Tuesday, July 10, 2018

PRO/AH/EDR> Brucellosis - Algeria: (TO) unpasteurized cow's milk

BRUCELLOSIS - ALGERIA: (TIZI OUZOU) UNPASTEURIZED COW'S MILK
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International Society for Infectious Diseases
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Date: Sun 8 Jul 2018
Source: Algérie 360 [machine translated, edited]
<https://www.algerie360.com/36-cas-de-brucellose-enregistres-le-lait-de-vache-interdit-a-la-vente-a-tizi-ouzou/>


No less than 36 new cases of people with brucellosis have been
registered in the province of Tizi Ouzou in the last 48 hours. These
new cases are in addition to the 31 cases recorded at the beginning of
June [2018]. The same observation must be made concerning the 2
balance sheets.

Almost all cases of brucellosis recorded are concentrated in the
Ouaguenoun Circle, a locality located 15 km northeast of the
provincial capital. Indeed, out of the 36 cases lamented during the
last 48 hours, 29 concern subjects living in this circle. As a result,
firm instructions have been given to the people of this region
especially, but also to the entire population of the province to avoid
categorically eating cow's milk, butter or whey.

A health and population director at the provincial level said
yesterday [7 Jul 2018] that brucellosis is a serious disease that can
lead to the death of someone who has it, if there is no treatment in
urgent medical care. The 1st symptoms of this disease are fever and
night sweats. Brucellosis, added the same person in charge of the DSP
of Tizi Ouzou, can be contracted by consuming un-boiled cow's milk but
also by the simple fact of being in contact with a suffering animal.
It is urgent that the breeders use the veterinarians of the region to
check whether their cows are free of this disease, which can endanger
the health, even the lives, of dozens of citizens if a lack of
vigilance is found.

The 36 people with this disease have all been urgently transported to
the Nedir Mohamed University Hospital Center in Tizi Ouzou. Given the
seriousness of this disease and the ease and speed with which it can
spread, the governor of Tizi Ouzou, Mohamed Bouderbali, has just
signed an order formally prohibiting the sale of cow's milk and its
derivatives. This was said by an official at the level of the
provincial director of agricultural services (DSA). This measure is
taken in parallel with the investigation carried out by the
departments concerned to detect the origin of this disease that has
lasted for more than a month.

At the beginning of last June [2018], 31 other cases of brucellosis
had been reported in the same province, with a high prevalence in the
Ouaguenoun region. Other communes had also been affected by this
disease in June 2018, in particular: Ait Boumahdi, near Ouacifs, Draa
El Mizan, Tizi Rached, Ililten, and Ait Oumalou. The services
concerned had been able to identify the same origin that led the
people to be affected by brucellosis.

Indeed, all reported drinking raw cow's milk. For the moment, and to
the extent that some citizens are forced to consume cow's milk, for
one reason or another, it would be imperative to boil it before
consuming it. As for the breeders, they are called upon to protect
themselves by taking care of the monitoring of their livestock by a
veterinarian.

Brucellosis is an infectious disease caused by a bacterium of the
genus _Brucella_, common to certain animals and to humans. Brucellosis
is one of the notifiable occupational diseases (Mpdo) in Algeria and
in many countries around the world. Anyone affected should be
systematically reported to the provincial health directorate. The
latter must then, in an emergency, dispatch a team on the ground to
circumscribe as soon as possible, detect the disease, and discover the
affected animals and their immediate surroundings.

[Byline: Aomar Mohellebi]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>
from
ProMED-FRA
<promed-fra@promedmail.org>

[This infection, a bacterial zoonosis, is classified among the
category B biowarfare agents. Natural transmission to humans occurs
after occupational exposure or through ingestion of contaminated food
products. Although brucellosis has become a rare entity in the United
States and many industrialized nations because of animal vaccination
programs, this condition remains a significant health problem in many
developing countries.

Each species of _Brucella_ has a specific animal reservoir in which
chronic disease is present. The bacilli tend to localize in the
reproductive organs of the animals, causing sterility and abortions,
and are shed in large numbers in the animal's urine, milk, and
placental fluid. This localization allows for efficient spread to
farmers, veterinarians, slaughterhouse workers, and consumers.

Among the 4 species known to cause disease in humans, _Brucella
melitensis_ (from goats, sheep, or camels) may be the most virulent,
producing the most severe and acute cases of brucellosis with
disabling complications. A prolonged course of illness, which may be
associated with suppurative destructive lesions, is associated with
_B. suis_ (from feral or commercially raised pigs) infection. _B.
abortus_ (from cattle, buffalo, and camels) is associated with
mild-to-moderate sporadic disease that is rarely associated with
complications.

In the Maghreb and the Middle East, human brucellosis is usually
contracted through consumption of raw goat/ewe's milk or local
artisanal cheese made from raw milk, and _Brucella melitensis_ is
responsible for the great majority of the reported cases, with a
marked predominance of its biovar 3, as in other Mediterranean
countries.

Tizi Ouzou is a province (wilayah) of Algeria in the northern Kabylie
region. Its capital is Tizi Ouzou. It can be found on a map at
<https://en.wikipedia.org/wiki/Tizi_Ouzou_Province>. - Mod.LL

HealthMap/ProMED map available at:
Tizi Ouzou, Algeria: <http://healthmap.org/promed/p/12576>]

[See Also:
2017
----
Brucellosis - Israel (02): melitensis, bovine
http://promedmail.org/post/20171216.5508281
Brucellosis - Syria: (HM) human, livestock, spread
http://promedmail.org/post/20170913.5313086
Brucellosis - Algeria: (EO)
http://promedmail.org/post/20170817.5256690
2016
----
Brucellosis - Algeria, Egypt: human, animal
http://promedmail.org/post/20160423.4178843
2015
----
Brucellosis - Algeria: (GR)
http://promedmail.org/post/20151209.3850744
Brucellosis, human, livestock - Algeria (06): (Bouira) new cases,
hazard http://promedmail.org/post/20151108.3774210
Brucellosis, human, livestock - Algeria (05): (Bouira) new cases, drug
shortage http://promedmail.org/post/20151012.3709614
Brucellosis, human, livestock - Algeria (04): (Bouira) veterinarians,
RFI http://promedmail.org/post/20150930.3681333
Brucellosis, human, livestock - Algeria (03): (Laghouat) human,
increase, RFI http://promedmail.org/post/20150826.3603275
Brucellosis, human, livestock - Algeria (02): (Bouira)
http://promedmail.org/post/20150809.3567371
Typhoid fever, brucellosis - Syria: (Damascus) RFI
http://promedmail.org/post/20150730.3547296
Brucellosis, human, livestock - Algeria: (Ghardaia)
http://promedmail.org/post/20150613.3435181]
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