muller et al. 2013).In Southern Africa, wildlife plays an increasing role in the epidemiology of BTB (Figs. 8.18 and 8.19). Lions are the most important nonungulate in South Africa infected by M. bovis. They contract the infection primarily from infected prey species such as African buffaloes, as evidenced by the shared M. bovis genotypes with buffaloes (Michel et al. 2008). The role of wild suids such as warthogs (Phacochoerus africanus) and bush pigs (Potamochoerus larvatus) in the epidemiology of BTB is still unknown, but it is believed to be potentially important, as they move more freely between farmed land and game reserves than most ungulates (Hlavsa et al. 2008). In Eastern Africa, especially in Ethiopia, camels may play a role in their BTB epidemiology. However, the molecular markers isolated from camels, there have not yet been detected in the cattle populations, and camels could thus have an independent disease dynamic.
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More on the topic Molecular Epidemiology of M. bovis in Humans and Other Hosts in Africa:
- Chapter 8 Molecular Epidemiology of Mycobacterium bovis in Africa
- The Use of Molecular Epidemiology in Understanding the Dynamics of M. bovis
- Molecular Typing for Epidemiologic Studies of Mycobacterium bovis
- 5.3 Maintenance Hosts of Mycobacterium bovis
- Mycobacterium bovis Infection in Humans
- Zoonotic (M. bovis) TB in Humans in Cameroon
- Tuberculosis Caused by M. bovis in Humans in Uganda
- Molecular Epidemiology of Bovine Tuberculosis in Uganda
- Molecular Epidemiology of BTB in Nigeria
- Mycobacterium bovis Infection in Humans in Egypt
- Epidemiology of BTB Caused by M. bovis in Burkina Faso
- Limitations and Opportunities for the Use of Molecular Epidemiological Tools in Africa
- Chapter 4 The Control of Mycobacterium bovis Infections in Africa: A One Health Approach
- Chapter 7 Epidemiology of Bovine Tuberculosis in Africa
- Inferences on the Origin of M. bovis