Taenia solium cysticercosis and taeniosis (TSCT) are two forms of a zoonotic disease caused by T. solium tapeworm. Towards promotion of a One Health approach to the control of TSCT, we assessed TSCT reporting in the medical and veterinay sectors in Tanzania. We conducted a cross-sectional study between January and April 2020 in Babati and Mbulu districts (northern Tanzania), Kongwa district (central Tanzania), Mbinga and Nyasa districts (southern Tanzania), and the Zonal Veterinary Centres in Iringa (southern Tanzania) and Arusha (northern Tanzania) regions. A questionnaire was administered to 154 officers in charge (OsIC) of primary healthcare facilities (PHFs) and 110 meat inspectors (MIs) to collect quantitative data. Key informant interviews (KIIs) were conducted to 16 medical and 17 veterinary officers from level one healthcare facilities and district livestock offices, respectively, to their respective ministries. OsIC admitted absence of specific reporting (100%, n = 154) of T. solium taeniosis and neurocysticercosis (NCC) in the medical diseases reporting system (MDRS) despite the presence of optimum facilitation in terms of report preparation and submission (92.2%, n = 154) with 83.8% (n = 154) timely report submission rate. The veterinary diseases reporting system (VDRS) accommodated porcine cysticercosis (PCC) reporting. Nevertheless, approximately 77.3% (n = 110) of the MIs admitted inadequate facilitation in VDRS that hindered efficient reporting of PCC among other diseases. In addition, all MIs admitted that disease reports submitted were incomplete, submitted late (73.3%, n = 110), or not submitted at all (88.8%, n = 110). Similarly, KIIs results revealed suboptimal facilitation and reporting efficiency in VDRS than it was with the MDRS. It is concluded that the MDRS did not provide for specific reporting of taeniosis and NCC. Inadequate facilitation of the general VDRS hindered efficient PCC reporting despite its provision for PCC reporting. A One Health approach in strengthening the medical and veterinary diseases reporting systems for efficient TSCT reporting is recommended.

Background:Taenia solium (neuro) cysticercosis/taeniosis (TSCT) is a zoonotic disease complex. There is a perceived inefficient diagnosis of infections by either form, the adult pork tapeworm (taeniosis) and the larval stage of it (cysticercosis), in low-income settings, including Tanzania. This study aimed at identifying potential gaps around TSCT diagnosis and knowledge of primary healthcare providers (officers in charge (OICs) of primary healthcare facilities (PHFs)) and veterinarians (meat inspectors (MIs)) on various aspects of TSCT disease complex and addressing effective disease control in Tanzania. Methodology. A cross-sectional study was conducted between January and April 2020 in Manyara, Dodoma, Ruvuma, Iringa, and Arusha regions in Babati, Mbulu, Kongwa, Mbinga, and Nyasa districts. We interviewed 152 OICs of PHFs and 108 MIs using a structured questionnaire and 33 medical and veterinary officers from level I healthcare facilities and district livestock offices, respectively, from selected study districts to the respective ministerial level using key informant interviews. Results:Quantitative data revealed inadequate microscopic diagnostic facilities (54.6%) and personnel (100%) for taeniosis diagnosis in PHFs (n = 152). Approximately 81.2% of MIs compared with only 42.1% of OICs of PHFs scored above average regarding T. solium cysticerci knowledge. Nevertheless, 61.2% of OICs of PHFs compared with only 42.6% of MIs scored above average regarding the adult T. solium tapeworm knowledge. Qualitative data revealed inadequate availability of advanced diagnostic facilities (neuroimaging) and trained personnel for specific diagnosis of TSCT with a focus on neurocysticercosis (NCC) in secondary and tertiary healthcare facilities. Inadequately number of qualified MIs, slaughter slabs, and resource facilitation challenged porcine cysticercosis diagnosis. Conclusion:It is concluded that diagnostic capacity and knowledge of OICs of PHFs and MIs regarding TSCT are insufficient in both medical and veterinary sectors. A One Health approach should be adopted to improve TSCT diagnostic capacity and practitioners' knowledge in both medical and veterinary sectors.

