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Veterinary & Biosecurity

Researchers utilize ICT to monitor & address Antimicrobial Use (AMU) & Antimicrobial Resistance (AMR) in Animals

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Joseph Odoi & Harriet Musinguzi

A consortium of researchers from the College of Veterinary Medicine, Animal Resources and Biosecurity (CoVAB)-Makerere University, International Livestock Research Institute (ILRI), Kenya, University of Nairobi and Swedish University of Agriculture Sciences (SLU) have developed an Information, Communication and Technology (ICT) system to   address Anti-microbial resistance and monitor antibiotic usage in Livestock starting with poultry industry. This innovation comes at a time when AMR is emerging as a global health concern

Antimicrobial Resistance occurs when some of the germs (bacteria, virus, or fungus) that cause infections resist the effects of the medicines used to treat them. This may lead to ‘treatment failure’, or the inability to treat the cause of the infection.

The main drivers of antimicrobial resistance include the misuse and overuse of antimicrobials; lack of access to clean water, sanitation, and hygiene (WASH) for both humans and animals; poor infection and disease prevention and control in health-care facilities and farms; poor access to quality, affordable medicines, vaccines and diagnostics; lack of awareness and knowledge; and lack of enforcement of legislation.

To counter this trend,a two-day Project workshop titled  Management  of animal  diseases and antimicrobial use by  information and communication technology to control antimicrobial resistance in East Africa (MAD-tech AMR project 2022-2024 ) was convened at CoVAB) by the project Co-investigator Associate Professor Lawrence Mugisha aimed at sharing progress made by the research team.

Prof. Robert Tweyongyere, the Dean School of Veterinary Medicine and Animal resources, College of Veterinary Medicine, Animal resources and Biosecurity (CoVAB) giving his remarks.

The workshop was opened by the College Principal represented by Prof. Robert Tweyongyere, the Dean School of Veterinary Medicine and Animal resources, College of Veterinary Medicine, Animal resources and Biosecurity (CoVAB),who in a special way welcomed the participants to Makerere University.

He noted that  with support from Swedish University of Agricultural Sciences effective 12th June 2020, Makerere University in collaboration with Sweden, the International Livestock Research Institute (ILRI) Kenya,  and University of Nairobi, the researchers embarked on implementing the MAD-tech-AMR project that aimed at providing an Information and Communication Technology (ICT) framework for improved monitoring and control of antimicrobial use (AMU) and antimicrobial resistance (AMR) in livestock in low  and middle-income countries.

Prof. Robert Tweyongyere, who represented the Principal CoVAB, Prof. Frank Nobert Mwiine at the official opening of the two day engagement further  revealed that  antimicrobial resistance is now a leading global health and development threat  thus needs urgent attention.

“Tools to monitor antimicrobial Usage  are very important and that is why the MAD-tech-AMR project is necessary in this day”.  One of the biggest challenge we have is data collection and storage around  AMR  which this project is solving . Additionally , We are yet to see the toll of microbial resistance.  This research will bring out some fundamental issues given that microbial resistance is still a concept, yet to be appreciated’ he noted.

He equally thanked the project team led by Prof. Lawrence Mugisha for undertaking the project that affects every one’s livelihood.

Prof. Lawrence Mugisha, the Principal Investigator at Makerere University, in a summary update of MAD-tech-AMR project  said if left unchecked by 2050, AMR may contribute to up to 10 million deaths per year with low- and middle-income countries (LMICs) like Africa being victims.

Prof. Lawrence Mugisha makes his presentation at the workshop

In Context to Uganda, Prof. Lawrence Mugisha noted that with 80% of Ugandans depending on agriculture, the cost of AMR to the national economy and its health systems is significant and thus needs urgent attention.  He emphasized the importance of a multi-sectoral approach if sustainable development goals are to be achieved. He said that AMR has a great Impact on SDG1 (no poverty), SDG2 (zero hunger), SGD3 (good health and wellbeing), SDG6 (clean water and sanitation), SDG 8 (Decent work and economic growth), and SGD12 (responsible consumption and production).   Prof. Mugisha also shared the way forward to address the AMR challenges and these were;

  • Raising public awareness about AMR
  • Maintenance of sanitation and hygiene
  • Surveillance
  • Investing in human capital for innovative vaccines like herbal for the replacement of Antibiotic use.

