Journal of Veterinary Medicine
Volume 2018 (2018), Article ID 7239156, 12 pages
https://doi.org/10.1155/2018/7239156

Research Article

Comparative Seroepidemiological Study of Brucellosis in Sheep under Smallholder Farming and Governmental Breeding Ranches of Central and North East Ethiopia

Shimeles Abegaz Addis and Andualem Yimer Desalegn

School of Veterinary Medicine, Wollo University, P.O. Box 1145, Dessei, Ethiopia

Correspondence should be addressed to Andualem Yimer Desalegn; anduyimer007@gmail.com

Received 11 January 2018; Revised 13 April 2018; Accepted 29 May 2018; Published 4 July 2018

Academic Editor: Antonio Ortega-Pacheco

Copyright © 2018 Shimeles Abegaz Addis and Andualem Yimer Desalegn. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract.

This cross-sectional study was carried out to investigate the status of brucellosis in sheep management under extensive smallholder farming and intensively in governmental breeding ranches in six districts selected from three administrative zones. Using multistage sampling, serum samples of 2409 sheep from 274 flocks were collected and tested using the Rose Bengal Plate Agglutination Test (RBPT) and positive sera were confirmed using a Complement Fixation Test (CFT). Of all animals tested, 4.98% were RBPT positive, and after confirmation with CFT, the overall animal-level prevalence was found to be 4.89% (CI: 3.24-6.9%). Of the flocks sampled, 61 (22.3%, CI: 18.03-29.17%) had at least one animal positive to both tests. Significantly higher (P < 0.001) individual animal seroprevalence of 5.87% (CI: 3.83-7.31%) was found in sheep under smallholder production than in breeding ranches (1.75%, 95% CI: 1.57-3.05%). However, flock level seroprevalence in breeding ranches was found to be 100% (8/8), while in the smallholder production it was 19.92% (CI: 16.4-25.81%). Significantly highest animal-level seroprevalence of 9.55% (CI: 7.91-12.4%) was observed in north Wollo zone’s smallholder farms. From the three studied breeding ranches, highest seroprevalence of 3.57% (CI: 2.84%-5.18%) was found in Sheno Agricultural Research Centre. Significantly higher seroprevalence (P < 0.01) was found in aborted sheep and with history of retained fetal membrane in both production systems. All the sheep flocks in the studied breeding ranches were found to be seropositive; hence, this study suggests strict control measures of ovine brucellosis in the breeding reaches, since they could be a source of infection for the smallholder farms.

1. Introduction

Brucellosis is a zoonotic disease that has a significant economic, social, and public health impact in many parts of the world. Brucellosis is caused by the bacteria of the genus Brucella and Gram-negative intracellular coccobacilli, which occur in a wide variety of animals including cattle, sheep, goats, pigs, and other livestock as well as humans [1]. Nine Brucella species are currently recognized; seven of them that affect terrestrial animals are Brucella abortus, B. melitensis, B. suis, B. ovis, B. canis, B. neotomae, and B. microti and the two other species that affect marine mammals are B. ceti and B. pinnipedialis [2].

In small ruminants, significant reproductive losses are usually caused by Brucella melitensis and Brucella ovis. Although the prevalence of this disease varies widely from country to country, small ruminant brucellosis is mostly caused by B. melitensis and remains one of the most important zoonotic diseases [3]. Brucella ovis is a nonzoonotic species, which is an important cause of orchitis and epididymitis in sheep, but it is not recognized as a cause of natural infection in goats [4].

Brucellosis spreads between animals in a herd and the disease is a systemic infection that can involve many organs and tissues. Persistent infection is a common feature of the disease with frequent shedding of the bacterium in reproductive and mammary secretions. The brucellosis can have a considerable impact on human and animal health, as well as socioeconomic impacts, especially in which income relies largely on livestock breeding. Furthermore, in animals, brucellosis causes severe economic losses as result of stormy abortions or reproductive failure, sterility, and reduced milk production rates. Also brucellosis of animals reduces the foreign exchange earnings (FEE) by denying exportation of sheep to international markets [5, 6].

Isolation and identification of the causative agent from abortion material and udder secretions or from tissues removed at postmortem constitute the most preferred method for presumptive diagnosis of brucellosis. However, bacteriological diagnosis is hazardous and time-consuming and is not a practical and reliable means for diagnosis in large-scale programs [7]. Consequently, serological tests based upon the detection of Brucella antibodies against the organism are the most useful epidemiological tool for laboratory diagnosis of Brucella infection [8]. The RBT and the CFT are the most widely used tests for the serodiagnosis of brucellosis [9]. Usually, the RBT is used as a screening test and CFT as a confirmatory test based on an antigen reaction of the entire cells of Brucella and the antibodies produced as response to infection [9].

Although eradicated in many developed countries after years of effort, brucellosis is endemic in Africa [10] and also remains a major neglected zoonosis of low-income nations [5]. Factors related to the host‚ the agent‚ the environment, and management practices determine the extent of exposure‚ spread, and maintenance of brucellosis in a geographical area [11]. The spread of an infection from country to country or within the same country generally follows the transfer of infected animals. Brucellosis is also transmitted from farm to farm through wild animals and dogs responsible for carrying around aborted fetuses [12]. Mixing herds at pasture and keeping the animals in shelters during the night, particularly if in such areas parturition takes place, represent major factors for transmission of the infection, especially in sub-Saharan Africa, where these circumstances are commonly found [13, 14].

Ethiopia with over 85% of its population engaged in agricultural activity livestock plays a significant role, directly or indirectly, in achieving food self-sufficiency. Of the total household cash income from crop and livestock, livestock account for 37 to 87% in different parts of the country [15]. In the central highlands of Ethiopia, where mixed crop-livestock production system is practiced, small ruminants account for 40% of cash income and 19% of the household meat consumption [16]. There is also a growing export market for sheep and goats meat in the Middle Eastern Gulf states and some African countries [17]; however, occurrence of infectious and economically important animal diseases in Ethiopia excludes the country from profitable international markets, thereby greatly reducing the country’s foreign exchange earnings [18].

The country has diverse agroecological zones, which have contributed to the evolution of different agricultural production systems. The huge and diverse livestock species in Ethiopia are kept under different agroecological zones, production systems, and migration and animal health care system. The predominant extensive husbandry practices of the country provide ample opportunities for mixing multiple livestock species per holding; stock density and social organizations to handle livestock may account for the widespread risk factors for maintenance and transmission of brucellosis [19].

More importantly, a close human-animal contact and tradition of raw animal product consumption make zoonosis among the major public health hazards. This requires thorough epidemiological investigations including due consideration to identify the major risk factors that predominantly influence the disease occurrence and thus contribute to designing appropriate and feasible national controlling strategies. The existence of brucellosis has been confirmed and reported by various workers in different animal species in Ethiopia. Most of the previous studies on small ruminant brucellosis have been carried out in eastern Ethiopia, where pastoral production is practiced, and do not provide an adequate epidemiological picture of the disease in different agroecological zones and livestock production systems of the country. In particular, there is no information on sheep brucellosis in governmental breeding ranches of Amhara regional state. Therefore, the objective of the present study was to determine the seroprevalence of sheep brucellosis in two production systems in smallholder extensive and intensive breeding ranches and to point out the associative factor for the occurrence of the disease.

2. Materials and Methods

Ethical Approval. All essential procedures of sample collections were performed strictly as specified by Institutional Ethics Committee with minimal stress to animals.

