AbdulHamid Settenda Lukambagire

Introduction: Brucellosis is a neglected zoonotic disease of major public health importance in Côte d'Ivoire, where it remains underrecognized in the human health sector despite prioritization under the Global Health Security Agenda. This study aimed to identify knowledge gaps among health professionals and explore the feasibility of a pilot interprofessional education (IPE) intervention to strengthen One Health collaboration for improved disease recognition and management. Methodology: The study comprised two phases. First, a baseline cross-sectional survey was conducted in March 2024 among 54 human and animal health professionals in the Hambol region to assess knowledge of brucellosis and other febrile illnesses. Findings informed the development of a one-day IPE training workshop. In the second phase, the intervention was implemented in February 2025 with 22 participants from medical, veterinary, and public health institutions as a pilot feasibility and proof-of-concept exercise. Knowledge was measured before and immediately after training across domains including general understanding, transmission, symptoms, diagnosis, and control to assess short-term learning gain. Results: The baseline survey showed that 90.7% of respondents were aware of zoonoses, but only 38.8% identified brucellosis, with significantly greater awareness among veterinarians (81.3%) than human healthcare workers (23.3%; p < 0.001). Brucellosis was not cited as a cause of fever or miscarriage. Following the training, significant improvements were in overall knowledge scores (34.5 to 37.0; p < 0.005) and symptom recognition (4.9 to 5.9; p < 0.005), while knowledge related to diagnostic and control remained unchanged. Conclusion: The findings revealed importance awareness gaps among human healthcare workers and suggested that IPE is a feasible approach for strengthen One Health collaboration and improving knowledge of zoonotic disease. Larger studies with longer-up are needed to assess sustained effects on clinical practice, surveillance, and disease control in Côte d'Ivoire.

Background and Aim: Fascioliasis and schistosomiasis are significant snail-borne trematode infections that affect humans and livestock in tropical regions, leading to notable public health and economic impacts. In Rwanda, previous studies have examined these diseases separately in humans or animals, but integrated surveillance encompassing humans, livestock, and snail vectors is missing. This study aimed to assess the prevalence, transmission patterns, and related risk factors of fascioliasis and schistosomiasis in humans, livestock, and freshwater snails, using a One Health approach in peri-urban districts of Kigali City, Rwanda. Materials and Methods: A cross-sectional One Health study was conducted from November 2023 to July 2024 in Gasabo and Kicukiro districts. Fecal samples were collected from livestock at farms (n = 120) and at the Nyabugogo abattoir (n = 150), and examined using sedimentation and postmortem inspection techniques. Human samples (n = 120) were analyzed with the Flukefinder® technique and direct microscopy. Freshwater snails (n = 222) were collected from 15 wetlands and rivers using a 500 μm mesh kick-net, identified morphologically, and examined for cercarial shedding. Water physicochemical parameters were measured at each sampling site. Logistic regression and descriptive statistics were employed to evaluate prevalence and risk factors. Results: The prevalence of fascioliasis in farm livestock was 40.8%, whereas schistosomiasis prevalence was 7.5%. At the abattoir, fascioliasis prevalence was 33.3%, and no schistosomiasis lesions were detected. Animals with lower body condition scores had significantly higher odds of Fasciola infection (OR = 43.33, p = 0.002). All Schistosoma-positive animals originated from Masaka sector (p < 0.0001). Among 222 snails collected, 1.4% shed cercariae, including Biomphalaria pfeifferi, Biomphalaria sudanica, and Lymnaea natalensis. Environmental parameters were generally favorable for snail survival, although only temperature showed significant association with cercarial shedding. No human infections were detected, likely due to low egg shedding or sampling limitations. Conclusion: This initial integrated One Health study in peri-urban Rwanda reveals active transmission of fascioliasis and schistosomiasis in livestock and snail vectors, suggesting a potential risk for human infection despite no current human cases. The detection of infected snails near livestock farms and wetlands indicates transmission hotspots that call for coordinated control efforts. Recommendations include regular livestock deworming, snail control, environmental management, and community education programs. Further longitudinal and molecular studies are necessary to better understand transmission dynamics and to support national One Health surveillance for neglected tropical diseases. Keywords: fascioliasis, livestock, One Health, peri-urban Rwanda, schistosomiasis, snail vectors, trematode infections, wetlands.

