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    Study of the risk factors associated with  Neospora caninum  seroprevalence

    in Algerian cattle populations

    Farida Ghalmi a,⇑, Bernard China b, Asma Ghalmi a, Darifa Hammitouche a, Bertrand Losson c

    a Ecole Nationale Supérieure Vétérinaire d’Alger, Algiers, Algeriab Institut Scientifique de Santé Publique, Brussels, Belgiumc Université de Liège, Faculté de Médecine Vétérinaire, Liège, Belgium

    a r t i c l e i n f o

     Article history:

    Received 13 May 2011

    Accepted 12 December 2011

    Keywords:

    Neospora caninum

    Cattle

    Risk factors

    Seroprevalence

    Algeria

    IFAT

    a b s t r a c t

    Bovine abortions due to  Neospora caninum  infection were reported worldwide. The situation in Algeria

    was unknown. Forthe evaluation of theprevalence of N. caninum and its associated risk factors, 799 cattle

    belonging to 87 farms of the north and northeast of Algeria were analyzed. The cattle were divided into

    imported cattle, local cattle and improved cattle corresponding to breeding between imported and local

    cattle. Sera were examined for the presence of  N. caninum  antibodies by indirect fluorescence antibody

    test. The overall seroprevalence for the 87 farms was 52.87% (41.28–62.71%). The overall animal sero-

    prevalence was 19.64% (16.82–22.45%). The seroprevalence of N. caninum in local cattle (34.28%) was sig-

    nificantly higher ( p < 0.05) than in modern (16.04%) and improved (18.64%) cattle. The risk factors

    analysis indicated that cattle population, geographical location, dog presence, season, global farm

    hygiene or the presence of abortion were significantly associated with seroprevalence.

     2011 Elsevier Ltd. All rights reserved.

    1. Introduction

    Neospora caninum is an obligate intracellular protozoan parasite

    which has emerged as a cause of infectious abortion in cattle

    worldwide (Dubey et al., 2007). In many countries  N. caninum   is

    the most frequently diagnosed cause of bovine abortion (Dubey

    and Lindsay, 1996).

    Thebiological cycle of N. caninum is heteroxenous. Dogs, coyotes

    and gray wolf (Canis lupus) are the only species recognized as defin-

    itive hosts, in which the sexual phase of  N. caninum  cycle occurs,

    resulting in the shedding of oocysts in the feces (Mc Allister et al.,

    1998; Gondim et al., 2004; Dubey et al., 2011). It has been estab-

    lished that bovinesare the major intermediate hosts of the parasite.

    The routes of infection in cattle for N. caninum consist of vertical or

    transplacental transmission, and horizontal or oral transmission

    (Dubey, 1999). However, vertical transplacental infection from in-

    fecteddams to their offspring appears to be the major natural route

    of infection, and congenitally infected calves remain persistently

    infected and can infect their offspring (Anderson et al., 1997).

    The pathogenesis of neosporosis in cows is complex (Dubey

    et al., 2006) and it is not well understood why some animals abort

    and others do not. Infected cattle remain carriers of the parasite for

    life and there are no clear signs of protective immunity ( Dubey,2003).

    No fully effective vaccine or treatment is available to prevent or

    cure the infection (Dubey et al., 2006). The study of risk factors of 

    herd infection by N. caninum is important for the development and

    implementation of measures to control bovine neosporosis (Dubey

    et al., 2007).

    For epidemiological studies, serology is the most used tech-

    niques. The Indirect Fluorescence Antibody Test (IFAT) is often used

    as a reference serological testfor thedetection of N. caninum (Dubey

    and Lindsay, 1996). Many serologic surveys of  N. caninum  infection

    in cattle worldwide and the risk factors for N. caninum in cattlehave

    been discussed broadly in the literature (Dubey et al., 2007).

    In Algeria, the cattle population is estimated to 1.6 million,

    including 53.55% dairy cattle and representing an important food

    source (MADR, 2008). Despite the massive imports of dairy cows

    with high genetic potential, the milk production remains low. It is

    estimated at 1.38 million tons in 2000 (Ghozlane et al., 2003) either

    0.26% of the world production. This production is in total inade-

    quacy with the continued strong growth of the population because

    it covers only 40% of the needs (MADR, 2008). Although the

    neosporosis has been diagnosed in the main dairy and beef cattle-

    producing countries, no previous study has been published in the

    literature about the disease in Maghreb. In Algeria, there is only

    one published report available on its occurrence that indicated

    20.47% seropositivity in 781 dogs in Algiers (Ghalmi et al., 2009b).

