RESEARCH ARTICLE

Human Brucellosis as an Epidemic Zoonosis in Zenica-Doboj Canton (Bosnia and Herzegovina) During 2008-2018

The Open Infectious Diseases Journal 19 Aug 2020 RESEARCH ARTICLE DOI: 10.2174/1874279302012010001

Abstract

Background:

Brucellosis is associated with people living in close proximity to their animals, where conditions for disease onset and spread exist. An epidemic of brucellosis in Bosnia and Herzegovina (B&H) has persisted since 2004. Zenica-Doboj Canton is one of the most affected areas.

Objective:

To investigate the epidemiological characteristics of human brucellosis from the year 2008 to2018.

Methods:

Data collected from paper-based patients/cases reported to the Epidemiology Department were analyzed.

Results:

After 2008, the annual number of patients diagnosed with brucellosis was decreasing, except in 2017 and 2018 with 20 and 35 cases, respectively. Within the 2008-2018 period, a total of 263 human brucellosis cases were recorded, decreasing from 102 (incidence of 44.7/100,000) cases in 2008 to three cases in 2012, but increased to 35 cases in 2018. Males were predominant, with a total of 205 (77.9%) cases. The mean age of the affected patients was 39.2 years; but the most affected age group was the 25-49 years age group with 117 (44.5%) cases. Most cases (151 cases, 66%) were reported during the period of March-July, and 242 (92%) cases were from the rural areas.

Conclusion:

With the implementation of the small ruminant vaccination program in 2009, the number of infected humans had declined, while brucellosis still remains.

Keywords: Animal, Brucellosis, Epidemiology, One health, Bosnia and herzegovina, Zoonosis, Zenica-Doboj canton.
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