A strong animal health surveillance system is an essential determinant of the health of animal and human population. To ensure its functionality and performance, it needs to be evaluated regularly. Therefore, a process evaluation was conducted in this study to assess animal health surveillance processes, mechanisms and the contextual factors which facilitate or hinder uptake, implementation and sustainability of the system in Tanzania. A mixed-method study design was used to evaluate the national animal health surveillance system guided by a framework for process evaluation of complex interventions developed by Moore and others. The system was assessed against standard guidelines and procedures using the following attributes: fidelity, adherence, exposure, satisfaction, participation rate, recruitment and context. Quantitative and qualitative data were collected using a cross-sectional survey, key informant interviews, document review, site visits and non-participant observation. Data from questionnaires were downloaded, cleaned and analyzed in Microsoft™ Excel. Qualitative data were analyzed following deductive thematic and content analysis methods. Fidelity attribute showed that case identification is mainly based on clinical signs due to limited laboratory services for confirmation. Data collection was not well-coordinated and there were multiple disparate reporting channels. Adherence in terms of the proportion of reports submitted per month was only 61% of the target. District-level animal health officials spent an average of 60% of their weekly time on surveillance-related activities, but only 12% of them were satisfied with the surveillance system. Their dissatisfaction was caused by large area coverage with little to no facilitation, poor communication, and lack of a supporting system. The cost of surveillance data was found to be 1.4 times higher than the annual surveillance budget. The timeliness of the system ranged between 0 and 153 days from the observation date (median = 2 days, mean = 6 days). The study pointed out some deviations in animal health surveillance processes from the standard guidelines and their implication on the system's performance. The system could be improved by developing a user-friendly unified reporting system, the active involvement of subnational level animal health officials, optimization of data sources and an increase in the horizon of the financing mechanism.

Animal health surveillance plays a vital role in ensuring public health, animal welfare, and sustainable food production by monitoring disease trends, early detecting (new) hazards, facilitating disease control and infection, and providing data for risk analysis. Good stakeholder collaboration across the sector can lead to better communication, better science and decision-making and more effective surveillance and response. An understanding of relevant stakeholders, their interests and their power can facilitate such collaboration. While information on key stakeholders in animal health surveillance is available at the national level in Tanzania, it is missing at the subnational level. The study aimed to explore the existing stakeholders' collaborations and influences at the subnational level through stakeholder mapping and to determine potential leverage points for improving the national animal health surveillance system. A qualitative design was used, involving consultative workshops with government animal health practitioners in Sumbawanga, Sikonge and Kilombero districts of Tanzania from December 2020 to January 2021. Data were collected using an adapted USAID stakeholder collaboration mapping tool with the following steps: (i) Define the objective (ii) Identify all stakeholders (iii) Take stock of the current relationships (iv) Determine resource-based influence (v) Determine non-resource based influence and (vi) Review and revise the collaboration map. Forty-five stakeholders were identified in all three districts and grouped into four categories: private sector and non-government organizations (n = 16), government (n = 16), community (n = 9) and political leaders (n = 4). Animal health practitioners had a stronger relationship with community stakeholders as compared to other categories. The results also showed that most of the stakeholders have non-resource-based influence compared to resource-based influence. The private sector and non-government organizations have a relatively higher number of resource-based influential stakeholders, while political leaders have more non-resource-based influence. The mapping exercise demonstrated that the system could benefit from community mobilization and sensitization, resource mobilization and expanding the horizon of surveillance data sources. Some of the leverage points include integration of surveillance activities into animal health services, clear operational processes, constant engagement, coordination and incentivization of stakeholders. The diversity in the identified stakeholders across the districts suggests that collaborations are contextual and socially constructed.

