1. Introduction
Brucellosis is a zoonotic bacterial disease causing economic loss in dairy cattle production systems. Brucellosis is considered to be one of the most widespread zoonotic diseases globally [
1]. The disease is caused by a bacterium of the Genus
Brucella. Of the twelve
Brucella species identified that affect mammals, the common species affecting domestic animals are
B. abortus in cattle,
B. melitensis in goats,
B. ovis in sheep,
B. suis in pigs and
B. canis in dogs [
2,
3].
Brucella spp. are somewhat host specific, however, recent studies highlighted the importance of cross-species infection [
4,
5,
6]. Studies have found that, brucellosis in cattle can also be caused by
B. melitensis or
B. suis [
2,
7,
8]. This renders eradication through vaccination with
B. abortus derived vaccines ineffective, since the efficacy of the S.19 vaccine which is widely used in endemic areas has not been fully validated against
B. melitensis and those vaccines which confer cross-protection may not be available especially in LMICs [
9,
10,
11].
In Tanzania, the first isolates of
B. abortus and
B. melitensis from cattle and goats respectively was done in 1967 [
12], however no typing of the isolates was done [
12]. In 2015,
B. abortus was isolated from aborted materials of dairy cattle in Njombe region and the first typing identified
B. abortus biovar 3 [
13]. Around the same time
B. abortus biovar 1 was detected and typed from cow’s milk [
14]. Over recent years mixed farming practices have been reported to be associated with brucellosis reemergence in Tanzania [
15,
16]. Research in neighboring countries have identified cattle infected with other
Brucella species. Studies in Kenya, Uganda and Rwanda have identified
B. melitensis and
B. abortus from dairy cattle [
6,
8,
17]. Furthermore,
B. melitensis the most pathogenic among the classical
Brucella species has been frequently isolated from febrile human patients in northern Tanzania [
18], however the possible sources of infection in humans was not established. The authors, however concluded that to control human brucellosis, vaccination should also target small ruminants by using
B. melitensis vaccine [
18]. In Tanzania there have not been any reports of the isolation or molecular detection of
B. melitensis in cattle. Therefore, the objective of the current study was to identify
Brucella species circulating in smallholder dairy cattle populations in Tanzania by using molecular techniques and establish risk factors associated with brucellosis molecular positivity.
4. Discussion
Brucellosis is a globally neglected bacterial zoonosis. It was characterized for the first time in Tanzania from domestic animals in 1967 and later in 2015 [
12,
13,
14]. In Tanzania, brucellosis in dairy cattle is endemic and has been affecting dairy production and public health apart from short period in the late 1990’s when it was controlled [
26]. In Tanzania, most brucellosis studies have depended on the use of serological tests to make recommendations and conclusions on the best way to control the disease in animals and have assumed
Brucella host-specificity due to lack of serological tools to differentiate them [
27]. However, recent studies have shown that host-specificity of
Brucella species no longer applies, as cross-infections have been recently reported globally [
6,
28]. Therefore, molecular characterization of
Brucella species is becoming increasingly important to understand the different epidemiology and make appropriate recommendations for control and eradication [
29].
The current study reports the overall animal level adjusted PCR prevalence (molecular prevalence) of 3.5% across the study regions. The molecular prevalence reported in this study is lower than the molecular prevalence of 18.9% reported in Kenya [
5] and similar to the 5.6% reported in Rwanda [
6]. The discrepancy in prevalence is likely due to differences in study population and study locations as brucellosis prevalence has been reported to be lower in highland areas in Kenya [
30] which have a similar agroecology to the areas in this study. To control the disease in the country, high-risk regions such as Njombe, Kilimanjaro, Mbeya and Arusha need to be prioritized for disease interventions [
16].
The current study has identified that
B. abortus,
B. melitensis and unidentified
Brucella species are circulating in this dairy cattle population. The current study revealed that dairy cattle are predominantly PCR-positive with
B. melitensis, which is generally considered to be a pathogen of sheep and goats. Although, we did not find a statistically significant association between keeping goats and
Brucella PCR positivity in this study, our previous work has demonstrated an association with seropositivity, with the odds of cattle being seropositive on a farm that keeps goats being 3.02 times compared to cattle on a farm that do not keep goats [
16]. The role of goats in the epidemiology of cattle brucellosis in SSA has also been reported in previous studies [
15].
The current study also reports dairy cattle PCR-positive for two
Brucella species,
B. abortus and
B. melitensis and an unidentified
Brucella species. Co-infections with more than one
Brucella species have been reported in neighboring Rwanda and other African countries [
6,
28,
31,
32]. Furthermore, PCR-positivity for two
Brucella species was attributed to the mingling of cattle and small ruminants [
33,
34]. The detection of an unidentified
Brucella species highlights the potential of infection with other
Brucella species such as
B. ovis,
B. canis, and
B. suis which have been identified in dairy cattle following natural infection in different countries [
35,
36,
37] and may be related to the presence of other domestic animals such as sheep, dogs and pigs in the dairy farms.
