Tracking Invisible Threats: A Comprehensive Study of brucellosis and leptospirosis infectious diseases at human-livestock wildlife interface in Tanzania, East Africa.
Shabani Muller, PhD Student, Graduate Research Assistant, UNL - School of Natural Resources
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10/31/2023
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The major objective of our research was to determine the prevalence and transmission of brucellosis and leptospirosis, two neglected infectious diseases that can be transmitted from animals to people in rural agricultural communities. Using cross sectional epidemiological studies, we detected anti-Brucella antibodies in humans, livestock, and wildlife within the Katavi-Rukwa ecosystem, with cattle showing the highest seroprevalence of exposure. Additionally, pathogenic Leptospira species were found in people who farm and keep large herds of livestock emphasizing the need for active disease surveillance. These findings underscore the importance of addressing infectious diseases to safeguard communities' well-being and inform public and animal health policies in Tanzania and beyond.
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- [00:00:00.750]The following presentation is part
- [00:00:02.670]of the Agronomy and Horticulture seminar series
- [00:00:05.790]at the University of Nebraska, Lincoln.
- [00:00:08.610]All right, welcome everyone to today's seminar.
- [00:00:12.120]I have the pleasure of introducing our speaker.
- [00:00:14.640]Shabani Muller is a graduate student
- [00:00:16.770]in the School of Natural Resources
- [00:00:18.240]that works with the One Health Project.
- [00:00:20.310]Shabani joined UNL in 2022
- [00:00:23.130]as part of the Global Learning Hub,
- [00:00:24.960]where he engages in efforts
- [00:00:26.280]to connect international and domestic students,
- [00:00:29.010]to promote IANR activities related
- [00:00:30.990]to agriculture and natural resources.
- [00:00:33.240]Before coming to UNL,
- [00:00:34.133]Shabani majored in molecular biology
- [00:00:36.390]at the Sokoine University of Agriculture
- [00:00:39.210]in Morogoro, Tanzania,
- [00:00:41.220]where he employed field epidemiology
- [00:00:43.050]and bioinformatics techniques
- [00:00:44.400]to understand infectious diseases in humans and animals.
- [00:00:47.880]Shabani has a strong background
- [00:00:49.530]in molecular and microbiological research
- [00:00:51.840]at the intersection of human health,
- [00:00:53.610]and has worked as part of many teams,
- [00:00:55.560]including as a research fellow in Bengaluru, India,
- [00:00:59.010]developing recombinant protein diagnostics
- [00:01:01.440]for infectious disease detection in humans and animals,
- [00:01:04.740]as a laboratory technical officer in conjunction
- [00:01:07.470]with the USAID Boresha project team studying malaria,
- [00:01:11.820]and as a laboratory scientist at the National Institute
- [00:01:14.730]for Medical Research in Tanzania,
- [00:01:16.410]where he worked on Ebola and HPV vaccine trials,
- [00:01:19.890]and conducted genomic surveillance
- [00:01:21.660]of brucellosis and leptospirosis,
- [00:01:24.360]work that he has published.
- [00:01:26.310]Now at UNL, Shabani conducts research
- [00:01:28.980]that explores disease transmission
- [00:01:30.570]between animals and people.
- [00:01:32.010]He recently started a project exploring the effects
- [00:01:34.590]of fungicide agrochemicals on tadpoles
- [00:01:37.590]and the surrounding landscape
- [00:01:39.480]as part of the AltEn ethanol study in Mead, Nebraska.
- [00:01:42.630]And today he will discuss his work looking specifically
- [00:01:45.750]at human livestock wildlife interactions
- [00:01:48.420]that impact populations in rural agricultural communities.
- [00:01:51.810]His interdisciplinary work uses microbiological,
- [00:01:54.780]computational and disease surveillance approaches
- [00:01:57.300]to raise awareness of disease prevention strategies
- [00:01:59.640]and promote community wellbeing
- [00:02:01.200]that can inform public health and human health policies.
- [00:02:04.590]So with that, I'll turn over to Shabani. Thank you.
- [00:02:06.990]Thank you so much, Dr. Ashley, for a great introduction.
- [00:02:12.330]I'm happy to be here, talk about my research,
- [00:02:18.330]our research that we did in Tanzania.
- [00:02:20.610]But I'm happy to see some of the people in this room
- [00:02:25.290]that I worked with, especially Dr. Martha Mamo.
- [00:02:38.220]We did a lot of work, and when I see her,
- [00:02:40.680]I remember many things that we went through in summer.
- [00:02:44.280]I just want to add something that Dr. Ashley mentioned.
- [00:02:49.800]I worked with a different organization in Tanzania.
- [00:02:53.880]And, yeah, as a laboratory scientist
- [00:02:57.900]or laboratory technician, yeah, we did many projects.
- [00:03:02.670]One of the projects that I remember very well,
- [00:03:05.430]it is the project on human papilloma virus,
- [00:03:09.870]the vaccine that has been approved by WHO.
- [00:03:13.980]We worked on reducing the dose.
- [00:03:17.160]Instead of giving three doses of vaccine
- [00:03:19.560]to under 14 years girl,
- [00:03:22.410]we did that research and reduced to one dose.
- [00:03:25.620]And that vaccine has been approved by the WHO.
- [00:03:28.710]So my role as a lab technologist was to take care
- [00:03:33.565]of the specimen and to keep them in good condition according
- [00:03:38.010]to international standards.
