Background: The common hippopotamus (Hippopotamus amphibius) is found in aquatic environments throughout sub-Saharan Africa and is known to cause attacks on humans living or working close to water bodies. Victims surviving an attack often suffer from the consequences of severe wound infections caused by the animal's sharp canine teeth.
Objective: Isolation of normal flora bacteria from the oral cavity of common hippopotami (Hippopotamus amphibious) followed by antibiotic susceptibility testing to aid in the identification of a targeted antibiotic treatment regimen for hippopotamus attack victims.
Methods: Oral swabs were collected from 34 free-ranging hippopotami in three reserves within the Greater Kruger National Park Complex in South Africa and cultured for aerobic and anaerobic bacteria. Antibiotic susceptibility testing was conducted using the disc diffusion method (Kirby-Bauer method) and a panel of 16 antibiotic drugs representing 10 antibiotic categories.
Results: Culturing of 50 oral swab samples from 34 hippopotami yielded 188 aerobic isolates belonging to 30 bacterial genera and 41 bacterial species (Gram-negative: 70.7%; Gram-positive: 29.3%) and 16 obligate anaerobic isolates from two genera. Three bacterial species, namely Aeromonas hydrophila, Aeromonas sobria and Shewanella putrefaciens accounted for 52% of the aerobic isolates. The anaerobic isolates were identified as Prevotella melaninogenica and Clostridium spp. Antimicrobial susceptibility testing was performed for 112 aerobic isolates (Gram-negative: 93 (83%); Gram-positive: 19 (17%)) representing all isolated bacterial species. High levels of antibiotic resistance were observed among the Gram-negative species especially to most beta-lactam antibiotics (50.5% to 80.7%). Multidrug resistance was detected in 22.6% of Gram-negative isolates and in 24.1% of all isolates.
Conclusions: This study provides the first investigation of the oral flora bacteria of the common hippopotamus. Among the 32 mostly aerobic bacterial genera the most abundant bacterial species were A. hydrophila, A. sobria and S. putrefaciens. They are typical inhabitants of the aquatic habitat of the hippopotamus and of zoonotic importance as opportunistic human pathogens. The antibiotic susceptibility profiles demonstrated that quinolones, aminoglycosides, and tetracyclines were highly efficacious against these bacterial species which otherwise showed moderate to high levels of resistance to the traditional bite wound treatment with amoxicillin/clavulanate and 1st and 2nd generation cephalosporins.
Background: The spread of antimicrobial resistant pathogens, including extended-spectrum β-lactamase (ESBL) producing Enterobacteriaceae is a global health threat and can be addressed only through a One Health approach. We aimed to characterize ESBL producing Escherichia coli isolates from World Health Organization Tricycle surveillance using data from whole genome sequencing (WGS) to decipher the potential dynamics of their circulation at the human, poultry and environment interface.
Methods: WGS was performed on 100 non-duplicate representative ESBL E. coli isolates including 28 isolates from humans, 36 from poultry caeca, and 36 from water samples. Minimum Inhibitory Concentration (MIC) was determined using Vitek 2 Compact. WGS was performed on Illumina NextSeq 2000 platform and open-source bioinformatics pipelines were used to analyze WGS data for genomic characterization including phylogenetic analysis and in silico multi-locus sequence typing and, serotyping and, ESBL gene detection.
Results: Most isolates were susceptible to imipenem (98%), meropenem (94%) and tigecycline (94%). Six ESBL E. coli isolates from poultry were resistant to colistin (MIC ≥ 4 μg/ml). WGS revealed high genetic diversity representing 56 sequence types (ST) including three novel STs. ST131 (7 isolates) was the most prevalent comprising human and environment isolates, followed by ST2179 (6 isolates, all poultry) and ST155 (5 isolates across the three sectors). All eight recognized E. coli phylogroups were observed, with majority (86%) of the isolates belonging to A, B1, B2 and D phylogroups. Of the100 isolates, 98 carried blaCTX-M gene, with blaCTX-M-15 the most prevalent allele (76%). AmpC type ESBL genes were found in four and OXA type β lactamases in six isolates. In our study, blaNDM-5 was detected in two imipenem resistant isolates from human. Coexistence of more than one β-lactamase genes was seen in 26% isolates.
