Elephant-to-Human Transmission of Tuberculosis, 2009
2011

Transmission of Tuberculosis from Elephants to Humans

Sample size: 57 publication 10 minutes Evidence: moderate

Author Information

Author(s): Rendi Murphree, Jon V. Warkentin, John R. Dunn, William Schaffner, Timothy F. Jones

Primary Institution: Centers for Disease Control and Prevention

Hypothesis

What are the risk factors for tuberculosis transmission from elephants to humans working in close proximity?

Conclusion

The study found that employees working in the quarantine area of an elephant refuge were significantly more likely to have latent tuberculosis infection due to indirect transmission from an infected elephant.

Supporting Evidence

  • Employees working in the quarantine area during 2009 were 20 times more likely to have latent tuberculosis infection.
  • Indirect exposure to aerosolized Mycobacterium tuberculosis likely contributed to transmission.
  • Infection control practices were not strictly followed after the initial detection of tuberculosis in elephants.

Takeaway

Some people who worked with elephants got sick from a germ called tuberculosis that the elephants had. It shows that we need to be careful and protect ourselves when working with animals.

Methodology

A cohort study and onsite assessment were conducted to identify risk factors for TST conversion among employees.

Potential Biases

Potential bias due to reliance on employee recall for risk factor assessment.

Limitations

The study relied on self-reported data from employees, which may introduce bias.

Participant Demographics

The average age of respondents was 38 years, with 67% being female.

Statistical Information

P-Value

20.3

Confidence Interval

2.8–146.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3201/eid1703101668

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