- [00:03:39.480]So yeah, thank god for that.
- [00:03:42.060]But yeah, today I'm going to talk on a topic entitled
- [00:03:49.080]Tracking Invisible Threats,
- [00:03:51.240]and a comprehensive study on brucellosis,
- [00:03:54.540]leptospirosis infection,
- [00:03:56.490]diseases at human-wildlife interaction
- [00:03:59.880]in Tanzania wildlife.
- [00:04:03.300]So yeah, I want to go
- [00:04:06.600]through a little bit about my background.
- [00:04:09.300]I'm Shabani Muller, as Dr. Ashley said,
- [00:04:14.190]a PhD student at the University of Nebraska, Lincoln.
- [00:04:18.840]And my major focus is on disease ecology and One Health.
- [00:04:23.460]I'm under advisory supervision of Dr. Elizabeth VanWormer.
- [00:04:29.850]I thank her for her close supervision and guidance.
- [00:04:36.180]I want to talk a little bit
- [00:04:38.220]about the background of Tanzania.
- [00:04:40.860]As you may have known, Tanzania is located
- [00:04:44.580]on eastern part of Africa.
- [00:04:47.280]And if I compare with the size
- [00:04:49.650]of one of the states here in the US,
- [00:04:53.100]it's more, it is 1.6 times smaller than Alaska,
- [00:04:59.220]but about five times of Nebraska (laughs)
- [00:05:02.778]if you compare with the size of Nebraska.
- [00:05:05.820]And we do have some precious material there in Tanzania.
- [00:05:10.050]I hope you've heard of ruby from Tanzania, and tanzanite.
- [00:05:14.310]Tanzanite is the only precious gems found in Tanzania.
- [00:05:17.970]You cannot find it anywhere except Tanzania.
- [00:05:22.650]But we also have the highest peak of Africa
- [00:05:26.177]called Mount Kilimanjaro.
- [00:05:28.650]And yeah, I would also take this opportunity
- [00:05:30.990]to welcome you to visit us,
- [00:05:33.600]to visit the Mount Kilimanjaro in Tanzania.
- [00:05:36.930]In terms of agriculture,
- [00:05:38.760]we do have many livestocks in Tanzania.
- [00:05:43.710]We have
- [00:05:46.440]about 32 million livestocks like cows.
- [00:05:51.450]We have more than 2 million buffaloes.
- [00:05:56.040]Wildebeest that are migrating from Tanzania to Kenya,
- [00:05:59.190]every year they go to Kenya and come back.
- [00:06:02.040]So you should go to visit them in Serengeti
- [00:06:04.290]if you plan for a trip to Tanzania.
- [00:06:06.630]We do have many like chicken,
- [00:06:11.670]more than 92 million chicken in Tanzania.
- [00:06:14.997]But you won't imagine more than 95% are indigenous species,
- [00:06:20.250]so they're prone to diseases.
- [00:06:25.380]Yeah. Now I want to talk about an invisible threat.
- [00:06:31.080]Have you noticed that when there is a pandemic,
- [00:06:36.124]everybody attention turns to that pandemic?
- [00:06:39.864]You have all experienced Covid-19.
- [00:06:42.630]Everyone was talking about Covid-19.
- [00:06:45.450]Us international student, oh, when we came here,
- [00:06:48.600]it was all question related to Covid-19.
- [00:06:52.080]Do you have mask?
- [00:06:52.913]Have you come into contact with someone?
- [00:06:55.110]Oh, how about your temperature?
- [00:06:56.790]At the airport, that was the talk of the day.
- [00:07:00.690]Even along the street people talk about it all day,
- [00:07:03.240]Covid-19, Covid-19.
- [00:07:05.250]Well, sometimes it's good
- [00:07:07.409]because it attracts attention of everyone,
- [00:07:10.020]but there's something hidden that people don't see.
- [00:07:13.680]You know, that's what I call the invisible threat.
- [00:07:16.860]So in our country, Tanzania, we also had this period.
- [00:07:24.212]In 2012, we had a major problem of malaria.
- [00:07:30.420]When you go to hospital, everyone was talking
- [00:07:32.970]about malaria, malaria, malaria.
- [00:07:36.450]And people were treating malaria without even diagnosis.
- [00:07:39.930]They just look at you, oh, they will write,
- [00:07:43.320]they will prescribe anti-malaria for you.
- [00:07:45.600]Why didn't you take some blood measurement?
- [00:07:48.000]You see? So it was a problem.
- [00:07:50.640]The prevalence or the burden of malaria in our country
- [00:07:54.480]during that period was elevated.
- [00:07:57.150]So a lot of project came in,
- [00:07:59.760]including the WHO project called T3.
- [00:08:05.413]So this T3 means test, treat, track project.
- [00:08:09.690]It is a new project
- [00:08:10.713]or a policy that the World Health Organization introduced
- [00:08:14.910]in order to track malaria cases
- [00:08:17.370]because they've observed malaria's trauma.
- [00:08:20.880]Is it real? Are people treating?
- [00:08:22.740]Are they following the guideline?
- [00:08:24.360]So they introduced this guideline, and it turned out
- [00:08:28.170]that most of malaria cases were not malaria.
- [00:08:32.550]They were high fever of unknown origin.
- [00:08:36.570]They didn't know the origin of that fever.
- [00:08:38.400]High fever cases were high.
