Publications by authors named "Bett B"

Background: African buffalo (Syncerus caffer) is a significant reservoir host for many zoonotic and parasitic infections in Africa. These include a range of viruses and pathogenic bacteria, such as tick-borne rickettsial organisms. Despite the considerations of mammalian blood as a sterile environment, blood microbiome sequencing could become crucial for agnostic biosurveillance.

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  • CCHF is a tick-borne disease caused by the CCHF virus, affecting various hosts like mammals and birds, with a study conducted in Isiolo County, Kenya, assessing its prevalence across humans, livestock, and wildlife.
  • The study found CCHFV seroprevalences of 7.2% in humans, significant rates in livestock (e.g., 89.7% in camels), and an average of 41.0% in wild animals, indicating widespread exposure among different species.
  • Human exposure was linked to being male, over 30 years old, and part of a seropositive household, while livestock exposure was affected by factors like age and environmental conditions, though wild animal risk factors were not statistically
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  • Rift Valley fever virus (RVFV) is a mosquito-transmitted RNA virus that causes Rift Valley fever, primarily affecting livestock in Africa and the Middle East.
  • This study analyzed 691 serum samples from cattle, goats, and sheep in Kenya, finding that 29.67% tested positive for RVFV, with the highest prevalence in sheep.
  • Despite detecting positive samples and obtaining whole genome sequences, the study found no evidence of genetic recombination or reassortment, suggesting that other factors might contribute to changes in the virus's virulence and emergence of new strains.
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Introduction: Understanding multi-pathogen infections/exposures in livestock is critical to inform prevention and control measures against infectious diseases. We investigated the co-exposure of foot-and-mouth disease virus (FMDV), spp., spp.

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  • - Rift Valley fever (RVF) was first confirmed in Rwanda's livestock in 2012, with significant outbreaks occurring in 2018 and 2022, showcasing its ongoing presence in the region.
  • - Genetic analysis of virus samples from these outbreaks revealed that a single lineage, C, was responsible, with connections to previous outbreaks in Uganda and East Africa.
  • - Detection of the RVFV Clone 13 vaccine strain in slaughterhouse animals suggests an occupational risk for workers in the meat industry, highlighting the need for a collaborative One Health approach to manage RVF outbreaks.
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  • The article provides an overview of animal health surveillance in Kenya from 1944 to 2024, combining historical documents and literature to analyze its development and challenges.
  • Key milestones include the establishment of the Directorate of Veterinary Services in 1895, mandatory disease control efforts beginning in 1944, and the transition towards electronic surveillance since 2003.
  • While strengths of the system include a solid legislative framework and use of technology, weaknesses involve poor implementation of strategies, lack of standard definitions for diseases, and inadequate resources for effective surveillance.
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Bacterial zoonoses are diseases caused by bacterial pathogens that can be naturally transmitted between humans and vertebrate animals. They are important causes of non-malarial fevers in Kenya, yet their epidemiology remains unclear. We investigated brucellosis, Q-fever and leptospirosis in the venous blood of 216 malaria-negative febrile patients recruited in two health centres (98 from Ijara and 118 from Sangailu health centres) in Garissa County in north-eastern Kenya.

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Adopting One Health approaches is key for addressing interconnected health challenges. Yet, how to best put One Health into practice in research-for-development initiatives aiming to 'deliver impacts' remains unclear. Drawing on the CGIAR Initiative on One Health - a global initiative to address zoonotic diseases, antimicrobial resistance, and food and water safety - we reflect on challenges during program conception and implementation, prompting us to suggest improvements in multisectoral collaboration, coordination, and communication.

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  • Tracking livestock abortion patterns can help develop policies to reduce disease risk and reproductive losses in Kenya's livestock industry.
  • A year-long active surveillance study covered 52% of Kenya’s land area, with significant abortion rates particularly in arid and semi-arid regions, where sheep and goats accounted for the majority of the cases.
  • The findings highlight the need for more research on the true scale of livestock abortions and the relationship between pathogens, climate, and environmental factors in these areas.
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To assess pastoralists' and agropastoralists' knowledge on Rift Valley fever (RVF), participatory epidemiological studies were conducted with 215 livestock keepers and 27 key informants in Napak, Butebo, Isingiro and Lyantonde districts, Uganda, between January and February 2022. Livestock keepers in all four districts had knowledge of RVF and even had local names or descriptions for it. Pastoralists and agropastoralists possessed valuable knowledge of RVF clinical descriptions and epidemiological risk factors such as the presence of infected mosquitoes, living in flood-prone areas, and excessive rainfall.

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In Sub-Saharan Africa (SSA), effective brucellosis control is limited, in part, by the lack of long-term commitments by governments to control the disease and the absence of reliable national human and livestock population-based data to inform policies. Therefore, we conducted a study to establish the national prevalence and develop a risk map for Brucella spp. in cattle to contribute to plans to eliminate the disease in Kenya by the year 2040.