2.1. Study Area

This cross-sectional study was conducted in selected districts of south Wollo, north Wollo, and north Shewa administrative zones of the Amhara regional state (Figure 1) from December 2014 to June 2015. The Amhara region is located in the northwestern part of Ethiopia between 9°20′ and 14°20′ north latitude and 36°20′ and 40°20′ east longitude. The region is border with Tigray, Afar, Oromia, and Benishangul-Gumuz regions of the country (Figure 1) and with Sudan in the west of the region. The altitude of the areas ranges from 1800 to 2900 meters above sea level and experiences a bimodal rainfall pattern with a short rainy season from February to March and the long rainy season, which starts at the end of June and ends at the end of September [20]. The annual rainfall of the areas ranges from 850 to 1100 mm and the mean annual minimum and maximum temperatures are 7.8°C and 21°C, respectively [20, 21]. The area is marked by two distinct seasons, the dry season extending from December to May and the wet season that extends from June to September. Traditionally, agriculture including livestock farming is the livelihood of major section of the population in Amhara region, and this is characterized mostly by crop-livestock mixed farming. Sheep are the predominant species, kept under smallholder extensive farming in the areas. The areas are dominated by small-scale farming, most commonly with <20 sheep and 1–3 cows per household. Sheep are most commonly used for meat production. An average-sized peasant association (PA) in the study area has approximately 100 households, and these urban villages in the PAS often have access to vast pastures, where communal grazing is common throughout the year.

Figure 1: Map of Ethiopia, Amhara regional state, and the study zones.

There are three governmental sheep breeding ranches, Sheno Agricultural Research Centre, Amedguya, and Debre Berhan breeding ranches, in eastern Amhara regional state. Those breeding ranches are found in north Shewa administrative zone of the state established with major objective of local/indigenous sheep breeds improvement by crossing with exotic breeds. Awassi sheep breed is the main breed raised in the breeding ranches, which is considered as a good breed for meat production. Sheno Agricultural Research Centre is the first established breeding ranch for improvement of the indigenous Menz sheep with the Awassi breed. The Awassi breed sheep were imported from Israel to Ethiopia and were crossed with the indigenous Menz breed [22]. These crosses of Awassi-Menz have been well accepted by farmers of Ethiopian highlands and, subsequently, producing Awassi-Menz cross breeds has been boosted by establishing another ranch, Amedguya breeding ranch, at distance of 300 km northeast of Addis Ababa. Cross breed rams from those breeding ranches are currently distributed to smallholder farmers on a cost-recovery basis all over the region.

2.2. Study Population

The study animals were indigenous breeds of sheep kept under smallholder extensive management system and sheep managed in government breeding intensive ranches. The smallholder farming is characterized by crop-livestock mixed farming system in which animals graze communally and return in the evening but without supplementary feeds. Breeding ranches are intensively managed and usually fenced and the sheep are well supplemented with feeds in addition to natural pastures. Sheep that are older than 6 months of age with no history of vaccination against brucellosis were included in the study. Data collected for each individual animal were age, sex, breed, number of sheep owned, history of abortion/stillbirth, and name of the district and village.

2.3. Study Design and Sampling Strategy

A cross-sectional epidemiological study was conducted from December 2014 to June 2015 to determine seroprevalence of brucellosis in sheep from three selected geographical zones of Amhara regional state and to identify factors associated with seropositivity. The study population was stratified into two strata based on the management system, sheep flocks in government breeding ranches and smallholder extensive farms. The stratification was required because the study population is kept under different management types, which could influence the prevalence of brucellosis. A multistage stratified random sampling method was used in the current survey as described by Martin et al. [23] and Thrusfield [24].

2.4. Selection of Study Districts and Peasant Associations (PAS)

Amhara regional state is divided into 11 administrative zones and 140 districts. Three administrative zones (south Wollo, north Wollo, and north Shewa zones) were selected purposively based on their location, proximity to a reliable laboratory, farming systems (breeding ranch and smallholder farms), sheep populations, cooperation from farmers, and contribution of sheep for export market. Six districts were randomly selected from Amhara regional state, two districts per administrative zone, using as sampling frame a list of all districts in each zone. From each of the six selected districts, the peasant associations (PAS) included/selected had to be located with radius of less than 25 km from the center of each district to be accessible by car. Another inclusion criterion was information on the PAS keeping sheep (sheep population). The PAS that met the inclusion criterion were listed for each district. Three to five peasant associations (PAs) were randomly selected from each district using as sampling frame a list of all PAS in each district, which were made available by district livestock officers.

2.5. Sampling Procedure for Smallholder Farms/Flocks

Multistage sampling technique was used according to Dohoo et al. [25] in the survey of sheep brucellosis kept under smallholder extensive farms. From each of the six selected districts, 3-5 peasant associations (PAs) were randomly selected. Proportion sampling was adopted to obtain the number of flocks from each of the selected PAS per study district. Since no sampling frames were available for selection of flocks within PAS, the selection of flocks within each PAS was performed on site and based on whether the householder was present and willing to participate in the study. Within each PAS, 8-15 flocks were randomly selected as the primary sampling units and individual sheep as secondary units. Within each flock, sheep were selected by simple random sampling. A maximum of 14 individual sheep that met the inclusion criteria were sampled per flock.

2.6. Sampling Procedure for Breeding Ranches

There are three government sheep breeding centers (ranches) in north Shewa zone of Amhara regional state. The adult sheep populations in all ranches were recorded and then around 34% of the adult population from each ranch was sampled using systematic random sampling. The sampling frame was comprised of individual animals from farm records and individual sheep was sampled using systematic random sampling at interval of two sheep starting from the first animal from individual sheep records of each breeding ranch.

2.7. Sample Size

A total of 2409 sheep sera were collected to examine the presence of antibodies against Brucella organism. A two-stage cluster sampling technique has been used to calculate the minimum sample size. The sample was collected from sheep kept under different management system: in breeding intensive ranches ( = 571) and smallholder farms ( = 1838). The sample size for smallholder farms was determined using standard procedures as described by [24] for an infinite population. In order to determine the desired sample size, there were no previous reports of prevalence in the selected zones. Hence, the average expected prevalence rate was assumed to be 50% for the area within 95% confidence intervals (CI) at 5% desired accuracy; thus the desired minimum sample size is = 384 per each zone with total samples of 1152 sheep to be sampled for serological studies but due to the interest and cooperation of smallholder farmers inconsideration with available logistics and resources, we were able to sample a total of 1838 sheep from six districts that have higher sheep population in the region. The number of animals sampled from each area was proportionally distributed based on the total sheep population in the study zones, districts, and PAs. Hence, from north Shewa zone ( = 446), south Wollo zone ( = 901), and north Wollo zone ( = 459), sheep were sampled.

2.8. Sample Collection

Approximately 8-10 ml of blood samples was collected from jugular vein of each sheep of selected flocks aseptically using sterile plain vacutainer tubes and needles. Individual tubes were identified using numbers and alphabets to indicate their origin. The tubes were left tilted over night at room temperature to allow clotting. The sera were separated from clotted blood (unretracted blood being centrifuged) by siphoning into sterile Eppendorf tubes. The samples were shipped to the Kombolcha Animal Health Diagnostic Laboratory in icebox and stored at –20°C until serological testing was performed.

