BACKGROUND: Captive elephants infected with tuberculosis are implicated as an occupational source of zoonotic tuberculosis. However, accurate estimates of prevalence and incidence of elephant tuberculosis from well-defined captive populations are lacking in the literature. Studies published in recent years contain a wide range of prevalence estimates calculated from summary data. Incidence estimates of elephant tuberculosis in captive elephants are not available. OBJECTIVE: This study estimated the annual point prevalence, annual incidence, cumulative incidence, and incidence density of tuberculosis in captive elephants within the USA during the past 52 years. ANIMALS AND METHODS: We combined existing elephant census records from captive elephants in the USA with tuberculosis culture results obtained from trunk washes or at necropsy. This data set included 15 years where each elephant was screened annually. RESULTS: Between 1960 and 1996, the annual point prevalence of tuberculosis complex mycobacteria for both species was 0. From 1997 through 2011, the median point prevalence within the Asian elephant population was 5.1%, with a range from 0.3% to 6.7%. The incidence density was 9.7 cases/1000 elephant years (95% CI: 7.0-13.4). In contrast, the annual point prevalence during the same time period within the African elephant population remained 0 and the incidence density was 1.5 cases/1000 elephant years (95% CI: 0.7-4.0). CONCLUSIONS: The apparent increase in new cases noted after 1996 resulted from a combination of both index cases and the initiation of mandatory annual tuberculosis screening in 1997 for all the elephants. This study found lower annual point prevalence estimates than previously reported in the literature. These discrepancies in prevalence estimates are primarily due to differences in terminology and calculation methods. Using the same intensive testing regime, the incidence of tuberculosis differed significantly between Asian and African elephants. CLINICAL IMPORTANCE: Accurate and species specific knowledge of prevalence and incidence will inform our efforts to mitigate occupational risks associated with captive elephants in the USA.
BACKGROUND: Captive elephants infected with tuberculosis are implicated as an occupational source of zoonotic tuberculosis. However, accurate estimates of prevalence and incidence of elephant tuberculosis from well-defined captive populations are lacking in the literature. Studies published in recent years contain a wide range of prevalence estimates calculated from summary data. Incidence estimates of elephant tuberculosis in captive elephants are not available. OBJECTIVE: This study estimated the annual point prevalence, annual incidence, cumulative incidence, and incidence density of tuberculosis in captive elephants within the USA during the past 52 years. ANIMALS AND METHODS: We combined existing elephant census records from captive elephants in the USA with tuberculosis culture results obtained from trunk washes or at necropsy. This data set included 15 years where each elephant was screened annually. RESULTS: Between 1960 and 1996, the annual point prevalence of tuberculosis complex mycobacteria for both species was 0. From 1997 through 2011, the median point prevalence within the Asian elephant population was 5.1%, with a range from 0.3% to 6.7%. The incidence density was 9.7 cases/1000 elephant years (95% CI: 7.0-13.4). In contrast, the annual point prevalence during the same time period within the African elephant population remained 0 and the incidence density was 1.5 cases/1000 elephant years (95% CI: 0.7-4.0). CONCLUSIONS: The apparent increase in new cases noted after 1996 resulted from a combination of both index cases and the initiation of mandatory annual tuberculosis screening in 1997 for all the elephants. This study found lower annual point prevalence estimates than previously reported in the literature. These discrepancies in prevalence estimates are primarily due to differences in terminology and calculation methods. Using the same intensive testing regime, the incidence of tuberculosis differed significantly between Asian and African elephants. CLINICAL IMPORTANCE: Accurate and species specific knowledge of prevalence and incidence will inform our efforts to mitigate occupational risks associated with captive elephants in the USA.
Authors: S K Mikota; L Peddie; J Peddie; R Isaza; F Dunker; G West; W Lindsay; R S Larsen; M D Salman; D Chatterjee; J Payeur; D Whipple; C Thoen; D S Davis; C Sedgwick; R J Montali; M Ziccardi; J Maslow Journal: J Zoo Wildl Med Date: 2001-03 Impact factor: 0.776
Authors: Peter Oh; Reuben Granich; Jim Scott; Ben Sun; Michael Joseph; Cynthia Stringfield; Susan Thisdell; Jothan Staley; Donna Workman-Malcolm; Lee Borenstein; Eleanor Lehnkering; Patrick Ryan; Jeanne Soukup; Annette Nitta; Jennifer Flood Journal: Emerg Infect Dis Date: 2002-11 Impact factor: 6.883
Authors: Iacopo Baussano; Brian G Williams; Paul Nunn; Marta Beggiato; Ugo Fedeli; Fabio Scano Journal: PLoS Med Date: 2010-12-21 Impact factor: 11.069
Authors: Rajesh Man Rajbhandari; José de la Fuente; Dibesh Karmacharya; Sujala Mathema; Bijay Maharjan; Sameer Mani Dixit; Nisha Shrestha; João Queirós; Christian Gortázar; Paulo Célio Alves Journal: BMC Vet Res Date: 2022-07-06 Impact factor: 2.792