Acute brucellosis in Nepal: Research and prospects

Publication date: Available online 11 June 2016 Source:Journal of Acute Disease Author(s): Krishna Prasad Acharya, Nirajan Niroula, Krishna Kaphle Brucellosis is a prominent zoonotic disease affecting humans and animals, with the lack of properly designed control program, and remains dangerous in third world countries like Nepal. Currently, brucellosis poses a public health concern, whose incidences among entire herds of animals can present substantial economic and health burdens for herders and health professionals. Additionally, factors such as close contact with animals, poor animal husbandry, and unhygienic feeding habits can exacerbate the spread of Brucella and related zoonotic agents. In Nepal, serious cases of bovine and even human brucellosis have been reported, although the topic is yet to be extensively reviewed. This paper evaluates the literature on human and animal brucellosis in Nepal and other countries, with an emphasis on the impact of Brucella outbreaks on public health professionals. Herein, we summarize the current status of the disease, the mechanism of infection, pathogenesis, zoonotic potential, diagnostic advances, treatment regimens, and the preventive measures that can be adopted in managing human brucellosis in under-developed countries such as Nepal.
Source: Journal of Acute Disease - Category: Emergency Medicine Source Type: research