Seroprevalence and risk factors for Q fever and Rift Valley fever in pastoralists and their livestock in Afar, Ethiopia: A One Health approach

PLoS Negl Trop Dis. 2024 Aug 23;18(8):e0012392. doi: 10.1371/journal.pntd.0012392. eCollection 2024 Aug.

Abstract

Background: Coxiella burnetii, the causative agent of Q fever, and Rift Valley fever virus are two under-researched zoonotic pathogens in Ethiopia. Potential outbreaks of these diseases, in light of the high dependency of nomadic pastoralists on their livestock, poses a risk to both human and animal health in addition to risking the pastoralists livelihoods. Our study aimed to determine the seroprevalence and associated risk factors for Q fever and Rift Valley fever in pastoral communities in the Afar region of north-eastern Ethiopia.

Methodology/principal findings: This cross-sectional study screened pastoralists (n = 323) and their livestock (n = 1377) for IgG antibodies to Coxiella burnetii and Rift Valley fever virus. A seroprevalence for Q fever of 25.0% (95%CI 18.6-32.6) was found in pastoralists and 34.3% (95%CI 27.9-41.3) in livestock overall; with 51.9% in goats (95%CI 44.9-58.8), 39.9% in sheep (95%CI 24.6-51.2), 16.3% in camels (95%CI 10.4-24.6) and 8.8% in cattle (95%CI 5.0-15.0). For Rift Valley fever the seroprevalence in pastoralists was 6.1% (95%CI 3.3-11.0) and 3.9% (95%CI 2.6-5.7) in livestock overall; cattle had the highest seroprevalence (8.3%, 95%CI 3.3-19.2), followed by goats (2.7%; 95%CI 1.4-5.1), sheep (2.5%; 95%CI 1.0-5.9) and camels (1.8%; 95%CI 0.4-6.9). Human Q fever seropositivity was found to be associated with goat abortions (OR = 2.11, 95%CI 1.18-3.78, p = 0.011), while Rift Valley fever seropositivity in livestock was found to be associated with cattle abortions (OR = 2.52, 95%CI 1.05-6.08, p = 0.039).

Conclusions/significance: This study provides evidence for a notable exposure to both Q fever and Rift Valley fever in pastoralists and livestock in Afar. The outbreak potential of these pathogens warrants ongoing integrated human and animal surveillance requiring close collaboration of the human and animal health sectors with community representatives following a One Health approach.

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Antibodies, Bacterial / blood
  • Antibodies, Viral / blood
  • Camelus / virology
  • Cattle
  • Cattle Diseases / epidemiology
  • Cattle Diseases / virology
  • Coxiella burnetii* / immunology
  • Cross-Sectional Studies
  • Ethiopia / epidemiology
  • Female
  • Goats*
  • Humans
  • Immunoglobulin G / blood
  • Livestock* / virology
  • Male
  • Middle Aged
  • One Health
  • Q Fever* / epidemiology
  • Q Fever* / veterinary
  • Rift Valley Fever* / epidemiology
  • Rift Valley fever virus* / immunology
  • Risk Factors
  • Seroepidemiologic Studies
  • Sheep
  • Young Adult
  • Zoonoses / epidemiology

Substances

  • Antibodies, Bacterial
  • Antibodies, Viral
  • Immunoglobulin G

Grants and funding

This study was funded by the Stanley Thomas Johnson Foundation (1053-KF, received by DHP; https://www.johnsonstiftung.ch/), and the U.S. Centers for Disease Control (CDC) who funded the original brucellosis study (received by RT; https://www.cdc.gov/). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.