23 results on '"Mshelbwala PP"'
Search Results
2. Insights into canine rabies vaccination Disparities in Sierra Leone: A cross-sectional household study.
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Mshelbwala PP, Wangdi K, Bunting-Graden JA, Bamayange S, Adamu AM, Gupta SD, Suluku R, Adamu CS, Weese JS, Rupprecht CE, and Clark NJ
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- Dogs, Animals, Sierra Leone epidemiology, Cross-Sectional Studies, Humans, Male, Ownership statistics & numerical data, Female, Rabies prevention & control, Rabies epidemiology, Rabies veterinary, Dog Diseases prevention & control, Dog Diseases epidemiology, Rabies Vaccines administration & dosage, Rabies Vaccines immunology, Vaccination statistics & numerical data, Vaccination veterinary, Family Characteristics
- Abstract
Annually, Sierra Leone records an estimated 301 human fatalities due to rabies. Canine vaccination is crucial for rabies prevention and control efforts. However, considerable variability exists in vaccination rates. Reasons for this variation remain unclear. We conducted a cross-sectional study across 2,558 dog-owning households (HHs) to provide insights into factors influencing canine vaccination for targeted prevention and control towards elimination by 2030. First, we described dog ownership practices, then built a probabilistic model to understand factors associated with dog vaccination, and finally used a spatial scan statistic to identify spatial clusters where vaccination rates were low. Our results indicated that only 14% (358/2,558) of participating HHs had fully vaccinated their dogs against rabies. The probability of dog vaccination increased when comparing civil servants to private workers/artisans, with an Odds Ratio(OR) of 1.14 (95% credible interval (Crl) of 0.82-1.56), residing in locations with a veterinary establishment vs. none (OR = 6.43, 95% Crl (4.97-8.35), providing care to dogs vs. allowing dogs to roam freely (OR = 2.38, 95% Crl(1.80-3.17) and owning a single dog vs multiple dogs (OR = 1.20, 95 Crl (0.92-1.56). Conversely, there was a decrease in the estimated probability of vaccination when comparing dog owners located in rural vs. urban areas (OR = 0.58, CrI 95% (0.43-0.78). Latent understanding, a measure of overall understanding of rabies virus, which we estimated using participant education levels and responses to questions about rabies epidemiology, was also an important predictor of vaccination probability (OR = 1.44, 95% Crl (1.04-2.07). The spatial analysis identified high-risk clusters for low vaccination in the cities of Moyamba, with a radius of 40 km, a relative risk (RR) of 1.10, and Bo, with a radius of 19.9 km with RR of 1.11. These data do not support Sierra Leone reaching the 2030 goal of human rabies elimination caused by dogs. Our study highlights a critical need for public outreach and education, improved vaccination rates, increased accessibility to veterinary services, and targeted interventions in Bo and Moyamba to support rabies prevention and control efforts., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Mshelbwala et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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3. Noroviruses: Evolutionary Dynamics, Epidemiology, Pathogenesis, and Vaccine Advances-A Comprehensive Review.
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Omatola CA, Mshelbwala PP, Okolo MO, Onoja AB, Abraham JO, Adaji DM, Samson SO, Okeme TO, Aminu RF, Akor ME, Ayeni G, Muhammed D, Akoh PQ, Ibrahim DS, Edegbo E, Yusuf L, Ocean HO, Akpala SN, Musa OA, and Adamu AM
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Noroviruses constitute a significant aetiology of sporadic and epidemic gastroenteritis in human hosts worldwide, especially among young children, the elderly, and immunocompromised patients. The low infectious dose of the virus, protracted shedding in faeces, and the ability to persist in the environment promote viral transmission in different socioeconomic settings. Considering the substantial disease burden across healthcare and community settings and the difficulty in controlling the disease, we review aspects related to current knowledge about norovirus biology, mechanisms driving the evolutionary trends, epidemiology and molecular diversity, pathogenic mechanism, and immunity to viral infection. Additionally, we discuss the reservoir hosts, intra-inter host dynamics, and potential eco-evolutionary significance. Finally, we review norovirus vaccines in the development pipeline and further discuss the various host and pathogen factors that may complicate vaccine development.
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- 2024
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4. Factors influencing canine rabies vaccination among dog-owning households in Nigeria.
