An ‘urban zoo’ project in Kenya is helping unpack the spread of disease in urban environments

ILRI Clippings

A woman sorts through a heap of garbage at the Dandora dumping site among other people, cattle, pigs and storks, in Nairobi (photo credit: Simon Maina / AFP / Getty Images).

Written by Eric Fèvre

‘There are fears that Africa’s next major modern disease crisis will emerge from its cities. Like Ebola, it may well originate from animals. Understanding where it would come from and how this could happen is critical to monitoring and control.

‘Growth and migration are driving huge increases in the number of people living in Africa’s urban zones. More than half of Africa’s people are expected to live in cities by 2030, up from about a third in 2007.

‘The impact of this high rate of urbanisation on issues like planning, economics, food production and human welfare has received considerable attention. But there hasn’t been a substantive effort to address the effects on the transmission of the organisms—pathogens—that…

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Safe Food, Fair Food project research presented at tropical veterinary medicine conference

Safe Food, Fair Food

Serving of fried pork and raw relishes in a pork joint in Kampala, Uganda (photo credit: ILRI/Martin Heilmann).

Research findings from the Safe Food, Fair Food project were presented at the first joint international conference of the Association of Institutions for Tropical Veterinary Medicine (AITVM) and the Society of Tropical Veterinary Medicine (STVM) which was held in Berlin, Germany on 4–8 September 2016.

AITVM is a foundation of 24 veterinary faculties and livestock institutes based in Africa, Asia and Europe with the mandate to improve human health and quality of life by means of increased and safe food production in tropical regions through enhancement of research, training and education in veterinary medicine and livestock production within the framework of sustainable development.

STVM is made up of scientists, veterinarians and students from more than 40 countries with common interests in tropical veterinary medicine. It is a non-profit organization whose purpose is…

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ILRI sponsors special journal issue on aflatoxins in eastern Africa

Aflatoxin-contaminated groundnut kernels from Mozambique (photo credit: IITA).

A special issue of the African Journal of Food, Agriculture, Nutrition and Development (AJFAND) published in July 2016 and sponsored by the International Livestock Research Institute (ILRI) features 12 peer-reviewed scientific articles on aflatoxins in eastern Africa.

The three broad objectives of the special issue are to understand the health consequences of aflatoxins, characterize the extent of the problem and identify key elements to underpin the way forward to mitigation.

The papers, listed below, are all open access and the PDFs are freely available for download at the AJFAND website.

Editorial
Aflatoxins in East Africa: The importance of getting the full picture (http://hdl.handle.net/10568/76526)

Understanding the health impacts

• Assessing the impact of aflatoxin consumption on animal health and productivity (http://hdl.handle.net/10568/76497)
• Aflatoxin exposure among young children in urban low-income areas of Nairobi and association with child growth (http://hdl.handle.net/10568/76498)

Extent and location of the problem

• Aflatoxin B1 occurrence in millet, sorghum and maize from four agro-ecological zones in Kenya (http://hdl.handle.net/10568/76499)
• Prevalence of aflatoxin in feeds and cow milk from five counties in Kenya (http://hdl.handle.net/10568/76501)
• Survey of informal milk retailers in Nairobi, Kenya and prevalence of aflatoxin M1 in marketed milk (http://hdl.handle.net/10568/76502)
• Assessment of pre-harvest aflatoxin and fumonisin contamination of maize in Babati District, Tanzania
• Aflatoxin and fumonisin contamination of marketed maize and maize bran and maize used as animal feed in northern Tanzania
• Mapping aflatoxin risk from milk consumption using biophysical and socio-economic data: A case study of Kenya (http://hdl.handle.net/10568/76503)
• Examining environmental drivers of spatial variability in aflatoxin accumulation in Kenyan maize: Potential utility in risk prediction models

Finding the way forward to mitigation

• Farmer perception of moulds and mycotoxins within the Kenya dairy value chain: A gendered analysis (http://hdl.handle.net/10568/76495)
• A review of agricultural aflatoxin management strategies and emerging innovations in sub-Saharan Africa
• Potential of lactic acid fermentation in reducing aflatoxin B1 in Tanzania maize-based gruel

 

Study identifies options to improve milk quality in smallholder dairy value chains in Western Zambia

Testing the quality of raw milk in Kenya’s informal market. A new study has identified options that could help improve milk quality in Zambia’s Western Province (photo credit: ILRI/Dave Elsworth).

