Epidemiological Survey and Economic Impact of Ruminant Tuberculosis-like Lesions at Slaughterhouses in Two Areas of Northern Algeria (2019–2024): A One Health Assessment
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Area
2.2. Slaughterhouse Postmortem Inspection Procedure
2.3. Intradermal Tuberculin (IDT) Test Diagnosis
2.4. Data Analysis of Human Tuberculosis
2.5. Sample Size Determination
2.6. Prevalence Determination
2.7. Economic Losses Estimation
2.8. Projection of Economic Losses
2.9. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
| TB | Tuberculosis |
| MBTC | Mycobacterium tuberculosis complex |
| IDT | Intradermal tuberculin |
| N | Required sample size |
| P | Prevalence |
| D | Desired absolute precision |
| DZD | Algerian Dinar |
| MAS | Mean annual cattle slaughtered in thestudy area |
| PLr | Percentage of livers condemned |
| PLu | Percentage of lungs condemned |
| CLr | Mean cost of a liver |
| CLu | Mean cost of a lung |
| DEL | Direct economic loss due to carcass condemnation |
| NC | Number of condemned carcasses |
| ACW | Average carcass weight |
| ACP | Average carcasses price |
| IEL | Indirect economic losses |
| MAS | Mean annual ruminants slaughtered in thestudy area |
| PCW | Percentage of carcass weight reduction |
| MCM | Mean cost of 1 kg of meat |
| Losst | Total annual economic loss |
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| Species Slaughtered | Cattle | Sheep | Goats | All |
|---|---|---|---|---|
| Slaughtered number | 179,549 | 75,634 | 112,543 | 367,726 |
| Slaughtered percentage (%) | 48.8 | 20.6 | 30.6 | 100 |
| Number with tuberculosis-like lesions | ||||
| Carcass | 289 | 1 | 1 | 291 |
| Lung | 3120 | 3 | 2 | 3125 |
| Liver | 707 | 4 | 1 | 712 |
| Overall prevalence, %(95%CI) | ||||
| Carcass | 0.16 a (0.14–0.18) | 0.001 b (0.00–0.01) | 0.001 b (0.00–0.01) | 0.08 (0.07–0.09) |
| Lung | 1.74 a (1.68–1.80) | 0.004 b (0.00–0.01) | 0.002 b (0.00–0.01) | 0.85 (0.82–0.88) |
| Liver | 0.39 a (0.37–0.42) | 0.005 b (0.00–0.01) | 0.001 b (0.18–0.21) | 0.19 (0.18–0.21) |
| Desired absolute precision (d, 5%) | ||||
| Carcass | 0.0015 | 0.00025 | 0.00018 | 0.0006 |
| Lung | 0.0045 | 0.00048 | 0.00026 | 0.0003 |
| Liver | 0.0018 | 0.0005 | 0.00018 | 0.0008 |
| IDT number * | 24,177 | / | / | 24,177 |
| Number with positive IDT | 278 | / | / | 278 |
| Overall prevalence (%) | 1.15 | / | / | 1.15 |
| Desired absolute precision (d, 5%) | 0.0015 | / | / | 0.0015 |
| Variables | Number of Cases | % | 95% CI |
|---|---|---|---|
| EPTB classification | |||
| Lymph node | 713 | 53.9 | 51.2–56.6 |
| Pleural | 100 | 7.6 | 6.3–9.1 |
| Peritoneal | 156 | 11.8 | 10.2–13.7 |
| Others * | 353 | 26.7 | 24.4–29.2 |
| Patient age 1 | |||
| 15–24 | 203 | 31.5 | 28.1–35.2 |
| 25–45 | 286 | 44.4 | 40.6–48.3 |
| >46 | 155 | 24.1 | 20.9–27.5 |
| Gender 1 | 39.0 | 35.2–42.8 | |
| Male | 247 | 39.0 | 35.2–42.8 |
| Female | 387 | 61.0 | 57.2–64.8 |
| Year 1 | |||
| 2019 | 240 | 18.2 | 16.2–20.3 |
| 2020 | 226 | 17.1 | 15.2–19.2 |
| 2021 | 223 | 16.9 | 14.9–19.0 |
| 2022 | 239 | 18.1 | 16.1–20.2 |
| 2023 | 197 | 14.9 | 13.1–16.9 |
| 2024 | 197 | 14.9 | 13.1–16.9 |
| Variable | Odds Ratio | CI (95%) | p-Value | Interpretation |
|---|---|---|---|---|
| Species | ||||
| Cattle | 1.00 (Ref.) | - | - | Most affected species |
| Sheep | 0.03 | <0.01–0.06 | <0.001 | Negligible risk (Spillover) |
| Goats | 0.02 | <0.01–0.05 | <0.001 | Negligible risk (Spillover) |
| Season | ||||
| Winter | 1.00 (Ref.) | - | - | High-risk season |