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Mshelbwala PP, Rupprecht CE, Osinubi MO, Njoga EO, Orum TG, Weese JS, and Clark NJ
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Rabies perpetuates in Nigeria despite initiatives like the Regional Disease Surveillance System Enhancement Project, with evidence indicating suboptimal canine vaccination rates as a contributing factor. To inform effective planning of mass dog vaccination campaigns, it is crucial to understand the factors associated with variation in canine vaccination rates. We conducted a cross-sectional study in 2022 to understand factors associated with canine vaccination. We used stratified random sampling of the streets and dog-owning households to survey 4162 households from three states and the Federal Capital Territory (FCT). We then built a joint probabilistic model to understand factors associated with dog vaccination and non-vaccination. First, we modelled rabies knowledge as a latent variable indirectly measured with several targeted survey questions. This method allowed a respondent's unobserved understanding of rabies to be estimated using their responses to a collection of survey questions that targeted different aspects of rabies epidemiology and took various possible response distributions (i.e., ordinal, categorical, binary). Second, we modelled factors influencing pet owners' decisions to vaccinate their dogs against rabies and barriers to dog vaccination among dog owners whose dogs were not vaccinated against rabies. Posterior distributions revealed that the probability of dog vaccination was positively associated with the owner's latent knowledge of rabies, civil servant service employment, residence in the FCT, ownership of a single dog, providing care to dogs, and a preference for contemporary treatment following a dog bite. Conversely, non-vaccination was positively associated with private employment, residing in Anambra and Enugu states, owning multiple dogs, allowing dogs to search for leftovers, and a preference for traditional treatment after a dog bite. Cost was the primary barrier against vaccination for dog owners in Anambra and Enugu, while mistrust posed a major challenge for those in the FCT. Owners in areas with veterinary establishments cited cost as a barrier, while those without a veterinary establishment cited access as the primary barrier. Our study underscores the need to enhance rabies knowledge, tailor vaccination campaigns to specific demographics, address financial and access barriers, and combat hesitancy to improve rabies vaccination rates in Nigeria., Competing Interests: The authors declare no conflicts of interest. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention., (© 2024 The Authors.)
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- 2024
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5. Modelling modifiable factors associated with the probability of human rabies deaths among self-reported victims of dog bites in Abuja, Nigeria.
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Mshelbwala PP, J Soares Magalhães R, Weese JS, Ahmed NO, Rupprecht CE, and Clark NJ
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- Humans, Dogs, Animals, Self Report, Nigeria epidemiology, Bayes Theorem, Hospitals, Rabies prevention & control, Bites and Stings complications, Dog Diseases prevention & control, Rabies Vaccines
- Abstract
Canine-mediated rabies kills tens of thousands of people annually in lesser-developed communities of Asia, Africa, and the Americas, primarily through bites from infected dogs. Multiple rabies outbreaks have been associated with human deaths in Nigeria. However, the lack of quality data on human rabies hinders advocacy and resource allocation for effective prevention and control. We obtained 20 years of dog bite surveillance data across 19 major hospitals in Abuja, incorporating modifiable and environmental covariates. To overcome the challenge of missing information, we used a Bayesian approach with expert-solicited prior information to jointly model missing covariate data and the additive effects of the covariates on the predicted probability of human death after rabies virus exposure. Only 1155 cases of dog bites were recorded throughout the study period, out of which 4.2% (N = 49) died of rabies. The odds for risk of human death were predicted to decrease among individuals who were bitten by owned dogs compared to those bitten by free-roaming dogs. Similarly, there was a predicted decrease in the probability of human death among victims bitten by vaccinated dogs compared to those bitten by unvaccinated dogs. The odds for the risk of human death after bitten individuals received rabies prophylaxis were predicted to decrease compared to no prophylaxis. We demonstrate the practical application of a regularised Bayesian approach to model sparse dog bite surveillance data to uncover risk factors for human rabies, with broader applications in other endemic rabies settings with similar profiles. The low reporting observed in this study underscores the need for community engagement and investment in surveillance to increase data availability. Better data on bite cases will help to estimate the burden of rabies in Nigeria and would be important to plan effective prevention and control of this disease., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Mshelbwala et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2023
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6. Rabies in a postpandemic world: resilient reservoirs, redoubtable riposte, recurrent roadblocks, and resolute recidivism.
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Rupprecht CE, Mshelbwala PP, Reeves RG, and Kuzmin IV
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Rabies is an ancient disease. Two centuries since Pasteur, fundamental progress occurred in virology, vaccinology, and diagnostics-and an understanding of pathobiology and epizootiology of rabies in testament to One Health-before common terminological coinage. Prevention, control, selective elimination, and even the unthinkable-occasional treatment-of this zoonosis dawned by the twenty-first century. However, in contrast to smallpox and rinderpest, eradication is a wishful misnomer applied to rabies, particularly post-COVID-19 pandemic. Reasons are minion. Polyhostality encompasses bats and mesocarnivores, but other mammals represent a diverse spectrum of potential hosts. While rabies virus is the classical member of the genus, other species of lyssaviruses also cause the disease. Some reservoirs remain cryptic. Although global, this viral encephalitis is untreatable and often ignored. As with other neglected diseases, laboratory-based surveillance falls short of the notifiable ideal, especially in lower- and middle-income countries. Calculation of actual burden defaults to a flux within broad health economic models. Competing priorities, lack of defined, long-term international donors, and shrinking local champions challenge human prophylaxis and mass dog vaccination toward targets of 2030 for even canine rabies impacts. For prevention, all licensed vaccines are delivered to the individual, whether parenteral or oral-essentially 'one and done'. Exploiting mammalian social behaviors, future 'spreadable vaccines' might increase the proportion of immunized hosts per unit effort. However, the release of replication-competent, genetically modified organisms selectively engineered to spread intentionally throughout a population raises significant biological, ethical, and regulatory issues in need of broader, transdisciplinary discourse. How this rather curious idea will evolve toward actual unconventional prevention, control, or elimination in the near term remains debatable. In the interim, more precise terminology and realistic expectations serve as the norm for diverse, collective constituents to maintain progress in the field., Competing Interests: Competing interestsThe authors declare that they have no competing interests., (© The Author(s) 2023.)