BackgroundEffective animal health surveillance systems require reliable, high-quality, and timely data for decision making. In Tanzania, the animal health surveillance system has been relying on a few data sources, which suffer from delays in reporting, underreporting, and high cost of data collection and transmission. The integration of data from multiple sources can enhance early detection and response to animal diseases and facilitate the early control of outbreaks. This study aimed to identify and assess existing and potential data sources for the animal health surveillance system in Tanzania and how they can be better used for early warning surveillance. The study used a mixed-method design to identify and assess data sources. Data were collected through document reviews, internet search, cross-sectional survey, key informant interviews, site visits, and non-participant observation. The assessment was done using pre-defined criteria.ResultsA total of 13 data sources were identified and assessed. Most surveillance data came from livestock farmers, slaughter facilities, and livestock markets; while animal dip sites were the least used sources. Commercial farms and veterinary shops, electronic surveillance tools like AfyaData and Event Mobile Application (EMA-i) and information systems such as the Tanzania National Livestock Identification and Traceability System (TANLITS) and Agricultural Routine Data System (ARDS) show potential to generate relevant data for the national animal health surveillance system. The common variables found across most sources were: the name of the place (12/13), animal type/species (12/13), syndromes (10/13) and number of affected animals (8/13). The majority of the sources had good surveillance data contents and were accessible with medium to maximum spatial coverage. However, there was significant variation in terms of data frequency, accuracy and cost. There were limited integration and coordination of data flow from the identified sources with minimum to non-existing automated data entry and transmission.ConclusionThe study demonstrated how the available data sources have great potential for early warning surveillance in Tanzania. Both existing and potential data sources had complementary strengths and weaknesses; a multi-source surveillance system would be best placed to harness these different strengths.

Tanzania has the second largest livestock population in Africa and livestock keeping is an integral part of most people's livelihoods. Foot-and-mouth disease (FMD) is a transboundary disease, affecting cloven-hoofed animals, that is currently endemic in Tanzania. The Tanzania Development Vision 2025 aspires to make the livestock sector more competitive. Part of this plan foresees establishing a FMD-free zone in the Rukwa region to be able to increase the export of animals and animal products. The aim of this study was to assess the economic efficiency and feasibility of establishing such an FMD-free zone and to advise policy makers on the profitability of the investment. A stochastic benefit-cost model, set-up in Palisade @Risk for Excel for a time frame of ten years, was developed to assess whether the benefits of establishing a FMD-free zone would outweigh the costs. Data were collated from reviewing literature, government statistics, and key informant interviews with farmers, traders and veterinarians in Tanzania, and complemented by informed assumptions and expert opinion. Moreover, feasibility aspects including underlying infrastructure, market structures and resource availability were discussed based on key informant interviews, literature review and historical analyses. The net present value for the establishment of a FMD-free zone was negative and the benefit-cost ratio was below one (mean 0.09, min 0.05 - max 0.15 in the scenario considering vaccination of all susceptible domestic animals, and mean 0.11, min 0.06 - max 0.20 when considering vaccinating cattle only), excluding potential benefits from trade. The sensitivity analysis showed that variables related to the cost of vaccination had the largest negative impact on the net present value. The proposed FMD-free zone in Rukwa region is unlikely to be cost-effective with the current FMD status and export trade prospects in Tanzania. Interviews with stakeholders revealed that vaccine availability, funding, farmers' willingness to participate, and lack of staff continuity in key roles were the main barriers to establish a reliable FMD control programme in the country. Recommendations towards FMD control and potential short and middle term strategies are discussed.

Background Taenia solium taeniasis/cysticercosis is a disease of substantial economic and public health importance particularly in low–income countries. The disease was reported to be endemic in Mbeya Rural and Mbozi districts, in the southern highlands of Tanzania, the major pig production area in the country. In 2008, using B158/B60 antigen detection enzyme–linked immunosorbent assay (Ag–ELISA), porcine cysticercosis prevalence of up to 32% was reported in the districts. A number of interventions have been implemented in selected villages including an integrated approach consisting of improving pig confinement and selective treatment of pigs with oxfendazole. Mass drug administration with praziquantel targeting schistosomiasis, with an expected effect on T. solium , was also provided to school–age children in the area. This study aimed at providing an update on prevalence and intensities of porcine cysticercosis; and assessing farmers’ knowledge, attitudes and practices which could be associated to disease transmission in the area. The study involved a questionnaire survey conducted using face–to–face household interviews with 890 consenting farmers; and carcass dissections performed on 282 pigs randomly selected from the surveyed households. Results Twenty–six pigs (9.2%) were infected with T. solium ; of which two–thirds (65.4%) had light to moderate infection intensities (1–1000 cysticerci), and one–third (34.6%) had heavy intensities (> 1000 cysticerci). Questionnaire results showed that only 5.7% of the respondents perceived T. solium cysticercosis to be an important disease in pigs. About 18.5% of the respondents were aware of T. solium taeniasis, but 32% of them were unaware of how the infection is acquired. Half of the respondents had seen cysticerci in pork, of whom 61% were not aware that consumption of infected pork could cause taeniasis. Latrines were observed to often (90%) lack doors with 45% considered accessible to pigs. Conclusions This study provided an evidence that the disease was still endemic in the area. Poor knowledge of farmers, attitudes, and risky practices responsible for disease perpetuation were also revealed. A One Health approach targeting the whole area incorporating improvement of farmer knowledge regarding disease transmission needs to be trialed as a feasible approach to control.

