• Clin Med (Lond) · Sep 2019

    Review

    Fever, bacterial zoonoses, and One Health in sub-Saharan Africa.

    • Manuela Carugati, Kajiru G Kilonzo, and John A Crump.
    • Duke University, Durham, USA and consultant, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
    • Clin Med (Lond). 2019 Sep 1; 19 (5): 375380375-380.

    AbstractAlthough often underappreciated, a number of bacterial zoonoses are endemic in Africa. Of these, brucellosis, leptospirosis, Q fever, and rickettsioses are responsible for a substantial proportion of febrile illness among patients seeking hospital care. In this paper, we discuss the aetiology, epidemiology, clinical presentation, diagnosis, treatment and prevention of these bacterial zoonoses. To prevent and control bacterial zoonoses, strategies targeting both animals and humans are crucial. These may lead to better outcomes than strategies based exclusively on treatment of human infections. Such strategies are referred to as the 'One Health' approach; the collaborative effort of multiple disciplines to attain optimal health for people, animals and the environment.© 2019 Royal College of Physicians.

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