RT Journal Article
SR Electronic
T1 Fever, bacterial zoonoses, and One Health in sub-Saharan Africa
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 375
OP 380
DO 10.7861/clinmed.2019-0180
VO 19
IS 5
A1 Manuela Carugati
A1 Kajiru G Kilonzo
A1 John A Crump
YR 2019
UL http://www.rcpjournals.org/content/19/5/375.abstract
AB Although often underappreciated, a number of bacterial zoonoses are endemic in Africa. Of these, brucellosis, leptospirosis, Q fever, and rickettsioses are responsible for a substantial proportion of febrile illness among patients seeking hospital care. In this paper, we discuss the aetiology, epidemiology, clinical presentation, diagnosis, treatment and prevention of these bacterial zoonoses. To prevent and control bacterial zoonoses, strategies targeting both animals and humans are crucial. These may lead to better outcomes than strategies based exclusively on treatment of human infections. Such strategies are referred to as the ‘One Health’ approach; the collaborative effort of multiple disciplines to attain optimal health for people, animals and the environment.