- [00:08:40.680]Malaria was there, but it was not the way it was reported.
- [00:08:45.780]So, so many projects came in, including our research team.
- [00:08:50.340]They decided to look at the aspect of this,
- [00:08:52.890]especially at human and animal interaction.
- [00:08:57.030]And during this period, there were so many things coming in.
- [00:09:00.720]Our neighbor from the Republic Democratic of Congo,
- [00:09:03.683]they had problem of Ebola, outbreak of Ebola.
- [00:09:07.800]So there were also the notion
- [00:09:09.780]of emerging and reemerging diseases.
- [00:09:12.090]So there were scientists in Tanzania,
- [00:09:16.770]got funding to track fever of unknown origin.
- [00:09:21.060]And us, our team in collaboration with our partners
- [00:09:26.070]from Africa, one western part of Africa
- [00:09:30.270]and SACIDS Foundation, we got fund from Welcome Trust
- [00:09:35.370]to track fever of unknown origin.
- [00:09:38.040]And our team focused on southern part of Tanzania.
- [00:09:45.000]Yeah, we went to southern part of Tanzania. Why?
- [00:09:48.630]Because there were a group of livestock keepers
- [00:09:51.960]who migrated from north central part of Tanzania
- [00:09:56.441]to southern part of Tanzania.
- [00:09:58.520]As the result, they found themselves
- [00:10:00.960]in close proximity with wildlife animals.
- [00:10:04.800]So we said, okay,
- [00:10:06.540]there must be something circulating
- [00:10:08.520]in that area because why?
- [00:10:10.110]Because there is a huge population of people living
- [00:10:13.140]in close proximity with wildlife animal.
- [00:10:17.160]So yeah, we went and focused on various diseases,
- [00:10:22.230]but our group tackled leptospirosis, brucellosis.
- [00:10:28.020]There were also other group who did the Q fever,
- [00:10:30.840]but us, we focused on leptospirosis, brucellosis
- [00:10:35.970]and we did a little bit of malaria.
- [00:10:39.000]So yeah, what is leptospirosis?
- [00:10:43.530]Leptospirosis is a disease
- [00:10:48.798]that is caused by a bacteria called Leptospira interrogans.
- [00:10:54.876]Leptospira interrogans, lepto means thin,
- [00:10:59.700]spira means coiled.
- [00:11:01.650]So it is a thin coiled bacteria of Gram negative
- [00:11:06.723]that caused this disease in human.
- [00:11:14.138]This species or this bacteria,
- [00:11:16.380]it lives happily in rodents.
- [00:11:18.964]It means rodents are maintenance host.
- [00:11:21.990]And human being and other animal are incidental hosts.
- [00:11:25.890]What is the difference there?
- [00:11:27.540]In maintenance host, they don't cause many problems.
- [00:11:31.320]They cause some clinical problems.
- [00:11:33.690]But in incidental hosts,
- [00:11:35.550]they cause problem like acute diseases
- [00:11:38.790]including fever, muscle pains.
- [00:11:42.540]And some of the symptoms are similar to malaria.
- [00:11:47.220]And transmission of this parasite is
- [00:11:50.970]through consumption of infected meat
- [00:11:54.570]or drinking contaminated water.
- [00:11:57.720]And yeah, in terms of brucellosis,
- [00:12:02.240]brucellosis is caused by bacteria,
- [00:12:05.370]a very tiny bacteria, coccoid bacilli bacteria
- [00:12:08.580]of gram negative.
- [00:12:10.680]It's very small. It infects mostly cows, animal.
- [00:12:16.170]And the disease can also be transmitted
- [00:12:21.540]in human by consumption of infected dairy product
- [00:12:27.000]or infected meat product
- [00:12:28.710]or by drinking water contaminated with this bacteria.
- [00:12:33.360]It also causes a wide range of symptoms.
- [00:12:36.690]And that's why in some country it has so many names,
- [00:12:40.890]including Mediterranean fever, Maltese fever.
- [00:12:45.660]It has so many names.
- [00:12:48.090]But according to the WHO, it is brucellosis.
- [00:12:52.680]So yeah, our research group,
- [00:12:57.450]we did a cross-sectional epidemiological study,
- [00:13:02.220]and we traveled all the way
- [00:13:04.473]from the central part of Tanzania
- [00:13:10.110]to west southern part of Tanzania.
- [00:13:13.410]It was about two days' journey
- [00:13:17.190]and we drove more than 1,000 miles to reach that place.
- [00:13:22.800]And what is the technique?
- [00:13:25.358]The people who live there in this area, Katavi ecosystem,
- [00:13:30.360]most of them are agriculturalists.
- [00:13:34.470]And the population size, according
- [00:13:36.720]to the last year census is
- [00:13:38.430]more than 1 million people live in this area.
- [00:13:41.730]And yeah, 7% of these people live in rural area.
- [00:13:48.390]So what is the approach that we used?
- [00:13:50.813]We used a multidisciplinary approach called One Health.
- [00:13:56.460]Yeah, what does it mean?
- [00:13:57.660]It's a collaboration between various discipline
- [00:14:02.790]in order to tackle a difference,
- [00:14:04.710]in order to tackle a common problem.
- [00:14:06.870]So in our group, we had a physician,
- [00:14:11.460]we had a veterinarian,
- [00:14:14.250]and I was the lab scientist there.