    This demonstrates the wide diffusion of  N. caninum  in this area. A

    study of significant factors that influence the distribution of 

    0034-5288/$ - see front matter    2011 Elsevier Ltd. All rights reserved.doi:10.1016/j.rvsc.2011.12.015

    ⇑ Corresponding author. Address: Ecole Nationale Supérieure Vétérinaire d’Alger,

    BP 161 Hacène Badi, El Harrach, Algiers, Algeria. Tel.: +213 (0)21 525132; fax: +213

    (0) 21 824481.

    E-mail address:   [email protected] (F. Ghalmi).

    Research in Veterinary Science 93 (2012) 655–661

    Contents lists available at SciVerse ScienceDirect

    Research in Veterinary Science

    j o u r n a l h o m e p a g e :   w w w . e l s e v i e r . c o m / l o c a t e / r v s c

    http://dx.doi.org/10.1016/j.rvsc.2011.12.015mailto:[email protected]://dx.doi.org/10.1016/j.rvsc.2011.12.015http://www.sciencedirect.com/science/journal/00345288http://www.elsevier.com/locate/rvschttp://www.elsevier.com/locate/rvschttp://www.sciencedirect.com/science/journal/00345288http://dx.doi.org/10.1016/j.rvsc.2011.12.015mailto:[email protected]://dx.doi.org/10.1016/j.rvsc.2011.12.015

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    N. caninum in this area, could be useful to betterknowthe epidemi-

    ology of  N. caninum  infection in Algerian cattle. Therefore, the aim

    of this study was mainly to identify the risk factors associated with

    N. caninum seroprevalencein different cattle populations in Algeria.

    2. Material and methods

     2.1. Studied area

    A cross-sectional study was designed to study the relationship

    between the N. caninum serological status of dairy cattle and vari-

    ous potential risk factors. The populations of interest were dairy

    farms in two distinct regions of Algeria. The geographical location

    of the farms is presented in Fig. 1. These farms were located either

    in the northern regions (Algiers County) or in the eastern regions

    (Bejaia and Setif). The sampled region represented around

    25, 000 square kilometers.

    Region-I was located in North Algeria (36   490 N; 3   00 E) and

    contain about 727 cattle farms characterized mainly by imported

    cattle with high genetic potential and region II was in the west

    of the country (36 100 N; 5 240 E). The choice of region-II was jus-

    tified by the fact that more than half of the local breed cattle arelocated in the eastern part of the country.

    The distance between the two regions is approximately 400 km.

     2.2. Sampling procedures

    The animals that were studied belonged to 87 dairy farms in

    above cited regions. In the region of Algiers 72 farms were sampled

    representing 10% of the farms present (n = 727).

    A total of 799 serum samples were assessed. They represented

    7% of the cattle population (n = 11,500) in the studied region

    (INMV, 2009).

    The minimum number of cattle to be tested on each farm was

    established as 10 (Cannon and Roe, 1982), corresponding to the

    probability of detecting at least one seropositive animal per farm.

    On farms with less than 10 bovines, all of them were tested.

    A stratified sampling was performed each stratum was a cattle

    population. Three cattle populations were considered: imported

    cattle (IPC), improved cattle (IMC) and local catte (LC). For each

    population, the relative precision was similar: 25.5%, 22.2% and

    27.2% for IPC, IMC and LC respectively.

     2.3. Collection of blood and epidemiological data

    Sera from 799 bovines belonging to 87 farms were collected.

    324 cattle from 30 farms were IPC, 370 cattle from 43 farms were

    IMC and 105 cattle from 14 farms were LC.

    The study period ranged from September 2006 to January 2009.

    Blood samples were collected by coccygeal venipuncture, using

    identified dry tubes. The serum was removed after centrifugation

    at 2700 g  for 10 min and stored at  20 C until analysis.Simultaneously, blood was collected from dogs (n = 107) pres-

    ent in 67 out of the 87 farms. Data for  N. caninum   seroprevalence

    in those dogs were published previously (Ghalmi et al., 2009b).

    An epidemiological questionnaire was fulfilled by farmers who

    were asked to answer the questionnaire in order to obtain informa-

    tion on the risk factors such as: farm location, herd size, cattle

    breed, cattle age, presence of abortion in the five last years, pres-

    ence of pregnant cows, stadium of pregnancy, presence of dogs,

    Fig. 1.  Map of the analyzed regions. The regions in gray were those where the sampled farms are situated. The Algiers region has been divided into 4 sub-regions, Zeralda,Rouiba, Baraki, Birtouta. The regions of Bejaia and Setif constitute the eastern regions.