The multivariable model developed for the regions with the highest number of PCR positive animals (Njombe, Kilimanjaro, Mbeya and Arusha) demonstrated that the odds of
Brucella PCR positivity in a dairy farm with dogs was 0.37 times when compared to farms that do not have dogs around. Earlier studies reported that feeding dogs fetal membranes and aborted material was found to be a common practice in 62.5% of cattle farmers [
38]. This is further evidenced by detection of
B. melitensis and
B. abortus from herding dogs [
39,
40]. It is likely that dogs eating placenta and other aborted material reduce the chance to spread the bacteria in the environment, however this finding was contrary to the finding of a recent study in India which found that the odds of disease was 2.55 times in a farm that have dogs around compared to those with no dogs around [
41]. This study also revealed that the odds of
Brucella PCR positivity in a farms that do have pigs was 0.46 times when compared to the farms not having pigs around. This finding disagreed with the finding of other studies which found that presence of pigs in a farm was associated with the risk of brucellosis in cattle [
42]. Although dogs and pigs may clean up the infected placenta and aborted materials and hence reduce the risk of infection to dairy cattle, this should not be encouraged and alternative control methods such as burning or burying the placenta are preferred.
History of abortion of an animal was significantly associated with
Brucella PCR positivity, the odds of
Brucella PCR positivity was 3.17 in dairy cattle with a history of abortion when compared to animals with no history of abortion. This finding was in agreement with the finding of other studies that the odds of the disease was higher in cattle with history of abortion [
43,
44,
45]. Brucellosis is characterized by late-term abortion, even though is not pathognomonic sign, abortion may still be indication to implement strategies for brucellosis control in a dairy farm. Even though it was not statistically significant, introductions of new animals (cattle) in a farm was associated with
Brucella PCR positivity in dairy cattle. However, other studies found that introduction of new animals to a farm was significantly associated with the risk of brucellosis in cattle [
46,
47] regardless of the source of the animal [
48]. Testing new animals for brucellosis should be prioritized as an effort toward the control brucellosis in the region. This study revealed that the odds of
Brucella PCR positivity of a dairy cattle on a farm that kept its own bull was 0.39 times less than dairy cattle on a farm that did not keep a bull. This finding was in agreement with the finding of other studies which found that farms which used own bull were at low risk of brucellosis [
46]. Unlike borrowing a bull for breeding, keeping a bull reduces the risk of
Brucella infections among dairy cows on a farm. Njombe region was significantly associated with
Brucella PCR positivity, and dairy cattle in Njombe was 2.72 times more likely to be Brucella PCR positive than dairy cattle in Arusha. This suggests that Njombe is a brucellosis high-risk region and should be a focus for rolling-out strategies to control the disease.
The presence of
B. melitensis and mixed
B. abortus and
B. melitensis PCR positives in dairy cattle pose a challenge to controlling the disease by vaccination. The monovalent
B. abortus S19 vaccine which is produced in Tanzania may not be effective in controlling the disease under these scenarios (
B. melitensis and co-infections) as the vaccine has not been fully validated for conferring cross-protection and alternative vaccines which may confer protection may not be available for use in LMICs [
9,
10,
11]. Further validation of the currently available vaccines under this scenario is required, furthermore production of a bivalent vaccine (containing
B. abortus and
B. melitensis) might assist in control and eradication of the disease in cattle [
49,
50].
There were limitations of the study as there was no agreement in PCR positivity between vaginal swab and blood from the same animal which could be attributed by the short and transient bacteremia in cattle and that shedding of bacteria in vaginal samples tends to be post calving. Furthermore, poor agreement could have been attributed by long storage of samples for over one year in a deep freezing temperature (-20°C) which is likely to degrade the samples. There are no studies that have looked at the different sample types in cattle, however, a study in dogs compared blood and vaginal swabs and found moderate agreement between vaginal swab PCR and blood PCR, in addition there were more blood PCR positive and no vaginal swab PCR positive in a bacteremic group of bitches [
51]. Finally, there was not sufficient DNA to allow sequencing for further characterization of the pathogens.
Author Contributions
Conceptualization, I.J.M., G.M.S., E.A.J.C. and B.M.d.C.B.; methodology, I.J.M., G.M.S., E.A.J.C., B.M.d.C.B., S.K.M., S.F.B. and L.E.H.-C.; formal analysis, I.J.M., B.M.d.C.B., and L.E.H.-C.; resources, E.A.J.C. and B.M.d.C.B., data curation, I.J.M., S.K.M., S.F.B., B.M.d.C.B. and L.E.H.-C.; writing—original draft preparation I.J.M.; writing—review and editing, I.J.M., G.M.S., E.A.J.C., B.M.d.C.B., L.E.H.-C., E.L. and D.M.K.; supervision, G.M.S., B.M.d.C.B. and E.A.J.C.; project administration, G.M.S., B.M.d.C.B. and E.A.J.C.; funding acquisition, B.M.d.C.B. and E.A.J.C. All authors have read and agreed to the published version of the manuscript.