Background Health surveillance is an important element of disease prevention, control, and management. During the past two decades, there have been several initiatives to integrate health surveillance systems using various mechanisms ranging from the integration of data sources to changing organizational structures and responses. The need for integration is caused by an increasing demand for joint data collection, use and preparedness for emerging infectious diseases. Objective To review the integration mechanisms in human and animal health surveillance systems and identify their contributions in strengthening surveillance systems attributes. Method The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) 2015 checklist. Peer-reviewed articles were searched from PubMed, HINARI, Web of Science, Science Direct and advanced Google search engines. The review included articles published in English from 1900 to 2018. The study selection considered all articles that used quantitative, qualitative or mixed research methods. Eligible articles were assessed independently for quality by two authors using the QualSyst Tool and relevant information including year of publication, field, continent, addressed attributes and integration mechanism were extracted. Results A total of 102 publications were identified and categorized into four pre-set integration mechanisms: interoperability (35), convergent integration (27), semantic consistency (21) and interconnectivity (19). Most integration mechanisms focused on sensitivity (44.1%), timeliness (41.2%), data quality (23.5%) and acceptability (17.6%) of the surveillance systems. Generally, the majority of the surveillance system integrations were centered on addressing infectious diseases and all hazards. The sensitivity of the integrated systems reported in these studies ranged from 63.9 to 100% (median = 79.6%, n = 16) and the rate of data quality improvement ranged from 73 to 95.4% (median = 87%, n = 4). The integrated systems were also shown improve timeliness where the recorded changes were reported to be ranging from 10 to 91% (median = 67.3%, n = 8). Conclusion Interoperability and semantic consistency are the common integration mechanisms in human and animal health surveillance systems. Surveillance system integration is a relatively new concept but has already been shown to enhance surveillance performance. More studies are needed to gain information on further surveillance attributes.

Background Taenia solium is a zoonotic parasite responsible for neurocysticercosis—a major cause of late-onset acquired epilepsy in humans. Lack of affordable, specific and sensitive diagnostic tools hampers control of the parasite. This study assessed the performance of an antigen detection enzyme-linked immunosorbent assay (Ag-ELISA) in the diagnosis of viable T. solium cysticercosis in naturally infected slaughter-age pigs in an endemic area in Tanzania. Methods A total of 350 pigs were bled before they were slaughtered and their carcases examined. Serum was analyzed for circulating antigens by using a monoclonal antibody-based B158/B60 Ag-ELISA. Each carcase was examined for the presence of Taenia hydatigena cysticerci and half carcase musculature together with the whole brain, head muscles, tongue, heart and diaphragm were sliced with fine cuts (< 0.5 cm) to reveal and enumerate T. solium cysticerci. Half carcase dissection can detect at least 84% of infected pigs. Prevalence and their 95% confidence intervals (CI) were calculated in Stata 12. Sensitivity, specificity, predictive values and likelihood ratios were determined. Results Twenty–nine pigs (8.3%, 95% CI: 5.6–11.7%) had viable T. solium cysticerci while 11 pigs had T. hydatigena cysticerci (3.1%, 95% CI: 1.6–5.5%). No co-infection was observed. Sixty-eight pigs (19.4%, 95% CI: 15.4–20%) tested positive on Ag-ELISA; of these, 24 had T. solium cysticerci and 7 had T. hydatigena cysticerci. Sensitivity and specificity were determined to be 82.7% and 86.3%, respectively. Positive and negative predictive values were 35.2% and 98.2%, respectively. Likelihood ratios for positive and negative Ag-ELISA test results were 6.0 and 0.2, respectively. There was a significant positive correlation between the titre of circulating antigens and intensity of T. solium cysticerci ( r (348) = 0.63, P < 0.001). Conclusions The Ag-ELISA test characteristics reported in this study indicate that the test is more reliable in ruling out T. solium cysticercosis in pigs, than in confirming it. Hence, a negative result will almost certainly indicate that a pig has no infection, but a positive result should always be interpreted with caution. Estimates of T. solium prevalence based on Ag-ELISA results should, therefore, be adjusted for test performance characteristics and occurrence of T. hydatigena .

