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Kapur, V.

Publications and source records attributed to Kapur, V..

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Identifying age cohorts responsible for Peste des petits ruminants virus transmission among sheep, goats, and cattle in northern Tanzania

Peste des petits ruminants virus (PPRV) causes a contagious disease of high morbidity and mortality in global sheep and goat populations and leads to approximately $2 billion USD in global annual losses. PPRV is currently targeted by the Food and Agricultural Organization and World Animal Health Organization for global eradication by 2030. To better control this disease and inform eradication strategies, an improved understanding of how PPRV risk varies by age is needed. Our study used a piece-wise catalytic model to estimate the age-specific force of infection (FOI, per capita infection rate of susceptible hosts) among sheep, goats, and cattle from a cross-sectional serosurvey dataset collected in 2016 in Tanzania. Apparent seroprevalence rose with age, as would be expected if PPRV is a fully-immunizing infection, reaching 53.6%, 46.8%, and 11.6% (true seroprevalence: 52.7%, 52.8%, 39.2%) for sheep, goats, and cattle, respectively. Seroprevalence was significantly higher among pastoral animals than agropastoral animals across all ages, with pastoral sheep and goat seroprevalence approaching 70% and 80%, respectively, suggesting endemicity in pastoral settings. The best fitting piece-wise catalytic models included merged age groups: two age groups for sheep, three age groups for goats, and four age groups for cattle. However, the signal of these age heterogeneities was weak, with overlapping confidence intervals around force of infection estimates from most models with the exception of a significant FOI peak among 2.5-3.5 year old pastoral cattle. Pastoral animals had a higher force of infection overall, and across a wider range of ages than agropastoral animals. The subtle age-specific force of infection heterogeneities identified in this study among sheep, goats, and cattle suggest that targeting control efforts by age may not be as effective as targeting by other risk factors, such as management system type. Further research should investigate how specific husbandry practices affect PPRV transmission. Author SummaryAge differences in transmission are important for many infections, and can help target control programs. We used an age-structured serosurvey of Tanzanian sheep, goats, and cattle to explore peste des petits ruminants virus transmission. We estimated rate at which susceptibles acquire infection (force of infection) to determine which age group(s) had the highest transmission rates. We hypothesized that an age-varying model with multiple age groups would better fit the data than an age constant model and that the highest transmission rates would appear in the youngest age groups. Furthermore, we hypothesized evidence of immunity would increase with age. The data supported our hypothesis at the species level and the best fitting models merged age groups: two, three, and four age group models were best for sheep, goats, and cattle, respectively. The highest rates occurred among younger age groups and evidence of immunity rose with age for all species. In most models, confidence interval estimates overlapped, but there was a significant FOI peak among 2.3-3.5 year old pastoral cattle. Importantly, these data indicate that there is not sufficient evidence to support targeted control by age group, and that targeted control based on production system should be more effective.

ecology

Zoonotic tuberculosis in India: looking beyond Mycobacterium bovis

BackgroundZoonotic tuberculosis (zTB) is the transmission of Mycobacterium tuberculosis complex (MTBC) subspecies from animals to humans. zTB is generally quantified by determining the proportion of human isolates that are Mycobacterium bovis. Although India has the worlds largest number of human TB cases and the largest cattle population, where bovine TB is endemic, the burden of zTB is unknown. MethodsTo obtain estimates of zTB in India, a PCR-based approach was applied to sub-speciate positive MGIT(R) cultures from 940 patients (548 pulmonary, 392 extrapulmonary disease) at a large referral hospital in India. Twenty-five isolates of interest were subject to whole genome sequencing (WGS) and compared with 715 publicly available MTBC sequences from South Asia. FindingsA conclusive identification was obtained for 939 samples; wildtype M. bovis was not identified (95% CI: 0 - 0.4%). There were 912 M. tuberculosis sensu stricto (97.0%, 95% CI: 95.7 - 98.0), 7 M. orygis (95% CI: 0.3 - 1.5%); 5 M. bovis BCG, and 15 non-tuberculous mycobacteria. WGS analysis of 715 MTBC sequences again identified no M. bovis (95% CI: 0 - 0.4%). Human and cattle MTBC isolates were interspersed within the M. orgyis and M. tuberculosis sensu stricto lineages. InterpretationM. bovis prevalence in humans is an inadequate proxy of zTB in India. The recovery of M. orygis from humans, together with the finding of M. tuberculosis in cattle, underscores the need for One Health investigations to assess the burden of zTB in countries with endemic bovine TB. FundingBill & Melinda Gates Foundation, Canadian Institutes for Health Research

microbiology