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- 2023
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7. COVID-19 Vaccine Hesitancy and Determinants of Acceptance among Healthcare Workers, Academics and Tertiary Students in Nigeria.
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Njoga EO, Mshelbwala PP, Abah KO, Awoyomi OJ, Wangdi K, Pewan SB, Oyeleye FA, Galadima HB, Alhassan SA, Okoli CE, Kwaja EZ, Onwumere-Idolor OS, Atadiose EO, Awoyomi PO, Ibrahim MA, Lawan KM, Zailani SA, Salihu MD, and Rupprecht CE
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The COVID-19 pandemic has resulted in millions of human deaths, prompting the rapid development and regulatory approval of several vaccines. Although Nigeria implemented a COVID-19 vaccination program on 15 March 2021, low vaccine acceptance remains a major challenge. To provide insight on factors associated with COVID-19 vaccine hesitancy (VH), we conducted a national survey among healthcare workers, academics, and tertiary students, between 1 September 2021 and 31 December 2021. We fitted a logistic regression model to the data and examined factors associated with VH to support targeted health awareness campaigns to address public concerns and improve vaccination rates on par with global efforts. A total of 1525 respondents took part in the survey, composed of healthcare-workers (24.5%, 373/1525), academics (26.9%, 410/1525), and students (48.7%, 742/1525). Only 29% (446/1525) of the respondents were vaccinated at the time of this study. Of the 446 vaccinated respondents, 35.7% (159/446), 61.4% (274/446) and 2.9% (13/446) had one, two and three or more doses, respectively. Reasons for VH included: difficulty in the vaccination request/registration protocols (21.3%, 633/1079); bad feelings towards the vaccines due to negative social media reports/rumours (21.3%, 633/1079); personal ideology/religious beliefs against vaccination (16.7%, 495/1079); and poor confidence that preventive measures were enough to protect against COVID-19 (11%, 323/1079). Some health concerns that deterred unvaccinated respondents were: innate immunity issues (27.7%, 345/1079); allergic reaction concerns (24.6%, 307/1079); and blood clot problems in women (21.4%, 266/1079). In the multivariable model, location of respondents/geopolitical zones, level of education, testing for COVID-19, occupation/job description and religion were significantly associated with VH. Findings from this study underscore the need for targeted awareness creation to increase COVID-19 vaccination coverage in Nigeria and elsewhere. Besides professionals, similar studies are recommended in the general population to develop appropriate public health interventions to improve COVID-19 vaccine uptake.
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- 2022
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8. COVID-19 pandemic and its impacts on the environment: A global perspective.
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Otolorin GR, Oluwatobi AI, Olufemi OT, Esonu DO, Dunka HI, Adanu WA, Danjuma FA, Abiayi DC, Adegoke VA, Omoniwa DO, Oghenefega ON, and Mshelbwala PP
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Many researchers worldwide have focused on the health impact of the coronavirus disease 2019 (COVID-19) pandemic without paying much emphasis to the environmental impacts associated with the pandemic. Evidence suggests that prior to the pandemic there was an alarming increase in environmental pollution due to rising industrialization, in particular in urban areas. Following the COVID-19 pandemic, satellite data over Asia and Europe showed a substantial decrease in air pollution, in particular nitrogen dioxide. However, the increase in industrial and household wastes may pose a significant challenge to environmental management. The improper management of these wastes poses an unforeseen "knock-on" effect on human health and the environment. It is imperative to establish an effective and safe procedure, for handling and disposing of the consequential wastes accumulating during the pandemic. The review aims to highlight both the beneficial and detrimental effects of COVID-19 pandemic on the natural environment and to discuss the possible strategies to improve the quality of the global environment during the period of the pandemic and beyond., Competing Interests: The authors declare that they have no competing interests., (© 2022 The Author(s).)
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- 2022
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9. Spatiotemporal heterogeneity and determinants of canine rabies evidence at Local Government Area Level in Nigeria: Implications for rabies prevention and control.