A field trial was conducted in Tanzania to determine the effectiveness of TSOL18 vaccine used concurrently with oxfendazole (OFZ), and of OFZ alone, on T. solium cysticercosis determined by organ and half carcase dissection of slaughter age pigs. This study followed a quasi-experimental group design. Suitable trial sites were randomly allocated to either treatment group T1 (OFZ treatment alone [30mg/kg, Paranthic 10%]) or T2 (TSOL18 [1ml, Cysvax] plus OFZ). Three 4-monthly treatments were administered to eligible pigs. A random selection of pigs were necropsied at baseline and at endline, 2-3.5 months after the final treatment. Additionally, untreated pigs from T1 and T2 areas were necropsied at endline to provide contemporaneous comparisons with T1 and T2 pigs. Baseline prevalence of viable T. solium cysticerci for T1 was 25.5% (Exact 95% CI: 13.9, 40.3; n = 12/47), and for T2 was 12.0% (CI: 6.4, 20.0; n = 12/100). At endline, prevalence was 2.8% for T1 (CI: 0.1, 14.5, n = 1/36) and 0% for T2 (CI: 0, 4.7, n = 0/77). Among untreated pigs, three had viable cysticerci, one from T1 area (12.5%, CI: 0.3, 52.7; n = 1/8) and two from T2 area (5.7%, CI: 0.7, 19.2, n = 2/35). Fisher's exact test showed significant changes in prevalence from baseline to endline in both groups (T1: p = 0.005, T2: p = 0.001). Firth's penalized Maximum Likelihood method suggested the changes were not significant relative to their controls (T1: p = 0.245, T2: p = 0.076). These findings showed a significant reduction in the prevalence of viable cysticerci from baseline to endline after both interventions. However, the changes could not be definitively attributed to the interventions due, in part, to small numbers of control pigs. Concurrent administration of the TSOL18 and OFZ cleared infection among assessed pigs whereas infection remained after treatment with OFZ only. Further studies including larger sample sizes would be required for more definitive conclusions. A One Health approach is recommended for rapid and sustainable impact.

Background: Although the government-initiated interventions to address the risk of diet-related non-communicable diseases, the prevalence of T2DM is still high, we conducted this study to determine the magnitude of T2DM and associated risk factors among health workers in Bariadi Town Council Tanzania. Methodology: A cross-sectional study approach was applied for 229 participants. Qualitative variable was measured using proportion and quantitative variable were measured using mean and median. Strength of association was assessed by Odds Ratios with their corresponding 95% confidence interval. Both bivariable and multivariable logistic regression was used. Results: The overall prevalence was found to be 7.9% (95%CI=4.7-12.1). Risk factors for T2DM were found to be sex (OR=4.545, 95%CI: 1.069-19.325), age between 30-41 and 41-50 years (OR=8.08, 95%CI: 1.215-53.741; OR=15.08, 95%CI: 2.315-98.342) and history of raised blood sugar (OR=0.032, 95%CI: 0.006-0.167). Conclusion: Prevalence of T2DM was found to be high, female having higher than male. Sex, age, history of diabetes had significant association with T2DM. Control efforts should be directed on screening and public nutrition programmes.

