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Published on: June 30, 2019
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'One Health´ approach to end zoonotic TB
S Villa1, M Carugati2, M P Rubach3
1Centre for Multidisciplinary Research in Health Science, University of Milan, Milan, Italy.
Summary
This study addresses the neglected burden of bovine and zoonotic tuberculosis (b/zTB) in Tanzania. It proposes a multidisciplinary approach to improve surveillance and health delivery, benefiting both human and animal health in low- and middle-income countries.
Area of Science:
- One Health
- Veterinary Public Health
- Epidemiology
Background:
- Bovine and zoonotic tuberculosis (b/zTB), caused by Mycobacterium bovis, affects animals and humans globally.
- The true burden of b/zTB is underestimated due to diagnostic challenges, particularly in low- and middle-income countries (LMICs).
- b/zTB has been historically neglected in LMICs, with limited progress in prevention, diagnosis, and treatment strategies.
Approach:
- A comprehensive literature review was conducted to assess the existing data on b/zTB in Tanzania.
- A five-action program was developed to address b/zTB, focusing on strengthening surveillance and health delivery systems.
- The approach aims to provide a scalable model for other LMICs facing similar challenges.
Key Points:
- Significant data gaps exist regarding the epidemiological indicators of b/zTB in Tanzania.
- A multidisciplinary strategy is essential for effective b/zTB control.
- The proposed program integrates surveillance, health delivery, and community engagement.
Conclusions:
- Implementing and strengthening surveillance and health delivery are crucial for mitigating b/zTB.
- The developed approach can significantly improve human and animal health, livestock production, and economic stability in affected regions.
- This framework offers a pathway to better manage and reduce the impact of neglected zoonotic diseases in LMICs.
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