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Mshelbwala PP, Weese JS, Clark NJ, Tekki I, Chakma S, Shamaki D, Mamun AA, Rupprecht CE, and Soares Magalhães RJ
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Canine rabies poses a significant risk to humans and animals in Nigeria. However, the lack of reliable tools to evaluate the performance of existing canine rabies control programs to inform public health policy decisions poses a severe obstacle. We obtained canine rabies surveillance data from the National Veterinary Research Institute (NVRI) and supplemented these data with rabies diagnoses reported in the published studies from Nigeria. To uncover contextual factors (i.e., environmental and sociodemographic) associated with canine rabies evidence at the Local Government Area (LGA) level, we classified LGAs in Nigeria into four categories based on evidence availability (i.e., LGAs with NVRI data or published studies, both, or no evidence). We described the geographical and temporal variation in coverage. We fitted a multinomial regression model to examine the association between LGA level canine rabies evidence and potential sociodemographic and ecological determinants of canine rabies evidence. The effective annual testing during the 19 years was less than one dog/100,000 Nigerian resident-year. Our results showed that 58% of Nigerian LGAs (450/774) had not been targeted by the existing national rabies surveillance or studies on rabies, including ten states capitals with high human populations. While 16% (122/774) of Nigerian LGAs concentrated in Taraba, Adamawa, and Abia had canine rabies evidence from published studies, none of these LGAs was represented in the NVRI rabies surveillance data. We also observed an increasing trend in rabies evidence over time towards the eastern part of Nigeria. Our multinomial regression model indicated that education level, poverty, population density, land use and temperature were significantly associated with canine rabies evidence at the LGA level. This study underscores the value of combining canine rabies evidence from different sources to better understand the current disease situation for targeted intervention., (© 2022 The Author(s).)
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- 2022
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10. Rabies in the Tropics.
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Rupprecht CE, Mani RS, Mshelbwala PP, Recuenco SE, and Ward MP
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Purpose of Review: Rabies is an ancient yet still neglected tropical disease (NTD). This review focuses upon highlights of recent research and peer-reviewed communications on the underestimated tropical burden of disease and its management due to the complicated dynamics of virulent viral species, diverse mammalian reservoirs, and tens of millions of exposed humans and animals - and how laboratory-based surveillance at each level informs upon pathogen spread and risks of transmission, for targeted prevention and control., Recent Findings: While both human and rabies animal cases in enzootic areas over the past 5 years were reported to PAHO/WHO and OIE by member countries, still there is a huge gap between these "official" data and the need for enhanced surveillance efforts to meet global program goals., Summary: A review of the complex aspects of rabies perpetuation in human, domestic animal, and wildlife communities, coupled with a high fatality rate despite the existence of efficacious biologics (but no therapeutics), warrants the need for a One Health approach toward detection via improved laboratory-based surveillance, with focal management at the viral source. More effective methods to prevent the spread of rabies from enzootic to free zones are needed., Competing Interests: Conflicts of interestThe authors have no financial relationships to disclose relevant to this article and declare no competing interests. In our aim to further strive for objectivity and transparency in research, the authors do disclose unrelated information for reviewers and readers that: CER is a global biomedical consultant to academia, government, industry, and NGOS, a member of the International Steering Committee of the Rabies in the Americas, Inc., and a World Health Organization Expert Technical Advisor on Rabies; PPM serves as an investigator on a grant from the John & Mary Kibble Trust and a consultant for the OIE; SER has provided educational material to the Pan American Health Organization and contributed to the BMJ Epocrates online rabies monography, with annual updates; MPW received an honorarium from the Department of Infectious Diseases and Public Health, City University of Hong Kong, Hong Kong SAR, provided expert testimony for the Australian Federal Court, travel support from the Erasmus + Staff Mobility Program, and has a role in Transboundary and Emerging Diseases (Wiley & Sons)., (© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022.)
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- 2022
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11. Risk factors for Rift Valley fever virus seropositivity in one-humped camels ( Camelus dromedarius ) and pastoralist knowledge and practices in Northern Nigeria.