Taenia solium has been reported to be endemic in the southern highlands of Tanzania. Based on Ag-ELISA, prevalence of T. solium cysticercosis in pigs was reported to be about 31% in 2008 and 17% in 2015 in Mbeya and Mbozi districts of Mbeya and Songwe regions, respectively. This study aimed to estimate the current status the disease in pigs and understand farmers’ knowledge and practices influencing disease occurrence andtransmission. T. solium cysticercosis in pigs was determined by tissue slicing while a questionnaire survey assessed farmers’ knowledge and practices. A total of 890 households were surveyed and 282 pigs examined. Only 18.5% of respondents knew T. solium taeniosis in humans, 32% of whom did not know how the infection is acquired. Also, 61.2% of respondents who had seen cysts in meat were not aware that consumption of the meat could cause cysticercosis. More than 90% of latrines were not enclosed and 45% of them were accessible by pigs. Twenty seven pigs (9.7%) had T. solium cysts, four of them had non-viable cysts (three with both viable and non-viable cysts and one with non-viable cysts only). About a half (51.9%) of the pigs had light infection burden (0-100 cysts), 14.8% had moderate infection (101-1000 cysts) and 33.3% had heavy burden (>1000 cysts). The study revealed low levels of farmers’ knowledge and risk practices which may contribute to perpetuation of the disease. Improvement in the local knowledge of the disease epidemiology is suggested for inclusions in future control programs. Keywords: Knowledge, practices, Taenia solium, smallholder, pigs

Currently 1.4 million cattle are at risk of East Coast Fever out of approximately 3 million in Zambia. A cross sectional study was carried out in Mazabuka district of Zambia from July to September 2015, to assess participation and factors affecting cattle farmers participation in ECFimmunisation by the infection and treatment method. The study involved 224 randomly selected small scale cattle farmers from three veterinary camps in Mazabuka who participated in the second round of 2015 immunisation campaign. Semi-structured questionnaire was administeredto consented farmers to seek information about demographic and socio-economic characteristics, knowledge and experience in cattle rearing, herd characteristics, management and perceived benefits, costs and challenges of ECF immunisation. Data on immunisation statistics, schedules, coverage, adequacy, vaccine delivery, successes and challenges were collected from the district veterinary office and the Central Veterinary Research Institute covering the period between the years 2008 to 2014. Descriptive statistics such as frequencies and proportions were computed toestablish immunization coverage, participation trend and socio-demographic parameters of cattle farmers. Fischer exact test was used to assess associations between variables at 5% significance level. Logistic regression was run using R software to assess influence of different factors onwillingness of farmers to participate in immunization campaign. Majority of participants were males (94%), had secondary education (49.1%), more than five year experience of keeping cattle (89.3%) and depended on sources other than cattle for their livelihood (47.3%). From 2008 to2014 vaccination coverage was on average 65% of the target per annum and 97% of the participants appreciated reduction in cattle mortality post immunisation. Willingness to participate in immunisation campaign was influenced by education level (secondary education: OR=27, 95% CI: 2.29-352.71), satisfaction with immunisation service (OR=5.14, 95% CI: 1.04- 24.64) and experience of post-immunisation mortality reduction (OR=7.33, 95% CI: 1.26-44.00). Improvement in service delivery quality and monitoring of post immunisation outcome can lead to increased participation of farmers in immunisation campaigns. Key words: East Coast Fever, immunisation, Infection and Treatment Method, Theileriosis, Tick Borne Diseases, Mazabuka