As part of the study, researchers addressed the following key findings from the study;

  • Antibiotics were the most used drug by livestock farmers followed by dewormers. More so respiratory related infections was the most reported case followed by digestive problems like diarrhea. The most used antibiotic by farmers was Oxytetracycline Hydrochloride and procaine.
  • 2% of the farmers were female and 21.4% had attained a degree. Their mean age was 37.5 years. Most of the farmers specialized in Economics and business-related studies followed by those with no specific field of study. Majority of the farmers were funded by project owners (78.95%) and household members (16.14%). There were mainly managed by hired labor (44.56%) and household members (33.33%).
  • Worms and Typhoid were reported to be the biggest threat in regards to the health status of birds.
  • In terms of Management Practices, regular cleaning and disinfection were highly practiced by farmers.
  • Most farmers bought drugs from VET Shops and also consulted VETs
  • In regards to IT use, 97% of the farmers, and 100% of drug sellers and feed dealers have mobile phones; 69% of farmers had smart phones and were MTN and Airtel subscribers, and most too used the internet daily.
  • 70% of the veterinary doctors wished to call farmers
  • WhatsApp platforms and Facebook were the most commonly used online Channels

Prof. Lawrence Mugisha further emphasized that using the current ICT system developed by MAD-Tech-AMR team could favour the use of  mobile phones in monitoring AMU and  AMR.  ‘It would also be easy to work with common telecommunication companies (MTN and Airtel) to whom farmers had already subscribed. Real-time communication with veterinary doctors, feed dealers, drug sellers, and farmers themselves would be made easy. Since 80% of the farmers do farm-related activities, so deploying an IT system is easy in monitoring AMR use, he explained.

As part of monitoring AMU and AMR, Wangoru Kihara from MAD-tech-AMR Project, Kenya  shared a brief architecture of the upcoming IT application named: “Animal Disease Information System (ADIS) application developed by the Project which can link farmers to veterinary drug/pharmacy owners and veterinarians to get help in real-time.

In this Platform;

  • Different users like farmers(farmers, agrovets, vets) can download the application, register and log in.
  • After logging in, they can report a disease or browse disease symptoms or share drug usage details on their farms.
  • Access is through smartphones, computers, laptops.
  • Real-time processing of data is possible for users to visualize: agrovets- drugs sold, farms – disease history

           Mr. Wangoru Kihara explains the ADIS system developed by MADTECH project

In her presentation centered on the  MAD-tech-AMR project aims and objectives, Professor Susanna Sternberg Lewerin from Swedish University of Agricultural Sciences, Department of Biomedical Sciences & Veterinary Public Health  revealed that although Antibiotics are powerful medical tools that allow curing of  serious infectious diseases in people and animals, it also has the ability to trigger bacteria to develop resistance to drugs thus the need to consult with professional practitioners before use.

               Dr. Sussanna Sternberg making a presentation at the event.

In context to bacteria developing resistance to drugs, Dr. Henry Kajumbula from the Department of Microbiology, Makerere University College of Health Sciences noted that in 2015, a situation analysis was conducted by the Uganda National Academic Science (UNAS) and it was found that some of the most reliable antibiotics with a high safety margin and great effectiveness were found to meet a high resistance of about 40%. “The prevailing conditions of hygiene and sanitation in our health care system also drive resistance to antibiotics.  Because of this situation, micro organisms become resistant to the most potent antibiotics. This situation is being recognised in the human health system because of the increase in bacterial infections which are failing to be treated” explained Dr. Kajumbula

              Dr. Kajumbula making a presentation at the event.

Moving  forward, the MAD-TECH-AMR project team  called upon farmers, Agrovets and  policy makers  to make use of  the Animal Disease Information System that will be rolled out soon .

During this event, participants namely farmers, agrovets, policy makers  among others  were trained how to use Animal Disease  Information System (ADIS) specifically how to log in, report a disease or share drug usage details by the ICT expert  in the workshop. Some of the key questions raised by participants include if the ADIS system will be translated into local languages and sustainability among others.

The ICT Expert Kihara demonstrates to participants how to log in and use the ADIS system

The MAD-Tech-AMR stakeholder engagement kicked off on  Thursday 27th   October 2022 at the Biosecurity centre in the College of Veterinary medicine, Animal Resources and Biosecurity (CoVAB) and run until Friday 28th October 2022.

