Ukamaka Eze

Dr. Ukamaka Eze

University of Nigeria Nsukka
orcid

Research Focus & Metrics

Academic Career Length

12Years (2015-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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28 February 2020 in PLOS Neglected Tropical Diseases
Verified
Journal Article
Open access
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Ukamaka EzeUkamaka Eze
Ukamaka Eze
ACAndre Coetzer
Andre Coetzer
TSTerence Scott
Terence Scott
BABoniface M. Anene
Boniface M. Anene
RERomanus C. Ezeokonkwo
Romanus C. Ezeokonkwo
Claude SabetaClaude Sabeta
Claude Sabeta
Rabies lyssavirus (RABV) is the aetiologic agent of rabies, a disease that is severely underreported in Nigeria as well as elsewhere in Africa and Asia. Despite the role that rabies diagnosis plays towards elucidating the true burden of the disease, Nigeria–a country of 180 million inhabitants–has a limited number of diagnostic facilities. In this study, we sought to investigate two of the World Organization for Animal Health (OIE)-recommended diagnostic assays for rabies–viz; the direct fluorescent antibody test (DFA) and the direct rapid immunohistochemical test (dRIT) in terms of their relative suitability in resource-limited settings. Our primary considerations were (1) the financial feasibility for implementation and (2) the diagnostic efficacy. As a case study, we used suspect rabies samples from dog meat markets in Nigeria. By developing a simple simulation framework, we suggested that the assay with the lowest cost to implement and routinely use was the dRIT assay. The costs associated with the dRIT were lower in all simulated scenarios, irrespective of the number of samples tested per year. In addition to the cost analysis, the diagnostic efficacies of the two assays were evaluated. To do this, a cohort of DFA-positive and -negative samples collected from dog meat markets in Nigeria were initially diagnosed using the DFA in Nigeria and subsequently sent to South Africa for diagnostic confirmation. In South Africa, all the specimens were re-tested with the DFA, the dRIT and a quantitative real-time polymerase chain reaction (qRT-PCR). In our investigation, discrepancies were observed between the three diagnostic assays; with the incongruent results being resolved by means of confirmatory testing using the heminested reverse transcription polymerase reaction and sequencing to confirm that they were not contamination. The data obtained from this study suggested that the dRIT was not only an effective diagnostic assay that could be used to routinely diagnose rabies, but that the assay was also the most cost-effective option among all of the OIE recommended methods. In addition, the results of our investigation confirmed that some of the dogs slaughtered in dog markets were rabies-positive and that the markets posed a potential public health threat. Lastly, our data showed that the DFA, although regarded as the gold standard test for rabies, has some limitations—particularly at low antigen levels. Based on the results reported here and the current challenges faced in Nigeria, we believe that the dRIT assay would be the most suitable laboratory test for decentralized or confirmatory rabies diagnosis in Nigeria, given its relative speed, accuracy, cost and ease of use. The under-reporting of rabies in Nigeria may partly be attributed to a lack of adequate diagnostic facilities, which in turn leads to its neglect. The role that dog meat markets play in the epidemiology of rabies in Nigeria remains poorly defined as the activities in these markets are neither properly regulated nor reported to appropriate veterinary and public health authorities. Several diagnostic assays have recently been recommended for rabies diagnosis by the OIE. However, challenges faced in resource-limited countries like Nigeria make the use of some of the recommended assays challenging or impractical. During this study, we evaluated the most feasible OIE-recommended diagnostic assay (based on both diagnostic efficacy and cost) for decentralized laboratory diagnosis of rabies in Nigeria using dog meat markets as a case study. Our findings suggest that the dRIT is best suited for implementation in Nigeria. In addition, our results highlight the importance of confirmatory testing at a central veterinary laboratory, ensuring accurate diagnosis to facilitate improved surveillance for the progression of Nigeria towards eliminating dog rabies.