- [00:14:17.040]A driver, environmental health expert,
- [00:14:20.860]and a rodent expert was in that journey.
- [00:14:24.240]We used one car.
- [00:14:25.800]We used one microscope.
- [00:14:27.600]We shared equipment, which defined the One Health approach.
- [00:14:31.950]So we drove all the way from the central part
- [00:14:34.710]using that car, making story and fun along the way
- [00:14:38.340]because two of our team members are doctors,
- [00:14:43.470]but one, he deals with people.
- [00:14:47.220]And the other one deals, his patient are animals.
- [00:14:50.970]So along the road we could make a lot of fun, you know.
- [00:14:54.097]"You, you're a doctor who you eat your own patient."
- [00:14:57.600]We laugh, and you know, the story went like that.
- [00:15:00.390]So it was a great, a great journey
- [00:15:02.820]and we enjoyed working together.
- [00:15:04.950]So arriving on the field,
- [00:15:07.830]we collected various samples, including blood.
- [00:15:14.670]We collected milk from cows.
- [00:15:20.010]We collected tissues from rodent.
- [00:15:25.224]And the human doctor, the physician was collecting blood
- [00:15:29.460]from human beings who live in this area.
- [00:15:32.010]These are the people who live in, it's like in the bush,
- [00:15:35.340]but that's where they live,
- [00:15:37.170]in close proximity with wildlife.
- [00:15:40.860]So everyone was doing his job.
- [00:15:43.260]The veterinarian was collecting blood from cows and goat.
- [00:15:47.670]And as a laboratory scientist, I was assisting the physician
- [00:15:54.330]to take notes, to document the name of people,
- [00:15:57.630]you know, and also do some sampling, some blood testing,
- [00:16:00.780]malaria and other things.
- [00:16:03.420]And yeah, we also collected other samples from the wildlife,
- [00:16:07.500]including the big cat, the lion.
- [00:16:10.110]We collected a sample of two lions
- [00:16:12.960]and the sample from rodents.
- [00:16:18.390]Diagnosis, we used the MAT, microscopic agglutination test,
- [00:16:23.820]in order to confirm the serology,
- [00:16:28.270]in order to confirm the disease
- [00:16:32.370]in animal, in human.
- [00:16:34.230]And this imaging is the gold standard
- [00:16:37.770]to diagnose leptospirosis.
- [00:16:40.920]We didn't use culture. Why?
- [00:16:42.780]Because it takes a long time and it is not recommended.
- [00:16:46.710]So as you can see, this is the negative,
- [00:16:50.517]the negative sample.
- [00:16:52.080]This is the way to look under that field microscope.
- [00:16:54.900]And the positive, weak positive, it looked like that.
- [00:16:58.710]And strong positive, it looked like that.
- [00:17:01.410]There are a few live Leptospira species.
- [00:17:04.860]It means agglutination is occurring.
- [00:17:06.750]You can see this is how it looked under that microscope.
- [00:17:11.490]And we also did the PCR
- [00:17:13.488]in order to confirm what we were seeing.
- [00:17:16.680]We did PCR on Leptospira species.
- [00:17:19.200]We also did some PCR on Brucella specimen sample.
- [00:17:25.320]And in order to be certain of what we were seeing,
- [00:17:29.850]we did a battery of diagnostic testing.
- [00:17:33.090]For brucellosis, we did Roes Bengal test, which is SAT.
- [00:17:38.697]We did some PCR as I said.
- [00:17:40.410]And cELISA is recommended by the office of OIE
- [00:17:47.850]as a confirmatory test for brucellosis.
- [00:17:50.730]So we did all those tests
- [00:17:53.580]to confirm what you were seeing
- [00:17:56.190]or to supplement other diagnostic testing.
- [00:18:00.090]So yeah, you can scan that QR code
- [00:18:04.530]in order to view all published result.
- [00:18:06.750]Because all what we did were published
- [00:18:08.970]in peer-reviewed journals.
- [00:18:12.390]But I have selected some of the findings that we got.
- [00:18:16.230]In terms of results, these are serological results.
- [00:18:19.320]We found that about 30% of human
- [00:18:24.000]were infected with a Leptospira serovars,
- [00:18:28.980]and 30% of cattle were also infected
- [00:18:32.790]with a Leptospira serovars, and goat 8%.
- [00:18:37.470]In terms of buffalo 29,
- [00:18:41.400]about 29% were infected with Leptospira.
- [00:18:45.180]In rodent, rodent are their maintenance host,
- [00:18:50.490]about 20% were infected
- [00:18:56.127]with Leptospira serovars.
- [00:18:58.980]And yeah, other specific serovars,
- [00:19:02.940]these serovars, these four were the most prevalent
- [00:19:07.650]in terms of cattle and human being.
- [00:19:10.440]The serovar Sejroe which is originated from cattle
- [00:19:15.480]were 17% in cattle and 15% in human.
- [00:19:21.270]And the other serovars, Icterohaemorrhagie,
- [00:19:24.150]which is mostly found in human,
- [00:19:27.810]about 9% were positive reported for serovar,
- [00:19:35.093]4.8% in cattle and in human beings.
- [00:19:40.620]And this was also one of the novel results that we found.
- [00:19:45.090]Lion big cat were also infected with Leptospira serovar.
- [00:19:52.710]Yeah. This result, I did that sequencing.
- [00:19:57.810]I extracted blood DNA from people who live there.