Solar pasteurisation and quality-based pricing of milk are among interventions whose feasibility should be explored towards improving the safety of milk produced by smallholders in Western Province of Zambia, a new study says.

The study published in the International Journal of Environmental Research and Public Health (July 2016) was carried out to assess the microbiological quality of fresh cow’s milk along smallholder dairy value chains in Western Province of Zambia. The focus was on milk sold through dairy co-operatives near Mongu, the main town in the province.

Milk samples were collected at the farm level from 86 cows from nine herds and from the container of pooled milk from the herd. Samples were also collected upon arrival at the two dairy co-operatives (Limulunga and Mongu) to which the pooled milk was delivered. Additional serial samples were collected at the co-operatives and refrigerated to simulate the recommended storage conditions after purchase or at the co-operatives.

Microbiological analysis of the milk samples assessed the counts of total bacteria and coliforms and tested for the presence of Staphylococcus aureus, Escherichia coli, Bacillus species and Streptococcus species.

The milk at the farm level initially had low levels of bacteria but the microbial counts increased along the value chain as the milk was transported to the co-operative. This is in part due to the absence of a cold chain between milking and the point of sale.

Although coliform counts were low, a high proportion of samples were contaminated with S. aureus and E. coli, suggesting poor handling and faecal contamination, respectively. However, the most critical observation with regard to milk safety was the lack of pasteurisation or boiling, which would eliminate almost all microbial pathogens present.

The study therefore proposes that more work should be done to look into the feasibility of various interventions that could improve the quality of milk produced and sold in the region.

“Sustainable methods of milk pasteurisation should be investigated, as a microbial-kill step is needed to mitigate upstream contamination,” the authors observe.

Solar pasteurisation has been suggested as a possible option to be explored, in light of unreliable electricity supply, low levels of technical support and low volumes of milk handled at the dairy co-operatives.

“Paying producers more for safer, higher quality milk would create an incentive for producer investment in milk quality,” they add. Currently, all farmers receive the same price for their milk, regardless of the quality.

Selling milk to large dairies is not feasible at the moment because the quantities of milk produced are low and inconsistent. Also, most consumers prefer to buy milk from the informal sector.

Therefore, raising awareness of the need to boil milk before consumption is another important intervention that would improve milk safety at the consumer stage of the value chain by eliminating the pathogen risk. In addition, it may increase consumers’ willingness to pay for pasteurised milk.

Reference
Theodore J.D. Knight-Jones and others. Microbial contamination and hygiene of fresh cow’s milk produced by smallholders in western Zambia (International Journal of Environmental Research and Public Health, 21 July 2016).

 

ILRI scientist calls for better irrigation techniques to reduce risk of vector-borne diseases

The hidden dangers of irrigation in Kenya

By Imogen Mathers

If you are unable to listen to this audio, please update your browser or go here to download.

For farmers in Kenya, creative ways to irrigate crops can be the difference between a harvest failing or thriving. In this drought-prone country, access to reliable water sources is a daily challenge.

Few would argue with the need for better irrigation. Yet certain techniques introduced by the government to spur food production have dangerous side effects, warns Bernard Bett, a veterinary epidemiologist at the International Livestock Research Institute (ILRI) in Kenya.

The pools and canals that underpin flood irrigation create ideal conditions for mosquitoes to thrive, and are a draw for wildlife to gather and drink. This confluence of elements forms a perfect petri dish for zoonotic diseases such as malaria and dengue to circulate between wildlife, livestock, humans and insects.

