Introduction
Materials and Methods
Partnership Between Public Health and the Veterinary Sector
Study Design
Human and Livestock Sample Collection
Diagnostic Tests
Data Analysis
Analyses of Human Sera
Correlation Between Human and Livestock Seropositivity
Estimation of Incidence of Apparent Brucellosis Seropositivity in Humans
Results
Species | Total | RBT (Biorad)a
| RBT (Ukraine)b
| ELISA (ruminant)c
| ELISA IgG (human)d
| ELISA IgM (human)d
| FPAe
| Huddlesonf
|
---|---|---|---|---|---|---|---|---|
Cattle | 1,813 | 737 | 1,560 | 1,698 | 0 | 0 | 1,691 | 0 |
Sheep | 2,076 | 761 | 1,855 | 2,029 | 0 | 0 | 2,029 | 0 |
Goats | 1,286 | 764 | 1,082 | 1,209 | 0 | 0 | 1,176 | 0 |
Humans | 1,775 | 644 | 0 | 0 | 1,762 | 369 | 0 | 1,774 |
Representative Apparent Seroprevalences and Human Incidences
Oblast species |
n
| Seroprevalencea
| 95% CI |
---|---|---|---|
Naryn Oblast
| |||
Humans | 564 | 18.3 | 14.0–23.7 |
Cattle | 536 | 2.2 | 0.8–6.0 |
Sheep | 562 | 8.9 | 5.8–13.5 |
Goats | 561 | 2.5 | 0.9–7.0 |
Chuy Oblast
| |||
Humans | 606 | 8.9 | 6.9–11.5 |
Cattle | 598 | 5.7 | 4.1–7.9 |
Sheep | 610 | 3.0 | 0.0–9.7 |
Goats | 434 | 2.7 | 1.3–5.7 |
Osh Oblast
| |||
Humans | 604 | 2.2 | 0.1–27.6 |
Cattle | 564 | 1.6 | 0.5–4.5 |
Sheep | 857 | 1.3 | 0.4–3.9 |
Goats | 214 | 2.8 | 1.3–6.1 |
Analysis of Human Sera for Risk Factors of Brucellosis Seropositivity
Variable | Huddleson test | Univariable logistic regression model | ||
---|---|---|---|---|
n
| Pos% | OR |
p(LRT) | |
Sex
| ||||
Female | 1,011 | 8.4 | 1 | <0.001 |
Male | 750 | 14.9 | 1.96 (1.4–2.7) | |
Age category
| ||||
0–18 | 128 | 14.1 | 1 | 0.60 |
19–45 | 1,049 | 11.7 | 1.2 (0.6–2.3) | |
>45 | 584 | 9.6 | 1.03 (0.5–2) | |
Oblast
| ||||
Naryn | 560 | 18.4 | 1 | <0.001 |
Chuy | 600 | 8.3 | 0.4 (0.2–0.7) | |
Osh | 601 | 7.3 | 0.2 (0.1–0.5) |
Correlation Between Human and Livestock Seropositivity
Intercept (95% CI) | Slope (95% CI) | |
---|---|---|
All livestock species | 0.09 (0.05–0.12) | 0.81 (−0.1 to 1.7) |
Small ruminants | 0.08 (0.05–0.11) | 0.97 (0.3 to 1.7) |
Cattle | 0.15 (0.11–0.18) | −0.88 (−1.8 to 0.2) |
Sheep | 0.07 (0.05–0.10) | 0.83 (0.3 to 1.4) |
Goats | 0.09 (0.07–0.12) | 0.99 (−0.06 to 2.1) |