P8-10 The One Health Integrated investigation for brucellosis suspected cases - Shargelneel locality, Khartoum State. Sudan, February 2016

Abstract

On 2nd February, 2016, cases of human brucellosis were reported from Sharg elneel locality, they suspected milk bought from nearby dairy farms to be the source of their infection. An outbreak investigation was done jointly to verify the existence of an outbreak, identify the source of infection and to raise awareness of health cadres. It was decided to study patients who fulfill criteria of case definition of brucellosis, from the 1st of January 2015 to 2nd February, 2016. Five patients were investigated; simultaneously random blood samples were collected from two dairy farms and awareness posters were distributed. Medical records of nine health facilities were reviewed. 27 health cadres were interviewed. Two awareness workshops were conducted. The effect of this intervention was assessed. All five patients investigated were positive for brucellosis. Three of five had a history of unpasteurized milk consumption, and one had direct contact to animals. 20 blood samples were randomly selected from two dairy farms, six were positive for Rose Bengal Test and the results was confirmed by ELISA. Nine physicians were interviewed two of them considered brucellosis priority in diagnosis of fevers and diagnosed cases, one of nine is not aware about treatment protocol. Nine lab technicians were interviewed for six of them the diagnostic kids is available, two registered positive cases, all of them are well aware and trained. All nine statistician were didn’t register cases of brucellosis. Consumption of milk was the main cause of the outbreak. The burden of brucellosis is not clearly defined. Brucellosis is neglected in clinical diagnosis. Awareness of community is weak.We recommended assessing the effect of intervention within six months period, raising awareness of medical cadres and study prevalence of human brucellosis in Sharg elneel locality. Integration with veterinarians is important in prevention and control.