2.9. Serological Tests

Rose Bengal Plate Test (RBPT). The Rose Bengal Plate Test was used as a screening test of serum samples for the presence of Brucella antigens. All blood samples collected were first screened using Rose Bengal Plate Test (RBPT) at Kombolcha Regional Veterinary Laboratory, following the procedure described by Neilsen and Dunkan [26]. The sera and RBPT antigen, which constitute a suspension of Brucella abortus with cross-reaction against B. melitensis antibodies in serum samples (Institut Pourquier 325, rue de la Galèra 34097 Montpellier, Cedex 5, France), were taken out of the refrigerator and left at room temperature for at least 30 minutes before the test was performed. Briefly, 30 μl of the sera samples was dispensed onto the plate and 30 μl of RBPT antigen was dropped alongside the sera. Using applicator stick, the antigen and the sera were mixed and examined for agglutination. The antigen presentation was 10 ml of RBPT antigen per bottle. For interpretation of results, both positive and negative controls were employed; agglutination reactions were read in a good light source or using a magnifying glass when microagglutinations were suspected. Results of RBPT were interpreted as 0, +, ++, and +++ as has been described by [25], where 0 indicates no agglutination, + indicates barely visible agglutination (using magnifying glass), ++ indicates fine agglutination (some clearing), and +++ indicates clumping, definite clearing. Those samples identified with no agglutination (0) were regarded as negative, while those with +, ++, and +++ were regarded as positive.

Complement Fixation Test (CFT). Positive sera with RBPT were further tested with CFT for confirmation using standard Brucella abortus antigen (New Haw, Addlestone, Surrey KT15 3NB, UK). CFT was conducted at the National Veterinary Institute, at Debre Zeyit. The CFT test’s proper and reagent preparation procedures were following the procedures outlined by OIE [27]. Sera with strong reaction or more than 75% fixation of complement (3+) at a dilution of 1:5 or at least with 50% fixation of complement (2+) at a dilution of 1:10 and above were classified as positive [27].

2.10. Data Analysis

All the collected data were stored in a spreadsheet in the Microsoft Excel program. Epidemiological and statistical analyses were performed as is required by using SPSS version 20. Chi-square test was used to determine presence of association of different risk factors with that of seropositivity to Brucella antibody and 95% confidence interval (CI) at 5% cut-off value was set for significance. For the proportions, the 95% confidence interval (95% CI) was estimated using the exact binomial test [28]. The data were compiled by summing up the laboratory findings and field observation into districts and zones units accordingly. An animal was said to be positive if it tested positive to both RBPT and CFT. A flock having at least one seropositive sheep was considered as positive.

3. Results

At the individual animal level, a total of 2409 sera samples were tested with Rose Bengal Plate Test (RBPT), of which 120 (4.98%) sheep were positive for brucellosis. The RBPT positive serum samples were confirmed by complement fixation test (CFT) with 118 (4.89%, 95% CI: 3.24-6.9%) of the samples being seropositive for brucellosis upon further testing by CFT. Based on test agreement analysis by KAPA test, all RBPT negative sera were CFT negative, but 98.33% (118/120) of those that were found to be positive by RBT were found to be positive by CFT (Table 1). The agreement between RBPT and CFT to detect Brucella infection was excellent (k = 0.958)

Table 1: Comparative analysis between Rose Bengal Plate Test (RBPT) and Complement Fixation Test (CFT) for the diagnosis of ovine brucellosis.

CFT result
RBPT result
Total
Prevalence (%)
Test agreement

Positive ( = 120)
Negative ( = 2289)

Positive ( = 118)
118
0
118
4.89
k= 0.958

Negative ( = 2291)
2
2289
2291
95.1

Total
120
2289
2409

Prevalence (%)
4.98
95

The prevalence of flocks with at least one seropositive sheep for brucellosis was estimated to be 22.3% (95% CI: 18.03-29.17). Of the total 61 seropositive sheep flocks, 53 flocks were in smallholder extensive production, while all the 8 sheep flocks examined in breeding ranches were found 100% (8/8) sero-positive for brucellosis (Tables 2 and 3).

Table 2: Individual level seroprevalence of ovine brucellosis in small holder farms and breeding ranches.

Production system
Individuals tested
RBPT (%)
CFT
FP (%)

Positive (%)
X² (P)
95% CI

Small holders
1838
110 (6)
108 (5.87)

3.83-7.31
2 (1.81)

Breeding ranches
571
10 (1.75)
10 (1.75)

1.57-3.05
-

Total
2409
120 (4.98)
118 (4.89)
35.07 (0.00)
3.24-6.9
2 (1.67)

Table 3: Flock level seroprevalence of ovine brucellosis in small holder farms and breeding ranches.

Production system
Flocks tested
RBPT (%)
CFT
FP (%)

Positive (%)
X² (P)
95% CI

Small holders
266
53 (19.9)
53 (19.9)

16.4-25.81
-

Breeding ranches
8
8 (100)
8 (100)

-
-

Total
274
61 (22.3)
61 (22.3)
41.95 (0.00)
18.03-29.17
-

According to the present study, significantly higher (P< 0.001) individual animal sero-prevalence of 5.87% (95% CI, 3.83-7.31) was found in sheep under smallholder extensive production system than in breeding ranches with prevalence of 1.75% (95% CI: 1.57-3.05) (Table 2). Flock level seroprevalence of ovine brucellosis was 19.92% (95% CI: 16.4-25.81 in the extensively managed smallholder sheep flocks), while all the eight sampled flocks from breeding ranches were 100% seropositive. For the flock level seroprevalence of ovine brucellosis, there was a statistically significant difference (P < 0.01) among the two production systems (Table 3).

The seroprevalence of ovine brucellosis among the three administrative zones at individual level and flock level was significantly different (P < 0.001). The highest individual animal seroprevalence was found in north Wollo, 9.55% (95% CI: 7.91-12.4 %), followed by 6.1% (95% CI: 4.83-7.41%) in south Wollo and 2.3% (95% CI: 1.02-3.51%) in north Shewa (Table 4).

Table 4: Individual level and flock level seroprevalence of brucellosis in the small holder sheep in relation to study areas and agroecology.

Zones
Districts
Individuals tested
Positive sera (%)
X² (P)
95% CI
Flocks tested
Positive sera (%)
X² (P)
95% CI

North Shewa

446
11 (2.3)

1.02-3.51
139
11 (7.91)

5.21-10.0

Lalo Mider
225
6 (2.67)

73
7 (9.58)

Angolela
221
5 (2.26)

65
5 (7.69)

South Wollo

901
55 (6.1)

4.83-7.41
75
25 (33.3)

28.53-40.1

Legambo
515
22 (4.27)

36
11 (30.5)

Were Ilu
386
33 (8.54)

38
14 (36.8)

North Wollo

459
42 (9.55)

7.91-12.4
52
17 (32.7)

27.21-37.0

Delenta
294
23 (7.8)

27
10 (37.03)

Guba Lafto
165
19 (11.51)

25
7 (28)

Total

1838
108 (5.87)
47 (0.00)
4.63-7.31
266
53 (19.9)
65.7 (0.00)
16.4-25.8

Agroecology

Highland

1287
58 (4.5)

2.71-5.03
201
34 (16.9)

12.0-19.14

Midland

551
50 (9.07)

7.54-11.7
65
19 (29)

25.01-34.1

Total

1838
108 (5.87)
14.7 (0.001)
3.46-7.05
266
53 (19.9)
25.8 (0.012)
15.81-24.6

The lowest flock level seroprevalence of brucellosis was observed in north Shewa zone, 7.91% (95% CI: 5.21-10.0), whereas almost similar seroprevalence of 33.3% and 32.69 % was found in south Wollo and north Wollo zones, respectively (Table 4). There was no statistically significant difference in flock level seroprevalence between south Wollo and north Wollo (X² = 6.02, df = 1, and P > 0.05).

Significantly higher (P < 0.01) seroprevalence was observed in animals from midland agroecology, 9.07% (95% CI: 7.54-11.7%), compared with the highland sheep (4.5%, 95% CI: 2.71-5.03). Similarly, prevalence of 29% and 16.9% (P < 0.05) was recorded in highland and in midland sheep flocks, respectively (Table 4).

