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Peste des Petits Ruminants (PPR)
    outbreak in southern, Tanzania

        *E. A. Muse, *R.B. Matondo, *E.D.
  Karimuribo, *G. Misinzo, *L.S.B. Mellau, *P.L.M.
      Msoffe, ‡M.O. Albano and † G.C. Gitao

*Sokoine University of Agriculture (SUA)
† University of Nairobi (UoN)
‡ Veterinary Investigation Centres (VICs)



                                    2012
Introduction
• Peste des Petits Ruminants (PPR) is an acute, highly
  contagious viral disease (Morbillivirus)

• Affects domestic &wild small ruminants (esp. goats and
  sheep)

• Characterised by high morbidity and mortality (50-
  100%) in naive populations
• In Tanzania: first confirmation in 2008, confined to
  northern zone until 2010/2011 then in southern parts
Objectives
• To describe clinical and pathological lesions of
  PPR and confirm presence of PPRV in southern
  Tanzania
• To determine the seroprovalence and describe
  epidemiological factors in affected villages
• To identify sources and factors that contributed
  to introduction of PPR in southern Tanzania
Materials and Methods
 Study Area
• Tandahimba and Newala districts in Mtwara




                                    Mozambique
Sampling points

• Design
  –Cross-sectional
   study
• Data collection
  –March to May
   2011


Purposive – (Affected villages);
Interviews and questionnaires
Samples collection
• Tissues (histo) and swabs (RT-PCR; n=30)
• Serum (Serological assays, c-ELISA, n=216)
Results
Clinical signs:
high fever (41oC),
depression,
anorexia,
purulent lacrimation,
diarrhoea,
stomatitis,
reddening conjunctiva,
nasal discharge,
matting of eyelids and
skin nodules
Glossy and Histopathology




 Lung hyperaemia and consolidation




                                     H&E staining of skin lesion showing
                                       thick crust; mononuclear cells
• Acute pneumonia
• Confirmed the presence of PPR in southern
  Tanzania by RT-PCR (56.7%)
• Serological analysis of 216 serum samples
  established seroprevalence of 31.0% (95% CI=24.9-
  37.6%)
• Significantly higher seroprevalence in
  Tandahimba (55.5%) than in Newala (5.7%)
  (p<0.001)
Seroprevalence by ward and district
Seroprevalence


                 100      79.2
                  80             60 55.8 55.5
                  60
                  40   29.2
                  20                                          11.3 5.7
                                                4.3 3.7 3.3
                   0




                                  village/DISTRICT
Seroprevalence


Map
PPR
seroprevalence
and
introduction of
PPR in Newala


 • Sex – Female 36.8%; male 29.8%;
 • Species – goats 35.5%; Sheep 30.7% (Statistically, No
   differences)
When and how was PPR introduced?
• Farmers reported to have seen cases in 2009
• PPR was first introduced in Likuna village (Newala
  district) in February 2009
• Through a newly purchased goats from the Pugu
  livestock market (a.d. 700km in Dar es Salaam)
• The disease rapidly spread to neighbouring villages
  by communal grazing and sale of sick animals (cheap
  prices)
Economic losses
Parameter              Newala    Tandahimba   Overall (79)
                       (n=31)    (48)
HH affected, %         19.4      81.3         57.0
Morbidity, %           4.8       73.1         48.9
Mortality (Crude), %   4.4       37.4         25.7
Case Fatality          92.9      51.2         52.6
HH Rx (Chemotherapy)   22.6      43.8         35.4
Vaccinated             0.0       0.0          0.0
STATISTICS
Goat                   105,174   149,945      255,119
Sheep                  2,085     2,348        4,433
Human                  183,344   203,837      387,181
CONCLUSION
• PPR is now prevalent in southern Tanzania

• Disease control measures on going

• Other SADC countries (especially Mozambique,
  Malawi & Zambia) are at high risk

• National, regional and international collaboration
  required to contain and control the disease
Thank you very much

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Peste des Petits Ruminants (PPR) outbreak in southern, Tanzania

  • 1. Peste des Petits Ruminants (PPR) outbreak in southern, Tanzania *E. A. Muse, *R.B. Matondo, *E.D. Karimuribo, *G. Misinzo, *L.S.B. Mellau, *P.L.M. Msoffe, ‡M.O. Albano and † G.C. Gitao *Sokoine University of Agriculture (SUA) † University of Nairobi (UoN) ‡ Veterinary Investigation Centres (VICs) 2012
  • 2. Introduction • Peste des Petits Ruminants (PPR) is an acute, highly contagious viral disease (Morbillivirus) • Affects domestic &wild small ruminants (esp. goats and sheep) • Characterised by high morbidity and mortality (50- 100%) in naive populations • In Tanzania: first confirmation in 2008, confined to northern zone until 2010/2011 then in southern parts
  • 3. Objectives • To describe clinical and pathological lesions of PPR and confirm presence of PPRV in southern Tanzania • To determine the seroprovalence and describe epidemiological factors in affected villages • To identify sources and factors that contributed to introduction of PPR in southern Tanzania
  • 4. Materials and Methods Study Area • Tandahimba and Newala districts in Mtwara Mozambique
  • 5. Sampling points • Design –Cross-sectional study • Data collection –March to May 2011 Purposive – (Affected villages); Interviews and questionnaires Samples collection • Tissues (histo) and swabs (RT-PCR; n=30) • Serum (Serological assays, c-ELISA, n=216)
  • 6. Results Clinical signs: high fever (41oC), depression, anorexia, purulent lacrimation, diarrhoea, stomatitis, reddening conjunctiva, nasal discharge, matting of eyelids and skin nodules
  • 7. Glossy and Histopathology Lung hyperaemia and consolidation H&E staining of skin lesion showing thick crust; mononuclear cells • Acute pneumonia
  • 8. • Confirmed the presence of PPR in southern Tanzania by RT-PCR (56.7%) • Serological analysis of 216 serum samples established seroprevalence of 31.0% (95% CI=24.9- 37.6%) • Significantly higher seroprevalence in Tandahimba (55.5%) than in Newala (5.7%) (p<0.001)
  • 9. Seroprevalence by ward and district Seroprevalence 100 79.2 80 60 55.8 55.5 60 40 29.2 20 11.3 5.7 4.3 3.7 3.3 0 village/DISTRICT
  • 10. Seroprevalence Map PPR seroprevalence and introduction of PPR in Newala • Sex – Female 36.8%; male 29.8%; • Species – goats 35.5%; Sheep 30.7% (Statistically, No differences)
  • 11. When and how was PPR introduced? • Farmers reported to have seen cases in 2009 • PPR was first introduced in Likuna village (Newala district) in February 2009 • Through a newly purchased goats from the Pugu livestock market (a.d. 700km in Dar es Salaam) • The disease rapidly spread to neighbouring villages by communal grazing and sale of sick animals (cheap prices)
  • 12. Economic losses Parameter Newala Tandahimba Overall (79) (n=31) (48) HH affected, % 19.4 81.3 57.0 Morbidity, % 4.8 73.1 48.9 Mortality (Crude), % 4.4 37.4 25.7 Case Fatality 92.9 51.2 52.6 HH Rx (Chemotherapy) 22.6 43.8 35.4 Vaccinated 0.0 0.0 0.0 STATISTICS Goat 105,174 149,945 255,119 Sheep 2,085 2,348 4,433 Human 183,344 203,837 387,181
  • 13. CONCLUSION • PPR is now prevalent in southern Tanzania • Disease control measures on going • Other SADC countries (especially Mozambique, Malawi & Zambia) are at high risk • National, regional and international collaboration required to contain and control the disease