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Adamu AM, Allam L, Sackey AKB, Nma AB, Mshelbwala PP, Machunga-Mambula S, Idoko SI, Adikwu AA, Nafarnda WD, Garba BS, Owolodun OA, Dzikwi AA, Balogun EO, and Simon AY
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Rift Valley fever (RVF) is a complex emerging arboviral hemorrhagic disease that causes significant illness in animals and humans. Camel trade across the land borders between Nigeria and the Niger Republic occurs frequently and poses a significant risk for RVF transmission to pastoralists and traders. We carried a cross-sectional study between November 2016 and April 2017 in two northern States (Katsina and Jigawa) known for camel trade in Nigeria to investigate the seroprevalence and potential risk factors for RVFV occurrence. We collected 720 sera and administered questionnaire to pastoralists. We used the competitive enzyme-linked immunosorbent assay (c-ELISA) to determine the previous exposure to RVFV infection. We retrieved environmental information from public data sources that might explain RVFV seropositivity at the LGA level. To asses potential risk factors,we categorized LGAs with RVFV as "1" and those without a case" 0". We fitted a logistic model to the data and estimated odds ratios and 95% confidence intervals. An overall 19.9% prevalence was reported among camel herd-the highest seropositivity (33.3%) was recorded in SuleTankarkar LGA. In the multivariable model, only rain-fed croplands was significantly associated with RVFV antibodies occurrence p = 0.048 (OR = 0.87, 95% CI: 0.76-0.99). Only a minority of the respondents, 19.3% ( n = 17/88), knew that RVF is zoonotic. Separation of healthy animals from the infected animals was carried out by 53.4% (47/88) pastoralists while 59.1% (52/88) pastoralists still use ethnoveterinary practices to control or mitigate disease outbreaks. Our study demonstrates the presence of RVFV antibodies among camel in Nigeria and the associated risk factors. These findings highlight the need for enhancing surveillance and control efforts and the public health education of camel pastoralists. Further investigation to unravel the zoonotic transmission potential to pastoralists and other animal species is pertinent., Competing Interests: The authors declare no conflict of interests regarding the publication of this study., (© 2021 Published by Elsevier B.V.)
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- 2021
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12. Rabies epidemiology, prevention and control in Nigeria: Scoping progress towards elimination.
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Mshelbwala PP, Weese JS, Sanni-Adeniyi OA, Chakma S, Okeme SS, Mamun AA, Rupprecht CE, and Magalhaes RJS
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- Animals, Humans, Nigeria epidemiology, Ownership statistics & numerical data, Prevalence, Rabies prevention & control, Rabies Vaccines therapeutic use, Surveys and Questionnaires, Vaccination veterinary, Bites and Stings epidemiology, Dogs, Rabies epidemiology, Vaccination statistics & numerical data
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Background: Human rabies remains a significant public health problem in Africa with outbreaks reported in most countries. In Nigeria-the most populous country in Africa-rabies causes a significant public health burden partly due to perennial obstacles to implementing a national prevention and control program., Methods: We conducted a scoping review using standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify and select published articles from Nigeria during 1978-2020 reporting on rabies virus infections (human, canine, livestock, and wildlife), canine bites, knowledge, attitudes and practices (KAP) surveys on rabies and canine ecology studies. We extracted information on study location, year and additional details of each study such as rabies prevalence, general characteristics of offending dogs, dog vaccination status and health-seeking behaviours., Findings: Between 1978 and 2020, 90 published articles met our inclusion criteria. The prevalence of rabies virus antigen detection varied between 3% and 28%, with more studies in the north. Most bites were unprovoked from dog bite studies (36.4%-97%), by dogs with low vaccination rates (12-38%). A more significant proportion of biting dogs were owned (31-90%). Laboratory confirmation for biting was available for only a small proportion of studies (6%; n = 2/32). Of the dogs surveyed during ecology studies, indigenous dogs accounted for the majority (62-98%), used mostly for security purposes (52-98%), with the vaccination rate between 15% and 38% in most states. Studies conducted in areas distant from rabies diagnostic facilities accounted for more human rabies cases and fewer dog rabies cases., Conclusion: Significant improvements are necessary to achieve the elimination of human rabies mediated via dogs by 2030., Competing Interests: The authors have declared that no competing interests exist.
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- 2021
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13. Profiling the public health risk of canine rabies transmission in Kogi state, Nigeria.
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Okeme SS, Kia GS, Mshelbwala PP, Umoh JU, and Magalhães RJS
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Recently reports have emerged of rabies outbreaks in townships close to the city of Lokoja, the capital city of Kogi State in Nigeria. Areas in Lokoja are known to have high rates of dog bites and dogs are frequently butchered for human consumption, both of which may constitute risk factors for rabies transmission. However, data on the relative importance of these factors on canine rabies exposure in the densely populated capital of Kogi State is scarce. To understand the risk for public health two separate observational cross-sectional studies were conducted in Lokoja. Firstly, a retrospective study was performed to investigate the human profile of dog bite injuries and quantify the vaccination coverage of offending dogs. Information on dog bite cases and vaccination records covering of 11 years (2003-2013) were obtained from the largest public veterinary clinic (i.e. State Veterinary Clinic) and a private veterinary clinic in Lokoja. Then, an investigation of the presence of rabies antigen in the brain tissues of dogs slaughtered for human consumption in Lokoja was performed. A total of 208 canine brain samples from five slaughter points within the army barracks (the main venue in Lokoja where dogs are slaughtered for human consumption) were examined by fluorescent antibody technique. Out of 95 human dog bite cases, 46 (48.4%) were in persons between 10 and 19 years of age and 57 (60%) were males. There was a statistically significant association between gender of victims and their age, with a greater proportion of bites in males <10 years of age compared to other age groups ( P < .001). Our results indicated a higher frequency of dog bites on the legs (51%) than other parts of the body; vaccination rates of offending dogs were lower compared to the general population of dogs presenting to clinics in Lokoja (25% vs 31%, respectively). Rabies antigen was detected in 11/203 (5.3%) brain samples from dogs slaughtered for human consumption. Paediatric dog bites and dog slaughtering practices represent a significant public health risk to residents of Lokoja in the context of rabies exposure. In order to minimize the risk of rabies outbreaks in children and people butchering, handling and consuming dog meat, dog vaccination and health promotion and education should be prioritized to these high risk groups., (Crown Copyright © 2020 Published by Elsevier B.V.)
