Epidemiological characteristics of brucellosis in Vojvodina, Serbia, 2000-2014

Štrbac, Mirjana; Ristić, Mioljub; Petrović, Vladimir; Savić, Sara; Ilić, Svetlana; Medić, Snežana; Radosavljevic, Biljana; Vidić, Branka; Grgić, Z

doi:10.2298/vsp160212311s

Cited by 3 publications

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“…Veterinarians and veterinary assistants showed to be largely exposed to Brucella spp., totalizing 189 individuals with positive diagnostic of brucellosis. Those infections, probably related to PLOS NEGLECTED TROPICAL DISEASES their occupational activities, were reported by fifteen articles [2,19,23,24,28,31,35,43,[50][51][52][53][54][55][56], mostly from Asia (n = 121), Europe (n = 40), and Americas (n = 27) and the minority from Africa (n = 1). Manipulation of live attenuated anti-brucellosis vaccines, described in seven studies, was the most reported exposure source (Table 3).…”

Section: Veterinarians and Veterinary Assistantsmentioning

confidence: 99%

Occupational exposure to Brucella spp.: A systematic review and meta-analysis

et al. 2020

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Brucellosis is a neglected zoonotic disease of remarkable importance worldwide. The focus of this systematic review was to investigate occupational brucellosis and to identify the main infection risks for each group exposed to the pathogen. Seven databases were used to identify papers related to occupational brucellosis: CABI, Cochrane, Pubmed, Scielo, Science Direct, Scopus and Web of Science. The search resulted in 6123 studies, of which 63 were selected using the quality assessment tools guided from National Institutes of Health (NIH) and Case Report Guidelines (CARE). Five different job-related groups were considered greatly exposed to the disease: rural workers, abattoir workers, veterinarians and veterinary assistants, laboratory workers and hunters. The main risk factors and exposure sources involved in the occupational infection observed from the analysis of the articles were direct contact with animal fluids, failure to comply with the use of personal protective equipment, accidental exposure to live attenuated anti-brucellosis vaccines and non-compliance with biosafety standards. Brucella species frequently isolated from job-related infection were Brucella melitensis, Brucella abortus, Brucella suis and Brucella canis. In addition, a metaanalysis was performed using the case-control studies and demonstrated that animal breeders, laboratory workers and abattoir workers have 3.47 [95% confidence interval (CI); 1.47-8.19] times more chance to become infected with Brucella spp. than others individuals that have no contact with the possible sources of infection. This systematic review improved the understanding of the epidemiology of brucellosis as an occupational disease. Rural workers, abattoir workers, veterinarians, laboratory workers and hunters were the groups more exposed to occupational Brucella spp. infection. Moreover, it was observed that the lack of knowledge about brucellosis among frequently exposed professionals, in addition to some behaviors, such as negligence in the use of individual and collective protective measures, increases the probability of infection.

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Section: Veterinarians and Veterinary Assistantsmentioning

confidence: 99%

Occupational exposure to Brucella spp.: A systematic review and meta-analysis

et al. 2020

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“…As part of this review, we conducted a reference search on PubMed for brucellosis publications between 2001 and 2018. Out of 14,304 publications found, only 1.5% pertained to health consequences of brucellosis on women's reproductive life, which included abortions, premature delivery, intrauterine death, congenital brucellosis, misscarriages, neonatal brucellosis [58][59][60][61][62][63][64][65]. A preliminary review of these publications only detected one instance where gender issues rather than sex-related health consequences where examined: "One distinct characteristic of the disease in this country is that the most cases are noted in female patients, by contrast to the rest of the world possibly reflecting an increased transmission as a foodborne disease (via milk cosumption) or increased participation of women in procedures associated with brucellosis transmission (eg.…”

Section: Costs Of Living At the Interfacementioning

confidence: 99%

Helping to heal nature and ourselves through human-rights-based and gender-responsive One Health

