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International partnerships - Shining light on the neglected zoonoses
Elizabeth Cook1,2, Lian Thomas1,2, Will de Glanville1,2, Mark Bronsvoort1, Phil Toye2, Bernard Agwanda3, Njeri Wamae4, Sam Kariuki4 and Eric Fèvre2,5
1 University of Edinburgh, 2 International Livestock Research Institute, 3 National Museums of Kenya, 4 KEMRI, 5 University of Liverpool

Background
•Zoonoses are diseases that spread from animals to people e.g. bird flu and rabies
•Poor people in developing countries are the worst affected, with livestock owners and abattoir workers at particularly high risk
•The People, Animals and their Zoonoses (PAZ) project investigates zoonoses in western Kenya
Outcomes
Identify risk behaviours for
disease
Develop interventions for
prevention and control

Objectives
Determine exposure to
zoonoses in people and
animals

Methods
Sampling procedure
Questionnaire
-Demographics
-Socioeconomic status
-Health and nutrition

Study population
-416 households
-2113 people
-983 cattle
-93 pigs
-129 bats and rodents
824 hospital cases

Biological samples
Blood, faeces

738 abattoir workers

Data analysis
-Estimate percentage of
people/animals affected
(prevalence)
-Risk behaviours for
disease
-Spatial relationships
-Food borne risk
-Compare new test to
“gold standard”

Sample analysis
-Blood and intestinal
parasites
-Milk fever (brucellosis)
-Pig tapeworm
(cysticercosis)
-Sleeping sickness
(trypanosomiasis)
-Rift Valley Fever
-Q fever

Land cover mapping

Partners and roles
COORDINATING PARTNERS
•University of Edinburgh
•International Livestock Research
Institute
•Kenya Medical Research Institute
•Department of Veterinary
Services Kenya

DATA ANALYSIS
PARTNERS
•Uni of Wisconsin
•Uni of Southampton
•Uni of Liverpool

DIAGNOSTIC PARTNERS
•Friedrich Loeffler Institute, Germany
•University of Florida
•Universidad de Navarra, Spain
•Children’s Hospital Oakland Research Institute
•Association for Strengthening Agricultural
Research in East and Central Africa
•Institute of Tropical Medicine, Belgium

SAMPLING PARTNERS
•National Museums of Kenya
•University of Nairobi
•Makerere University,
Uganda
POLICY PARTNERS
•Zoonotic Disease Unit

FUNDING
Wellcome Trust, Biotechnology and Biological Sciences Research Council, MRC, Consultative Group on International Agricultural Research

Outcomes
Key Results

Significance

Brucellosis data

Used in national control policy

Cysticercosis data

Develop new diagnostic test (Fig A)

Trypanosomiasis

Atlas of human African trypanosomiasis

Rift Valley Fever

First time identified in this area

New bat parasite

First time identified (Fig B)

Abattoir standards

Contribution to national standards

A

Additional benefits resulting from project
•BIOBANK – 25,000 samples stored for future
projects
•Capacity building – 13 national and 12 international
undergraduate and graduate students
•Treatment provided to 3000+ participants

B

•Some diagnostic tests validated in African setting for
first time
•Collaboration with WHO to develop global
eradication programme for cysticercosis

Conclusion
•Holistic approach to zoonotic disease investigation – first project to study animals and people concurrently
•Multidiscipline cross cultural team allows integrated approach to understanding zoonoses in this setting
•Outcomes of this project will allow development of evidence driven interventions for the prevention and control of zoonoses

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