The development of brucellosis control in Mongolia
Roth, Felix;
(2007)
The development of brucellosis control in Mongolia.
DrPH thesis, London School of Hygiene & Tropical Medicine.
DOI: https://doi.org/10.17037/PUBS.00682361
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Previous economic analysis of brucellosis control
in
Mongolia
provided
a
basis for
further research. It was observed that there
was a
long tradition
of
brucellosis
control
in Mongolia but little knowledge on
its
effect on the
spread
of
disease.
This thesis
addressed this gap and analysed the
relationship
between
stated surveillance policy,
the brucellosis prevalence in animals, and the
brucellosis incidence in
humans.
The
aim was to contribute to better understanding of the
brucellosis
surveillance policies
applied in Mongolia and their effectiveness, and to
draw
conclusions
and recommendations for control of brucellosis.
Four aims were formulated providing steps
for investigating the
research
question.
The first two aims focused on (i) the
establishment
of the
epidemiological
patterns
of brucellosis in Mongolia over the time
period
1966 to
2002,
and
on
(ii) the
provision of a historical overview of the
different
strategies
applied to the
control
of
brucellosis in Mongolia over the same time
period.
The third
aim
was to
assess the
interactions between the spread
of
brucellosis
and
the
surveillance
strategies,
and
finally the forth aim was to issue recommendations
about
future
surveillance
policies
for brucellosis.
It was found that the published figures reflected
the
Brucellosis
abortus
incidence in
the population that could be serologically
tested.
However, the
population
at
risk
(herders) with the main burden of
disease,
and
suffering
from
Brucellosis
melitensis,
was underdiagnosed and not treated properly,
additionally, the
immunisation
cam-
paigns in small ruminants did not reach
the
critical
vaccination
level for
eradication.
Therefore, the diagnosis and treatment of
Brucellosis
melitensis
in humans has to
be
assured at Soum (district) level. The current
immunisation
campaign
has to
be
monitored and evaluated, and the knowledge of
brucellosis in
humans
has to
be
recognised by policy makers, physicians and general
population.