Foot and Mouth Disease is a highly contagious transboundary animal disease which has high commercial, economic and social impact. A study was conducted in Kilosa district to assess the knowledge, attitudes, socio-economic impact and coping strategies of Foot and Mouth Disease among the pastoralists at household level. The survey was done in villages which have been reporting FMD almost every year. Data collection involved use of a structured questionnaire and observations. The questionnaire sought information on demographic information, knowledge, coping strategies, attitudes towards control, and socio-economic impact of FMD. Information on herd characteristics and practices related to control and management of FMD was also collected. The data were analysed by descriptive statistics and chi-square test using the Statistical Package for Social Sciences software. More than 95% of pastoralists were knowledgeable about clinical signs, transmission and control of FMD while 3.4% had no idea about the disease. The attitude index indicated that pastoralists had a positive attitude towards FMD control strategies. During FMD outbreak, pastoralists sold sick cattle and other animal species, separated sick cattle, shifted the kraals, moved cattle away to FMD free areas for grazing, washed the lesions with soap, car battery water and acaricides and vaccinated animals as coping strategies. Moreover, 14.8% of pastoralists did nothing until the outbreak was over. FMD outbreaks caused income and animal losses, increased cost of management and reduced food security. The coping strategies used by pastoralists aimed at minimising the socio-economic impact of FMD but on the other hand these strategies facilitated spread of the disease. High FMD knowledge and positive attitude of pastoralists towards control strategies is an opportunity to government veterinary authority to engage pastoralists in participatory surveillance and guide them to participate in a well-structured and coordinated FMD control program.Keywords: Foot and Mouth Disease, pastoralists, transboundary animal disease, coping strategy

Veterinary Profession as a Catalyst for Transformative Change of the Animal Industry 14 One health approach: In recent advances and industry responsive disease preparedness and response system in Tanzania 1Nonga, E ; 1Makungu, S; 1Swai, E; 1Assenga, J; 1Bakuname, C 1Directorate of Veterinary Services, Ministry of Livestock and Fisheries, Email: assengakanda@yahoo.com

Knowledge on users’ and regulators’ views regarding obstacles on the use of low quality water forms the basis for the improvement of water reuse in food crops irrigation. A qualitative study was conducted to assess the obstacles to the use of low quality water for irrigation of food crops in urban and peri-urban areas in Tanzania. The study considered Morogoro urban and peri-urban areas as a case study due to the existence of paddy and vegetable production using the effluent from the waste stabilisation ponds. Both primary and secondary data were used. Primary data were collected through in-depth interviews with 22 key informants, and 4 focus group discussions with farmers. Content analysis was used in this study. Findings show that domestic wastewater was poorly disposed, waste stabilisation ponds as treatment facilities had limited management, and quality monitoring of effluent from the waste stabilisation ponds was limited to permit safe use of the effluent in food crops irrigation. The government officials were of the view that the effluent from the waste stabilisation ponds should not be used for leafy vegetables irrigation while farmers viewed vegetables farming as a quick source of income and livelihood strategy for many years. The study therefore suggests that the relevant agencies should improve the treatment of wastewater and quality monitoring of the effluent for safe use of low quality water for food crops irrigation in urban and peri-urban areas.

BACKGROUND:Zoonoses account for the most commonly reported emerging and re-emerging infectious diseases in Sub-Saharan Africa. However, there is limited knowledge on how pastoral communities perceive zoonoses in relation to their livelihoods, culture and their wider ecology. This study was carried out to explore local knowledge and perceptions on zoonoses among pastoralists in Tanzania.METHODOLOGY AND PRINCIPAL FINDINGS:This study involved pastoralists in Ngorongoro district in northern Tanzania and Kibaha and Bagamoyo districts in eastern Tanzania. Qualitative methods of focus group discussions, participatory epidemiology and interviews were used. A total of 223 people were involved in the study. Among the pastoralists, there was no specific term in their local language that describes zoonosis. Pastoralists from northern Tanzania possessed a higher understanding on the existence of a number of zoonoses than their eastern districts' counterparts. Understanding of zoonoses could be categorized into two broad groups: a local syndromic framework, whereby specific symptoms of a particular illness in humans concurred with symptoms in animals, and the biomedical framework, where a case definition is supported by diagnostic tests. Some pastoralists understand the possibility of some infections that could cross over to humans from animals but harm from these are generally tolerated and are not considered as threats. A number of social and cultural practices aimed at maintaining specific cultural functions including social cohesion and rites of passage involve animal products, which present zoonotic risk.CONCLUSIONS:These findings show how zoonoses are locally understood, and how epidemiology and biomedicine are shaping pastoralists perceptions to zoonoses. Evidence is needed to understand better the true burden and impact of zoonoses in these communities. More studies are needed that seek to clarify the common understanding of zoonoses that could be used to guide effective and locally relevant interventions. Such studies should consider in their approaches the pastoralists' wider social, cultural and economic set up.