More about the Project 

MAD-tech-AMR is a partnership between Swedish University of Agricultural Sciences, Sweden, International Livestock Research Institute, Kenya, Makerere University, Uganda, and University of Nairobi, Kenya

This project is designed to provide proof of concept, applying a framework for surveillance of AMU, diseases that trigger AMU, and perceived problems with AMR, in East African poultry production systems. Information and Communication Technology (ICT) will be coupled with veterinary epidemiology and social science methods.

The ICT framework developed by the project will be pilot-tested in selected poultry production systems in Kenya and Uganda. The framework may be expanded in the future to allow the inclusion of diagnostic tools, but the initial focus is on clinical diagnosis based on tele-consultation and evidence-based therapeutic strategies.

Project Partners 

  • Susanna Sternberg Lewerin, Swedish University of Agricultural Sciences, Sweden (Coordinator)
  • Florence Mutua, International Livestock Research Institute, Kenya
  • Lawrence Mugisha, Makerere University, Uganda
  • Joshua Onono, University of Nairobi, Kenya

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Veterinary & Biosecurity

Makerere University Anti-Tick Vaccine Project Committee Visits Production Site in Namanve

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Makerere University Anti-Tick Vaccine Project Committee visit to Alfasan Uganda Ltd on 24th June 2024, Namanve, Waikiso Uganda, East Africa.

The Makerere University Anti-Tick Vaccine Project Committee visited Alfasan Uganda Ltd on 24th June 2024 to review the advancements in the Anti-tick vaccine project, particularly focusing on the progress in the establishment of the vaccine production line at Alfasan Uganda Limited. This visit signifies a significant milestone in the ongoing partnership between Makerere University and Alfasan, as they work together towards the creation of a successful Anti-Tick vaccine.

The Principal Investigator (PI) of the Anti-Tick Vaccine Project, Dr. Margaret Saimo-Kahwa welcomed the team and gave a brief overview of the project’s operations. She highlighted Alfasan’s expertise in manufacturing veterinary and human drugs and the suggestion by H.E, the President of Uganda gave in view of the collaboration between Alfasan and Makerere University for the production of the Anti-Tick vaccine. The PI assured team that Alfasan was fully equipped to develop the vaccine in  adherence with the standards set by the National Drug Authority.

Dr. Margaret Saimo-Kahwa, PI of the Anti-Tick Vaccine showing the Committee some of the verification equipment at Alfasan. Makerere University Anti-Tick Vaccine Project Committee visit to Alfasan Uganda Ltd on 24th June 2024, Namanve, Wakiso Uganda, East Africa.
Dr. Margaret Saimo-Kahwa, PI of the Anti-Tick Vaccine showing the Committee some of the verification equipment at Alfasan.

The Managing Director of Alfasan, Dr. Stephen Birungi said he was delighted to work with Makerere University, where he once studied at the College of Veterinary Medicine, Animal Resources, and Biosecurity (CoVAB). He said a successful collaboration was key in ensuring further advancements and innovations in the field of veterinary medicine.

The Chairperson of Makerere University’s Anti-Tick Vaccine Project Steering Committee, Prof. Henry Alinaitwe emphasized the national significance of the project, and that it was catered for in the national budget. He outlined the division of equipment between Makerere University and Alfasan, stressing the importance of the visit to assess the progress at the Anti-Tick Vaccine production site in Namanve.

The Chairperson of Makerere University Anti-Tick Vaccine Project Committee, who is also the Acting Deputy Vice-Chancellor, Finance and Administration, Prof. Henry Alinaitwe, together with the CoVAB Principal Prof. Frank Norbert Mwiine took a guided tour around the Vaccine Production Facility. Makerere University Anti-Tick Vaccine Project Committee visit to Alfasan Uganda Ltd on 24th June 2024, Namanve, Wakiso Uganda, East Africa.
The Chairperson of Makerere University Anti-Tick Vaccine Project Committee, who is also the Acting Deputy Vice-Chancellor, Finance and Administration, Prof. Henry Alinaitwe, together with the CoVAB Principal Prof. Frank Norbert Mwiine took a guided tour around the Vaccine Production Facility.

The facility Pharmacist at Alfasan, Mr. Ivan Kafeero provided a brief history of the company, highlighting its transformation from an international collaboration to a prominent private entity in Uganda. The collaboration between Alfasan and Makerere University resulted in the joint production of a laboratory experimental vaccine in 2022, necessitating the facility’s upgrade to accommodate vaccine production alongside pharmaceuticals.