1 February 2021 in Comparative Immunology, Microbiology and Infectious Diseases
Verified
Journal Article
Closed access
KIKenneth Ikejiofor
Kenneth Ikejiofor
ICIjeoma CHUKWUDI
Ijeoma CHUKWUDI
FMFrancesco Mira
Francesco Mira
Ukamaka EzeUkamaka Eze
Ukamaka Eze
SBSantina Di Bella
Santina Di Bella
BABoniface Maduka Anene
Boniface Maduka Anene

1 July 2015 in Experimental Parasitology
Verified
Journal Article
Closed access
JEJ.I. Eze
J.I. Eze
LAL.C. Ayogu
L.C. Ayogu
FAF.O. Abonyi
F.O. Abonyi
Ukamaka EzeUkamaka Eze
Ukamaka Eze

23 January 2020 in Viruses
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Journal Article
Open access
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Ukamaka EzeUkamaka Eze
Ukamaka Eze
CNChuene Ernest Ngoepe
Chuene Ernest Ngoepe
BABoniface M Anene
Boniface M Anene
RERomanus C Ezeokonkwo
Romanus C Ezeokonkwo
CNChika Ignatius Nwosuh
Chika Ignatius Nwosuh
Claude SabetaClaude Sabeta
Claude Sabeta
Despite being the first country to register confirmed cases of Mokola and Lagos bat lyssaviruses (two very distant lyssaviruses), knowledge gaps, particularly on the molecular epidemiology of lyssaviruses, still exist in Nigeria. A total of 278 specimens were collected from dogs in southeastern Nigeria between October 2015 and July 2016, and 23 (8.3%) of these tested positive for lyssaviruses with the direct fluorescent antibody test (DFA). The lyssaviruses were genetically characterized by amplifying the highly conserved nucleoprotein (N) gene of the rabies lyssaviruses (RABVs) of the viral genome. Phylogenetic analyses of the nucleotide sequences showed that all the RABV sequences in this study were of the Africa-2 lineage. Our results demonstrated that transboundary transmission of rabies lyssavirus is a key event, given that one of the RABV sequences (MN196576) clustered with rabies variants from neighboring Niger Republic. Furthermore, three RABVs from dogs from Anambra State clustered separately forming a novel and distinct group. Our results demonstrated that transboundary transmission of RABLVs is a key driver in the spread of rabies in West Africa. In order for the successful control of this zoonotic disease, a multinational stepwise surveillance and elimination of rabies in Africa by 2030 is probably the solution for regional elimination.

31 May 2019 in Veterinary World
Verified
Journal Article
Open access
Ukamaka EzeUkamaka Eze
Ukamaka Eze
IEIkenna O. Ezeh
Ikenna O. Ezeh
TNTerry A. Nzeakor
Terry A. Nzeakor
SASamuel C. Attama
Samuel C. Attama
EEEkene Ezenduka
Ekene Ezenduka
DODenchris N. Onah
Denchris N. Onah
Aims: Cryptosporidiosis is an important zoonotic disease of major public and veterinary concern. The disease affects humans and a variety of animal species including the domestic dog. This study aimed to determine the prevalence and risk factors associated with Cryptosporidium spp. infection in local breed of dogs from different homes and those presented at veterinary hospitals and clinics in Enugu State, Nigeria. Materials and Methods: A total of 203 fresh fecal samples were collected from domestic dogs in six local government areas in Enugu State from February 2015 to August 2015. All the samples were examined using the formol-ether sedimentation method. Fecal smears were then stained by the modified Ziehl-Neelsen technique and examined under direct light microscopy. Results: A total of 74 (36.5%) dogs were infected with Cryptosporidium spp. oocysts. There was a strong association (p0.05) between the presence of Cryptosporidium spp. oocysts and age, sex, and fecal consistency. Conclusion: The findings of this work suggest that domestic dogs in Enugu State harbor and shed Cryptosporidium spp. oocysts in the environment, especially those managed semi-intensively. Such fecal shedding is particularly so and of greater zoonotic and epidemiological importance in animals that do not show clinical signs and therefore not treated. They, therefore, pose a greater public health risk, especially to immune-compromised humans and animals. Public education on the zoonotic implication of this protozoan infection is of paramount importance in Enugu State, in particular, and Nigeria, in general, considering the closeness of dogs and man.

4 April 2017 in Tropical Journal of Pharmaceutical Research
Verified
Journal Article
Open access
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IEIfeanyi G Eke
Ifeanyi G Eke
IEIkenna O Eze
Ikenna O Eze
TETerry A Ezeudu
Terry A Ezeudu
Ukamaka EzeUkamaka Eze
Ukamaka Eze
AAAruh O Anaga
Aruh O Anaga
POPatrick A Onyeyili
Patrick A Onyeyili
Anti-trypanosomal activity of secnidazole in vitro and in vivo