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    Tuberculosis due to Mycobacterium bovis in humans in the south-west region of Ireland: is there a relationship with infection prevalence in cattle?

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    Authors
    Cotter, T P
    Sheehan, S
    Cryan, B
    O'Shaughnessy, E
    Cummins, H
    Bredin, C P
    Affiliation
    Department of Respiratory Medicine, Cork University Hospital, Ireland.
    Issue Date
    2012-02-03T15:15:19Z
    MeSH
    Animals
    Cattle
    Humans
    Incidence
    Ireland/epidemiology
    *Mycobacterium bovis
    Prevalence
    Tuberculosis/*epidemiology
    Tuberculosis, Bovine/epidemiology
    
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    Citation
    Tuber Lung Dis. 1996 Dec;77(6):545-8.
    Journal
    Tubercle and lung disease : the official journal of the International Union, against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10147/209216
    PubMed ID
    9039448
    Abstract
    OBJECTIVE: To compare the incidence of tuberculosis due to Mycobacterium bovis in humans to the prevalence of M. bovis infection in cattle in south-west Ireland and discuss possible links between them. SETTING: In the south-west region of Ireland, a mixed urban and rural community (pop. 536,000), there is a residuum of human tuberculosis caused by M. bovis. METHODS: A retrospective analysis of the incidence of culture-positive M. bovis disease in humans in south-west Ireland from 1983 to 1994 and of the results of tuberculin testing in cattle from 1978 to 1994 for the same region. RESULTS: One to five cases of human tuberculosis due to M. bovis were recorded per year while the overall prevalence of bovine infection fell gradually during the period of study from 467 tuberculin-positive animals per 100,000 cattle tested in 1983 to 158 per 100,000 in 1994. CONCLUSION: The low incidence plateau of human tuberculosis due to M. bovis together with the decline in prevalence of animal infection in the overall period studied suggest a cut-off in the animal to human chain of infection at two points; the animal source and the ingestion of (now pasteurized) milk. This would suggest that disease in humans is now due to reactivation of previous foci of infection which were acquired when milk pasteurization was not compulsory. Based on this, we would anticipate a further reduction and possible elimination of human tuberculosis due to M. bovis in this region in the next 10-15 years.
    Language
    eng
    ISSN
    0962-8479 (Print)
    0962-8479 (Linking)
    Collections
    Cork University Hospital

    entitlement

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