Conclusion: Our findings indicate high genetic diversity among ESBL E. coli strains from all three sectors and sharing of identical strains and resistance genes within and between sectors. ST131, the globally dominant ESBL E. coli clade is gaining prevalence in Nepal with blaCTX-M being the most common ESBL gene across the phylogroups and all source groups. Antimicrobial stewardship should be promoted in one health approach to combat antimicrobial resistance.
The resurgence of Mpox (MPXV) provides an opportunity to reflect on global health responses, particularly the lessons from previous outbreaks like Ebola and COVID-19. Although Mpox has been endemic in parts of Africa since the 1970s, it only gained global attention after spreading beyond Africa, highlighting the geopolitical dimension of global health. Like Ebola, Mpox is a zoonotic disease that affects both humans and animals, but the focus of the response has often been on human health, neglecting the broader social-ecological factors that influence disease transmission. A more holistic, "One Health" approach, integrating human, animal, and environmental health can help better understand the complex interactions that contribute to outbreaks. This would include surveillance of the social-ecological systems where spillover occurs and greater engagement with local communities to build trust and improve response efforts. A setting-based surveillance system, focusing on both humans and animals in their environments, would enable more accurate and efficient outbreak or pandemic prevention. Additionally, the involvement of non-health professionals, such as social scientists and community leaders, is essential for fostering locally driven, culturally sensitive response strategies. Strengthening one health systems and expanding healthcare to include animals and plants could also enhance agroecological and ecosystem resilience.
One Health is an approach that focuses on balancing and optimizing the health of humans, animals, and ecosystems sustainably. It recognizes that the health and well-being of these three components are interconnected and interdependent. The recent COVID-19 pandemic and other emerging infectious diseases like Monkeypox, Avian Influenza, and Dengue, have highlighted the need to strengthen the health workforce's emergency preparedness, given the close link between human, animal, and environmental health. One Health education lays a strong foundation for a global workforce capable of enhancing synergies across various sectors in addressing the complex global health challenges like emerging infectious diseases in the twenty-first century. One Health education is crucial in promoting an interdisciplinary, holistic understanding of the interconnectedness of our planet, as well as transdisciplinary thinking and collaborations. It also encourages responsible citizenship, and global-mindedness, and equips students with problem-based scenarios that foster effective evidence-based decision-making. Significant progress has been made to promote and implement One Health education over the past decade, although some challenges tend to hinder its comprehensiveness. Most of the delivered courses are more theoretical rather than the required practical or field-based sessions. Institutions especially academia play an essential role in providing an enabling environment for the advancement of One Health education. The implementation of One Health education should continuously be prioritized to equip students and health practitioners with the skills and knowledge necessary to navigate complex health challenges.
Tuberculosis (TB) remains as a significant global health threat to date, with latent TB infection (LTBI) serving as a major reservoir for future active disease cases. A practical approach to an effective control and eradication of TB hence, requires an explicit identification of infected patient whom are at high risk of progressing from latent to active TB, particularly in those recently infected individuals. Current diagnostic tools however, including Tuberculin Skin Test and Interferon-Gamma Release Assays, are still lacking for their ability to critically distinguish between recent and remote infections, leading to insufficiency in optimizing targeted preventive treatment strategies. This review examines the limitations of current diagnostic tools and explores novel biomarkers to enhance distinction within the infection timeline in LTBI diagnostics. Advancement in immune profiling, dormancy antigen, along with molecular and transcriptomic approaches holds great promise to develop a diagnostic tools with better accuracy to differentiate recent from remote infections, thereby optimizing targeted interventions to improve TB control strategies. These underscores the need for further research into these emerging diagnostic tools to facilitate an effective public health strategies and contribute to the united efforts in End TB Strategy.
