7The objective of this study was to determine the frequency of tuberculosis (TB) in 8 workers from dairy and beef livestock farms in the northern part of Colombia. 9 Tuberculin skin test and an interferon-gamma release assay (IGRA) were used for 10 diagnosis of latent tuberculosis; sputum samples were taken from respiratory 11 symptomatic subjects, microbiological and molecular tests were done for diagnosis 12 of active TB. Absolute frequencies, percentages, and crude prevalence ratios were 13 calculated, and a robust Poisson Model with adjustment by municipality was made. 14 In 674 farm workers, latent TB frequency was 35.8%. Variables such as having had 15 pulmonary TB (PR 2.82, 95% CI 1.90 -4.17), having been in contact with people 16 with active TB (PR 1.57, 95% CI 1.24 -1.98), and having performed some 17 undergraduate or postgraduate study (PR 1.6, 95% CI 1.03 -2.49), were 18 significantly associated with latent TB. No active tuberculosis disease was confirmed 19 in symptomatic respiratory patients. The exposure level to cattle was not 20 significantly associated with latent TB infection. In conclusion, in the studied 21 population exposure to cattle was not a risk factor for TB, other factors commonly 22found in general population exposed to human TB were demonstrated. 23 2 24Author summary 25 Zoonotic TB is a disease caused by the transmission of the M. bovis bacteria that is 26 part of the Mycobacterium tuberculosis Complex, through contact with cattle to 27 humans, by the consumption of unpasteurized dairy products from infected animals 28 or by inhalation of aerosols exhaled by sick animals.
29This study investigated the frequency of TB in human population related to cattle, in 30 order to determine if there were risk factors related to TB infection or disease. Finding 31 that there was no significant relationship between being exposed to cattle and having 32 latent TB. However, the results of this study together with other research reported in 33 the literature suggest that research on zoonotic and bovine TB should be continued, 34 especially about epidemiology, diagnostic methods, health systems and 35 interventions coordinated with veterinary services.36 37 48 49 Tuberculosis is caused by diverse species belonging to Mycobacterium tuberculosis 50 complex (CMTB). In humans, the species that cause most cases is Mycobacterium 51 tuberculosis (MTB), followed by Mycobacterium bovis, which is, in turn, the causative 52 agent of bovine TB in animals and of zoonotic TB in humans [1,4]. Cattle are the 53 definitive hosts for M. bovis, but other domestic and wild mammals can also be 54 infected. The transmission of bovine TB to humans is mainly due to the consumption 55 of unpasteurized dairy products from infected animals or by the inhalation of aerosols 56 exhaled by diseased animals. Less common forms to transmit the bovine TB are the 57 consumption of undercooked contaminated beef and direct percutaneous contact, 58 associated mainly with the bacteria infecting a wound [5]. 59 60 Currently, the impo...