Fever, bacterial zoonoses, and One Health in sub-Saharan Africa

Manuela Carugati, Kajiru G. Kilonzo, John A. Crump

Research output: Contribution to journalReview articlepeer-review


Although often underappreciated, a number of bacterial zoonoses are endemic in Africa. Of these, brucellosis, leptospirosis, Q fever, and rickettsioses are responsible for a substantial proportion of febrile illness among patients seeking hospital care. In this paper, we discuss the aetiology, epidemiology, clinical presentation, diagnosis, treatment and prevention of these bacterial zoonoses. To prevent and control bacterial zoonoses, strategies targeting both animals and humans are crucial. These may lead to better outcomes than strategies based exclusively on treatment of human infections. Such strategies are referred to as the 'One Health' approach; the collaborative effort of multiple disciplines to attain optimal health for people, animals and the environment.

Original languageEnglish
Pages (from-to)375-380
Number of pages6
JournalClinical medicine (London, England)
Issue number5
Publication statusPublished - Sep 1 2019


  • brucellosis
  • fever
  • One Health
  • Sub-Saharan Africa
  • zoonoses

ASJC Scopus subject areas

  • Medicine(all)


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