The animal level seroprevalence of brucellosis was significantly different among the three studied sheep breeding ranches. Higher prevalence of 3.57% (95% CI: 2.84–5.18) was observed in Sheno Agricultural Research Centre breeding ranch and it was 2.33% (95% CI: 2.01–2.57) and 1.71% (95% CI: 1.34–2.20) in Debre Berhan and Amedguya breeding ranches, respectively (Table 5).

Table 5: Seroprevalence of brucellosis in sheep breeding and multiplication ranches kept under intensive production system.

Zone
Breeding ranches
Individuals
tested
Positive (%)
95% CI
Flocks tested
Number of positives

North Shewa
Debre Berhan
257
6 (2.33)
2.01-2.57
3
3

Amedguya
286
3 (1.0)
0.13-1.38
4
4

Sheno ARC
28
1 (3.57)
2.84-5.18
1
1

Total

571
10 (1.75)
1.57-3.05
8
8 (100%)

Age of the sheep was categorized into three groups: 6 months to 1 year ( = 78), 1-3 years ( = 617), and above 3 years ( = 1143). Among the age groups, the highest seroprevalence was 6% for those above three years, 5.9% for those between 1 and 3 years, and 2.56% for those between 6 months and 1 year in the extensive production system. Seroprevalence significantly increased in age groups of 6 months to 1 year and 1-3 years (X² = 34, P < 0.05); however, almost similar seroprevalence was observed between age categories of 1-3 years (5.9%) and above 3 years (6%) (Figure 2). In the intensive production system significantly different (P < 0.05) seroprevalence of 0% in 6 months to 1 year group, 0.8% in 1-3 years group, and 3.1% in above 3 years group was (Figure 2).

Figure 2: Seroprevalence of brucellosis in terms of age category in breeding ranches and smallholder production. m: month; yr: year.

The seroprevalence was not significantly different (P > 0.05) between female and male sheep in breeding ranches. But the prevalence was relatively higher in females (1.93%, 95% CI: 1.01-4.63) as compared to males (0.95%, 95% CI: 0.42-3.83%), although the number of male sheep examined was lower due to the low number of male breeding animals kept in the study breeding ranches. However, in smallholder production system, significantly higher (P < 0.001) seroprevalence was observed in female (8.21%, 95% CI: 5.2-11.8) than in male sheep (3.01%, 95% CI: 2.41-4.34) (Table 6).

Table 6: Seroprevalence of brucellosis in flock size and sex of the animals in relation to production system.

Small holders farms
Breeding ranches

Number of tested
Positive (%)
X² (P)
95% CI
Number of tested
Positive (%)
X² (P)
95% CI

Sex

    Male
828
25 (3.01)

2.41-4.34
105
1 (0.95)

0.42-3.83

    Female
1010
83 (8.21)

5.2-11.8
466
9 (1.93)

1.01-4.63

    Total
1838
108 (5.87)
24.1 (0.00)
4.64-7.55
571
10 (1.75)
11.45 (0.16)
0.86-4.03

Flock size

    1-10
149
15 (10)

6.71-14.1
-
-
-

    11-20
61
17 (27.86)

21.8-30.3
-
-
-

    >20
56
21 (37)

31-44.53
8
8 (100)

-

Total
266
53 (19.92)
27.45 (0.000)
15.4-24.3
8
8 (100)
18.23 (0.045)
-

The seroprevalence of ovine brucellosis was significantly different among the three flock size categories (P < 0.001). Seroprevalence in larger flock size with more than 20 sheep per flock (37%) was higher than that in medium-size flocks with 11-20 sheep and in smaller flock with less than 10 sheep per flock (10%) (Table 6).

The seroprevalence of brucellosis in ewes was significantly associated with history of abortion (40%, 95% CI: 32.1-52.4, P < 0.01) and retained fetal membrane (50%, 95% CI: 36.12-64.7, P < 0.01) compared with none aborted (15.6%, 95% CI: 12.4-18.71) and no fetal membrane (17%, 95% CI: 13.4-25.3) in the extensive smallholder ewes (Table 7). Similarly, seropositivity of ewes for brucellosis was significantly associated with history of abortion (6.25%, P < 0.001) and retained fetal membrane (8.3%, P < 0.01) in breeding ranches (Table 7).

Table 7: Seroprevalence of brucellosis in relation to history of reproductive problem in breeding ranches and small holder production.

History of reproductive problems
Small holders farms
Breeding ranches

Number of tested
Positive (%)
X² (P)
95% CI
Number of tested
Positive (%)
X² (P)
95% CI

Abortion

    Present
55
22 (40)

32.1-52.4
16
1 (6.25)

4.1-8.35

    Absent
218
34 (15.6)

12.4-18.71
337
6 (1.5)

0.79-3.5

Total
273
56 (20.5)
14.27 (0.001)
16.7-25.2
353
7 (1.7)
12.45 (0.000)
1.02-3.8

Retained fetal membrane

    Present
32
16 (50)

36.12-64.7
12
1 (8.3)

5.03-10.7

    Absent
241
42 (17)

13.4-25.3
341
6 (1.7)

0.69-3.8

Total
273
56 (20.5)
26.21 (0.001)
18.3-29.08
353
7 (1.9)
8.030 (0.008)
0.8-4.02

4. Discussion

In the present study, flock level and individual animal prevalence of ovine brucellosis were estimated in three selected administrative zones of Amhara National Regional State (ANRS) using a probability sampling frame work and RBPT and CFT as a diagnostic tests. Off the total 2409 sera samples collected and screened by RBPT (Rose Bengal Plate Test), 4.98% ( = 120) were seropositive for brucellosis. Then, those 120 positive serum samples by RBPT were further tested by CFT for confirmation and 118 (4.89%) samples were positive for brucellosis. When CFT results were compared with those in RBPT, 118 samples were shown as positive in both tests. Statistical analysis of the results demonstrated an excellent agreement between RBPT and CFT test results because the test agreed 95.8% of the time to detect ovine brucellosis (Table 1). The CFT confirmatory test reduced the number of positive animals from 120 to 118 with false positive result of 2/120 (1.67%). This may be due to CFT elimination of some reactions due to cross-reacting bacteria. The RBPT is susceptible to cross-reaction with other Gram-negative bacteria such as Yersinia enterocolitica, O:9, E. coli, O:157, and also some Salmonella spp., which could lead to false positive results [9]

The current higher test agreement result (95.8%) between RBPT and CFT indicated that there has been very active Brucella infection in the study areas and agrees with the previous work of Mohammed [29] who reported seroprevalence of brucellosis of 1.64% and 1.51% using RBPT and CFT, respectively, with 95% test agreement in test positivity. Based on this study, Brucella antibody was found to be widely distributed in indigenous sheep in the study areas with seroprevalence of 4.89%; out of these seropositive sheep, 75% gave very strong reaction (4⁺ and 3⁺) to CFT, while 25% gave 2⁺ reaction.

