Factors influencing transmission of porcine cysticercosis in Tanzania

Uffe Christian Braae, Harrison Wendy, Pascal Magnussen, Faustin Lekule, Maria Vang Johansen

Abstract

Understanding the factors contributing to the transmission of Taenia solium in sub-Saharan Africa is essential for control. This study aimed to elucidate factors concerning the transmission of porcine cysticercosis in an endemic area. A longitudinal study composed of three cross-sectional surveys (March/April 2012, October/November 2012, and July/August 2013) and a case-control study (July 2014) were carried out in in Mbeya Region, Tanzania. During the cross-sectional surveys venous blood was collected from pigs in 22 villages and analysed for porcine cysticercosis by Ag-ELISA (B158/B60). The case-control study consisted of questionnaire interviews and observational surveys of study households, that were allocated into cases or controls based on porcine cysticercosis presence or absence in the cross-sectional surveys. This resulted in 43 farmers in the case group and 50 farmers in the control group. In each cross-sectional survey between 800–1000 serum samples were collected. This revealed seasonal fluctuation in cysticercosis prevalence from 15% during baseline, to 24% (p<0.001) in the 6-month follow-up, and down to 20% (p=0.053) in the 14-month follow-up. Based on logistic regression porcine cysticercosis could be associated with absence or completely open latrines (p=0.035, OR 5.98, CI: 1.33- 43.02) compared to enclosed latrines, and feeding potato peels to pigs (P=0.007, OR 3.45, CI: 1.43-8.79). Prevalence of porcine cysticercosis fluctuated throughout the seasons, and confined pigs did not have lower sero-prevalence compared to free roaming pigs, supporting transmission from feedstuff. A One Health approach including improved sanitary conditions and pig management is needed to obtain control of T. solium.
Original languageEnglish
Publication date2015
Publication statusPublished - 2015
Event1st CYSTINET International Conference - Palace Hotel, Belgrade, Serbia
Duration: 3 Nov 20154 Nov 2015

Conference

Conference1st CYSTINET International Conference
LocationPalace Hotel
Country/TerritorySerbia
CityBelgrade
Period03/11/201504/11/2015

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