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- 2020
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14. Bat and Lyssavirus Exposure among Humans in Area that Celebrates Bat Festival, Nigeria, 2010 and 2013.
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Vora NM, Osinubi MOV, Davis L, Abdurrahman M, Adedire EB, Akpan H, Aman-Oloniyo AF, Audu SW, Blau D, Dankoli RS, Ehimiyein AM, Ellison JA, Gbadegesin YH, Greenberg L, Haberling D, Hutson C, Idris JM, Kia GSN, Lawal M, Matthias SY, Mshelbwala PP, Niezgoda M, Ogunkoya AB, Ogunniyi AO, Okara GC, Olugasa BO, Ossai OP, Oyemakinde A, Person MK, Rupprecht CE, Saliman OA, Sani M, Sanni-Adeniyi OA, Satheshkumar PS, Smith TG, Soleye MO, Wallace RM, Yennan SK, and Recuenco S
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- Animals, Antibodies, Neutralizing, Holidays, Humans, Nigeria, Bites and Stings, Chiroptera, Lyssavirus genetics, Rhabdoviridae Infections epidemiology, Rhabdoviridae Infections veterinary
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Using questionnaires and serologic testing, we evaluated bat and lyssavirus exposure among persons in an area of Nigeria that celebrates a bat festival. Bats from festival caves underwent serologic testing for phylogroup II lyssaviruses (Lagos bat virus, Shimoni bat virus, Mokola virus). The enrolled households consisted of 2,112 persons, among whom 213 (10%) were reported to have ever had bat contact (having touched a bat, having been bitten by a bat, or having been scratched by a bat) and 52 (2%) to have ever been bitten by a bat. Of 203 participants with bat contact, 3 (1%) had received rabies vaccination. No participant had neutralizing antibodies to phylogroup II lyssaviruses, but >50% of bats had neutralizing antibodies to these lyssaviruses. Even though we found no evidence of phylogroup II lyssavirus exposure among humans, persons interacting with bats in the area could benefit from practicing bat-related health precautions.
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- 2020
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15. Knowledge, Attitudes, and Practices Regarding Rabies in El Jadida Region, Morocco.
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Bouaddi K, Bitar A, Bouslikhane M, Ferssiwi A, Fitani A, and Mshelbwala PP
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The aim of this study was to evaluate the knowledge, attitudes, and practices regarding rabies in the El Jadida region, Morocco. We conducted a cross-sectional survey using a structured questionnaire among randomly selected residents across 24 study sites. In total, 407 respondents took part in the survey. The majority (367, 92%) were male and had no formal education (270, 66%).Some (118, 29%) believed that rabies does not affect humans. Most respondents (320, 79%) were aware that vaccination could prevent rabies, but nevertheless did not vaccinate their dogs (264, 64.9%) and allowed their dogs to roam freely in search of food. Some (52.8%) would visit traditional healers for treatment in the event of a dog bite incident. Age and educational level were found to be significantly associated with knowledge, attitudes, and practices ( p <0.05). Although respondents demonstrated some level of knowledge about rabies, overall this study reveals critical gaps in their attitudes and practices. These shortcomings may be associated with a low level of education. Therefore, decision-makers need a new approach to control rabies, with a special focus on public awareness and health education, in order to sustain rabies control programs.
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- 2020
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16. Clostridium difficile shedding by healthy dogs in Nigeria and Malawi.
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Weese JS, Mshelbwala PP, and Lohr F
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- Animals, Clostridioides difficile classification, Feces microbiology, Malawi, Nigeria, Bacterial Shedding, Clostridioides difficile isolation & purification, Dogs microbiology
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The objectives of this study were to determine the prevalence and characteristics of Clostridium difficile shedding in owned dogs in Nigeria and Malawi. Clostridium difficile was isolated from 31/120 (26%) dogs in Nigeria and 11/92 (12%) dogs in Malawi (p = 0.012). Overall, 22/42 (52%) isolates were toxigenic; 17/31 (55%) from Nigeria and 5/11 (45%) from Malawi. All toxigenic isolates possessing tcdA and tcdB, and only one also possessed cdtA/B. Sixteen different ribotypes were found, ten (63%) of which were non-toxigenic. Most isolates corresponded to ribotypes that have been previously identified in humans or livestock. The role of dogs in transmission of C. difficile and the clinical implications of C. difficile shedding in dogs remain unclear. These data indicate that dogs could act as a source of C. difficile for exposure of other species, including humans; however, the true risk is unknown. Further study of the ecology of C. difficile and the role of dogs in disease of humans and other domestic animals is indicated., (© 2019 Blackwell Verlag GmbH.)
