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MANGE:
A DISEASE OF GROWING THREAT FOR THE PRODUCTION OF SMALL RUMINANTS IN THE AMHARA
NATIONAL REGIONAL STATE
Amsalu Demissie1,Bewket Siraw2, Kassa Teferi2,
Tefera Tsertse2, Gezahegn Mammo3, Dagne Mekonnen4, Shihun Shimelis4
1Livestock Marketing Authority, P. O.
Box 24492 Code 1000, Addis Ababa, Ethiopia
2Bureau of Agriculture, P. O. Box 437, Bahar Dar, Ethiopia
3Addis Ababa University, Faculty of Veterinary Medicine, P.O. Box 34, Debrezeit, Ethiopia
4Amahra National Regional State, Department of Agriculture for North
Shoa Administrative Zone, P. O. Box12, Debre Berhan, Ethiopia
Abstract
From April to June 1999 a preliminary survey was
conducted in 33 Woredas and 144 peasant associations of the Amhara National
Regional State to determine the extent of mange problems in sheep and goats
so as to propose a disease control option. In about 48.5% of the regional woredas,
awareness of the small ruminant mange problem was found in more than 51%
of the small ruminant holder rural population or by about 48.8% of the respondents,
of which about 92% were found to know the real mode of the disease transmission.
Though different mange mite species belonging to different genera prevail in
the region, the present findings showed that 87% of sheep and goat mange cases
are associated with Sarcoptes scabies. The disease has been observed
to have seasonal occurrence, with the peak incidence being after the main rainy
season of the region (September to January). It was also determined that although
the disease has been known in the rural areas for a long period of time, its
unusual severity and rapid spread was a phenomenon of the past 7 to 10 years.
In spite of the huge economic losses that mange is causing, about 25% of affected
peasants use neither modern nor traditional veterinary therapeutic practices
for the treatment of diseased animals. Apart from the losses incurred through
lowered performance and skin quality deterioration of affected animals, mange
of sheep and goats is estimated to have killed about 60% of the diseased small
ruminant stock (69.3% of sheep and 57.3% of goats) in one years time. Moreover,
it was also found that the disease affects humans in 18.5% of the cases and
other species of animals in 37.6% of the cases. Among small ruminants, goats
were found to be more susceptible to the disease than sheep (59.6 and 11.8%
of cases, respectively). However, once they are infested, sheep are known to
suffer more seriously than goats. At present, mange of sheep and goats is found
to spread in the low and medium altitude areas of about 60% of the Woredas
of the region; the extent of the problem has increased continuously during
the past few years.
Introduction
The majority of farming
communities in the Amhara National Regional State raise small ruminants and
there are approximately 5.7 million sheep and 4 million goats in the region
(BOA, 1999). Sheep and goats are kept for meat and milk production, as sources
of cash income and for other socio-economic and cultural reasons. Skins and
manure are valuable byproducts of sheep and goat production. In addition to
their ability to thrive and reproduce in harsh environmental conditions, sheep
and goats are considered as an insurance or investment against crop failure
(Devendra, 1978).
In some drought prone areas
of the Amhara National Regional State, such as the Yeku watershed
area of the Waghimera Administrative Zone, small ruminants, particularly
goats, are known to be the dominant livestock species. They comprise over half
of the livestock population, which may reflect the high dependency of farmers
on the income generated from sale of these animals (Mekonnen et al., 1999).
Although small ruminants are known to adapt to harsh environments, the cumulative
effects of overcrowding, poor nutrition and diseases can result in serious production
losses (Tilahun, et al. 1995). Among the diseases of small ruminants, mange,
a parasitic skin disease that affects all species of animals (Blood et al.,
1983), has become an important disease problem causing the loss of up to 93%
of small ruminants in severely affected areas of the region (Mekonnen et al.,
1999). For this reason, mange disease and lack of small ruminant stock have
been identified as the top ranking problems of these areas demanding immediate
interventions (Mekonnen et al., 1999).
The incidence of mange
has increased during the past 10 years to a level preventing many farmers from
keeping sheep and goats, particularly in those areas of the region bordering
Afar, Tigray and the Sudan. Mange not only causes direct economic loss to the
farmer through animal mortality and poor growth and reproduction, the skin of
mange-infested animals often must be down graded or rejected at the tannery.