Eurasian tundra reindeer (Rangifer tarandus tarandus) make up the basis for reindeer herding in Norway, Sweden and Finland, hosting about 640 000 animals. The animals are mostly free-ranging, with the exception of a few seasonal gatherings. Loss and fragmentation of pastures due to other types of land use, together with climate change and even conservation of predators, are challenging reindeer herding, leading to recent mitigations such as increased feeding. Whereas the average Norwegian consumes about 300 gr/person/year of reindeer meat, Sweden about 100 gr/person/year and Finland about 400 gr/person/year, reindeer meat and products constitutes a much larger part of the diet to members of herding communities. Preparing reindeer meat with no thorough heat treatment (e.g., drying, smoking, curing or raw consumption) can be found in many arctic and sub-arctic people's cultures, and interest for reindeer meat that is not heat-treated has also grown (e.g., carpaccio-style), which can dramatically impact pathogen transmission. There is a wide range of zoonotic parasites, bacteria and viruses that potentially can be transferred from reindeer to human, but it can be concluded that the zoonotic threat from close contact with reindeer or the consumption of reindeer meat and products thereof currently is of restricted magnitude. However, due to the challenges that reindeer populations are facing and the mitigation by increased feeding, the infection biology of zoonotic infections may change and we may face emerging diseases (i.e., pathogens new to the host and region), such as the recently appearing prion disease, Chronic wasting disease (CWD), and re-emerging diseases, such as the alimentary form of necrobacillosis.
Background: Ayib is a traditionally processed dairy product in Ethiopia that demonstrates significant variability in shelf life, sensory attributes, and safety, primarily own to the spontaneous fermentation of milk and differing household practices. This study aimed to develop mixed probiotic starter cultures from top seven previously isolated lactic acid bacteria to achieve a synergistic effect on sensory qualities consistent, enhanced safety, extended storage stability, and antioxidant potential.
Methods: Nine mixed starter cultures were formulated using seven lactic acid strains that are known for their superior fermentation and probiotic capabilities. Pasteurized milk was inoculated with 5% of each starter culture and incubated at 37 ± 2 °C for 8 h. Fermented milk was then defatted by shaking at 100 rpm for 1 h. Following fat removal, buttermilk was heated to 50-60 °C for 40-50 min to facilitate curd (Ayib) formation. After cooling, the curd was separated from whey. A 200-g portion of the curd was wrapped in sterile cheesecloth and immersed in pasteurized whey inoculated with 8 log CFU/mL of the formulated starter cultures for 30 min before being re-drained for 1 h.
Results: The physicochemical properties, consumer acceptability, and storage stability of the resulting products were evaluated, revealing total solids ranging from 20.67 to 22.89%, pH values between 3.89 and 4.49, and titratable acidity ranging from 0.63 to 0.93%. Sensory evaluation, conducted using a five-point hedonic scale, showed overall acceptability scores ranging from 3.31 for Ayib treated with (F9) to 4.03 for Ayib treated with (F2). Remarkably, the storage stability of the treated Ayib was enhanced by 2-9 times compared to the control sample. The antioxidant analysis demonstrated that among the isolates, the Lactobacillus curvatus (NZ-44) exhibited the highest individual antioxidant activity of 57.77%. Furthermore, the formulated mixtures, particularly (F6), displayed synergistically enhanced antioxidant activity of 99.27%.
Conclusions: These findings suggest that lactic acid bacteria strains can improve the nutritional value, safety, and storage stability of fermented dairy products, such as Ayib, with potential applications in both the food and pharmaceutical industries.
Background: Tuberculosis (TB) in cattle negatively affects the cattle economy in Africa, with zoonotic TB posing drug-resistance issues in humans. The burden of TB in cattle and zoonotic TB in humans in sub-Saharan Africa (SSA) is not well understood. This study aimed to determine the prevalence of both TB in cattle and zoonotic TB in humans in SSA through meta-analysis.
Methods: Research on TB prevalence was sourced from multiple databases. A random effects meta-analysis model estimated TB prevalence in SSA and its regions, while meta-regression identified risk factors. The analysis included 114 studies for cattle and 59 for humans.
Results: The estimated TB prevalence in cattle was 5.06% (95% CI: 3.76-6.78), with a higher burden in West Africa. The prevalence was greater on farms than at abattoirs. Among humans, M. bovis prevalence was 0.73% (95% CI: 0.53-1.01), increasing to 1.56% (95% CI: 1.04-2.33) in TB incident cases, especially in the West and East Africa. Higher prevalence was noted among livestock workers, and in drug-resistant cases. Significant factors influencing TB prevalence varied for cattle and humans, including country, diagnostic methods, and study populations.
Conclusion: Focusing interventions on farms and livestock workers could help reduce the disease burden.
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