Instead, Bett suggests exploring alternative techniques such as drip irrigation, a small change that can play a big part in keeping people safe from vector-borne diseases.

The interview was recorded on 18 March 2016 at One Health for the Real World, a symposium in the United Kingdom organised by the Dynamic Drivers of Disease in Africa consortium and the Zoological Society of London.

This article was originally published on SciDev.Net. Read the original article.

 

MERS-CoV antibodies found in two people in eastern Kenya

ILRI news

Transmission electron micrograph of Middle East Respiratory Syndrome coronavirus, MERS-CoV (image credit: NIAID). MERS-CoV belongs to the coronavirus family. Human coronaviruses were first identified in the mid-1960s; MERS-CoV was first reported in 2012 in Saudi Arabia. Coronaviruses can also infect animals. Named for the crown-like spikes on their surface, coronaviruses are common in people, usually causing mild to moderate upper-respiratory tract illnesses. Two exceptions are the MERS-CoV and the SARS (Severe Acute Respiratory Syndrome)-CoV.

A new study published in the science journal Emerging Infectious Diseases reports that two individuals in Kenya have tested positive for the presence of antibodies to Middle East Respiratory Syndrome coronavirus (MERS-CoV). Neither person is ill or recalls having any symptoms associated with MERS.

There is no evidence of a public health threat and scientists concluded that the infections caused little or no clinical signs of illness. But they plan follow-up studies, as this is the…

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Researchers develop Rift Valley fever risk map for Kenya to aid prevention and control of the disease

Cow in Kenya. A new Rift Valley fever risk map for Kenya will help develop prevention and control measures to combat the disease in the country (photo credit: ILRI/Stevie Mann).

A new Rift Valley fever risk map for Kenya, based on data from a period spanning over 50 years, will be an important tool for use in developing measures to prevent and control the disease in the country.

Rift Valley fever is a viral disease that affects animals such as cattle, sheep, camels and goats. It is also a zoonotic disease, meaning it can be transmitted from animals to people.

Rift Valley fever epidemics occur every 3 to 10 years in specific regions of the Greater Horn of Africa, southern and western Africa and in the Arabian Peninsula, resulting in high rates of infection and death among people and livestock.

In Kenya, the most recent outbreaks of the disease occurred in 1997-98 and 2006-07. Experts agree that the severity of Rift Valley fever epidemics can be reduced through the use of effective early warning systems followed by rapid implementation of prevention and control measures.

In 2008, international experts and decision-makers from eastern Africa developed a risk-based decision support framework designed to guide responses during various stages of the Rift Valley fever disease cycle.

Now, a team of researchers from Kenya, the Netherlands and the United States of America has added to the arsenal of tools to prevent and control Rift Valley fever by using surveillance data from 1951 to 2007 to develop a Rift Valley fever risk map for Kenya.

The map shows the risk of an outbreak of the disease for each of the 391 administrative divisions in the country (based on the 1999 administrative map), classifying the divisions as high, medium or low risk.

The authors of the study say that the Rift Valley fever risk map will provide the Government of Kenya with an evidence-base from which it can respond to a Rift Valley fever epidemic warning as well as develop long-term prevention and control programs in high-risk areas.

The map is published in an article in the journal PLOS ONE (25 Jan 2016): Predictive factors and risk mapping for Rift Valley fever epidemics in Kenya

Citation
Munyua, P.M., Murithi, R.M., Ithondeka, P., Hightower, A., Thumbi, S.M., Anyangu, S.A., Kiplimo, J., Bett, B., Vrieling, A., Breiman, R.F. and Njenga, M.K. 2016. Predictive factors and risk mapping for Rift Valley fever epidemics in Kenya. PLOS ONE 11(1): e0144570.

 

Study calls for One Health approach in continued research on potential role of pigs in Ebola transmission in Uganda

Local breed sow and piglets on a farm in Masaka district, Uganda (photo credit: ILRI/Eliza Smith).