This leads to economic losses to the tannery industry and ultimately the country
through reduced foreign earnings.
The increasing severity
and periodic rapid spread of the disease in the region demanded that the Regional
Agricultural Bureau conduct a survey to characterize the true status of the
disease problem and institute possible control measures. To accomplish this
task, the Bureau of Agriculture organized two teams of veterinarians to undertake
the disease investigation survey.
The objectives of this survey were to:
ˇ Determine the distribution and status of
the disease in the region.
ˇ Know the level of awareness of sheep and
goat owners about the disease and its control.
ˇ Identify main species of mites that are causing
mange in the region.
ˇ Recommend possible control measures.
Materials and Methods
Study Areas, Participants and Duration
The study
was conducted from April to June 1999 in 33 Woredas of the region. The
Woredas were selected on the basis of purposive sampling from ten zones
of the region based on the their accessibility, different agro-ecological representation
and their distribution. Within each region, an average of four Peasant Associations
(PA) were selected. The PA were selected based on: representativeness of the
Woreda agro-climate and relative ease of accessibility. Individual sheep
and goat owners in each PA were selected because of their comparative better
knowledge of diseases affecting their animals than the rest of the community
members.
Methodology
The study was carried out by prepared questionnaires
and parasitological examinations of samples taken from clinical cases encountered
during field visits.
Questionnaire Survey: Questionnaires were administered to:
1. Sheep and goat owners: Five sheep and goat owners from each PA
were interviewed. This resulted in a total of 729 farmer interviews from 144
PAs. Those respondents who reported the existence of skin diseases in their
locality were asked to list the diseases by their vernacular names and clinical
signs associated with them. The vernacular (local) names were given their scientific
equivalent names based on:
-
Clinical signs mentioned
by the owners that were indicative of mange, such as: a disease showing crusts
and scales; intense itching which caused scratching and biting; loss of hair;
thickening, wrinkling and cracking of the skin; and nodular lesions with pus.
-
Personal observation
of clinical cases.
-
Asking animal health
personnel working in the area the local names of the diseases listed.
2. Animal health personnel: Animal health personnel in the study
woredas were asked about the presence of mange and the number of sheep
and goats treated for mange from April 1998 to March 1999.
3. Tanneries: Mersa, Dessie
Haik and Combolcha tanneries were visited and information
on major causes of skin rejection and the associated economic losses were gathered.
- Parasitological Examination: Skin scrapings from 7 sheep and
54 goats that exhibited clinical signs of mange were collected from the margin
of skin lesions and put into universal bottles. The collected samples were
examined for the presence of mites under a microscope using 40X and 100X magnifications
after treatment with kerosene or 10% KOH. Any sample not showing the intact
parasite or whole egg was considered to be negative. Identification of parasite
species was performed according to the method described by Masharet and Russel
(1978).
The present
study has shown that mange is a widely distributed disease throughout the surveyed
areas of the region except for the East and West Gojjam Administrative Zones
as indicated below. Out of 729 respondents, 356 (48.8%) were found to recognize
mange in their animals.
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Table
1: Categorization of Woredas based on the % of the respondents
recognizing mange in their areas.
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Zone
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No. of surveyed Woredas
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No. of Woredas categorized by % of respondents
for knowing mange
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<10%
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11-30%
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31-50%
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>51%
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| |
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S.
Wollo
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5
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1
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0
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1
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3
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N.
Shoa
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4
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1
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1
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0
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2
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E.
Gojjam
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4
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3
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1
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0
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0
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Awi
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2
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0
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1
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1
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Oromyia
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1
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0
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0
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0
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1
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S.
Gondar
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3
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0
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1
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1
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1
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W.
Gojjam
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3
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3
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0
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0
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0
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Waghimera
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2
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0
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0
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0
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2
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N.
Gondar
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5
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0
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0
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1
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3
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N.
