BCG vaccination reduces bovine tuberculosis transmission, improving prospects for elimination

Author:

Fromsa Abebe12ORCID,Willgert Katriina3ORCID,Srinivasan Sreenidhi456ORCID,Mekonnen Getnet7ORCID,Bedada Wegene7,Gumi Balako1,Lakew Matios7,Tadesse Biniam7,Bayissa Berecha1ORCID,Sirak Asegedech7,Girma Abdela Musse1ORCID,Gebre Solomon7,Chibssa Tesfaye7,Veerasami Maroudam8ORCID,Vordermeier H. Martin9,Bakker Douwe41011ORCID,Berg Stefan9ORCID,Ameni Gobena112ORCID,Juleff Nick13ORCID,de Jong Mart C. M.14ORCID,Wood James3ORCID,Conlan Andrew3ORCID,Kapur Vivek45ORCID

Affiliation:

1. Aklilu Lemma Institutes of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia.

2. College of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, Ethiopia.

3. Disease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, UK.

4. Huck Institutes of Life Sciences, The Pennsylvania State University, University Park, PA, USA.

5. Department of Animal Science, The Pennsylvania State University, University Park, PA, USA.

6. The Global Health Initiative, Henry Ford Health, Detroit, MI, USA.

7. Animal Health Institute, Sebeta, Ethiopia.

8. CisGen Biotech Discoveries, Chennai, India.

9. Animal and Plant Health Agency, Weybridge, UK.

10. Technical Consultant and Independent Researcher, Lelystad, Netherlands.

11. Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense, Madrid, Spain.

12. Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University, United Arab Emirates.

13. The Bill & Melinda Gates Foundation Seattle, WA, USA.

14. Quantitative Veterinary Epidemiology Group, Wageningen UR, The Netherlands.

Abstract

Bacillus Calmette-Guérin (BCG) is a routinely used vaccine for protecting children against Mycobacterium tuberculosis that comprises attenuated Mycobacterium bovis . BCG can also be used to protect livestock against M. bovis ; however, its effectiveness has not been quantified for this use. We performed a natural transmission experiment to directly estimate the rate of transmission to and from vaccinated and unvaccinated calves over a 1-year exposure period. The results show a higher indirect efficacy of BCG to reduce transmission from vaccinated animals that subsequently become infected [74%; 95% credible interval (CrI): 46 to 98%] compared with direct protection against infection (58%; 95% CrI: 34 to 73%) and an estimated total efficacy of 89% (95% CrI: 74 to 96%). A mechanistic transmission model of bovine tuberculosis (bTB) spread within the Ethiopian dairy sector was developed and showed how the prospects for elimination may be enabled by routine BCG vaccination of cattle.

Publisher

American Association for the Advancement of Science (AAAS)

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