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Background: Brucellosis is a neglected zoonotic disease that affects both animals and humans, causing debilitating illness in humans and socio-economic losses in livestock-keeping households globally. The disease is endemic in many developing countries, including Kenya, but measures to prevent and control the disease are often inadequate among high-risk populations. This study aimed to investigate the human and livestock seroprevalence of brucellosis and associated risk factors of Brucella spp.

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Brucella spp. and Rift Valley fever virus (RVFV) are classified as priority zoonotic agents in Kenya, based on their public health and socioeconomic impact on the country. Data on the pathogen-specific and co-exposure levels is scarce due to limited active surveillance.

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  • The study investigates the transmission dynamics of Rift Valley fever (RVF) in northern Kenya, focusing on human and livestock seroprevalence during non-epidemic years.
  • A total of 676 human and 1,864 livestock samples were tested, revealing RVF virus exposure rates of 28.4% in humans and 21.7% in livestock, with a very low detection of acute infection (IgM) in livestock.
  • Key findings highlight that factors like age and involvement in livestock slaughter increase RVF exposure, while environmental factors like rainfall and elevation also influence seropositivity, indicating a possible ongoing endemic cycle.
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Abattoirs are facilities where livestock are slaughtered and are an important aspect in the food production chain. There are several types of abattoirs, which differ in infrastructure and facilities, sanitation and PPE practices, and adherence to regulations. In each abattoir facility, worker exposure to animals and animal products increases their risk of infection from zoonotic pathogens.

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Livestock mobility exacerbates infectious disease risks across sub-Saharan Africa, but enables critical access to grazing and water resources, and trade. Identifying locations of high livestock traffic offers opportunities for targeted control. We focus on Tanzanian agropastoral and pastoral communities that account respectively for over 75% and 15% of livestock husbandry in eastern Africa.

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Uganda has had repeated outbreaks of Rift Valley fever (RVF) since March 2016 when human and livestock cases were reported in Kabale after a long interval. The disease has a complex and poorly described transmission patterns which involves several mosquito vectors and mammalian hosts (including humans). We conducted a national serosurvey in livestock to determine RVF virus (RVFV) seroprevalence, risk factors, and to develop a risk map that could be used to guide risk-based surveillance and control measures.

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  • Rift Valley fever (RVF) is a serious disease that affects humans and livestock, spreading predominantly in Africa and influenced by climate changes and abnormal rainfall patterns.
  • The disease is caused by the Rift Valley fever virus (RVFV), which has a complex RNA structure consisting of three segments: small, medium, and large.
  • Researchers have developed a new sequencing technique using amplicon-based multiplex PCR to quickly and efficiently identify and characterize RVFV from clinical samples, even in cases with low viral loads.
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There has been a renewed focus on threats to the human-animal-environment interface as a result of the COVID-19 pandemic, and investments in One Health collaborations are expected to increase. Efforts to monitor the development of One Health Networks (OHNs) are essential to avoid duplication or misalignment of investments. This Series paper shows the global distribution of existing OHNs and assesses their collective characteristics to identify potential deficits in the ways OHNs have formed and to help increase the effectiveness of investments.

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Background: The Kenyan government has successfully been implementing sector specific and multisectoral projects aligned to the Global Health Security Agenda (GHSA). For operational readiness and to enhance the effective planning and implementation of Global Health Security Programs (GHSP) at national and subnational level, there is an urgent need for stakeholders' engagement process to seek input in identifying challenges, prioritise activities for field implementation, and identify applied research and development questions, that should be addressed in the next five years.

Methods: The modified Child Health and Nutrition Research Initiative (CHNRI) method was used to identify global health security related priorities for multisectoral implementation in Kenya.

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Using data collected from previous (n = 86) and prospective (n = 132) anthrax outbreaks, we enhanced prior ecological niche models (ENM) and added kernel density estimation (KDE) approaches to identify anthrax hotspots in Kenya. Local indicators of spatial autocorrelation (LISA) identified clusters of administrative wards with a relatively high or low anthrax reporting rate to determine areas of greatest outbreak intensity. Subsequently, we modeled the impact of vaccinating livestock in the identified hotspots as a national control measure.

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Q fever is an important worldwide zoonotic disease that affects almost all domestic animals, wildlife, and humans. The infection has both socio-economic and public health significance. A cross-sectional study was carried out to investigate the estimates of seroprevalence of Q fever and to determine the predictors of the infection in cattle, sheep, and goats in six wards of Nandi County.

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Objectives: The degree of One-Healthiness of a system relates to the effectiveness of an institution to operate within the six main dimensions which identify to what extent it complies with One Health concept. This paper evaluates institutional compliance with One Health concept in 14 institutions from eight African countries.

Methods: We utilised the adapted Network for the Evaluation of One Health (NEOH) tool.

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Brucellosis, Q fever, and leptospirosis are priority zoonoses worldwide, yet their epidemiology is understudied, and studies investigating multiple pathogens are scarce. Therefore, we selected 316 small ruminants in irrigated, pastoral, and riverine settings in Tana River County and conducted repeated sampling for animals that were initially seronegative between September 2014 and June 2015. We carried out serological and polymerase chain reaction tests and determined risk factors for exposure.

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