Wollo
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4
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0
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1
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0
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4
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Total
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33
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8
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5
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4
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16
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Although the survey result
has indicated that mange has become a well-known important disease by more than
half of the respondents in many of the regions rural areas by Woreda,
this knowledge is not found uniformly throughout the region. It was also found
that only 22 of the 33 surveyed Woredas (66.7%) had reported mange of
small ruminants to be a disease of importance. This shows that mange infestation
has localized itself in some parts of the region and not in others. The proper
identification of the affected areas will have a practical importance in instituting
a control program.
In some areas it was noted
that although farmers considered mange a serious problem, its importance was
underestimated by field veterinary personnel. This shows that there is still
a need to create awareness of the extent of the problem even for the regional
professional and subprofessional staff.
Of the mange mites affecting
sheep and goats, Sarcoptes is known to be the most prevalent species
in Ethiopia (Sherman, 1998). The finding of the present study (Fig. 1) that
about 87% (27 out of 31) of the positive identified samples were caused by Sarcoptes
species has proven this fact.

Mange mites are transmitted
through contact with affected animals and(or) contaminated materials (Blood
et al., 1983). The understanding of this mode of disease transmission by the
majority (91.9%) of the rural population (respondents) (Table 2) will have a
positive impact in the implementation of future control programs.
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Table 2: Categorization of
respondents on their knowledge of the mode of transmission of mange in
small ruminants
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Mode
of transmission
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Respondents
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% of respondents
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Contact
with sick animals and contaminated environment
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329
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91.9
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Through
breathing
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3
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0.81
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Biting
flies (from camels and dogs)
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4
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1.1
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No
information
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22
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6.2
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Total
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358
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100
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Sarcoptic mange
is said to have seasonal occurrence, being active mainly during cold and wet
weather (Blood, et al., 1983). Out of the 356 respondents, 256 (71.6%) recognized
the occurrence of seasonal variation in mange infestation of small ruminants.
However, in variance with the above observation, the majority of respondents
(53%) considered that the rate of prevalence increases after the main rainy
season (Fig. 2).
This is also supported
by the result of data analysis from clinical case records of different Woreda
veterinary clinics during the year from April 1998 to March 1999, which
has shown that more mange cases were recorded (treated) after the rainy seasons
(Fig. 3) than during the rainy seasons of the year in the region. In agreement
with these findings, Banner (1996) also reported the occurrence of Psoroptic
mange during the three months following the rainy season.
In cases of Sarcoptic
mange, host specificity is not complete and transference from one host species
to another can occur, resulting in some cases of temporary infections that may
last for several months (Arlian, 1989a, cited by Bornstein, 1995). The finding
of the survey (Fig. 4), which showed the presence of human and animal cross-infections
suggests the need to consider this fact in designing disease control programs
(Blood, et al., 1983).


Sarcoptes mange of sheep and goats is known to have become
a major problem in the region in the past 7 to10 years starting mainly in the
eastern and north eastern parts of the region and increasing its geographical
coverage and extent of damage as time goes on (Fig. 5). This shows the importance
of instituting a swift and efficient intervention in arresting the problem before
its complete devastation of the small ruminant stock.
The fact that about a quarter
of rural peasants having mange-infected animals do not use either traditional
nor modern therapeutic services (Fig. 6), coupled with the uncontrolled regional
& interregional livestock movement, could have played a major role for the rapid spread
of the disease and resultant damages inflicted by it.
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Besides a lack of awareness
concerning the possible use of modern therapeutic drugs for treating mange,
the poor economic background of the rural population together with the relative
difficult accessibility of some veterinary clinics, have likely contributed
to the increased percentage of farmers not using modern veterinary services.
In this regard, it is crucial to carefully consider the actual field problems
and then design an appropriate strategy that ensures equal access to modern
drugs and veterinary services for all of the affected population.
In this study it was shown
that 63.5% of the respondents were unable to trace the possible source of mange
disease introduced into their localities (Table 3). This may indicate that
the disease might have established itself for a long period of time in some
areas, as a long period of latency and sudden increase in vigor and pathogenecity
has been observed in some Psoroptic mite strains (Roberts et al., 1971). This
latent period may also play a role in the current Sarcoptic mange problem
and would accounts for the inability of the majority of the respondents to trace
back the origin of infection.