Zoonotic diseases are most dangerous when they take animal and human health workers by surprise, giving the public and disease control officials no advance warning or time to put prevention measures in place. The recent Ebola outbreak in West Africa illustrates the adverse consequences of trying to tackle a disease outbreak too late and with little information.

Ebola is a serious but mysterious disease; in Uganda, there is little solid information on the reservoir and transmission of Ebola. However, research findings in the last few decades have given rise to speculation that there could be associations between pigs and Ebola.

Currently, there is no evidence that pigs have had any role in past outbreaks of Ebola virus disease. But given the huge importance of pigs to the Ugandan economy, diet and livelihoods, it is important to investigate any potential links sooner rather than later.

A recent study by the International Livestock Research Institute (ILRI) argues there are several factors that support the potential role of pigs in the transmission of Ebola to humans in Uganda. It is critical that this hypothesis be investigated in order to understand the risks to the country’s burgeoning pig production industry.

A spatial representation of potential risk factors for zoonotic transmission involving pigs in Uganda could be used to initiate further investigations into Ebola and other zoonotic diseases known to affect pigs in Uganda.

The researchers call for a One Health approach to the continued research. The benefit of this multidisciplinary approach is that limited resources can be utilized efficiently to improve the health and livelihoods of Ugandans through enhanced food safety and security, and the preservation of important ecosystem services, such as those provided by bats and other wildlife.

Clear and consistent risk communication from all research partners will be of utmost importance in preventing hysteria and delivering good outcomes for wildlife conservation and livelihoods.

Download the policy brief, One Health approach recommended in investigating and communicating the potential role of pigs in transmitting Ebola in Uganda written by Eliza Smith of KYEEMA Foundation and Christine Atherstone and Delia Grace of ILRI.

 

Lessons in informality from Kenya’s dairy sector

A typical milk bar in Kenya. Packaged milk in supermarkets has been found to be no better at meeting food safety standards than raw milk sold from kiosks (photo credit: ILRI/Dave Elsworth).

Kenya’s informal dairy markets are central to the livelihoods, food security and nutrition of the majority of its citizens, particularly the poor, women and children. Kenya’s informal dairy market is significant in size – 86% of Kenya’s milk is sold by unorganized, small-scale businesses in informal markets or consumed directly at home. The sector generates 70% of the 40,000 jobs in dairy marketing and processing.

The International Institute for Environment and Development (IIED) has been working in partnership with the International Livestock Research Institute (ILRI) in Kenya to explore the impacts of efforts to govern Kenya’s dairy sector in a way that works with, rather than against, informal, small-scale milk vendors. We looked at the impact on milk vendors, on food safety and on sustainability, with the findings published in the final briefing in a series on innovations in policy approaches to informality.

Read the rest of the blog post, Lessons in informality from Kenya’s dairy sector, by Emma Blackmore. Originally posted on the IIED website.

 

El Niño predictions signal urgent need to prepare for Rift Valley fever epidemics in eastern Africa

Orma Boran cattle crossing a river in Kenya. Both cattle and people can be infected with Rift Valley fever (photo credit: ILRI /Rosemary Dolan).

Recent climate predictions suggest East Africa may be in line for an epidemic of Rift Valley fever – an infectious disease which can hit people, their livestock and livelihoods, and national economies hard.

Data from the Climate Prediction Center and International Research Institute for Climate and Society suggest there is a 99.9% chance there will be an El Niño occurrence this year, with a 90% chance it will last until March/April 2016.

At least two of the most recent Rift Valley fever epidemics in East Africa—those in 1997-98 and 2006-07—were associated with El Niño weather patterns, with Kenya suffering losses amounting to US$32 million.

Given the strong predictions of an El Niño occurrence, and the established association between El Niño and Rift Valley fever risk, countries in the Horn of Africa need to start preparing to manage the developing risk.

In particular, public education on the linkages between the expected weather patterns and disease risk is vital to minimize human exposure to the disease should an epidemic occur.

Read the full article by Bernard Bett, a veterinary epidemiologist at the International Livestock Research Institute (ILRI).