Garnier

Savić

Boriani³

et al. 2020

One Health Outlook

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The health of our planet and humanity is threatened by biodiversity loss, disease and climate crises that are unprecedented in human history, driven by our insatiable consumption and unsustainable production patterns, particularly food systems. The One Health approach is a pathway to synergistically addressing outcomes in term of health and sustainability, but gender issues at the One Health and biodiversity nexus are largely ignored.By examining the roles and responsibilities of Indigenous and Local People, and especially women, in conserving natural resources, and the social costs of living at the Human-Animal-Environment interface under current conservation strategies, we show that women bear a disproportionate health, poverty and climate burden, despite having pivotal roles in conserving biodiversity. To mitigate risks of emerging infectious diseases, food insecurity and climate change impacts, a gender perspective has previously been proposed, but implementation lags behind. Endemic zoonotic diseases, human-wildlife conflict and environmental pollution lack gender-sensitive frameworks. We demonstrate that women can be powerful agents for change at all levels of society, from communities to businesses, and policy-making institutions, but gender inequalities still persist.We develop a framework for mainstreaming a gender-responsive and rights-based One Health approach, in order to heal ourselves and nature. Using a leverage-points perspective, we suggest a change of paradigm, from the pursuit of GDP and over-consumption, to a focus on human well-being and their reconnection with healthy environments, using a One Health understanding of nature and health. We recommend learning from Indigenous People to re-position ourselves within nature and to better conserve biodiversity. We also propose integration of gender equity in leadership, the respect of human rights, women’s rights (access to health care, healthy food, land tenure, natural resources, education, and economic opportunities), and the rights of nature, through the implementation of gender-responsive and rights-based One Health Action Plans, at policy-making level, in the private sector and the civil society. As the COVID-19 pandemic continues to unveil deep socio-economic inequities in the wealthiest economies and the vital role of nature in supporting our health, we argue to seize this opportunity to build back better and improve resilience and sustainability by using a gender-responsive and rights-based One Health approach.

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“…It recommends integrative approaches to health by expanding interdisciplinary collaboration across these highly interlinked components ( 11 – 13 ). The participation of representatives from Malta and Serbia in the EU COST action TD 1404 “Network for Evaluation of One Health”—these being two countries where efforts to control or eradicate brucellosis have been mostly successful: in Malta during the last decade of the twentieth century after several failed attempts ( 9 , 14 ), and in Serbia during the first decade of the twenty first century ( 15 , 16 )—led to this study. The objectives of this comparative study are 2-fold.…”

Section: Introductionmentioning

confidence: 99%

“…No data is available for the southern part of Serbia. The number of infected humans and animals significantly decreased in northern Serbia (Vojvodina province) after 2006, and in southern Serbia after 2009, and overall Brucellosis incidence now shows a declining trend ( 16 ). In Serbia, brucellosis may still occur in animals if these are illegally imported in the country ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Brucellosis Control in Malta and Serbia: A One Health Evaluation

et al. 2018

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Brucellosis, also known as “undulant fever” or “Malta fever”, is a zoonotic infection caused by microorganisms belonging to Brucella, a genus of gram-negative coccobacilli that behave as facultative intracellular pathogens of ruminants, swine and other animals. Brucellosis is a threat to public health, hence identifying the optimal way of preventing disease spread is important. Under certain circumstances, integrated, multidisciplinary “One Health” (OH) initiatives provide added value compared to unidisciplinary or conventional health initiatives. Conceptualizing and conducting evaluations of OH approaches may help facilitate decisions on resource allocation. This article historically describes and compares Malta's 1995–1997 with Serbia's 2004–2006 brucellosis control programmes and quantitatively assesses the extent to which they were compliant with a OH approach. For both case studies, we describe the OH initiative and the system within which it operates. Characteristic OH operations (i.e., thinking, planning, working) and supporting infrastructures (to allow sharing, learning and systemic organization) were evaluated. We scored the different aspects of these programmes, with values ranging from zero to one (1 = strong integration of OH). Malta demonstrated a higher OH index (0.54) and ratio (1.37) than Serbia (0.49 and 1.14 respectively). We conclude that context and timing are key to determining how, when and why a One Health approach should be applied. The adoption of a true OH approach that involved systemic organization, leadership clarity and transdisciplinary communication, collaboration, and co-ordination was essential to Malta's successful eradication of brucellosis after several failed attempts. In contrast, contextual factors in Serbia permitted the successful adoption of a primarily sectorial approach for short term control of brucellosis. However, while a fully-fledged transdisciplinary OH approach was not initially required, it is likely to be key to maintenance of brucellosis control in the medium and long term. Through these two case studies, we demonstrate that One Health initiatives should be applied at the right place, at the right time, with the right people and using the appropriate conditions/infrastructure. Lastly, OH evaluations should include economic assessments to identify optimal of resources in these situations, thereby justifying funding and political support required.

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Epidemiological characteristics of brucellosis in Vojvodina, Serbia, 2000-2014

Cited by 3 publications

References 0 publications

Occupational exposure to Brucella spp.: A systematic review and meta-analysis

Occupational exposure to Brucella spp.: A systematic review and meta-analysis

Helping to heal nature and ourselves through human-rights-based and gender-responsive One Health

Brucellosis Control in Malta and Serbia: A One Health Evaluation

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