- [00:20:02.280]And I did sequencing of the DNA
- [00:20:08.010]and submitted the sequence result to the GenBank.
- [00:20:12.600]The result shows that people who live in this area
- [00:20:17.787]are infected with pathogenic Leptospira.
- [00:20:21.120]So we got two sequencing
- [00:20:24.630]and submitted on GenBank,
- [00:20:26.400]and it showed that 98% are similar
- [00:20:30.330]to Leptospira interrogans, which are very pathogenic.
- [00:20:34.800]And if you compare to non-pathogenic Leptospira,
- [00:20:39.840]it is a little bit distant
- [00:20:42.810]if you compare with what we found.
- [00:20:45.120]So we concluded that people who live in those area,
- [00:20:48.510]they're there, but they're also infected
- [00:20:51.300]with pathogenic Leptospira species.
- [00:20:53.910]And this result was the first time
- [00:20:55.890]to be conducted in that area,
- [00:20:58.200]and we published it in peer-reviewed journal.
- [00:21:03.120]And yeah, in terms of leptospirosis summary,
- [00:21:06.840]we confirm that pathogenic Leptospira species,
- [00:21:14.396]they're found in agro-pastoralists
- [00:21:18.450]who live in southwestern part of Tanzania.
- [00:21:22.500]And we emphasize the need
- [00:21:26.040]for active surveillance in those area.
- [00:21:29.190]But also we notified the government.
- [00:21:32.580]We sat down with the government, that hey, guys,
- [00:21:34.890]we should do some public health concern in this area.
- [00:21:38.130]We should conduct some active surveillance
- [00:21:40.440]and see if you can adjust the policy
- [00:21:43.050]in order to protect people who are living in this area.
- [00:21:49.050]Yeah, in terms of brucellosis,
- [00:21:52.590]yeah, in animal, cattle were more infected,
- [00:21:58.410]7.5% by using Rose Bengal blood test.
- [00:22:03.270]7% of cattle were infected with the brucellosis.
- [00:22:06.930]And goat, the percentage were a little bit low in goat.
- [00:22:11.100]And yeah, by using confirmatory tests, which is cELISA,
- [00:22:16.470]6.8% of cattle were infected with brucellosis.
- [00:22:21.420]And just 1.6% of goats were infected
- [00:22:25.950]with these Brucella species.
- [00:22:31.221]In humans and wildlife animals,
- [00:22:33.810]the prevalence or the biomass was a little bit low
- [00:22:38.100]compared to animal.
- [00:22:40.855]1.5% versus this is 50%,
- [00:22:45.960]but it's only one lion out of two.
- [00:22:48.900]So the sample size is low,
- [00:22:51.030]but based on what we had, two lion,
- [00:22:54.035]one was also Brucella positive.
- [00:22:57.120]And zebra, we had two zebra, two sample of zebra.
- [00:23:00.750]None of them was Brucella positive.
- [00:23:03.990]So we did some risk factor.
- [00:23:07.890]We interview 138 people, wanting to know
- [00:23:11.940]what are the reason why of getting this Brucella infection.
- [00:23:16.140]And we got response from people who live in this area.
- [00:23:21.060]They say that we share the same water sources
- [00:23:24.870]with the wildlife animal.
- [00:23:26.760]And others said that, oh, we drink,
- [00:23:30.282]we drink unpasteurized milk from cow.
- [00:23:34.140]And others say, oh, because we are involved in agriculture.
- [00:23:37.320]Others said, no, our soil is the problem.
- [00:23:40.530]So there were a lot of responses
- [00:23:42.990]from the people who live in this area
- [00:23:45.540]in interaction with wildlife animal.
- [00:23:48.150]But after doing some statistical analysis,
- [00:23:51.390]this is what we found.
- [00:23:53.040]And using univariate statistical logistic regression,
- [00:23:58.320]we found only three parameters
- [00:24:01.493]are statistically significant like education.
- [00:24:06.150]Most of these people, the people who live in this area,
- [00:24:10.560]they don't have a formal education.
- [00:24:13.770]They didn't go to school at all.
- [00:24:15.450]But also slaughtering cattle or goat in the household
- [00:24:20.310]was found to be a major problem.
- [00:24:23.070]And yeah, if having the history of occurrence
- [00:24:26.520]of abortion in the herd was another problem
- [00:24:29.940]that were mentioned, it was statistically significant
- [00:24:32.460]by using univariate analysis.
- [00:24:36.780]But when we did multivariate analysis,
- [00:24:39.330]only two variables were statistically significant,
- [00:24:42.480]which is the low level of education
- [00:24:46.350]and the history of occurrence of retained fetal membrane
- [00:24:50.250]in the herd following parturition.
- [00:24:55.290]So yeah, if I said we can't live after malaria,
- [00:24:59.730]we did malaria and I'm the one
- [00:25:01.350]who did malaria under microscopy,
- [00:25:04.080]and 20% of people who live in this area
- [00:25:08.697]are infected with malaria.
- [00:25:09.960]So malaria, it is there too,
- [00:25:12.927]but Leptospira, as you can see, about 30%.
- [00:25:15.990]Although if you compare the proportion,
- [00:25:18.690]it is not statistically significant.
- [00:25:20.730]It's almost half far between malaria and leptospirosis.
- [00:25:24.420]But you can see leptospirosis,
- [00:25:28.012]and it is like an invisible threat.
