Evidence map›Paper›PMID 41933383›Full record

ReviewOne health outlook2026

Seroprevalence of Q fever among humans and animals in East Africa: a systematic review and meta-analysis.

Simegnew Adugna Kallu, Ambachew Motbaynor Wubaye, Simachew Getaneh Endalamew, Andnet Yirga Assefa, Alebachew Tilahun Wassie, Migbaru Keffale Bezabih, Yihenew Getahun Ambaw

Abstract readReview
In one paragraph

Review in One health outlook, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Simegnew Adugna KalluCollege of Veterinary Medicine, Haramaya University, P. O. Box 138, Dire Dawa, Ethiopia. adusim12@gmail.com.ORCID http://orcid.org/0000-0003-1677-6770
Ambachew Motbaynor WubayeDepartment of Veterinary Science, College of Agriculture and Environmental Science, Debre Tabor University, P.O. Box 272, Debre Tabor, Ethiopia.
Simachew Getaneh EndalamewDepartment of Veterinary Epidemiology and Public Health, School of Veterinary Medicine, Bahir Dar University, Bahir Dar, Ethiopia.
Andnet Yirga AssefaDepartment of Veterinary Epidemiology and Public Health, School of Veterinary Medicine, Bahir Dar University, Bahir Dar, Ethiopia.
Alebachew Tilahun WassieDepartment of Veterinary Clinical Medicine, School of Veterinary Medicine, Bahir Dar University, Bahir Dar, Ethiopia.
Migbaru Keffale BezabihArmauer Hansen Research Institute, Addis Ababa, Ethiopia.
Yihenew Getahun AmbawDepartment of Veterinary Medicine, College of Agricultural Sciences, Woldia University, Weldiya, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Q fever is a neglected zoonotic disease caused by Coxiella burnetii with a global distribution. It has a significant public health implication in resource-limited settings. Therefore, this systematic review and meta-analysis were designed to comprehensively analyze the seroprevalence of Q fever in humans and animals in East Africa. Following the PRISMA guidelines and a registered protocol on PROSPERO (CRD420251149865), online searches were conducted in Pubmed, ScienceDirect, Scopus, Web of Science, Google Scholar, and AJOL from October 1–5, 2025, to retrieve articles from the East African countries published within the time frame of January 1, 2000 and September 30, 2025. This systematic review and meta-analysis identified 47 articles reporting Q fever seroprevalence across multiple animal species and human, yielding 94 species-specific datasets for pooled analysis. After heterogeneity assessment, random effects model was used to estimate the pooled Q fever seroprevalence. The estimated pooled seroprevalence was 21.32% (95% CI: [14.58; 28.06]) among humans and 27.55% (95% CI: [22.34; 32.77]) in animals. Trim-and-fill analysis revealed substantial publication bias, reducing pooled seroprevalence from 27.55% to 8.46% in animals and from 21.35% to 6.98% in humans. The seroprevalence in humans was higher in Kenya (26.0%) and Ethiopia (24.7%) than in Sudan (18.0%), Tanzania (14.9%), and Uganda (7.6%). The multivariable meta-regression revealed a significant increasing trend in human Q fever seroprevalence over time, despite marginal non-significance in univariable analysis. Among animals, the seroprevalence was higher in camels (38.9%) and lower in cattle (14.6%), with observed statistically significant difference. This meta-analysis result showed that the seroprevalence of Q fever is high in humans and animals, but it is still neglected in many countries in the East Africa, posing significant impact to human and animal health. Planned preventive measures and control efforts are necessary.

Indexed as

AnimalsC. burnetiiEast AfricaHumanMeta-analysisOne healthQ feverSeroprevalence

Identifiers

PMID41933383
PMCPMC13173964

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Registered trials

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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.