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- 2019
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17. Two fatal cases of rabies in humans who did not receive rabies postexposure prophylaxis in Nigeria.
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Audu SW, Mshelbwala PP, Jahun BM, Bouaddi K, and Weese JS
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These two cases highlight some of the many challenges encountered when handling dog bite and rabies exposure. They also provide examples of the many barriers, and while highlighting only two individuals, they are likely representative of large numbers of the over 59 000 people that die every year from this preventable disease., Competing Interests: The authors declare no conflicts of interest.
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- 2019
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18. Canine babesiosis in a male Boerboel: Hematobiochemical and anatomic pathological changes in the cardiorespiratory and reproductive organs.
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Ubah AS, Abalaka SE, Idoko IS, Obeta SS, Ejiofor CE, Mshelbwala PP, Omeje JN, and Ajayi IE
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A 9-month old male Boerboel was presented at the University of Abuja Small Animal Clinic with a primary complaint of inappetence and micturition with brownish-yellow urine. Physical examination revealed pale mucous membranes, enlarged pre-scapular lymph nodes, bilateral ocular discharges, pyrexia (41.2 °C), depression and the presence of ticks of the genus Rhipicephalus sanguineus on the body of the animal. History revealed that the dog was recently vaccinated against canine distemper, hepatitis, leptospirosis, parainfluenza, parvovirus (DHLPP) and rabies six days prior to the onset of clinical signs, and had been anorexic. Following clinical examination, blood and faecal samples were collected for biochemical and parasitological analyses, and the results revealed the presence of intraerythrocytic Babesia parasites, normocytic and normochromic anaemia with extensive cellular damage. However, during the course of the investigation, the dog died. With appropriate consent, a post-mortem examination was carried out. Diffuse oedema with interstitial pneumonia in the lung, focal haemorrhage with cellular infiltration in the heart and progressive necrosis of epithelial cells within the seminiferous tubules of the testicles were observed. Many of the observed clinicopathological alterations were consistent with complicated babesiosis. However, in the current case, some unique systemic complications such as testicular degeneration, which has not been previously observed in the Boerboel are discussed., (© 2019 The Authors.)
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- 2019
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19. Socioecology of the Canine Population in the Province of El Jadida, Morocco.
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Bouaddi K, Bitar A, Ferssiwi A, Bouslikhane M, Fitani A, Mshelbwala PP, and Audu SW
- Abstract
Understanding the socioecology of domestic dog populations is essential for effective disease control, especially canine rabies. In Morocco, since 1986, the control efforts and plans put in place by the government have failed to eradicate this disease; this is because the management of the canine population was not taken into account during the establishment of these plans. It is against the background that this study was designed to estimate the dog population and determine its socioecological characteristics, as well as investigate the attitude of the inhabitants towards the dogs. A stratified random sampling was conducted using a structured questionnaire from May to December 2016. A total of 1931 households were interviewed, comprising 27.4% in urban areas and 72.6% in rural areas. A total of 3719 dogs were counted alongside a human population of 11302 for a dog : human ratio of 1 : 2.42 in rural areas and 1 : 46.58 in urban areas. The majority of dogs (92%) in rural areas were not vaccinated against rabies. In urban areas, about 88.5% were vaccinated against rabies. In addition, 78.5% of dogs in rural areas were free roaming, with more than 53% of births being abandoned by their owners, resulting in a large stray and feral dog population and increasing the potential for continued transmission of rabies virus. There was strong association between breed and rabies vaccination (p<0.05) and confinement with body condition score.
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- 2018
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20. RABIES IN A SET OF EIGHT-WEEK OLD PUPPIES IN NIGERIA: THE NEED FOR REVIEW OF CURRENT DOG ANTIRABIES VACCINATION SCHEDULE.
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Maurice NA, Luka PD, Maurice MN, Ngbede EO, Zhakom PN, Mshelbwala PP, Tekki IS, Udoh UH, Inyang UA, Ekanem NJ, Ifut OJ, Okewole PA, Shamaki D, and Lombin LH
- Abstract
Background: Rabies is endemic in Nigeria with clinical cases reported mainly in dogs and occasionally in livestock from all the geo-ecological zones of the country. Detection of rabies virus antigen in puppies at the age of five to ten weeks and in apparently healthy dogs shedding the virus in their saliva have been reported in some parts of Nigeria., Material and Method: This report describes a clinical rabies in a set of eight weeks old puppies confirmed by antigen detection using the direct fluorescent antibody test (DFAT), the direct rapid immunohistochemical test (DRIT), and RT-PCR., Results: it was positive for all test used including the RT-PCR which amplified at 750 bp from the gel electrophoresis., Conclusion: Occurrence of rabies in puppies of this age, within which they are acquired and owned by other unsuspecting members of the public, is of grave public health consequences. People that love puppies, especially children, who are fond of carrying and playing with them, are also faced with the risk of exposure to rabies. Consequently, review of the existing dog antirabies vaccination schedule at twelve weeks of age in Nigeria, is recommended to ensure effective immunization of this age group of dogs and for the overall safety of the vulnerable members of the public., Competing Interests: Conflict of Interest: The authors declare that they have no conflict of interest.