- [00:25:29.970]It is not seen, but it is there.
- [00:25:33.360]So we did that malaria
- [00:25:35.160]in order to, yeah, like a confounding factor,
- [00:25:38.734]one of the confounding factor in our research.
- [00:25:42.750]So yeah, the major outcome,
- [00:25:45.390]we did some informed policy.
- [00:25:47.880]We did some meeting with the policy makers
- [00:25:50.160]about what we did, about our research.
- [00:25:52.650]We presented our published report to them.
- [00:25:56.970]And that intervention started.
- [00:26:00.750]Some of the people were rid from this area
- [00:26:03.330]and some elimination program went on.
- [00:26:08.070]And I think because of the One Health project
- [00:26:11.910]from this study were also launched after five years
- [00:26:16.290]of our presence in this type of area.
- [00:26:19.650]But also surveillance
- [00:26:21.090]of neglected infectious diseases took place.
- [00:26:23.640]So many area and so many area, especially in protected area,
- [00:26:28.770]research on surveillance diseases took off,
- [00:26:33.720]and as a result of what we did
- [00:26:37.050]in the southern western part of Tanzania.
- [00:26:40.620]And five years later there was an outbreak,
- [00:26:44.700]just in 2022, an outbreak of leptospirosis.
- [00:26:48.660]So the government did not know what is there.
- [00:26:51.780]Despite telling them that there is a problem
- [00:26:53.987]in southern part, they were like, oh, now we see it
- [00:26:57.540]in the southern part of Tanzania.
- [00:26:59.460]There was an outbreak and they didn't know what it was.
- [00:27:02.760]They thought it's Corona.
- [00:27:04.230]They ran to Corona.
- [00:27:05.700]They tested Corona.
- [00:27:07.110]It was negative, Marburg negative, Ebola negative.
- [00:27:11.730]So some members of our team contacted
- [00:27:16.548]the Minister of Health,
- [00:27:17.853]that why don't you try this leptospirosis?
- [00:27:20.820]Because our team did a a similar research
- [00:27:25.050]in southern part of Tanzania and we found
- [00:27:28.028]that Leptospira, leptospirosis is prevalent in that area.
- [00:27:32.240]As the result, they accepted our advice.
- [00:27:37.380]And it was found
- [00:27:38.640]that that outbreak was due to leptospirosis.
- [00:27:43.200]And three people, they lost their life there,
- [00:27:47.011]and more than 20 people were infected.
- [00:27:49.080]And there was a lot of panic in that area.
- [00:27:51.420]But after detecting the presence of leptospirosis,
- [00:27:55.050]the ministry contained that outbreak.
- [00:27:57.886]And it was published
- [00:27:59.157]and you can see, you can get them online
- [00:28:01.537]"Leptospirosis Outbreak in Tanzania 2022".
- [00:28:06.150]So yeah. How does this relate to Nebraska?
- [00:28:10.200]You can say that, ah, this happened in Tanzania,
- [00:28:13.170]but we do share many things in common.
- [00:28:15.540]Rodents are also in Nebraska.
- [00:28:18.030]We do have rat.
- [00:28:21.660]And yeah, so many agro-pastoralists also,
- [00:28:26.203]they're also in Nebraska.
- [00:28:27.934]There are a lot of things going on.
- [00:28:29.354]They use chemicals, they use a lot of things.
- [00:28:32.490]We as researchers, we can go on and study
- [00:28:36.243]what is going on at livestock community area there.
- [00:28:43.110]Okay. But also One Health approach,
- [00:28:45.780]we as researchers here at UNL Nebraska,
- [00:28:49.410]we can conduct some One Health researches here.
- [00:28:54.210]Yeah. And what's next?
- [00:28:56.070]We can use various intervention method
- [00:28:58.320]in order to improve like machine learning
- [00:29:00.540]to predict the occurrence of these diseases.
- [00:29:03.330]Deep learning, we can also be integrated
- [00:29:06.600]or used in researches.
- [00:29:09.000]But combining remote sensing, ecological niche modeling,
- [00:29:12.600]these are the next opportunities for research
- [00:29:16.803]that we can do either here in Nebraska or in Tanzania.
- [00:29:22.680]Yeah, so yeah, my research underscores the importance
- [00:29:26.070]of addressing neglected infectious diseases,
- [00:29:29.880]and also helps safeguard
- [00:29:31.890]rural agricultural community wellbeing.
- [00:29:35.190]But also we also inform public in animal health policy
- [00:29:39.210]in Tanzania and beyond.
- [00:29:41.979]So thank you so much for listening.
- [00:29:45.360]If there is any question, I'm ready.
- [00:29:48.240]So if there are questions in the room,
- [00:29:50.340]I'll pass the mic around.
- [00:29:51.870]Do we have someone that wants to start?
- [00:29:57.180]Okay, then I'll go ahead and start, Shabani.
- [00:29:59.790]Thank you so much for this great talk.
- [00:30:01.230]You're welcome. At the end there,
- [00:30:02.820]you mentioned the One Health approach
- [00:30:04.650]being applied to Nebraska.
- [00:30:06.210]Could you just elaborate on how your prior work might inform
- [00:30:09.450]some of your current work here?
- [00:30:11.130]Good. That's a great question, Dr. Ashley.
- [00:30:16.470]Nebraska is an ideal place to apply One Health approach.