According to the present study, the overall individual animal level and flock level seroprevalence of ovine brucellosis was 4.89% (95% CI: 3.24-6.9) and 22.26% (95% CI: 18.03-29.17), respectively. The overall individual level seroprevalence of ovine brucellosis in this result was comparable with previous reports by different researchers, 4.4% in central Ethiopia by Deddefo et al. [30], 5% in India by Vipan Kumar et al. [31], 5.2% in Nigeria by Bertu et al. [32], and 4.2% in Iran by Akbarmehr and Ghiyamirad [33]. Higher individual level seroprevalence rate of ovine brucellosis in sheep compared to this finding was reported, 7.1% by Wesinew et al.[34], 7% by Negash et al. [35], and 14.6% by Teshale et al. [36] in Afar region, pastoral area of Ethiopia. Similarly, higher prevalence of ovine brucellosis was reported in different neighboring African countries, 6.01% in Kenya, 7.2% in Somalia, and 14% in Khartoum, Sudan [37]. However, the animal level seroprevalence obtained in this study was much higher than the reports, 1.5% by Tekelye and Kasali [38] in central Ethiopia and 3.2% by Ashenafi et al. [39] in Afar region of the country. Similarly, very low level of ovine brucellosis seroprevalence in sheep was recorded in Nigeria (0.0%) by Cadmus et al. [40] and in Bangladesh (1.3%) by Rahman et al. [41]. In addition, very low seroprevalence of 0.1, 0.4, and 2.1% was reported by Omer et al. [42] in sheep in Sudan.

The variation in seroprevalence of ovine brucellosis discussed above in different areas may be related to the fact that prevalence of brucellosis may vary depending upon the breed involved, herd size, management, and seasonality of the disease, which could affect the rate of transmission of Brucella infection. Supporting the above idea, Acha and Szyfres [43] reported that the rate of Brucella infection varies greatly from one country to another and also between regions even within a country.

In contrast to our finding, higher seroprevalence rates of ovine brucellosis were reported in Afar region of Ethiopia [34–36] where pastoral production system is commonly practiced compared to current result recorded in the crop livestock mixed smallholder farming system of our study areas. The higher prevalence reports of brucellosis in a pastoral management system may partly be attributed to long distance movement of animals in search of pasture and water, particularly during the dry season. The movement of animals for grazing and watering as aggregating different species of animals around watering point will increase the contact between infected and healthy animals, thereby facilitating the transmission/spread of brucellosis. In mixed smallholder farming system, fewer animals are raised in separate herds.

Of the three administrative zones, significantly higher animal level seroprevalence of 9.55% (95% CI: 7.91-12.46%) of brucellosis was identified in north Wollo zone than in south Wollo (6.1%) and north Shewa (2.3%). At the same time, among the three zones, there was comparable flock level seroprevalence in south Wollo (33.33%) and north Wollo (32.69%); however, significantly lower flock level prevalence (7.9%) was found in north Shewa zone. The higher prevalence in north Wollo and south Wollo zones of Amhara region in the present study might be due to the fact that the two zones are borders to Afar pastoral region and constant transborder movement of animals has been reported especially at dry season. This common practice of pastoralists moving their animals from pastoral areas of Afar region to the nearby zones of Amhara region (north Wollo and south Wollo zones) for searching greasing and water for their animals may result in transmission of brucellosis.

In the present study, significantly higher (P < 0.001) animal level seroprevalence of brucellosis, 5.87% (95% CI: 3.83-7.31%), was found in sheep under smallholder extensive production system than in intensive breeding ranches with prevalence of 1.75% (95% CI: 1.57-3.05). In agreement with this result, different researchers [41, 44, 45] reported that prevalence of brucellosis in sheep at animal and flock level varied significantly depending on production systems. The current finding was also in agreement with the observation of Lone et al. [46] who reported higher seroprevalence of brucellosis in unorganized extensive sector (14.14%) compared with the prevalence in intensive organized sheep farming (3.23%). This lower individual level seroprevalence in the breeding ranches can be correlated with good and controlled management practices and screening of male animals for brucellosis before using them for breeding purpose which could reduce the transmission of ovine brucellosis. Culling breeding females with reduced reproductive performances and with history of abortion could also reduce the risk of within-flock transmission/spread of brucellosis in intensively managed breeding ranches [47].

The higher prevalence in extensive small holder production may be due to the fact that, in this production system, there is free animal movement and aggregation of animals within common pastures and watering points which may increase the transmission of brucellosis from animal to animal or from contaminated environment [48–50].

Other possible risk factors for brucellosis related to extensive smallholder production in Ethiopia include ram sharing for breeding, which may result in venereal transmission of ovine brucellosis, and the herd composition in smallholder production, where sheep are mixed with cattle and goats, while in the breeding ranches only pure sheep flocks are kept for breeding purpose. This is in agreement with the findings by Holt et al. [51] and Megersa et al. [52] who reported that the risk of transmission of brucellosis significantly increased in mixed herds than in pure herds.

With regard to flock level seroprevalence, the present study revealed that all the eight sheep flocks examined in the breeding ranches were found to be 100% seropositive, while 19.92% of the flocks in the extensive production system were found to be seropositive. Similarly, Bayemi et al. [53] and Karimuribo et al. [54] reported higher seroprevalence of brucellosis in intensively managed flocks compared to flocks under extensive production. This could be related to large flock size; the number of individuals in each studied breeding ranch was more than 50 sheep per flock. Large flocks are more likely to have at least one positive sheep compared with small-sized flocks, which increased the transmission of brucellosis; in addition, in large flocks, there will be mass management practices that allow for closer contact between animals and make it more difficult to control transmission of brucellosis in large flocks.

Significantly higher seroprevalence was found in the midland both in individual level and flock level with prevalence of 9.07% (95% CI: 7.54-11.7, P < 0.01) and 4.5% (95% CI: 2.71-5.03, P < 0.05), respectively. The difference in seropositivity between the two agroclimates was found to be significantly variable (P < 0.01). This higher seroprevalence in the midland compared to the highland can be correlated with the increasing animal’s concentration and contact due to shortage of grazing lands in midlands, which favor the transmission of brucellosis [55]. Additionally, the favorability of the midland agroclimates for survival and multiplication of Brucella organisms has been associated with the spread of brucellosis [55].

In this study, seroprevalence of ovine brucellosis was significantly higher (P < 0.001) in female (8.21%) than in male (3.01%) sheep under extensive production system. In agreement with current result, similar studies in Ethiopia [35, 56] and Bangladesh [57] reported higher seroprevalence in female sheep [57]. The higher prevalence in female than in male sheep under extensive farming may be due to the fact that female sheep in the study areas are usually reared for breeding and kept for a longer period within the flocks without culling, even though females had reduced reproductive performances and were at old age. Thus females have ample time for exposure to Brucella organisms and being source of infection for others [58]. The presence of erythritol in allantoic fluid during pregnancy favors the growth and propagation of Brucella organisms, thereby enhancing the susceptibility of female sheep to brucellosis [42, 56].

This study revealed that an increase in age was associated with increased seropositivity for ovine brucellosis in both production systems. Seroprevalences of brucellosis in sheep with age groups of 1-3 years and above 3 years were found to be almost the same: 5.9% and 6%, respectively. However, the prevalence was found to be significantly higher (P < 0.05) in sheep with 1-3 years (5.9%) compared to animals with 6 months-1 year age group (2.56%). In agreement with this, Cadmus et al. [59] reported no significant difference in seroprevalence in cattle that are above 3 years and 1–3 years old. A similar observation by Wesinwe et al. [34] has been reported in northeast Ethiopia. Contrary to this result, Matope et al. [60] reported that seroprevalence of brucellosis has been decreased with increasing age. The observed increasing seroprevalence rate with age in this finding may be probably due to the fact that sex hormones and erythritol that stimulate multiplication of Brucella organisms tend to increase in concentration with age and sexual maturity. Seroprevalence may also increase with age as a result of prolonged duration of antibody responses in infected animals and prolonged exposure to pathogen [61].

In breeding ranches, none of the sheep below 1 year of age were found to be seropositive but seroprevalence increased without significant difference from 0% to 0.08% in age group of 1-3 years. Significantly the highest seroprevalence (3%) was observed in above 3 years age group. In agreement with our findings, a study in sheep ranch by Aregawi et al. [62] reported seroprevalence of 0%, 0.38%, and 2.25% in sheep with age groups below 2 years, 2-3 years, and above 3 years, respectively.