    656   F. Ghalmi et al./ Research in Veterinary Science 93 (2012) 655–661

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    presence of aborted cows. Additional information such as the date

    of collection and the general hygiene of the farm were also col-

    lected. A farm was considered as positive if at least one cow was

    positive.

     2.4. Variables

    Several factors that could influence the seropositivity of cattle

    to   N. caninum  were analyzed. Considering the age of the cattle,

    the cattle were divided in age classes (7 years).

    For breeds, we considered the imported breeds (Holstein, Prim’

    Holstein, Friesan, Montbeliarde, Fleckvieh), the improved cattle

    which are crossed breeds and the local cattle that include Algerians

    breeds (mainly Brown of Atlas) (Table 2).

    For the areas agro-ecological, four classifications were per-

    formed. The sampling areas were situated either in the seaside

    region, in the Mitidja region, Tellian Atlas or Highlands. The Mitidja

    is a great wet plain (1300 km2) in the south east of Algiers. In our

    study the Mitidja is represented by the regions of Birtouta and

    Blida (Fig. 1). The Tellian Atlas consists of a chain of mountains

    along the coast of Mediterranean Sea (region of Bejaia).

    The agricultural subdivisions (corresponding approximately to

    Daïra) were considered (Table 2): Birtouta, Baraki, Rouiba and

    Zeralda. In Algeria, Daïra includes several municipalities.

    The gestation status of 461 cows were analyzed, 269 (58.35%)

    were gestating and 192 (41.65%) were non-gestating.

    The presence of dogs in farms and the seasons (the samples

    were taken during the four seasons) were also considered.

    The global hygiene of the visited farms was also taken into

    account. We observed mainly the maintenance of the premises

    and animals and we have classified the farms into three categories

    (good, average and bad). We were inspired by European regulation

    (EC 852/2004/BEHL15,  European parliament, 2004).

     2.5. Serological test 

    Serum samples were analyzed by IFAT to determine the pres-

    ence of   N. caninum   specific antibodies, as previously described

    (Ghalmi et al., 2009a). In order to determine the IFAT cut off, a val-

    idation step has been performed on 100 sera by comparing IFAT to

    the validated ELISA herdcheck (IDEXX LABORATORIES) (Wu et al.,

    2002) largely used in cattle for the determination of seropreva-

    lence against   N. caninum   (Dubey et al., 2007). The sera were

    titrated in a twofold dilution from 1/100 to 1/1600 and the speci-

    ficity, the sensitivity and the coefficient of Kappa were calculated

    using the ELISA has the reference method. The results indicated

    that the best agreement was found when the 1/200 dilution was

    used (sensitivity = 90%; specificity = 100% and Kappa = 0.82).

    Therefore, a positive sample in IFAT was only considered at the

    dilution 1/200 or upper.Reactions with tachyzoites presenting a total peripheral fluores-

    cence were considered as positive. Positive and negative sera were

    included on each slide. All the IFAT positive samples were con-

    firmed by immunoblot as previously described (Ghalmi et al.,

    2009b).

     2.6. Data analysis

    Statistical differences in proportions were compared using the

     x2-test (Yates corrected) or Fisher’s exact test. The strength of the

    association between serological status and the epidemiological fac-

    tors assessed here was estimated by computing the odds ratio (OR)

    for infection occurrence when the factor was present. A multiple

    regression was also performed. Specificity, sensitivity, Kappa indexandthe 95%confidenceinterval (CI) were alsocalculated.A multiple

    correspondence analysis(ACM) wasperformed. Theused software’s

    were Winepiscope 2.0, MedCalc and XLstat. The level of statistical

    significanceused was5%. If the p valueswere lower, it wasindicated

    in the text.

    3. Results

     3.1. Seroprevalence

    The overall herd prevalence of N. caninum antibodies among the

    87 farms was 52.87% (CI 95%: 41.28–62.71%). Antibodies to

    N. caninum  were detected in 157 cattle out of 799, with a general

    seroprevalence of 19.64%. When the different cattle populations

    were considered, the seroprevalence values were 16.04%, 18.64%

    and 34.28% for IPC, IMC and LC, respectively (Table 1).

    The seroprevalence in LC was significantly ( p < 0.01) higher

    than in the two others populations. All the positive samples were

    confirmed as positive by immunoblot. Four profiles were detected

    (Fig. 2), among the 157 tested sera, 19 (12.9%) 71 (48.3%), 41

    (27.9%), 16 (10.9%) showed profile 1, profile 2, profile 3 and profile

    4 respectively.