- [00:30:23.550]Why, because the Nebraska is known
- [00:30:28.650]for a lot of farming activities.
- [00:30:31.530]And I think that in summer I saw with my own eyes
- [00:30:35.550]what is going on at the meat.
- [00:30:37.560]I was given an opportunity to work with Dr. Mamo,
- [00:30:40.620]and I saw in Nebraska on one side of the meat,
- [00:30:46.050]they were cattle grazing,
- [00:30:48.030]on the other side, farming activity.
- [00:30:51.240]And I saw rodent.
- [00:30:52.950]There is big rat here, rodent that eat everything.
- [00:30:56.100]You remember? Yeah.
- [00:30:57.780]There are also big rodent,
- [00:31:00.317]and in the field I saw mosquito biting us
- [00:31:03.190]and I was like, this is an ideal area
- [00:31:05.880]to apply One Health research to determine
- [00:31:09.030]what is circulating in this area.
- [00:31:12.360]But also there are people living with livestock.
- [00:31:16.767]How about farm researchers and people like camping.
- [00:31:21.450]They go to spend the time in camping.
- [00:31:23.790]So we should look what is going there,
- [00:31:25.950]what is changing if they go
- [00:31:27.750]and after coming back there's something changing.
- [00:31:30.600]Aside from that, we can look at environment
- [00:31:33.810]because as you can see in our photo,
- [00:31:36.875]these hole here are for the rodent.
- [00:31:39.720]You see, this rodent, they shared millions
- [00:31:44.418]and millions bacteria in soil.
- [00:31:46.017]And in the soil itself
- [00:31:47.610]there are more than 7 billion bacteria.
- [00:31:51.420]So there is a big opportunity
- [00:31:53.760]to study One Health at the University of Nebraska.
- [00:31:57.210]But also at UNL,
- [00:31:59.682]IANR specifically, there are several department.
- [00:32:03.450]We're not supposed to work as a silo.
- [00:32:06.000]We're supposed to collaborate.
- [00:32:07.907]Instead of using different cars
- [00:32:10.320]the way we did with my friend at Aldi,
- [00:32:12.780]why can't we share one car (laughs)?
- [00:32:15.930]We can share one car, a soil scientist,
- [00:32:20.490]veterinarian and dentist maybe.
- [00:32:23.550]We can embark on a trip
- [00:32:26.100]to look at what is happening at the meat.
- [00:32:28.650]So there is a room for One Health research
- [00:32:31.830]at the University of Nebraska
- [00:32:33.780]because there are a lot of things going on.
- [00:32:37.020]Thank you.
- [00:32:39.259]Thank you, Shabani.
- [00:32:48.997]Thank you for your presentation, Shabani.
- [00:32:52.080]My question relates to in your methodology
- [00:32:56.340]for the study in Tanzania.
- [00:32:58.590]Yes.
- [00:32:59.423]Could you share with us a little bit
- [00:33:00.900]about human subjects
- [00:33:04.260]and how you withhold confidentiality,
- [00:33:09.270]whether or not something like that exists
- [00:33:12.420]within the research scope as we have it here,
- [00:33:15.210]if you could share a bit about your methodology on that.
- [00:33:18.480]Yeah, thank you so much, Dr. Mamo, for a great question.
- [00:33:23.250]And yeah, as I said,
- [00:33:29.010]you can view all the publication in this
- [00:33:31.440]by scanning this QR code.
- [00:33:34.530]In the publication, the research permit, it was granted
- [00:33:38.700]and we followed all the procedure.
- [00:33:41.550]And also in terms of confidentiality, we kept sacred.
- [00:33:47.250]We did not display the data of patient.
- [00:33:51.455]But in terms of results, we were writing,
- [00:33:54.690]I was recording the names of the patient
- [00:33:58.020]in terms of human subject,
- [00:34:00.300]and the negative and positive.
- [00:34:02.917]The positive results were communicated to patient
- [00:34:06.000]and we advised them to take anti-malaria.
- [00:34:09.420]And I remember about two kids were infected
- [00:34:13.380]with brucellosis and leptospirosis.
- [00:34:17.070]We took them to hospital by using our car.
- [00:34:19.950]So we maintained confidentiality
- [00:34:22.950]and we followed all the ethics
- [00:34:26.010]because we are not allowed to conduct research
- [00:34:28.830]without following the ethics for confidentiality.
- [00:34:34.590]And other thing, we also got permit
- [00:34:36.510]from the responsible institution,
- [00:34:41.280]like from the wildlife research center.
- [00:34:45.150]We got all the permits.
- [00:34:46.800]So we followed all the ethics for conducting research
- [00:34:50.550]and the research number are published in the publication.
- [00:35:00.930]Thank you, Shabani, for the presentation.
- [00:35:03.150]My question is related.
- [00:35:04.470]So you were testing different type of animals
- [00:35:08.790]or vectors of the disease.
- [00:35:10.260]Were you able or was part of the study to identify
- [00:35:13.380]what was the main, you know, transmission channel,
- [00:35:18.060]I mean, between which specific animal
- [00:35:20.940]or among humans, you know?
- [00:35:24.420]I will go to this conceptual.
- [00:35:31.080]Based on the environment and what we saw there,
- [00:35:35.700]I could say,
- [00:35:39.600]although by using statistics
- [00:35:41.400]it was not statistically significant,
- [00:35:43.230]but the major route of transmission,
- [00:35:45.690]people who live there eat infected meat
- [00:35:49.440]and contaminated water.