Acute febrile illness (AFI) investigations are crucial for public health. They can provide data on disease prevalence, morbidity, and mortality, and improve treatment, management, control, and detection of outbreaks in areas with limited diagnostic tests. Current understanding of multiple causes of AFI in the paediatric population in Tanzania is limited. This study aimed to simultaneously detect 33 pathogens using TaqMan Array Card based real-time PCR. Whole blood samples were collected from a total of 247 children (2–59 months old) who presented with febrile illness at Dareda and Haydom hospitals in north-eastern Tanzania between November 2015 and March 2016. Overall, 50 (20.2%) and 8 (3.2%) of 247 children had at least one and more than one pathogen detected respectively. Bacterial zoonoses were frequently detected including Brucella spp. (n = 18, 7.3%), C. burnetii (n = 4, 1.6%), Bartonella spp. (n = 3, 1.2%), Rickettsia spp. (n = 3, 1.2%) and Leptospira spp. (n = 1, 0.4%). Dengue virus was detected in 14 (5.7%) individuals and Plasmodium spp. in 12 (4.9%) individuals. These findings reveal the potential clinical importance of zoonoses and arboviruses in febrile children in Tanzania and highlight the need to consider a broad range of pathogens in febrile illness diagnosis.

Fascioliasis and schistosomiasis are parasitic trematodiases of public health and economic concern in humans and livestock. However, data on the distribution and risk factors for fascioliasis remain limited, while epidemiological gaps hinder schistosomiasis control in Tanzania. This One Health, cross-sectional study examined the prevalence and risk factors of schistomiasis and fascioliasis in northern Tanzania, involving 310 livestock and 317 human participants from Arusha, Kilimanjaro, and Manyara regions. Using standard parasitological methods, livestock fascioliasis prevalence was 21.3%, while schistosomiasis prevalence was 1.0%. Human fascioliasis prevalence was 1.9%, while schistosomiasis prevalence was 12.6%. Female animals, particularly cattle in Kilimanjaro and Manyara, had higher odds of fascioliasis. Human–animal contact through husbandry increased schistosomiasis risk (aOR = 4.21; 95% CI: 1.81–9.80), while the use of borehole-water was protective (aOR = 0.33; 95% CI: 0.11–0.97). Fascioliasis risk was higher among individuals aged 36–55 years (aOR = 7.66; 95% CI: 1.36–43.23), with cabbage consumption offering protection (aOR = 0.08; 95% CI: 0.01–0.89). The study revealed inverted prevalence patterns of fascioliasis and schistosomiasis in humans and livestock, driven by vector-dependent transmission dynamics. These findings emphasize the need for an integrated One Health approach to manage shared human and animal health risks in Tanzania.

Background: Brucellosis remains a significant health and economic challenge for livestock and humans globally. Despite its public health implications, the factors driving the endemic persistence of Brucella at the human-livestock interface in Tanzania remain poorly elucidated. This study aimed to identify the seroprevalence of Brucella infection in livestock and humans within a ranching system and determine associated risk factors for disease endemicity.Methods: A cross-sectional sero-epidemiological study was conducted in 2023 in Tanzania’s Karagwe District, involving 725 livestock (cattle, goats, sheep) from 10 herds and 112 humans from associated camps. Seroprevalence was assessed using competitive ELISA while epidemiological data were collected via questionnaires. Generalized Linear Models and Contrast Analysis were used to identify risk factors for infection.Results: Overall seroprevalence was 34% in livestock and 41% in humans. Goats exhibited the highest prevalence (69.2%), while cattle had the lowest (22.6%). Mixed-species herds (Odds Ratio, OR = 2.96, CI [1.90–4.60]) and small ruminants-only herds (OR = 6.54, CI [3.65–11.72]) showed a significantly higher risk of seropositivity compared to cattle-only herds. Older cattle (OR = 5.23, CI [2.70–10.10]) and lactating females (OR = 2.87, CI [1.78–4.63]) represented significant risks for brucellosis in livestock. In humans, close contact with animals (OR = 7.20, CI [1.97–36.31]) and handling animals during parturition or aborted fetuses (OR = 2.37, CI [1.01–5.58]) were significant risk factors. Notably, no spatial association was found in seroprevalence between herds and nearby human communities.Conclusion: The lack of spatial correlation between livestock and human seroprevalence suggests complex transmission dynamics, potentially involving endemic circulation in livestock and human infections from multiple sources of exposure to livestock. This study highlights the need for comprehensive zoonotic risk education and targeted intervention strategies. Further research is crucial to elucidate transmission pathways and improve Brucella infection control. This includes developing robust methods for identifying infective species and implementing effective strategies to mitigate Brucella infection in endemic regions.