     3.2. Risk factors

    Concerning the risk factors associated with seroprevalence, the

    results of the statistics are summarized in Table 2. Considering the

    age of the cattle, when the seroprevalence results were considered

    all together, no significant association ( p > 0.05) between age clas-

    ses and seroprevalence was shown. Nevertheless, the seropreva-

    lence is significantly ( p < 0.05, OR = 0.64) less important in young

    cattle ( 0.05). Nevertheless, The there

    was a strong association between local breeds and seroprevalence

    (OR = 2.47, p  < 0.05).

    There was a significant association between agro-ecological

    areas and the seroprevalence ( p < 0.05). The belonging to seaside

    and Tellian Atlas areas were considered as a risk factor. When

    the high titers were considered, there was a significantly higher

    ( p = 0.02) number of positive samples in Mitidja area for titer

    1600 (data not shown). At the population level, the IPC and the

    IMC were considered since the LC were mainly present in the east

    part of Algeria. For IPC there was a significant difference ( p < 0.01)

    between the seroprevalence and the seaside and Mitidja regionswhich is not the case for IMC ( p = 0.52).

    When the regions were considered (Table 2), there was no sig-

    nificant association between the farm location and the seropreva-

    lence ( p > 0.05). The belonging to Zeralda (west of Algiers, Fig. 1),

    Rouiba (east of Algiers) and Bejaia (east of Algeria) region was con-

    sidered as a risk factor (OR > 1, p  < 0.05) although the belonging to

    Birtouta region (south of Algiers) was shown to be protective

    (OR < 1, p  < 0.05).

    In our study, the seroprevalence in pregnant and non-pregnant

    cows was not significantly different ( p > 0.05). The conclusion was

    the same for all cattle populations. Among the 192 pregnant cows,

    the pregnancy stage was known for 179 (93.23%) of them. The

    seroprevalence was significantly ( p < 0.01) lower for early pregnant

    cows (1–3 months) and significantly ( p < 0.05) higher for mid-pregnancy cows (4–6 months). If the cows with an abortion history

    F. Ghalmi et al./ Research in Veterinary Science 93 (2012) 655–661   657

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    (n = 54) were considered, there was a significant association with

    seroprevalence. Interestingly, when the populations were consid-

    ered, the OR was 9.77 (3.76–25.41), 9.43 (3.26–27.27) and 1.4

    (0.43–4.54) for IPC, IMC and LC, respectively. Therefore, the associ-

    ation between the seroprevalence and the fact that cows already

    aborted in the past was only significant ( p  < 0.01) for IPC and

    IMC but not for LC.

    When the seasons were considered, the seroprevalence was sig-

    nificantly higher in the spring time and significantly lower in

    autumn. This observation was done for each studied populations

    ( p < 0.01). The distribution of high titers was also significantly dif-

    ferent with the season since the highest titers were also observed

    in the spring time ( p < 0.01).

    The good hygiene status of the farm was a protective factor and

    the bad hygiene status of the farm was a risk factor. This observa-

    tion is independent of the studied population.

    There was a significantly ( p  < 0.01) higher seroprevalence in

    cattle in contact with dogs. At the population level, the association

    between dogs and seroprevalence in cattle was only significant for

    IPC (Table 3).

    When a multiple regression analysis was performed only the

    presence of dogs, the fact that the cow has aborted and the season

    were significant ( p < 0.05).

    A multiple correspondence analysis (Fig. 3) allowed visualizing

    the factors associated with seropositivity or seronegativity. This

    representation indicated that the variables closest to the positive

    serology were the presence of abortion, the seaside region, the

    bad hygiene of the farm, the spring season and the presence of 

    dogs.

     Table 1

    Seroprevalence in function in the populations studied.

    Populations

    of cattle

    n (%) Negative Positive Seroprevalence

    (%) (CI 95%)

    IPC 324 (4.55) 272 52 16.04 (11.92–20.07)LC*

    IMC 370 (46.30) 301 69 18.64 (14.55–22.64)LC*

    LC 105 (13.14) 69 36 34.28 (25.01–43.54)IPC,IMC*

    Total 799 642 157 19.64 (16.82–22.45)

    * Seroprevalence significantly different ( p < 0.01) for the indicated populations.

     Table 2

    Number of cattle, seroprevalence (%) for  N. caninum antibodies by general characteristics; odds ratio ( OR) for seropositive results, 95% confidence interval (CI) and p-value for thechi-squared test corrected for design effect.

    Variable   n   Seroprevalence (CI) (%) OR (CI) Type of effect

     Age (months)   1.01 (0.77–1.33) NS No effect

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    4. Discussion

    N. caninum is a cause of abortion in cattle. Seroprevalence stud-

    ies are the most useful epidemiological tool to investigate cattle

    infection by this particular parasite. The identification of factors

    that can modify the seroprevalence is a major clue. This identifica-

    tion could lead to preventive actions allowing the reduction of cat-

    tle infection. The risk factors for   N. caninum   infections were

    investigated previously (Hemphill and Gottstein, 2000).

