Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022

Zoonotic tuberculosis (zTB) is a communicable disease that has major effects on both human and animal health. Spain reports the highest number of zTB cases in humans annually in the European Union. We describe the epidemiology of human cases of zTB caused by Mycobacterium bovis and M. caprae in Spa...

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Main Authors: Álvaro Roy, Diana Gómez-Barroso, Elena Cruz-Ferro, Ana Fernández, Isabel Martínez-Pino, María del Henar Marcos, Isabel Ursúa-Díaz, Susana Miras, Nuria Echave, Evi Ounarou, Beatriz Romero, Laura Herrera-León, Zaida Herrador
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2025-07-01
Series:Emerging Infectious Diseases
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Online Access:https://wwwnc.cdc.gov/eid/article/31/7/25-0031_article
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author Álvaro Roy
Diana Gómez-Barroso
Elena Cruz-Ferro
Ana Fernández
Isabel Martínez-Pino
María del Henar Marcos
Isabel Ursúa-Díaz
Susana Miras
Nuria Echave
Evi Ounarou
Beatriz Romero
Laura Herrera-León
Zaida Herrador
author_facet Álvaro Roy
Diana Gómez-Barroso
Elena Cruz-Ferro
Ana Fernández
Isabel Martínez-Pino
María del Henar Marcos
Isabel Ursúa-Díaz
Susana Miras
Nuria Echave
Evi Ounarou
Beatriz Romero
Laura Herrera-León
Zaida Herrador
author_sort Álvaro Roy
collection DOAJ
description Zoonotic tuberculosis (zTB) is a communicable disease that has major effects on both human and animal health. Spain reports the highest number of zTB cases in humans annually in the European Union. We describe the epidemiology of human cases of zTB caused by Mycobacterium bovis and M. caprae in Spain during 2018–2022. The incidence of M. bovis infection compared with M. tuberculosis infection was higher in patients who were native-born (adjusted odds ratio [aOR) 2.32, 95% CI 1.44–3.82), HIV-negative (aOR 3.39, 95% CI 1.24–14.0), or had extrapulmonary forms of TB (aOR 2.20, 95% CI 1.46–3.28). The spatial pattern differed by M. tuberculosis complex species; we identified 3 significant clusters of M. bovis and 1 of M. caprae in bovine TB–free regions. Our results show the importance of including animal and human data on circulating zoonotic pathogens under the One Health umbrella.
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institution Kabale University
issn 1080-6040
1080-6059
language English
publishDate 2025-07-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj-art-7292aff0a1af425c99484ff89ebc42e42025-08-20T03:29:44ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592025-07-013171344135210.3201/eid3107.250031Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022Álvaro RoyDiana Gómez-BarrosoElena Cruz-FerroAna FernándezIsabel Martínez-PinoMaría del Henar MarcosIsabel Ursúa-DíazSusana MirasNuria EchaveEvi OunarouBeatriz RomeroLaura Herrera-LeónZaida Herrador Zoonotic tuberculosis (zTB) is a communicable disease that has major effects on both human and animal health. Spain reports the highest number of zTB cases in humans annually in the European Union. We describe the epidemiology of human cases of zTB caused by Mycobacterium bovis and M. caprae in Spain during 2018–2022. The incidence of M. bovis infection compared with M. tuberculosis infection was higher in patients who were native-born (adjusted odds ratio [aOR) 2.32, 95% CI 1.44–3.82), HIV-negative (aOR 3.39, 95% CI 1.24–14.0), or had extrapulmonary forms of TB (aOR 2.20, 95% CI 1.46–3.28). The spatial pattern differed by M. tuberculosis complex species; we identified 3 significant clusters of M. bovis and 1 of M. caprae in bovine TB–free regions. Our results show the importance of including animal and human data on circulating zoonotic pathogens under the One Health umbrella. https://wwwnc.cdc.gov/eid/article/31/7/25-0031_articletuberculosis and other mycobacteriaMycobacterium bovisMycobacterium tuberculosisMycobacterium capraezoonotic tuberculosisOne Health
spellingShingle Álvaro Roy
Diana Gómez-Barroso
Elena Cruz-Ferro
Ana Fernández
Isabel Martínez-Pino
María del Henar Marcos
Isabel Ursúa-Díaz
Susana Miras
Nuria Echave
Evi Ounarou
Beatriz Romero
Laura Herrera-León
Zaida Herrador
Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022
Emerging Infectious Diseases
tuberculosis and other mycobacteria
Mycobacterium bovis
Mycobacterium tuberculosis
Mycobacterium caprae
zoonotic tuberculosis
One Health
title Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022
title_full Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022
title_fullStr Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022
title_full_unstemmed Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022
title_short Spatiotemporal Distribution and Clinical Characteristics of Zoonotic Tuberculosis, Spain, 2018–2022
title_sort spatiotemporal distribution and clinical characteristics of zoonotic tuberculosis spain 2018 2022
topic tuberculosis and other mycobacteria
Mycobacterium bovis
Mycobacterium tuberculosis
Mycobacterium caprae
zoonotic tuberculosis
One Health
url https://wwwnc.cdc.gov/eid/article/31/7/25-0031_article
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