Abstract
INTRODUCTION: Brucellosis is the most widespread zoonosis that has important social and economic impact to the country. However, human brucellosis has been one of the most neglected disease. There are a knowledge and skill gap for diagnosis and a fragmented intervention measure for control and prevention by stakeholders. METHODS: A retrospective epidemiological study was conducted, including laboratory investigation. Data from investigation and laboratory results were reviewed and analysed. Conclusion was made of the possible risk and source of transmission of human brucellosis. RESULTS: A human brucellosis outbreak has been occurred among eight persons, having drink improper pasteurized goat milk from Farm M situated in Klang District in 2018 without related to occupational exposure. All seven cases detected through notifications from hospital and one through active case detection. A total of four cases (50.0%) were from Klang, three from Petaling (37.5%) and one from Sepang (12.5%), aged between 4 to 39 years old. The main symptoms include prolonged fever, body ache and headache. Epidemiological linkage and laboratory results have been proven that all cases and a focus of goats with positive Brucella were from farm M. A joint investigation between Communicable Disease Control Unit, Food Safety and Quality Unit and Veterinary Department was carried out and control and prevention measures taken. DISCUSSION: Human Brucellosis can be prevented effectively by elimination of animal reservoir, enforcement of Food Act 1983 and disclose a knowledge gap of better diagnostic tools and vaccines. These need a close collaboration between health department, veterinary department and local authorities.
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@proceedings{APCPH-2019-66,
title = {Human Brucellosis in Klang District: A Missing Chain},
author = {Nur Fadhilah Mohd Razib and Faridah Kusnin and Nirmalah Subramaniam and Nor Hazelin Idris and Joyce Puyang Ukung and Adi Shairazi Sahdan},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Brucellosis is the most widespread zoonosis that has important social and economic impact to the country. However, human brucellosis has been one of the most neglected disease. There are a knowledge and skill gap for diagnosis and a fragmented intervention measure for control and prevention by stakeholders. METHODS: A retrospective epidemiological study was conducted, including laboratory investigation. Data from investigation and laboratory results were reviewed and analysed. Conclusion was made of the possible risk and source of transmission of human brucellosis. RESULTS: A human brucellosis outbreak has been occurred among eight persons, having drink improper pasteurized goat milk from Farm M situated in Klang District in 2018 without related to occupational exposure. All seven cases detected through notifications from hospital and one through active case detection. A total of four cases (50.0%) were from Klang, three from Petaling (37.5%) and one from Sepang (12.5%), aged between 4 to 39 years old. The main symptoms include prolonged fever, body ache and headache. Epidemiological linkage and laboratory results have been proven that all cases and a focus of goats with positive Brucella were from farm M. A joint investigation between Communicable Disease Control Unit, Food Safety and Quality Unit and Veterinary Department was carried out and control and prevention measures taken. DISCUSSION: Human Brucellosis can be prevented effectively by elimination of animal reservoir, enforcement of Food Act 1983 and disclose a knowledge gap of better diagnostic tools and vaccines. These need a close collaboration between health department, veterinary department and local authorities.},
note = {Type: ORAL PRESENTATION; Organisation: Communicable Diseases Control Unit, Klang District Health Office},
keywords = {brucellosis, enforcement, human, intervention},
pubstate = {published},
tppubtype = {proceedings}
}