- [00:35:50.580]They drink water shared by wildlife and livestock. Yeah.
- [00:35:55.260]So the way we saw, that was the cause of these diseases.
- [00:35:59.910]And we could even test.
- [00:36:01.020]We collected also water sample.
- [00:36:03.840]We tested but we did not publish the result.
- [00:36:06.330]And we could tell that there's something
- [00:36:07.683]that even if you look at the quality of water
- [00:36:09.693]that they drank it, you could tell
- [00:36:12.180]that this water is not safe for drinking.
- [00:36:15.690]Yeah, but also, yeah, education is part why
- [00:36:19.260]because if you are educated, you will know
- [00:36:20.577]how to take care of yourself sometimes, yeah.
- [00:36:24.780]So you can even, you know,
- [00:36:27.390]even you'll see the importance of aging, yeah.
- [00:36:31.140]So there is a little bit challenge
- [00:36:33.420]of aging in people living in this area.
- [00:36:36.780]Yeah, so that can be the reason
- [00:36:39.690]for transmission of diseases.
- [00:36:41.490]But in terms of wildlife, they share.
- [00:36:44.220]Their wildlife, they live in the natural environment.
- [00:36:47.490]They shared the urine there and they live happily there.
- [00:36:52.020]But we human being,
- [00:36:53.700]we follow them in the natural environment.
- [00:36:56.070]As a result, the parasite will shift the host
- [00:37:00.030]and go to human being
- [00:37:02.640]and cause some problems in human being too, yeah.
- [00:37:06.330]Thank you. You're welcome.
- [00:37:12.990]So I have a follow-up question then
- [00:37:15.420]based on the microbiology.
- [00:37:17.520]So you showed with the genomic surveillance
- [00:37:19.950]that there were pathogenic
- [00:37:21.630]and non-pathogenic strains.
- [00:37:23.670]And I'm just unfamiliar with leptospirosis.
- [00:37:26.280]Is there a certain characteristic
- [00:37:28.020]like a plasmid, a transposable element
- [00:37:29.970]that makes a non-pathogenic group pathogenic?
- [00:37:33.180]Or are they just evolutionarily different?
- [00:37:35.850]Thank you so much, Rosa, for another great question.
- [00:37:39.360]According to
- [00:37:43.080]the genetics of Leptospira species,
- [00:37:47.100]they are subdivided into three major groups.
- [00:37:49.170]There are pathogenic one, intermediate
- [00:37:54.240]and non-pathogenic.
- [00:37:55.440]They call them saprophytic.
- [00:37:58.440]So what we did, we did not culture,
- [00:38:01.560]because culture of Leptospira species takes a long time
- [00:38:04.950]and it is not recommended in clinical setting.
- [00:38:08.490]So we use serology
- [00:38:11.490]with different serovars, sero variation.
- [00:38:15.000]We call them serovar. Why?
- [00:38:16.830]Because they stimulate the immunity at different rate.
- [00:38:22.770]They are different species
- [00:38:25.290]which stimulate the immunity at different level.
- [00:38:28.110]That why they call serovar.
- [00:38:29.976]In terms of species, if you look at the DNA,
- [00:38:32.760]they just call them Leptospira interrogans,
- [00:38:35.847]but they are saprophytic,
- [00:38:38.400]which don't have pathogenic genes.
- [00:38:41.430]So for me as an interest, I just wanted to know,
- [00:38:44.700]are these people infected with pathogenic or non-pathogenic?
- [00:38:48.600]So I did partial sequencing.
- [00:38:50.310]I didn't do the whole sequencing,
- [00:38:51.870]you know, partial sequencing.
- [00:38:54.480]And I submitted my PCR results for sequencing.
- [00:38:59.850]And I analyzed them
- [00:39:01.680]and I found that it was pathogenic.
- [00:39:05.850]You know, it was pathogenic.
- [00:39:07.650]So yeah, and the thing that I published
- [00:39:10.680]that some of these species, maybe saprophytic are there too
- [00:39:14.040]but some of them are pathogenic.
- [00:39:17.970]But based on PCR results alone,
- [00:39:20.460]the prevalence was 12% in human being,
- [00:39:23.610]12% compared to 30%.
- [00:39:26.310]Why, because serology,
- [00:39:28.530]they detect just antigen and antibody.
- [00:39:31.620]But for PCR they detect the presence
- [00:39:34.200]of the DNA of those species.
- [00:39:37.490]That was a difference. Yeah.
- [00:39:40.980]So I'm not sure if they have transposable element.
- [00:39:45.660]I'm not sure.
- [00:39:46.493]But what I know from the literature,
- [00:39:49.657]Leptospira species, they can stay in the environment
- [00:39:53.010]four about years in the environment.
- [00:39:55.710]So something must be going on
- [00:39:58.170]to maintain the life outside the host. Yeah.
- [00:40:03.480]Thank you so much. You're welcome.
- [00:40:07.963]All right. Were there any questions online?
- [00:40:13.845](attendee speaks indistinctly)
- [00:40:14.678]All right, well, seeing no more questions then,
- [00:40:17.190]we'll just give Shabani another hand.
- [00:40:18.810]Thank you so much.
- [00:40:20.100]Thank you so much.
- [00:40:21.302](attendees applauding)
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