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- 2018
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21. Dog ecology and its implications for rabies control in Gwagwalada, Federal Capital Territory, Abuja, Nigeria.
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Mshelbwala PP, Akinwolemiwa DK, Maikai BV, Otolorin RG, Maurice NA, and Weese JS
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- Animals, Communicable Disease Control, Dog Diseases prevention & control, Dogs, Family Characteristics, Female, Humans, Male, Nigeria epidemiology, Ownership, Rabies, Vaccination veterinary, Zoonoses epidemiology, Zoonoses prevention & control, Dog Diseases epidemiology, Rabies Vaccines administration & dosage
- Abstract
The objectives of this study were to determine the characteristics of a dog population, including their accessibility to vaccination and health care, in urban and semiurban areas of Gwagwalada, Abuja, Nigeria. Direct street counts and a house-to-house survey of city streets were performed. A total of 451 households were surveyed comprising 43.7% urban and 53.3% semiurban areas. A total of 848 owned dogs were identified, along with 3,115 corresponding humans. With a dog-to-human ratio of 1:3.7, the dog population in the study area was estimated as 103,758. A total of 396 dogs were counted on the streets with the greater proportion (74%) in semiurban areas. Most dogs in semiurban areas (77.3%) had no certificate confirming vaccination against rabies, compared to 47.2% in urban areas (p = .004). The majority of dogs in the urban (60.9%) and semiurban (82.0%) were free roaming. In the multivariable model, age, presence of a collar, region, sex, use and having ever visited a veterinarian were significantly associated with rabies vaccination. The majority (125/197, 63.5%) of respondents with higher education were willing to pay more for the healthcare needs of their dogs as opposed to those with a lower level of education (93/251, 37.1%, p = .001). The study revealed a high dog population density, vaccination coverage below WHO recommendation of 70% and generally reduced healthcare-seeking behaviour among dog owners in Gwagwalada, Abuja, Nigeria., (© 2017 Blackwell Verlag GmbH.)
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- 2018
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22. Prevalence of Needlestick Injury and Its Potential Risk among Veterinarians in Nigeria.
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Mshelbwala PP, Weese JS, and Idris JM
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A cross sectional study using multistage sampling method by means of structured interviewer administered questionnaire was designed to estimate the rate of occurrence of needlestick injuries among veterinarians involved in clinical practice and to evaluate needle handling practices and risk factors. The study was carried out during the months of August-November 2015. Out of the 215 veterinarians that participated in the survey, 171 (79.5%) reported to have suffered needlestick injuries (NSIs). In the multivariable model, only male sex (OR 2.8, 95% CI 1.4-6.0, and P = 0.006) and working with poultry daily (OR 2.4, 95% CI 1.1-6.2, and P = 0.036) were significantly associated with NSI. Most (111, 64.9%) veterinarians had discomfort including pain, headache, fever, worry, and local numbness from NSIs; however, none was hospitalised. Only 1 (0.6%) had lost time at work. The approach to needlestick injury avoidance was poor and most (98.8%) NSIs were not reported. The findings of this research call for comprehensive health and injection safety programs for veterinarians involved in clinical practice.
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- 2016
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23. Detection of rabies antigen in the saliva and brains of apparently healthy dogs slaughtered for human consumption and its public health implications in abia state, Nigeria.
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Mshelbwala PP, Ogunkoya AB, and Maikai BV
- Abstract
The study was carried out in eight dogs slaughtering outlets within four Local Government Areas of the State for the determination of rabies antigen in the saliva and brain of apparently healthy dogs slaughtered for human consumption. A total of one hundred (100) samples each of saliva and brain were collected before and after slaughter, respectively, between April to June, 2013, in the selected areas. The saliva was subjected to rapid immune-chromatographic test (RICT) while direct fluorescent antibody test (DFAT) was carried out on the brain samples. Structured questionnaire was administered to nineteen (19) dog meat processors comprising 18 males and 1 female in the selected areas. Sixty four percent of the samples tested were from female dogs while 36% were from males, 5% tested positive for rabies antigen with the use of both tests; there was no statistical association between sex and rabies status of the dogs sampled (P > 0.05). Butchers bitten during the course of slaughtering were 94.7% out of which 72.8% utilized traditional method of treatment and only 27.8% reported to the hospital for proper medical attention. This study has established the presence of rabies antigen in apparently healthy dogs in the study area.
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- 2013
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