Background Prostate cancer (PCa) is the most common cancer and the fifth leading cause of death in men worldwide. The treatment of PCa depends on the clinical stage of the disease, prostate-specific antigen (PSA) level, and histology. Lycopene is a bright red carotenoid found in tomatoes, which enhances apoptosis in prostate cells, but its effectiveness has not been studied in East African countries. This study aimed to determine the effectiveness of lycopene from tomato extracts in reducing PSA levels, disease progression, and apoptosis in the prostate glands of men with PCa in Tanzania. Methods This study will be a randomized phase III clinical trial of men diagnosed with PCa in Tanzania. In total, 400 men will be randomized in a 1:1 ratio to receive intervention (n=200) and control (n=200) and followed for 12 months. The intervention arm will receive tomato paste for daily use in addition to the standard treatment, whereas the control arm will only follow the standard of care. The primary endpoints will be a reduction in PSA levels, improved clinical status, and apoptosis of the prostate gland. Data analysis was performed based on the intention-to-treat principle. Descriptive statistics were used to compare average lycopene and PSA levels in the intervention group using T-test and Chi-squared tests. Generalized linear mixed models will be used to further assess the effect of lycopene on PCa progression, urinary symptoms, and PSA reduction. All statistical tests were two-sided at an alpha level of <0.05. Discussion The study used a food supplement as a drug/intervention with minimal or no adverse reactions. However, there is a fear that the control group may not adhere to the protocol after learning the benefits of tomato paste. The study findings will promote the consumption of tomato paste in males diagnosed with PCa to improve the clinical status and reduce disease progression. Trial registration The study has been registered at the Pan African Clinical Trial Registry with registration No PACTR202405488763956.

Salmonella is among the causative agents for diarrhea worldwide, but its risk factors in Tanzanian children are poorly understood. A hospital-based cross-sectional study was conducted in Moshi, Kilimanjaro region, from July 2020 to November 2022 among children under five admitted with diarrhea. A questionnaire was administered to all parents/caretakers of the enrolled children. Logistic regression was utilized to analyze the risk factors, with significance at p < 0.05. A total of 306 children were enrolled in the study. The median age was 13.8 months (IQR 8.4–21.8). The majority (58.5%) were males, and 59.5% were from rural areas. Salmonella was identified in eight (2.6%) stool samples, with a higher prevalence in urban than rural areas (4.8% vs. 1.1%; p-value = 0.044). The significant risk factors associated with Salmonella infection among the children included consuming raw milk (adjusted OR = 30.19; 95% CI: 3.94–231.46), using infant formula (adjusted OR = 15.78; 95% CI: 2.98–83.56), undisclosed household income (adjusted OR = 9.98; 95% CI: 2.46–40.12), purchasing eggs direct from the farms (adjusted OR = 7.58; 95%CI: 1.31–43.96), and contact with chickens (adjusted OR = 6.49; 95%CI: 1.25–33.59). These findings highlight the need for targeted interventions to improve food safety, hygiene practices, and socioeconomic conditions.

Background: In northern Tanzania, Q fever, spotted fever group (SFG) rickettsioses, and typhus group (TG) rickettsioses are common causes of febrile illness. We sought to describe the prevalence and risk factors for these zoonoses in a pastoralist community.Methods: Febrile patients ≥2 years old presenting to Endulen Hospital in the Ngorongoro Conservation Area were enrolled from August 2016 through October 2017. Acute and convalescent blood samples were collected, and a questionnaire was administered. Sera were tested by immunofluorescent antibody (IFA) IgG assays using Coxiella burnetii (Phase II), Rickettsia africae, and Rickettsia typhi antigens. Serologic evidence of exposure was defined by an IFA titre ≥1:64; probable cases by an acute IFA titre ≥1:128; and confirmed cases by a ≥4‐fold rise in titre between samples. Risk factors for exposure and acute case status were evaluated.Results: Of 228 participants, 99 (43.4%) were male and the median (interquartile range) age was 27 (16–41) years. Among these, 117 (51.3%) had C. burnetii exposure, 74 (32.5%) had probable Q fever, 176 (77.2%) had SFG Rickettsia exposure, 134 (58.8%) had probable SFG rickettsioses, 11 (4.8%) had TG Rickettsia exposure, and 4 (1.8%) had probable TG rickettsioses. Of 146 participants with paired sera, 1 (0.5%) had confirmed Q fever, 8 (5.5%) had confirmed SFG rickettsioses, and none had confirmed TG rickettsioses. Livestock slaughter was associated with acute Q fever (adjusted odds ratio [OR] 2.54, 95% confidence interval [CI] 1.38–4.76) and sheep slaughter with SFG rickettsioses case (OR 4.63, 95% CI 1.08–23.50).Discussion: Acute Q fever and SFG rickettsioses were detected in participants with febrile illness. Exposures to C. burnetii and to SFG Rickettsia were highly prevalent, and interactions with livestock were associated with increased odds of illness with both pathogens. Further characterisation of the burden and risks for these diseases is warranted.

Brucella abortus causes infections in humans and livestock. Bacterial isolates are challenging to obtain, and very little is known about the genomic epidemiology of this species in Africa. Here, we report the complete genome sequence of a Brucella abortus isolate cultured from a febrile human in northern Tanzania.