The Horn of Africa is a large area of arid and semi-arid land, holding about 10% of the global and 40% of the entire African livestock population. The region’s livestock production system is mainly extensive and pastoralist. It faces countless problems, such as a shortage of pastures and watering points, poor access to veterinary services, and multiple endemic diseases like foot-and-mouth disease (FMD). Foot-and-mouth disease is one of the most economically important livestock diseases worldwide and is endemic in most developing countries. Within Africa, five of the seven serotypes of the FMD virus (FMDV) are described, but serotype C is not circulating anymore, a burden unseen anywhere in the world. The enormous genetic diversity of FMDV is favored by an error-prone RNA-dependent RNA polymerase, intra-typic and inter-typic recombination, as well as the quasi-species nature of the virus. This paper describes the epidemiological dynamics of foot-and-mouth disease in the Horn of Africa with regard to the serotypes and topotypes distribution of FMDV, the livestock production systems practiced, animal movement, the role of wildlife, and the epidemiological complexity of FMD. Within this review, outbreak investigation data and serological studies confirm the endemicity of the disease in the Horn of Africa. Multiple topotypes of FMDV are described in the literature as circulating in the region, with further evolution of virus diversity predicted. A large susceptible livestock population and the presence of wild ungulates are described as complicating the epidemiology of the disease. Further, the husbandry practices and legal and illegal trading of livestock and their products, coupled with poor biosecurity practices, are also reported to impact the spread of FMDV within and between countries in the region. The porosity of borders for pastoralist herders fuels the unregulated transboundary livestock trade. There are no systematic control strategies in the region except for sporadic vaccination with locally produced vaccines, while literature indicates that effective control measures should also consider virus diversity, livestock movements/biosecurity, transboundary trade, and the reduction of contact with wild, susceptible ungulates.

A cross-sectional serological, active outbreak search and a questionnaire-based survey were carried out to investigate foot-and-mouth disease (FMD) sero-epidemiology in Ethiopia. The circulating serotype of the FMD virus (FMDV) was identified, and the knowledge regarding FMD and husbandry practices was assessed. Using the questionnaire survey, a total of 237 individuals were interviewed, and the majority responded that there is no practice of reporting disease outbreak, free in and out movement of livestock, or share pastures, and they use traditional case management as a means of controlling the disease. A total of 1938 cattle, 490 domestic small ruminants, and 426 swine were sampled randomly for serological analysis using the 3ABC non-structural protein (NSP) enzyme-linked immunosorbant assay. An overall prevalence of 25% in cattle, 5% in domestic small ruminants, and 2% in swine was recorded. Multivariable logistic regression analysis revealed that cattle from the Oromia, Tigray, and Amhara regions had the highest probability of being sero-positive as compared with Addis Ababa odds ratio(OR)(OR: 4 (95% confidence interval (CI)(CI [3–6], 3 (95% CI [2,5]), and 2 (95% CI 2 [1,3]), respectively)). Older cattle (older than three years) and domestic small ruminants (>18 months) had a higher chance of being seropositive (OR: 2, 95% CI [1.6,3]) and (OR: 6, 95% CI [2,18]), respectively). Female and older swine older than three years of age had a higher chance of being sero-positive (p < 0.05). Local breed cattle had the lowest chance (OR: 0.2. 95% CI [0.1–0.3]) of being sero-positive. A region, age, and breed proved to have a statistically significant association with sero-positivity (p < 0.05) in cattle. Swine from Bishoftu were less likely to test positive than swine from Addis Ababa (OR: 0.04, 95% CI [0.01–0.3]). From 96 herds, 72 pooled outbreak samples were analyzed by polymerase chain reaction (PCR), virus isolation, serotyping (antigen enzyme linked immunosorbant assay (ELISA)), sequencing, and phylogenetic tree analysis. Six serotype A (G-IV) FMD viruses and three serotype O east African (EA-3 and EA-4) FMDVs were identified. Thus, this study established the lack of disease outbreak reporting, poor husbandry problems, and the prevalence of FMD in three domestic species (cattle, small ruminant, and swine). In addition, continuous circulation of serotype A and O in the study area was confirmed.

Burundi is a small, densely populated country in the African Great Lakes region. In March 2016, several hundreds of cattle were reported with vesicular lesions, suggesting foot-and-mouth disease (FMD). Epithelial samples, saliva, and blood were collected in six of the affected provinces spread over the country. The overall seroprevalence of FMD virus (FMDV) in the affected herds, as determined by antibodies against FMDV non-structural proteins, was estimated at 87%. Antibodies against FMDV serotypes O (52%), A (44%), C (19%), SAT1 (36%), SAT2 (58%), and SAT3 (23%) were detected across the provinces. FMDV genome was detected in samples from five of the six provinces using rRT-PCR. FMDV was isolated from samples from three provinces: in Cibitoke province, serotypes A and SAT2 were isolated, while in Mwaro and Rutana provinces, only serotype SAT2 was isolated. In Bururi and Cankuzo provinces, the serological profile suggested a recent incursion with serotype SAT2, while in Bubanza province, the serological profile suggested past incursions with serotype O and possibly serotype SAT1. The phylogenetic assessments showed the presence of topotypes A/Africa/G-I and SAT2/IV, similarly to previously characterized virus strains from other countries in the region, suggesting a transboundary origin and necessitating a regional approach for vaccination and control of FMD.