Veterinary ethics is the application of ethical theories, principles, and rules by professionals and paraprofessionals in resolving ethical dilemmas in the practice of veterinary care. In order to resolve ethical dilemmas, a minimum understanding of and exposure to moral theories is essential. Aesculapian authority and professionalism confer on veterinarians the right to treat animals and the expectation from the public that veterinarians will act in the interest of the animal, client, and the public. Branches of veterinary ethics are described with a greater focus on normative ethics, or theories are discussed. The fundamental problem of veterinary professional ethics relating to the vet-patient-client triad and the complications arising from the dualist nature of veterinary medicine pitting professionalism against commercial interests are explored. Having laid the theoretical basis, the rest of the entry examines various issues with ethical dimensions. Included are euthanasia, genetic manipulations, disease control by mass slaughters, complementary and alternative veterinary medicine/ethnoveterinary medicine, wildlife capture, veterinary public health, and One Health ethical issues. The enforcement of fair competition practices is forcing a reexamination of relationships between veterinarians leading to changes in professional ethics. Animal ethics, research ethics, and animal welfare are dealt with in separate entries in the encyclopedia.

This article highlights the link between low-quality water and food crops irrigation. A cross-sectional research was conducted to assess factors motivating farmers to use low-quality water from the waste stabilisation ponds for food crops irrigation in urban and peri-urban areas in Morogoro Urban and Mvomero, in Morogoro Region, Tanzania, from October 2013 to March 2015. Data were collected through farmers' survey (n = 80), in-depth interviews with key informants (n = 7) and focus group discussions (n = 4). Both descriptive and inferential statistics were used in results presentation. The findings indicated alternative way of earning income during dry seasons, lack of alternative sources of irrigation water, alternative source of employment, the need to produce food, land availability near the low-quality water, plant nutrients in the water and limited awareness of the health problems associated with low-quality water irrigation as incentives for farmers to irrigate food crops using low-quality water. The results further showed that farming using low-quality water has been their livelihood strategy; farmers meet their family needs such as school fees, health and food by using the income generated from the sale of vegetables and paddy. Regardless of all these benefits, the existing use of low-quality water in farming activities is informal. Besides, there are no regulations guiding its use with no declaration to whether the resource is suitable for food crops irrigation. However, banning the practice on the ground of health risks might be devastating to farmers. This practice should therefore be regulated in such a way that low-quality water disposed from the ponds is considered as a potential source of water for food crops irrigation.

A study using two cross-sectional and a longitudinal research designs was undertaken to assess smallholder pig marketing system to explore basic information for improving smallholder pig production and marketing systems. The first design involved a cross-sectional survey of 300 pig farmers randomly selected in 30 villages in Mbozi and Mbeya rural districts. The second design used a cross-sectional survey of 124 pig traders randomly selected in 65 villages in Mbozi and Mbeya rural districts, and Mbeya Municipality. The third one used a longitudinal design and collected data from 40 pig farmers in 10 villages who had also participated in the first design. Results showed that, pig-marketing systems had various channels and segments moving mainly pigs and pork to farmers, traders and consumers. Major market participants in the pig market chain were the pig farmers who played a dual role as pig producers and buyers, traders of live pigs and pork, and finally pork consumers. Most farmers (85%) bought pigs for breeding, while few (18%), bought for fattening. The mean (±SD) weight and age of pigs purchased was 18.2±12.6 kg and 6.2 ±4.7 months, respectively. Farmers sold about 70 and 30% of their pigs to pig traders and other farmers, respectively. Pigs sold to farmers had significantly (P< 0.001) lower mean age (6.1±1.5 months) and live weight (LW) (14.3± 3.6 kg) than pigs sold to traders with a mean age of 12.8± 1.5 months and LW of 40.0± 3.6kg. The study concludes that marketing systems were dominated by informal marketing channels, hence, limit the effectiveness of pig production and marketing. Marketed pigs had smaller weights compared to their ages, therefore contributing to poor returns to pig farmers and sub-optimal pork market supply. The study recommends strategic development of pig value chain for sustainable improvement of smallholder pig production and marketing systems and quality pork to consumers. Keywords : Smallholders farmers, pigs, marketing channels, price determinants