Seroprevalence survey of brucellosis among rural people in Mongolia
Background: After the transition from socialism to a market economy in 1990, human brucellosis re-emerged in Mongolia. The aim of our study was to estimate a representative seroprevalence of Brucella spp. and to determine risk factors for brucellosis seropositivity among rural people. Methods: A...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
World Health Organization Regional Office for the Western Pacific
2014-11-01
|
Series: | Western Pacific Surveillance and Response |
Subjects: | |
Online Access: | http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/229/425 |
_version_ | 1818728591195635712 |
---|---|
author | Selenge Tsend Zolzaya Baljinnyam Bujinlkham Suuri Enkhbayar Dashbal Baatarkhuu Oidov Felix Roth Jakob Zinstag Esther Schelling Davaalkham Dambadarjaa |
author_facet | Selenge Tsend Zolzaya Baljinnyam Bujinlkham Suuri Enkhbayar Dashbal Baatarkhuu Oidov Felix Roth Jakob Zinstag Esther Schelling Davaalkham Dambadarjaa |
author_sort | Selenge Tsend |
collection | DOAJ |
description | Background: After the transition from socialism to a market economy in 1990, human brucellosis re-emerged in Mongolia. The aim of our study was to estimate a representative seroprevalence of Brucella spp. and to determine risk factors for brucellosis seropositivity among rural people.
Methods: A cross-sectional study with multistage random selection was conducted in eight provinces of Mongolia. Study participants were interviewed using a questionnaire to obtain their brucellosis history, current symptoms and likely risk factors. Blood samples were drawn to determine brucellosis seroprevalence.
Results: A total of 2856 randomly selected rural people aged four to 90 years were enrolled in the study. The seroprevalence of Brucella spp. was 11.1% (95% confidence interval [CI]: 10.0–12.1), ranging between 2.3% and 22.6% in the eight provinces; 39.2% (n = 609) of nomadic camps had at least one seropositive participant. Risk factors associated with brucellosis seropositivity were being older than 45 years (adjusted odds ratio [AOR] = 6.9, 95% CI = 5.1–8.7) and being a veterinarian (AOR = 2.8, 95% CI = 1.5–5.0).
Conclusion: Our study confirms that human brucellosis seroprevalence among rural people in Mongolia is high. Human brucellosis can be effectively controlled if high-coverage livestock mass vaccination is implemented with a coverage survey after the vaccinations to ensure completeness. This mass vaccination should be accompanied by public awareness and educational programmes. |
first_indexed | 2024-12-17T22:32:25Z |
format | Article |
id | doaj.art-24d335b990934519bc8b2ce704e338cb |
institution | Directory Open Access Journal |
issn | 2094-7321 2094-7313 |
language | English |
last_indexed | 2024-12-17T22:32:25Z |
publishDate | 2014-11-01 |
publisher | World Health Organization Regional Office for the Western Pacific |
record_format | Article |
series | Western Pacific Surveillance and Response |
spelling | doaj.art-24d335b990934519bc8b2ce704e338cb2022-12-21T21:30:10ZengWorld Health Organization Regional Office for the Western PacificWestern Pacific Surveillance and Response2094-73212094-73132014-11-01541320Seroprevalence survey of brucellosis among rural people in MongoliaSelenge TsendZolzaya BaljinnyamBujinlkham SuuriEnkhbayar DashbalBaatarkhuu OidovFelix RothJakob ZinstagEsther SchellingDavaalkham DambadarjaaBackground: After the transition from socialism to a market economy in 1990, human brucellosis re-emerged in Mongolia. The aim of our study was to estimate a representative seroprevalence of Brucella spp. and to determine risk factors for brucellosis seropositivity among rural people. Methods: A cross-sectional study with multistage random selection was conducted in eight provinces of Mongolia. Study participants were interviewed using a questionnaire to obtain their brucellosis history, current symptoms and likely risk factors. Blood samples were drawn to determine brucellosis seroprevalence. Results: A total of 2856 randomly selected rural people aged four to 90 years were enrolled in the study. The seroprevalence of Brucella spp. was 11.1% (95% confidence interval [CI]: 10.0–12.1), ranging between 2.3% and 22.6% in the eight provinces; 39.2% (n = 609) of nomadic camps had at least one seropositive participant. Risk factors associated with brucellosis seropositivity were being older than 45 years (adjusted odds ratio [AOR] = 6.9, 95% CI = 5.1–8.7) and being a veterinarian (AOR = 2.8, 95% CI = 1.5–5.0). Conclusion: Our study confirms that human brucellosis seroprevalence among rural people in Mongolia is high. Human brucellosis can be effectively controlled if high-coverage livestock mass vaccination is implemented with a coverage survey after the vaccinations to ensure completeness. This mass vaccination should be accompanied by public awareness and educational programmes.http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/229/425brucellosisseroprevalence surveyrural Mongolia |
spellingShingle | Selenge Tsend Zolzaya Baljinnyam Bujinlkham Suuri Enkhbayar Dashbal Baatarkhuu Oidov Felix Roth Jakob Zinstag Esther Schelling Davaalkham Dambadarjaa Seroprevalence survey of brucellosis among rural people in Mongolia Western Pacific Surveillance and Response brucellosis seroprevalence survey rural Mongolia |
title | Seroprevalence survey of brucellosis among rural people in Mongolia |
title_full | Seroprevalence survey of brucellosis among rural people in Mongolia |
title_fullStr | Seroprevalence survey of brucellosis among rural people in Mongolia |
title_full_unstemmed | Seroprevalence survey of brucellosis among rural people in Mongolia |
title_short | Seroprevalence survey of brucellosis among rural people in Mongolia |
title_sort | seroprevalence survey of brucellosis among rural people in mongolia |
topic | brucellosis seroprevalence survey rural Mongolia |
url | http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/229/425 |
work_keys_str_mv | AT selengetsend seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT zolzayabaljinnyam seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT bujinlkhamsuuri seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT enkhbayardashbal seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT baatarkhuuoidov seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT felixroth seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT jakobzinstag seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT estherschelling seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia AT davaalkhamdambadarjaa seroprevalencesurveyofbrucellosisamongruralpeopleinmongolia |