In this finding, significantly higher proportion of seroprevalence was found in the flock category having more than 20 sheep per flock (37%, 95% CI: 31-44.53) than in those flocks with 11-20 sheep (27.8%, 95% CI: 21.8-30.3) and 1-10 sheep per flock (10%, 95% CI: 6.71-14.1), respectively. This study was in agreement with previous studies, which reported that brucellosis was associated with large herd size [63–65]. Similar result in Uganda showed that the majorities of seropositives were detected only in large and medium-sized flock [66]. Stocking density allows greater contact between animals and their environment, which increases the potential for exposure to infectious excretions and also increases the risk of exposure to Brucella infection especially following abortion [65]. Another explanation might be due to the fact that grazing in communal pastures may facilitate the contact between infected and uninfected flocks [64, 67].

In the current study, 40% (95% CI: 32.1-52.4) of seropositive pregnant ewes under smallholder extensive production were found with history of abortion, while 15.6% of seropositive ewes did not have a history of abortion and carried the pregnancy to full term. Seroprevalence was found to be significantly higher (P < 0.01) in ewes with history of abortion compared to pregnant ewes with no history of abortion. This result is consistent with a similar study in Nigeria by Boukary et al. [68] who reported seroprevalence of brucellosis associated with the incidence of abortions. Mahajan and Kulshreshtha [69] similarly reported significantly higher seroprevalence of ovine brucellosis in ewes with history of abortion (74.6%) than in ewes without abortion (20.37%). This result is generally in agreement with several authors who reported that the prevalence of brucellosis within flocks/herds is positively correlated with the incidence of abortions in females and abortion is the most obvious manifestation of brucellosis [70, 71]. However, only 6.25% (95% CI: 4.1-8.35) of seropositive ewes were with history of abortion in breeding ranches compared with the 40% seroprevalence of brucellosis in ewes with history of abortion under smallholder extensive farming. This result is in agreement with previous reports by different researchers [72–74]; free grazing and abortion have been identified as risk factors for brucellosis related to extensive system.

In the current study, a significant difference was observed in seropositivity between ewes that had previous history of retained fetal membrane, compared with those without retained fetal membrane in both production systems. However, seroprevalence of brucellosis was comparatively much higher in ewes with history of retained fetal membrane which are under smallholder production (50%, P < 0.01) than in ewes kept in breeding ranches (8.3%, P < 0.01). In agreement with this result, Chukwu [75] showed that brucellosis is frequently associated with retained fetal membrane. The higher seroprevalence of brucellosis in ewes under extensive smallholder production may be due to the fact that farmers in the study areas tend to keep ewes, even if they have history of abortion and retained fetal membrane because of the disease is subclinical in most animals. For these reasons, farmers seldom cull infected animals from their flocks, contributing to the high prevalence observed in this study.

5. Conclusions

The result of the present seroepidemiological survey shows that brucellosis is an important sheep disease and well-entrenched infection across the selected zones and districts of the eastern Amhara region with higher seroprevalence in the extensive mixed farming system. Infected sheep were found in all flocks of the three studied government breeding and multiplication ranches; therefore more efforts should be directed towards improving the animal health, biosecurity program, and regular screening in those ranches that are used for cross-breeding. In smallholder farms, 50% of the ewes with history of abortion were seropositive for brucellosis; as a result, the smallholder extensive management practices significantly support the spread of brucellosis in the study areas, especially in the midlands of the studied zones. These show that brucellosis is becoming an impediment to the exploitation of the huge small ruminant population of the traditional smallholder farmers of the Amhara region, hence the need for improved management systems and implementing appropriate control measures in smallholder production. Generally those control measures in intensively managed governmental ranches could account for the lower animal level seroprevalence reported in this study. Raising public awareness on zoonotic transmission of brucellosis associated with milk consumption and contact with aborted materials is recommended in the study areas.

Data Availability

The data used to support the findings of this study are available from the corresponding author upon request.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Authors’ Contributions

Shimeles Abegaz Addis contributed to sample collection, laboratory tests, data acquisition, and drafting of the manuscript. Andualem Yimer Desalegn was involved in the statistical analysis and interpretation of data and writing up and critical revision of the manuscript. The two authors read and approved the final version of the manuscript.

Acknowledgments

The authors whole-heartedly appreciate the financial support of ARARI (Amhara Region Agricultural Research Institute) during the field work of the research.

References

Center for Disease Control and Prevention (CDC), "Brucellosis", 2005. http://www.cdc.gov/ncidod/dbmd/diseaseinfo/brucellosis_t.htm.

G. Foster, B. S. Osterman, J. Godfroid, I. Jacques, and A. Cloeckert, “Brucella ceti sp. nov. and Brucella pinnipedialis sp. nov. for Brucella strains with cetaceans and seals as their preferred hosts,” International Journal of Systematic and Evolutionary Microbiology, vol. 57, no. 11, pp. 2688–2693, 2007.

R. Redkar, S. Rose, B. Bricker, and V. Delvecchio, “Real-time detection of Brucella abortus, Brucella melitensis and Brucella suis,” Molecular and Cellular Probes, vol. 15, no. 1, pp. 43–52, 2001.

M. C. Smith and D. M. Sherman, “Brucellosis,” in Goat Medicine, Baltimore, Lea and Febiger, pp. 423–442, 2009.

J. McDermott, D. Grace, and J. Zinsstag, “Economics of brucellosis impact and control in low-income countries,” Revue Scientifique et Technique de l'OIE, vol. 32, no. 1, pp. 249–261, 2013.

T. E. A. Angara and A. A. Ali, “Socioeconomic Aspects of Brucellosis in Kuku Dairy Scheme,” Indian Journal of Applied Research, vol. 48, pp. 685–687, 2014.

S. Ali, Q. Ali, E. N. Abatih et al., “Sero-prevalence of Brucella abortus among dairy cattle and buffaloes in Pothohar Plateau, Pakistan,” Pakistan Journal Of Zoology, vol. 45, no. 4, pp. 1041–1046, 2013.

J. Erdenebaatar, B. Bayarsaikhan, A. Yondondorj et al., “Epidemiological and serological survey of brucellosis in Mongolia by ELISA using sarcosine extracts,” Microbiology and Immunology, vol. 48, no. 8, pp. 571–577, 2004.

Office International des Epizooties (OIE), “Bovine brucellosis and bovine Tuberculosis,” in OIE Terrestrial Manual, Paris, France, 2009.

S. I. B. Cadmus, P. I. Alabi, H. K. Adesokan, E. J. Dale, and J. A. Stack, “Serological investigation of bovine brucellosis in three cattle production systems in yewa division, south-western Nigeria,” Journal of the South African Veterinary Association, vol. 84, no. 1, 2013.

J. Godfroid, “Brucellosis in wildlife,” Revue Scientifique et Technique de l'OIE, vol. 21, no. 2, pp. 277–286, 2002.

FAO, in Proceedings of the Food and agricultural Organization animal production and health, Rome, Italy, page 10, 2010.

S. Barrios, L. Bertinelli, and E. Strobl, “Climatic change and rural-urban migration: The case of sub-Saharan Africa,” Journal of Urban Economics, vol. 60, no. 3, pp. 357–371, 2006.

P. G. Jones and P. K. Thornton, “Croppers to livestock keepers: livelihood transitions to 2050 in Africa due to climate change,” Environmental Science & Policy, vol. 12, no. 4, pp. 427–437, 2009.

