Evidence map›Paper›PMID 29304765›Full record

ReviewBMC public health2018

Anthrax outbreaks in the humans - livestock and wildlife interface areas of Northern Tanzania: a retrospective record review 2006-2016.

Elibariki Reuben Mwakapeje, Sol Høgset, Robert Fyumagwa, Hezron Emmanuel Nonga, Robinson Hammerthon Mdegela, Eystein Skjerve

Open access · goldAbstract readReview
In one paragraph

Review in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 107 citations in OpenAlex.

  1. Article
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  8. Identification ofPathogens (Basel, Switzerland) · 2025
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  11. Review
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  14. One Health Assessment ofMicroorganisms · 2023
    Article
  15. Article
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  19. Population genomics ofMicrobial genomics · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Elibariki Reuben MwakapejeEpidemiology and Diseases Control Section, Ministry of Health, Community Development, Gender, Elderly and Children, P. O. Box. 9083, Dar es Salaam, Tanzania. elibariki.reuben.mwakapeje@nmbu.no.
Sol HøgsetFaculty of Veterinary Medicine, Norwegian University of Life Sciences, P. O. Box. 8146 Dep., N -, 0033, Oslo, Norway.
Robert FyumagwaTanzania Wildlife Research Institute (TAWIRI), P. O. Box. 661, Arusha, Tanzania.
Hezron Emmanuel NongaDepartment of Veterinary Medicine and Public Health, Sokoine University of Agriculture, P. O. Box. 3021, Chuo Kikuu Morogoro, Tanzania.
Robinson Hammerthon MdegelaDepartment of Veterinary Medicine and Public Health, Sokoine University of Agriculture, P. O. Box. 3021, Chuo Kikuu Morogoro, Tanzania.
Eystein SkjerveFaculty of Veterinary Medicine, Norwegian University of Life Sciences, P. O. Box. 8146 Dep., N -, 0033, Oslo, Norway.
Sokoine University of Agriculture · TZNorwegian University of Life Sciences · NOTanzania Wildlife Research Institute · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnthrax outbreaks in Tanzania have been reported from the human, livestock and wildlife sectors over several years, and is among the notifiable diseases. Despite frequent anthrax outbreaks, there is no comprehensive dataset indicating the magnitude and distribution of the disease in susceptible species. This study is a retrospective review of anthrax outbreaks from the human, livestock, and wildlife surveillance systems from 2006 to 2016. The objectives were to identify hotspot districts, describe anthrax epidemiology in the hotspot areas, evaluate the efficiency of the anthrax response systems and identify potential areas for further observational studies.

methodsWe prepared a spreadsheet template for a retrospective comprehensive record review at different surveillance levels in Tanzania. We captured data elements including demographic characteristics of different species, the name of health facility, and date of anthrax diagnosis. Also, we collected data on the date of specimen collection, species screened, type of laboratory test, laboratory results and the outcome recorded at the end of treatment in humans. After establishing the database, we produced maps in Quantum GIS software and transferred cleaned data to Stata software for supportive statistical analysis.

resultsAnthrax reported incidences over 4 years in humans were much higher in the Arusha region (7.88/100,000) followed by Kilimanjaro region (6.64/100,000) than other regions of Tanzania Mainland. The health facility based review from hotspot districts in parts of Arusha and Kilimanjaro regions from 2006 to 2016, identified 330 human anthrax cases from the selected health facilities in the two regions. Out of 161 livestock and 57 wildlife specimen tested, 103 and 18 respectively, were positive for anthrax.

conclusionThis study revealed that there is gross under-reporting in the existing surveillance systems which is an obstacle for estimating a true burden of anthrax in the hotspot districts. Repeated occurrences of anthrax in livestock, wildlife and humans in the same locations at the same time calls for the need to strengthen links and promote inter-disciplinary and multi-sectoral collaboration to enhance prevention and control measures under a One Health approach.

Indexed as

Population SurveillanceAnimal DiseasesAnimalsAnimals, WildAnthraxDisease OutbreaksHumansLivestockRetrospective StudiesTanzaniaAnthrax outbreaksNorthern TanzaniaRecord reviewWildlife interface areas

Identifiers

PMID29304765
PMCPMC5755297
OpenAlexW2782398188

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.