Neglected paths of transmission of milkborne brucellosis and tuberculosis in developing countries: novel control opportunities

Brucellosis and tuberculosis are lingering zoonotic infections that are endemic in many developing parts of the world, with considerable economic and health costs. Although guidelines for the control of these diseases exist, we highlight neglected transmission routes of these diseases. We show that...

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Bibliographic Details
Published in:Epidemiology and health 2020, 42(0), , pp.1-4
Main Authors: Milton, Arockiasamy Arun Prince, Das, Samir, Ghatak, Sandeep
Format: Article
Language:English
Subjects:
Animals
Brucellosis - epidemiology
Brucellosis - prevention & control
Brucellosis - transmission
Developing Countries
Food Microbiology
Humans
Milk - microbiology
Tuberculosis - epidemiology
Tuberculosis - prevention & control
Tuberculosis - transmission
Zoonoses - epidemiology
Zoonoses - prevention & control
Zoonoses - transmission
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Summary:Brucellosis and tuberculosis are lingering zoonotic infections that are endemic in many developing parts of the world, with considerable economic and health costs. Although guidelines for the control of these diseases exist, we highlight neglected transmission routes of these diseases. We show that informal, door-to-door marketing of unpasteurized milk provides an important route for disease transmission through kitchen cross-contamination. Furthermore, the practice of discarding the first strippings of milk at farms needs adjustment to avoid floor and environmental contamination. Herein, we propose handling guidelines and a design for a milk stripping collection vessel. We believe that taking action to block these hitherto unrecognized transmission routes will complement existing efforts and guidelines.
ISSN:2092-7193
2092-7193
DOI:10.4178/epih.e2020073