    The fact that 52.87% of the studied herds have at least one sero-

    positive animal to N. caninum suggests that N. caninum infection is

    widespread among dairy herds in Algeria.

    The study of risk factors allowed identifying some factors play-

    ing an important role in the development of N. caninum infection in

    cattle. The comparison of our data with data from others countries

    is sometimes difficult due to the fact that these countries were

    sometimes very different from Algeria regarding to the climate,

    the breed or farming methods. But since there is no real data for

    the NorthernAfrica countries, our work could be considered as pio-

    neer and would constitute a comparison point for further studies.

    Considering the age of cattle, the seroconversion risk can in-

    crease with time or gestations ( Jensen et al., 1999; Rinaldi et al.,

    2005) suggesting that the horizontal transmission is important in

    some herds (Dubey et al., 2007). But the literature data are some-

    times contradictory. In Spain the risk of infection increased with

    age but in Sweden it is the opposite (Bartels et al., 2006). In our

    study, age was not significantly correlated with seroprevalence.

    At the population level, an effect was observed for imported cattle

    but not for improved cattle or local cattle. In IPC, there is an in-

    crease in seroprevalence with the age. For IMC and LC the sero-

    prevalence was higher for

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    agreement with data from the USA (Barling et al., 2001) where the

    risk of seropositivity was higher in the spring. This result may be

    explained by the fact that the sporulation of   N. caninum   oocysts

    is temperature-dependent.These climatic observations can be related to the differences in

    seroprevalences observed in the different geographic areas such as

    the Mitidja or the seaside regions. It seems that seaside region is

    more favorable to cattle infection by   N. caninum. Moreover, the

    east of Algeria presented the highest levels of seroprevalence

    which can be related either to the climate or to the abundance of 

    LC in this region since the LC showed the highest seroprevalence.

    Since   N. caninum   is a major abortion factor in cattle, the

    parameters linked to abortion have been studied. The gestation

    status was not a risk factor in our study since the pregnant and

    non- pregnant cows showed the same level of seropositivity.

    The same observation was made in all populations. This was sur-

    prising since pregnancy leads to a modification of the immune re-

    sponse with an increase of humoral immune response and adecrease in cellular response which is in favor of the multiplica-

    tion of an intracellular pathogen such as  N. caninum. Pregnancy fa-

    vors   N. caninum   reactivation leading to an increase in specific

    antibodies production. But no significant difference in end titers

    was observed between pregnant and non-pregnant cows. When

    the gestation stage was investigated, a significant difference was

    observed in seroprevalence between early stage (1–3 months)

    and latter stages (>4 months). This indicates that the immune sys-

    tem of pregnant cows in middle or late stage of gestation is more

    exposed or more responding to N. caninum infection. These differ-

    ences were observed in all three studied populations (IPC, IMC

    and LC). When the aborted cows were analyzed, a clear associa-

    tion between seroprevalence and abortion has been observed with

    an odds ratio of 4.52. It is an indirect evidence that   N. caninumcould be involved in abortion in cows in Algeria. Interestingly, this

    observation was also made for IPC and IMC but not for LC. This

    indicated that LC are probably less susceptible to abort when they

    are infected by  N. caninum.

    Finally, a clear relationship was showed between the generalhygienic status of the farm and the seroprevalence in cattle. It is

    therefore obvious that a better hygiene in the farm can reduce

    the risk of infection by  N. caninum.

    In conclusion, the analysis of risk factors leading to  N. caninum

    infection in several cattle populations in Algeria indicated that

    some factors such as the presence of dogs, the aborting cows, the

    season, the region or the hygiene of the farm were risk factors

    for N. caninum   infection. Taking together, all the above analyzed

    risk factors for N. caninum  seroprevalence indicate that horizontal

    infectionresulting from the ingestion of oocysts shed by dogs is the

    most probable route of  N. caninum   infection in pastured cattle of 

    areas in Algiers.

    At the prevention level, it seems clear that it is better to avoid

    contact between cattle or cattle food and dogs in the farm. It willallow blocking the natural biological cycle of the parasite. The

    elimination of aborted fetuses and placentas is also important to

    avoid contamination of the dogs.

     Acknowledgments

    This work was supported by the Algerian higher education min-

    istry and the Belgian technical cooperation. The author’s thank Dr

    Anich for his critical reading of the manuscript.

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