S. Ayele, W. Assegid, H. Belachew, M. A. Jabbar, and M. M. Ahmed, Livestock marketing in Ethiopia: A review of structure, performance and development initiatives, Socio-economic and policy Research working p paper 52, ILRI (Inteernational Livestock Research Institute), Nairobi, Kenya, pp. 35, 2003.

Z. Abebe and I. C. Fletcher, “Small ruminant productivity in Ethiopia mixed farming system,” in Proceedings of the 4th National Livestock Improvement Conference, IAR, Addis Ababa, Ethiopia, November, 1993.

Y. Alemu and R. Markel, Sheep and goat production hand book for Ethiopia. Ethiopia sheep and goat productivity improvement program (ESGPIP) Addis Ababa, Ethiopia, 2008.

Livestock Marketing Authority (LMA), Brief base line information on Ethiopian Livestock resource base and its trade, Addis Ababa, Ethiopia, 2005.

B. Megersa, D. Biffa, F. Abunna, A. Regassa, J. Godfroid, and E. Skjerve, “Seroprevalence of brucellosis and its contribution to abortion in cattle, camel, and goat kept under pastoral management in Borana, Ethiopia,” Tropical Animal Health and Production, vol. 43, no. 3, pp. 651–656, 2011.

National Metrological Service Agency (NMSA) "Addis Ababa, Ethiopia", 2003.

Livestock Marketing Authority (LMA), Brief base line information on Ethiopia Livestock Resource base and its trade. Livestock Marketing Authority, Addis Ababa, vol. 4, 2001.

T. Rummel, A. Valle Zárate, and E. Gootwine, The world wide gene flow of the improved Awassi and Assaf sheep breeds from Israel, Verlag Grauer, Stuttgart, Germany, pp. 27–29, 2005.

S. W. Martin, A. H. Meek, and P. Welleberg, “Veterinary epidemiology/ principles and Methods,” Veterinary epidemiology/ principles and Methods, pp. 30-31, 1988.

M. Thrusfield, Veterinary Epidemiology, Blackwell science Ltd, UK, 2nd 624 edition, 2005.

L. Dohoo, W. Martin, and H. Stryhn, Veterinary Epidemioogic Research AVC Inc, University of Prince Edward Island, 550 University Avenue, Charlottetonwn, Prince Edward Island, Canada, pp. 335-360, 2003.

K. Neilsen and J. R. Dunkan, Animal Brucellosis, CRC press Inc., pp. 173–179, 1990.

Office International des Epizooties (OIE), “Bovine brucellosis, Section 2.3,” in OIE Manual of Standards for Diagnostic Tests and Vaccines, Paris, France, 5th edition, 2004.

B. Wagner, I. Gardner, A. Cameron, and M. G. Doherr, “Statistical analysis of data from surveys, monitoring, and surveillance systems,” in Animal Disease Surveillance and Survey Systems: Methods and Applications, M. D. Salman, Ed., Blackwell Publishing, Ames, IA, USA, 2003.

H. Mohammed, Seroprevalence of small ruminant brucellosis in and around Jijiga, [DVM thesis], School of Veterinary Medicine, Jimma University, Jimma, Ethiopia, 2009.

D. Abiot, S. Tesfaye, and T. Getachew, “Seroprevalence and risk factors of small ruminant brucellosis in selected districts of Arsi and East Shoa zones, Oromia region, Ethiopia,” African Journal of Microbiology Research, vol. 9, no. 19, pp. 1338–1344, 2015.

K. Vipan, S. Charanjeet, B. Gagandeep, V. M. Wadhawan, and K. Parveen, “Seroprevalence of brucellosis in sheep,” International Journal of Current Research, vol. 7, pp. 14630–14633, 2015.

W. J. Bertu, I. A. Ajogi, J. O. Bale, J. K. Kwaga, and R. A. Ocholi, “Sero-epidemiology of brucellosis in small ruminants in Plateau State,” African Journal of Microbiology Research, vol. 4, pp. 1935–1938, 2010.

J. Akbarmehr and M. Ghiyamirad, “Serological survey of brucellosis in livestock animals in Sarab City (East Azarbayjan province), Iran,” African Journal of Microbiology Research, vol. 5, no. 10, pp. 1220–1223, 2011.

A. Wesinew, S. T. Tesfaye, and K. Simenew, “Sero-prevalence of small ruminants brucellosis in four districts of Afar National Regional State, Northeast Ethiopia,” Journal of Veterinary Medicine and Animal Health, vol. 5, pp. 358–364, 2013.

E. Negash, S. Shimelis, and D. Beyene, “Seroprevalence of small ruminant brucellosis and its public health awareness in selected sites of Dire Dawa region,” Eastern Ethiopia Journal of Veterinary Medicine and Animal Health, vol. 4, pp. 61–66, 2012.

S. Teshale, Y. Muhie, A. Dagne, and A. Kidanemariam, “Seroprevalence of small ruminant brucellosis in selected districts of Afar and Somali pastoral areas of Eastern Ethiopia: The impact of husbandry practice,” Revue de Médecine Vétérinaire, vol. 157, no. 11, pp. 557–563, 2006.

A. Benkirane, “Ovine and caprine brucellosis: World distribution and control/eradication strategies in West Asia/North Africa region,” Small Ruminant Research, vol. 62, no. 1-2, pp. 19–25, 2006.

B. Tekelye and O. Kasali, “Brucellosis in sheep and goats in Central Ethiopia,” Bulletin Animal Health and Production Africa, vol. 38, pp. 23–25, 1990.

F. Ashenafi, S. Teshale, G. Ejeta, R. Fikru, and Y. Laikemariam, “Distribution of brucellosis among small ruminants in the pastoral region of Afar, eastern Ethiopia,” Revue Scientifique et Technique de l'OIE, vol. 26, no. 3, pp. 731–739, 2007.

S. Cadmus, I. Ijagbone, H. Oputa, H. Adesokan, and J. Stack, “Serological survey of Brucellosis in livestock animals and workers in Ibadan, Nigeria,” African Journal of Biomedical Research, vol. 9, no. 3, pp. 163–168, 2006.

M. S. Rahman, M. F. Ali Hahsin, M. S. Ahasan et al., “Brucellosis in sheep and goat of Bogra and Mymensingh districts of Bangladesh,” Korean Journal of Veterinary Research, vol. 51, no. 4, pp. 277–280, 2011.

M. M. Omer, A. A. Abdelaziz, S. M. A. Abusalab, and A. M. Ahmed, “Survey of brucellosis among sheep, goat, camels and cattle in Kassala area, Eastern Sudan,” Journal of Animal health and Veterinary Advance, vol. 6, pp. 635–637, 2007.

N. Acha and B. Szyfres, Brucellosis, zoonoses and communicable disease 647 common to man and animals, vol. I, Pan American Organization, Washington, DC, USA, 3rd 648 edition, 2001.

M. J. Mangen, J. Otte, D. Pfeiffer, and P. Chilonda, Bovine brucellosis in Subsaharan Africa: Estimation of ser-prevalence and impact on meat and milk off take potential, FAO, Rome, Italy, 2002.

H. M. Chimana, J. B. Muma, K. L. Samui et al., “A comparative study of the seroprevalence of brucellosis in commercial and small-scale mixed dairy-beef cattle enterprises of Lusaka province and Chibombo district, Zambia,” Tropical Animal Health and Production, vol. 42, no. 7, pp. 1541–1545, 2010.

I. M. Lone, A. Baba, M. M. Shah, A. Iqbal, and A. Sakina, “Seroprevalence of brucellosis in sheep of organized and unorganized sector of Kashmir valley,” Veterinary World, vol. 6, no. 8, pp. 530–533, 2013.

