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• W2947322947 abstract "Letters to the EditorReply to “Brucellosis in Saudi Arabia: Past, Present and Future” Youssef A. Al-EissaMD, FAAP, FRCPC Youssef A. Al-Eissa Department of Pediatrics, College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia Search for more papers by this author Published Online:1 Sep 2000https://doi.org/10.5144/0256-4947.2000.493SectionsPDF ToolsAdd to favoritesDownload citationTrack citations ShareShare onFacebookTwitterLinked InRedditEmail AboutIntroductionTo the Editor: I thank Dr. Opawoye for his comments on my editorial,1 and appreciate the opportunity to respond. Dr. Opawoye emphasizes certain points addressed in my editorial, and takes issue with the fact that “the situation in Saudi Arabia is unique and more complicated because of continuous importation of millions of slaughter animals annually, poor animal quarantine procedures and lack of legislation to control marketing and movement of animals.” He gravely concerned me when he mentioned that “the high incidence of brucellosis cannot be blamed on imported animals, because in Saudi Arabia brucellosis is endemic in domestic animals.” Indeed, there is not even anecdotal evidence presented to support such a statement. In a few years' time, are we going to argue whether Rift Valley fever is a recently imported or an originally endemic infection in Saudi Arabia? An exchange of views is usually healthy and consistent with the scientific method, however, views are sometimes incorrect and misinformed if facts are ignored. Dr. Opawoye's statement impugns the integrity of a few investigators and their surveys.2,3 We should make sure that we use published data and provide thorough and balanced presentation of facts. An egregrious problem with Dr. Opawoye's critique was his failure to read or understand the first results of a national survey for brucellosis antibodies among animals in Saudi Arabia by Radwan et al., which is cited in his letter.2 Radwan et al. found that the incidence of brucellosis among imported living slaughter animals was double that of local animals in their extensive serologic survey in 1977.I wish to set the record straight with regards to today's endemicity of brucellosis in Saudi Arabia and its relationship with earlier uncontrolled importation of infected animals from neighboring African and Asian countries where brucellosis is endemic.4 As mentioned in the editorial, the increasing incidence of brucellosis in the early 1980s is attributed to the changes in the system of animal production and marketing.4 In the mid-1970s, the dairy industry had been formed with pregnant heifers from North America and Europe.5 Intensive sheep and goat breeding projects were established and subsidized by the government. The local desire for meat increased considerably and the uncontrolled importation of huge numbers of living animals from many countries occurred, including countries where brucellosis is prevalent.4 During that period, imported animals were poorly screened for infection. None other than Benjamin Franklin in the late 1700s commented on how long it is between the time that a certain thing is known and when we begin to act. In the year 2000, we are beginning to feel the effects of Rift Valley fever, because we ignored the threat of importation of infected animals, and we have been suffering from brucellosis for the past 20 years.It is time for us to think globally and act locally. It is time for us to deal with the problems of introduction of infected animals into the Kingdom, and ensure that well-equipped animal quarantine centers in Saudi ports are established. It is time for us to stop apologizing for lapses in the public health system, and the ludicrously small amount of money spent in preventive medicine. Our previous and current lessons are clear: prevention is cheaper than treatment. Our challenge today is to design creative and forward-thinking strategies to keep brucellosis, Rift Valley fever, and other infectious hazards from whittling away at our most valuable resource, our people. I appreciate Dr. Opawoye's letter, and hope that my response is helpful to him and other readers.ARTICLE REFERENCES:1. Al-Eissa YA. Brucellosis in Saudi Arabia: past, present and future . Ann Saudi Med. 1999; 19:403–5. Google Scholar2. Radwan AL, Asmar JA, Frerich WM, Bekari SI, Al-Mukayel A. Incidence of brucellosis in domestic livestock in Saudi Arabia . Trop Anim Health Prod. 1983; 15:139–43. Google Scholar3. Al Mezaini S, Sinoussi Y, Chang SH, et al. A study of brucellosis among animals of some farms and rural areas in Saudi Arabia . Proceedings of the Seventh Conference on the Biological Aspects of Saudi Arabia. Qassim: Saudi Biological Society, 1984:351–7. Google Scholar4. Hafez SM. The impact of uncontrolled animal importation and marketing on the prevalence of brucellosis in Saudi Arabia . Ann Saudi Med. 1986; 6(Suppl):15–8. Google Scholar5. Kiel FW. Brucellosis in Saudi Arabia . Soc Sci Med. 1989; 29:999–1001. Google Scholar Previous article Next article FiguresReferencesRelatedDetails Volume 20, Issue 5-6September-November 2000 Metrics History Published online1 September 2000 InformationCopyright © 2000, Annals of Saudi MedicinePDF download" @default.
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• W2947322947 title "Reply to “Brucellosis in Saudi Arabia: Past, Present and Future”" @default.
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