Tuberculosis (TB) in humans, caused by Mycobacterium tuberculosis, is a chronic infectious disease, with approximately one-third of the world's population estimated by the WHO to be infected. 1) In 2003, 1.7 million people died of TB and of these, 99% of cases were reported in developing countries.1) Other organisms belonging to the M. tuberculosis complex include M. bovis, M. africanum and M. microti.Bovine TB (causal organism Mycobacterium bovis) is an important zoonotic disease that can spread to humans by inhalation of infectious droplet nuclei and by ingestion of milk which has not been pasteurized or boiled.2) People regularly exposed to either livestock infected with bovine TB or infected products, such as poorly heat-treated meat and unpasteurised milk, should be considered at risk of contracting zoonotic infections. 3,4) This risk increases considerably in HIV-infected individuals.5) The occurrence of M. bovis disease by reactivation or primary infection in HIV-infected patients, and the transmission from patients with infectious pulmonary M. bovis disease to immune-competent individuals is a health concern.2)In developed countries, the prevalence of bovine TB has been significantly reduced by control (test and slaughter) programmes, but complete eradication of the disease is made difficult by reservoirs in wildlife. In the developing world, the combination of the HIV epidemic, poor living conditions and a high burden of tuberculosis in animals is a significant obstacle to control of M. bovis in several African countries.2)The zoonotic effects of M. bovis, especially with regard to immunocompromised individuals, have not been comprehensively studied and it is anticipated that this may be an increasingly serious problem, particularly in sub-Saharan Africa. Underdiagnosis of M. bovis infection is potentially widespread, as many laboratories do not use the specialized diagnostic techniques required to distinguish between the genetically similar M. bovis and M. tuberculosis.3,6) M. bovis is believed to account for up to 10% of cases of human TB worldwide.7) In developing countries with no active bovine TB control programmes, a serious threat to human health is posed.8) More than 94% of the world's population occurs in countries with no strategies in place to control M. bovis infections.9) In terms of public health, as well as economics, bovine TB control or eradication programmes should be a major target of affected countries.
10)With the rising incidence of drug resistance to existing TB drugs, as demonstrated by the occurrence of multi-drug resistant (MDR) strains of M. tuberculosis and the recent outbreak in South Africa of extreme drug resistant TB (XDR-TB), 11) the search for new anti-TB drug leads is achieving new urgency. Although MDR strains of M. bovis have been identified, case reports show that anti-TB drugs routinely used to treat M. tuberculosis-infected patients are effective when properly administered.2) It is, however, likely that resistance to currently used drugs will develop if the incide...