V. Racloz, E. Schelling, N. Chitnis, F. Roth, and J. Zinsstag, “Persistence of brucellosis in pastoral systems,” Revue Scientifique et Technique de l'OIE, vol. 32, no. 1, pp. 61–70, 2013.

J. B. Muma, J. Godfroid, K. L. Samui, and E. Skjerve, “The role of Brucella infection in abortions among traditional cattle reared in proximity to wildlife on the Kafue flats of Zambia,” Revue Scientifique et Technique de l'OIE, vol. 26, no. 3, pp. 721–730, 2007.

Haileselassie Mekonnen, Shewit Kalayou, and Moses Kyule, “Serological survey of bovine brucellosis in barka and arado breeds (Bos indicus) of Western Tigray, Ethiopia,” Preventive Veterinary Medicine, vol. 94, no. 1-2, pp. 28–35, 2010.

K. Makita, E. M. Fèvre, C. Waiswa, M. C. Eisler, M. Thrusfield, and S. C. Welburn, “Herd prevalence of bovine brucellosis and analysis of risk factors in cattle in urban and peri-urban areas of the Kampala economic zone, Uganda,” BMC Veterinary Research, vol. 7, article no. 60, 2011.

H. R. Holt, M. M. Eltholth, Y. M. Hegazy, W. F. El-Tras, A. A. Tayel, and J. Guitian, “Brucella spp. infection in large ruminants in an endemic area of Egypt: cross-sectional study investigating seroprevalence, risk factors and livestock owner's knowledge, attitudes and practices (KAPs),” BMC Public Health, vol. 11, no. 1, 2011.

B. Megersa, D. Biffa, F. Niguse, T. Rufael, K. Asmare, and E. Skjerve, “Cattle brucellosis in traditional livestock husbandry practice in Southern and Eastern Ethiopia, and its zoonotic implication,” Acta Veterinaria Scandinavica, vol. 53, no. 1, article no. 24, 2011.

P. H. Bayemi, E. C. Webb, M. V. Nsongka, H. Unger, and H. Njakoi, “Prevalence of Brucella abortus antibodies in serum of Holstein cattle in Cameroon,” Tropical Animal Health and Production, vol. 41, no. 2, pp. 141–144, 2009.

E. D. Karimuribo, H. A. Ngowi, E. S. Swai, and D. M. Kambarage, “Prevalence of brucellosis in crossbred and indigenous cattle in Tanzania,” Livestock Research for Rural Development, vol. 19, no. 10, 2007.

M. Z. Jama'ayah, J. Y. Heu, and A. Norazah, “Seroprevalance of brucellosis among suspected cases in Malaysia,” Malaysian Journal of Pathology, vol. 33, no. 1, pp. 31–34, 2011.

M. Yesuf, S. Alemu, W. Temesgen, H. Mazengiac, and H. Negussie, “Seroprevalence of Ovine Brucellosis in South Wollo, North Eastern Ethiopia,” American Eurasian Journal of Agricultural and Environmental Science, vol. 9, pp. 288–291, 2010.

M. Rahman, M. Rahaman, M. Islam et al., “Seroprevalence of brucellosis in sheep in the gaibandha district of Bangladesh,” Progressive Agriculture, vol. 23, pp. 25–32, 2013.

H. Dinka and R. Chala, “Seroprevalence study of bovine brucellosis in Pastoral and Agro-Pastoral Areas of East Showa Zone,” American-Eurasian Journal of Agricultural and Environmental Science, vol. 6, pp. 508–512, 2009.

S. I. B. Cadmus, H. K. Adesokan, and J. Stack, “The use of the milk ring test and rose bengal test in brucellosis control and eradication in Nigeria,” Journal of the South African Veterinary Association, vol. 79, no. 3, pp. 113–115, 2008.

G. Matope, E. Bhebhe, J. B. Muma et al., “Seroprevalence of brucellosis and its associated risk factors in cattle from smallholder dairy farms in Zimbabwe,” Tropical Animal Health and Production, vol. 43, no. 5, pp. 975–982, 2011.

O. M. Radostits, C. C. Gay, D. C. Blood, and K. W. Hinchcliff, Veterinary medicine: a textbook of diseases of cattle, sheep, goats, pigs and horses, vol. 9, W. B. Saunders Company Ltd., London, UK, pp. 867-882, 2000.

G. Aregawi, H. Daniel, and A. Berihun, “Seroprevalence of ovine brucellosis in a sheep export farm, Ethiopia,” Global Veterinaria, vol. 11, no. 3, pp. 325–328, 2013.

E. K. Kabagambe, P. H. Elzer, J. P. Geaghan, J. Opuda-Asibo, D. T. Scholl, and J. E. Miller, “Risk factors for Brucella seropositivity in goat herds in eastern and western Uganda,” Preventive Veterinary Medicine, vol. 52, no. 2, pp. 91–108, 2001.

A. M. Al-Majali, “Seroepidemiology of caprine Brucellosis in Jordan,” Small Ruminant Research, vol. 58, no. 1, pp. 13–18, 2005.

A. M. Coelho, A. C. Coelho, M. Roboredo, and J. Rodrigues, “A case-control study of risk factors for brucellosis seropositivity in Portuguese small ruminants herds,” Preventive Veterinary Medicine, vol. 82, no. 3-4, pp. 291–301, 2007.

M. Refai, “Incidence and control of brucellosis in the Near East region,” Veterinary Microbiology, vol. 90, no. 1-4, pp. 81–110, 2002.

A. H. Al-Talafhah, S. Q. Lafi, and Y. Al-Tarazi, “Epidemiology of ovine brucellosis in Awassi sheep in Northern Jordan,” Preventive Veterinary Medicine, vol. 60, no. 4, pp. 297–306, 2003.

A. R. Boukary, C. Saegerman, E. Abatih et al., “Seroprevalence and potential risk factors for Brucella spp. infection in traditional cattle, sheep and goats reared in urban, periurban and rural areas of Niger,” PLoS ONE, vol. 8, no. 12, Article ID e83175, 2013.

N. K. Mahajan and R. C. Kulshreshtha, “Prevalence of brucellosis due to rough forms of Brucellain sheep,” Indian Journal of Animal Science, vol. 57, pp. 1287–1289, 1987.

E. Schelling, C. Diguimbaye, S. Daoud et al., “Brucellosis and Q-fever seroprevalences of nomadic pastoralists and their livestock in Chad,” Preventive Veterinary Medicine, vol. 61, no. 4, pp. 279–293, 2003.

N. Ibrahim, K. Belihu, F. Lobago, and M. Bekana, “Sero-prevalence of bovine brucellosis and its risk factors in Jimma zone of Oromia Region, South-western Ethiopia,” Tropical Animal Health and Production, vol. 42, no. 1, pp. 35–40, 2009.

J. J. McDermott and S. M. Arimi, “Brucellosis in sub-Saharan Africa: epidemiology, control and impact,” Veterinary Microbiology, vol. 90, no. 1–4, pp. 111–134, 2002.

J. W. Magona, J. Walubengo, T. Galiwango, and A. Etoori, “Seroprevalence and potential risk of bovine brucellosis in zerograzing and pastoral dairy systems in Uganda,” Tropical Animal Health and Production, vol. 41, no. 8, pp. 1765–1771, 2009.

M. Kadohira, J. J. McDermott, M. M. Shoukri, and M. N. Kyule, “Variations in the prevalence of antibody to brucella infection in cattle by farm, area and district in Kenya,” Epidemiology and Infection, vol. 118, no. 1, pp. 35–41, 1997.

C. C. Chukwu, “Brucellosisin Africa Part II: The importance,” Bulletin Animal Health and Production Africa, vol. 35, pp. 92–98, 1987.