During the tour of the vaccine production facility led by Mr. Kafeero, various departments were showcased, including raw material warehouses, production sections, laboratories, and packaging rooms. The comprehensive tour demonstrated the facility’s readiness for vaccine production and emphasized the critical need for sustainable energy and water sources to support the operations effectively.

The Project Committee and the Project team during the guided tour around the vaccine manufacturing facility led by the facility Pharmacist, Mr. Ivan Kafeero. Makerere University Anti-Tick Vaccine Project Committee visit to Alfasan Uganda Ltd on 24th June 2024, Namanve, Wakiso Uganda, East Africa.
The Project Committee and the Project team during the guided tour around the vaccine manufacturing facility led by the facility Pharmacist, Mr. Ivan Kafeero.
The Project Committee and the Project team during the guided tour around the vaccine manufacturing facility led by the facility Pharmacist, Mr. Ivan Kafeero. Makerere University Anti-Tick Vaccine Project Committee visit to Alfasan Uganda Ltd on 24th June 2024, Namanve, Wakiso Uganda, East Africa.
The Project Committee and the Project team during the guided tour around the vaccine manufacturing facility led by the facility Pharmacist, Mr. Ivan Kafeero.

Following discussions and observations during the visit, the Committee Chairperson commended the progress achieved thus far and confirmed plans for a follow-up visit in two months to monitor the facility’s operational readiness for commencing production.

The collaborative partnership between Makerere University and Alfasan signifies a ground-breaking initiative in animal healthcare research and underscores the potential for significant advancements in combating tick-borne diseases through innovative collaborations and dedicated efforts.

The meeting between Makerere University Anti-Tick Vaccine Project Committee, the Anti-Tick Vaccine Project team, and the Team from Alfasan on 24th June 2024. Makerere University Anti-Tick Vaccine Project Committee visit to Alfasan Uganda Ltd on 24th June 2024, Namanve, Wakiso Uganda, East Africa.
The meeting between Makerere University Anti-Tick Vaccine Project Committee, the Anti-Tick Vaccine Project team, and the Team from Alfasan on 24th June 2024.

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CoVAB Annual Report 2023

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The Principal CoVAB, Prof. Frank Norbert Mwiine. College of Veterinary Medicine, Animal Resources and Biosecurity (CoVAB), Makerere University, Kampala Uganda, East Africa.

It is my pleasure to share the Annual Report for the year 2023, which highlights various milestones realized in the College of Veterinary Medicine, Animal Resources, and Biosecurity. First and foremost, I wish to congratulate all of us for the input rendered in the running of the college during the period, which effort made us score in several areas as prescribed by the mandate of the college and Makerere University as a whole.

Our mandate is teaching and learning, research and innovation, as well as knowledge transfer and partnerships. As you will realize in this report, this task has been handled meticulously through a concerted effort by all stakeholders, the students, the teaching, and the administrative staff and partners. The college takes pride in the contribution made by our partners who continue to support us in the delivery of the mandate in varied ways, such as Norbrook (U) Ltd, which since 2021 has continued to prize the best performing Veterinary students with cash prizes every year.

The College continues to excel in research and community outreach as evidenced by the increased research output in several Biomedical and Applied research projects with support from the Government of Uganda and our development partners which for instance resulted in the establishment of a Biomarker discovery and translation research laboratory at COVAB. Equipment was procured to support the development of point-of-care diagnostic kits for infectious and non-communicable diseases including cancer. The goal is to translate identified biomarkers into point-of-care diagnostics for both human and veterinary medicine. The platform supports drug target discovery and elucidation of drug action mechanisms.

The college hosts a Central Laboratory Animal Research Facility that support pre-clinical studies in animal models for vaccines, therapeutics and diagnostics, alongside refurbished laboratories at Biosafety Levels 2 and 3 (BSL2, BSL3), fitted with state-of-the-art equipment to execute cutting edge basic and applied research.

This and other efforts strategically place CoVAB and Makerere at large in a position to confront major animal and even human health challenges as significant proportions of emerging and reemerging infectious diseases are of animal origin (Zoonotic).

We are looking forward to an even more successful period ahead of us, and together definitely we shall achieve all we set out to do.

