Evidence map›Paper›PMID 40007044›Full record

ArticleZoonoses and public health2025

High Mycobacterium bovis Exposure but Low IGRA Positivity in UK Farm Workers.

Amy Thomas, Alice Halliday, Genevieve Clapp, Ross Symonds, Noreen Hopewell-Kelly, Carmel McGrath, Lucy Wheeler, Anna Dacey, Nigel Noel, Andrea Turner and 9 more

Erratum issuedAbstract read
In one paragraph

Article in Zoonoses and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Seasonal Influenza Vaccination in People who Have Contact With Birds.Influenza and other respiratory viruses · 2025
    Article
  3. How Do We Get the Public Into Public Health Research? Learnings and Key Recommendations From Initiating a Community Involvement Project Scheme.Health expectations : an international journal of public participation in health care and health policy · 2024
    Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Amy ThomasPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Alice HallidayBristol Vaccine Centre, School of Cellular and Molecular Medicine, University of Bristol, Bristol, UK.
Genevieve ClappPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Ross SymondsPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Noreen Hopewell-KellyDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Carmel McGrathNIHR Health Protection Research Unit in Behavioural Science and Evaluation, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Lucy WheelerNorth Bristol NHS Trust, Bristol, UK.
Anna DaceyNorth Bristol NHS Trust, Bristol, UK.
Nigel NoelNorth Bristol NHS Trust, Bristol, UK.
Andrea TurnerUniversity of Bristol Veterinary School, Langford, UK.
Isabel OliverNIHR Health Protection Research Unit in Behavioural Science and Evaluation, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
James WoodCambridge Veterinary School, University of Cambridge, Cambridge, UK.
Ed MoranDepartment of Infectious Disease, North Bristol NHS Trust, Bristol, UK.
Paul VirgoNorth Bristol NHS Trust, Bristol, UK.
James TillerAnimal and Plant Health Agency, Addlestone, UK.
Paul UptonAnimal and Plant Health Agency, Addlestone, UK.
Andrew MitchellAnimal and Plant Health Agency, Addlestone, UK.
Anu GoenkaBristol Vaccine Centre, School of Cellular and Molecular Medicine, University of Bristol, Bristol, UK.
Ellen Brooks-PollockPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-5984-4932

Funding

National Institute for Health Research Health Protection Research UnitWellcome Trust
6 · The paper itself

Abstract

backgroundBetween 1999 and 2021, 505 culture-confirmed cases of M. bovis disease in humans (zoonotic tuberculosis, TB) were diagnosed in England. We aimed to estimate the prevalence of M. bovis infection in persons exposed to TB-infected cattle in England and identify any risk factors associated with latent TB infection (LTBI) in this population.

methodsWe co-developed a retrospective cohort study in Southwest England, a bovine TB high risk area, with members of the UK farming community. A questionnaire captured participant characteristics, behaviours and farming practices. Linkage with historical herd testing data was used to categorise participants as low, medium or high risk for TB exposure. Interferon gamma release assay (IGRA) positivity with Quantiferon was used to determine LTBI status and linked to questionnaire data.

resultsWe recruited 90 participants at agricultural shows and a standalone event. Participants were farmers/farm workers (76/90) and veterinary professionals (10/90). Median age was 45.5 years (IQR: 19-77); 63% were male; 67% reported BCG vaccination. M. bovis exposure was via direct contact with infected cattle and consumption of raw milk. One participant in the high-risk group was IGRA positive, all other participants were IGRA negative. Estimated IGRA positivity rate was 1.1% (95% CI 0.058%-7.0%) in all participants and 4.0% (95% CI 0.21%-22%) in participants with high exposure levels.

conclusionsWe found limited LTBI in individuals in contact with TB-infected cattle in England, despite high and prolonged exposure. We identified a high-risk group of farmers who should be prioritised for future engagement.

Indexed as

FarmersInterferon-gamma Release TestsLatent TuberculosisMycobacterium bovisOccupational ExposureTuberculosis, BovineAdultAgedAnimalsCattleEnglandFemaleHumansMaleMiddle AgedPrevalencecattleEnglandepidemiological monitoringfarm workersmycobacterium boviszoonotic infections

Identifiers

PMID40007044
PMCPMC12016005

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.