| Spring | 0.95 | 0.76–1.18 | 0.583 | Stable vs. Winter |
| Summer | 0.82 | 0.63–1.06 | 0.126 | Reduced risk (Outdoor/UV) |
| Autumn | 1.18 | 0.92-1.5 | 0.058 | High risk (Stabilizing onset) |
| Years | ||||
| 2019 | 0.71 | 0.58–0.87 | <0.001 | Lower initial risk |
| 2020 | 0.89 | 0.72–1.1 | 0.264 | Moderate (COVID-19 impact) |
| 2021 | 1.04 | 0.85–1.26 | 0.673 | High plateau |
| 2022 | 0.98 | 0.8–1.2 | 0.892 | Stable |
| 2023 | 0.85 | 0.68–1.06 | 0.189 | Moderate decrease |
| 2024 | 1.00 (Ref.) | - | - | Recent peak |
| Study area | ||||
| Bejaia | 1.00 (Ref.) | - | - | Hyper-endemic area |
| Jijel | 0.68 | 0.52–0.89 | 0.009 | Significantly lower risk |
| Meteorological variables | ||||
| Temperature (+1 °C) | 0.96 | 0.91–1.01 | 0.073 | Protective trend (heat) |
| Rainfall (+10 mm) | 1.06 | 0.98–1.14 | 0.023 | Aggravating factor |
| Relative humidity | 1.02 | 0.98–1.07 | 0.334 | Effect masked by rainfall |
| Estimation | Cattle | Sheep | Goats | All |
|---|---|---|---|---|
| Organ condemnation with tuberculosis-like lesions (kg) | ||||
| Lung | 10,366 | 5 | 3 | 10,374 |
| Liver | 4056 | 5 | 0 | 4061 |
| Direct economic losses due to organ condemnation caused by tuberculosis-like lesions (Euro) | 2,627,081 | 4185 | 858 | 2,632,124 |
| Carcass condemnation with tuberculosis-like lesions (kg) | 31,739 | 16 | 0 | 31,755 |
| Direct economic losses due to carcass condemnation caused by tuberculosis-like lesions (euros) | 601,512 | 333 | 0 | 601,845 |
| Indirect economic losses due to tuberculosis-like lesions of ruminant (euros) | 10,910,095 | 10,886 | 3269 | 10,924,250 |
| Total economic losses (euros) | 14,138,688 | 15404 | 4127 | 14,158,219 |
| Years | Projection of Economic Losses due to Ruminant Tuberculosis (Euros) | |||
|---|---|---|---|---|
| Cattle | Sheep | Goats | All | |
| 2025 | 2,659,697 | 2898 | 776 | 2,663,371 |
| 2026 | 2,714,186 | 2957 | 792 | 2,717,935 |
| 2027 | 2,763,175 | 3010 | 807 | 2,766,992 |
| 2028 | 2,807,745 | 3059 | 820 | 2,811,624 |
| 2029 | 2,848,683 | 3104 | 832 | 2,852,618 |
| 2030 | 2,886,578 | 3145 | 843 | 2,890,565 |
| Total | 16,680,064 | 18,173 | 4869 | 16,703,106 |
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Balla, E.-H.; Besseboua, O.; Dergal, N.B.; Popa, S.A.; Ayad, A. Epidemiological Survey and Economic Impact of Ruminant Tuberculosis-like Lesions at Slaughterhouses in Two Areas of Northern Algeria (2019–2024): A One Health Assessment. Pathogens 2026, 15, 546. https://doi.org/10.3390/pathogens15050546
Balla E-H, Besseboua O, Dergal NB, Popa SA, Ayad A. Epidemiological Survey and Economic Impact of Ruminant Tuberculosis-like Lesions at Slaughterhouses in Two Areas of Northern Algeria (2019–2024): A One Health Assessment. Pathogens. 2026; 15(5):546. https://doi.org/10.3390/pathogens15050546
Chicago/Turabian StyleBalla, El-Hacene, Omar Besseboua, Nadir Boudjlal Dergal, Sebastian Alexandru Popa, and Abdelhanine Ayad. 2026. "Epidemiological Survey and Economic Impact of Ruminant Tuberculosis-like Lesions at Slaughterhouses in Two Areas of Northern Algeria (2019–2024): A One Health Assessment" Pathogens 15, no. 5: 546. https://doi.org/10.3390/pathogens15050546
APA StyleBalla, E.-H., Besseboua, O., Dergal, N. B., Popa, S. A., & Ayad, A. (2026). Epidemiological Survey and Economic Impact of Ruminant Tuberculosis-like Lesions at Slaughterhouses in Two Areas of Northern Algeria (2019–2024): A One Health Assessment. Pathogens, 15(5), 546. https://doi.org/10.3390/pathogens15050546