Prof. Frank Nobert Mwiine
PRINCIPAL

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Veterinary & Biosecurity

The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase at CoVAB

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Participants follow proceedings. The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase, June 20th, 2024, Ruth Keesling Centre, College of Veterinary Medicine, Animal Resources, and Biosecurity (CoVAB), Makerere University, Kampala Uganda, East Africa.

The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase was held on June 20th, 2024, at the Ruth Keeslings Centre, College of Veterinary Medicine, Animal Resources, and Biosecurity, and for the first time involved CoVAB students.

The Boma was the final event of this year’s CoVAB-Mississippi State University’s (MSU) Tropical Veterinary Medicine and One Health Study Abroad program which started on May 31, 2024. The study abroad course focuses on animal production and health management, conservation medicine, aquatic health, wildlife health, public health, food safety, and security, as well as inculcating One Health principles while suffusing multicultural experiences.

During the presentations, the participants expressed what they enjoyed most while on the program and this included observing the human-wildlife interactions, working on wildlife and the identified difference between the US and Uganda, the animal welfare champion, as well as having Ugandan students included on the program.

Prof. Frank Nobert Mwiine, CoVAB Principal (C) Dr. Sarah Nalule, HoD WAAR (L) and Dr. David Kahwa Lecturer WAAR (R). The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase, June 20th, 2024, Ruth Keesling Centre, College of Veterinary Medicine, Animal Resources, and Biosecurity (CoVAB), Makerere University, Kampala Uganda, East Africa.
Prof. Frank Nobert Mwiine, CoVAB Principal (C) Dr. Sarah Nalule, HoD WAAR (L) and Dr. David Kahwa Lecturer WAAR (R).

The Principal, Prof. Frank Nobert Mwiine officiated at the event characterized by sharing the student’s experiences through presentations made before academicians, researchers, and students.  In his remarks, he said the Boma was a great avenue for sharing information and learning from each other drawing from the experiences of the students while out in the community and the wild. Prof. Mwiine commended Mississippi State University for the long relationship they have had with CoVAB and appreciated the inclusion of the Uganda students into the program. He expressed optimism that the summer school will grow into problem-solving partnerships in research, training, and community development.

During the three weeks excursions in Uganda, participating students from Mississippi State University together with their counterparts from CoVAB engaged in experiential field trips with hands-on experience at the interfaces between animals, humans, and the environment.

The Team from Mississippi University appreciated CoVAB for the lead role in organizing the Summer School that brought the students into contact with new areas with most of them being in Africa for the first time.  He said the summer school was opening up opportunities for further collaboration in areas like student exchange programs as well as graduate research.  It was a great experience for the students to move out of their area to the unknown and the exposure left lifelong in print on the student’s academic, practice, and outlook towards life, said the representative of Prof. Stephen Reichley, the team leader.

Participants pose for a group picture in front of the Centre for Global Health, CoVAB. The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase, June 20th, 2024, Ruth Keesling Centre, College of Veterinary Medicine, Animal Resources, and Biosecurity (CoVAB), Makerere University, Kampala Uganda, East Africa.
Participants pose for a group picture in front of the Centre for Global Health, CoVAB.

Dr. Celsus Sente the Summer School coordinator and lecturer in the Department of Wildlife and Aquatic Resources (WAAR) said the three-week expedition was a great field experiential learning opportunity using one health approach.  Students went to different places including Gaba Fish Landing Site, the Murchison conservation area, Mbarara Abattoir where they interacted with the meat inspectors, Kibaale conservation area where they observed wildlife practical activities like birds, undertook activities involving cattle, and goats as well as the feel of the interface between the environment, humans, and animal health, the one health approach at the fishing villages there.

A team makes a presentation at the Boma. The 2024 Summer School and the International Cultural Boma and AFROHUN Showcase, June 20th, 2024, Ruth Keesling Centre, College of Veterinary Medicine, Animal Resources, and Biosecurity (CoVAB), Makerere University, Kampala Uganda, East Africa.
A team makes a presentation at the Boma.

The Boma as a concept in an African context means a meeting that allows learning and a two-way exchange of information between elders and youngsters. African culture involves the transfer of wisdom and knowledge from wise, knowledgeable, and highly experienced elders to the young who are mentored into responsible community members. The concept was therefore used to allow the opportunity to share knowledge from all stakeholders as experienced in the course of learning.

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