Table 3: Categorization of respondents based on the
assumptions they had on the possible sources of mange disease to be introduced
in to their community.
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Source of disease
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No. of respondents
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% of respondents
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Marketing
places
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48
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13.48
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Feeding
and watering sites and animals wandering for mating
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74
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20.75
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Not
aware of
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226
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63.48
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Other
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8
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2.23
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Total
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356
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100
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Sarcoptes associated
mange cases of sheep and goats are often fatal (Sherman, 1998). In one watershed
development study conducted in the Waghimera Administrative Zone of the region,
it was found that mange has caused a loss of about 93% of the small ruminant
population (Mekonnen et al., 1999). Considering the availability of sufficient
and effective veterinary drugs in the regions veterinary clinics, and the fact
that about 55.9% of the peasant population is aware of the possible use of modern
and as additional 14% has knowledge of traditional medicines (Fig. 6), the finding
of the loss of 59.7% of the disease affected population (69.3% sheep and 57.3%
goats) in a years time (Fig.7) illustrates the very high extent of the problem.
Moreover, the above fatality rates indicate only the percentage of the affected
small ruminants that died in a 1-year period of time and did not include those
that may have possibly died afterwards. This shows that the actual death rates
may be higher than the figures indicated above. In this regard, the present
finding is in agreement with the above cited statements.
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It is important to note, however, that a
great majority of the peasant population considered to be aware of the advantages
of using modern veterinary services in treating affected stock, is also believed
in most cases to be reluctant to adhere to the professional advice given to him
to cover the full course of treatment required to bring complete recovery to his
animals. This may necessitate the delivery of an appropriate animal health extension
service to upgrade the level of understanding of the rural peasant population.
Moreover, it is also very likely that treated animals will become reinfested by
the disease, as there is every opportunity of contact with other sick animals
and a contaminated environment. This stresses the importance of launching a mass
treatment campaign to minimize the problem to the lowest possible level.
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In comparing with relative
susceptibility of sheep and goats to Sarcoptic mange, the general understanding
among the rural population is that sheep are less commonly affected than goats
(Fig. 8). However, sheep may be more seriously affected than goats once they
contract the disease (69.3 and 57.3% case fatality rates within one year for
sheep and goats, respectively) (Fig.7).
Besides the huge losses
that mange is causing due to mortality and poor productive and reproductive
performances, mange is also one of the main causes of skin rejection and down
grading in the tannery industry (Tanneries Report, 1999). Of the skins rejected
annually in Ethiopia, 35% of sheep and 56% of goat skin rejection is due to
damage caused by external parasites (Bayou, 1998), of which mange infestation
accounts for 33% of sheep and 21% of goat skins rejected (Zeleke, 1998). Although
most skins (mainly goat) are disposed of or utilized by farmers; some do reach
local markets where, based upon visual inspection, they are likely rejected
by the hide and skin traders before ever reaching a tannery.
People may occasionally
become infected with Sarcoptes scabiei of animal origin (Arlian, 1989a,
as cited by Bornstein, 1995), which is in agreement with the survey result showing
about 18.5% of the respondents were aware of the zoonotic importance
of the disease (Fig. 4). This shows that mange of small ruminants in the region,
in addition to huge economic losses caused by death, production loss, skin rejection
and down grading, is also a problem of public health significance that needs
multi-sectoral awareness and urgent coordinated intervention.
Based
on the information available from the field veterinary personnel and the rural
peasant population, together with the personal observations made by the members
of the survey team, it was possible to classify the region into three different
categories indicating the status of mange infestation (Fig.9). From this categorization,
it is evident that only 39.2% of the region by Woreda is considered to
be apparently free from the disease and the rest is either severely or moderately
affected. This shows how quickly mange is spreading across the region. It should
be noted, however, that even in those severely and(or) moderately affected areas,
mange is found only in the low and medium altitudes, which might slightly raise
the relative proportion of the apparently free areas of the region from the
above cited figure.

Conclusions
Mange of sheep and
goats is currently a disease of considerable importance covering the largest
part of the region and is quickly spreading. Considering the fact that the
relative economic importance of small ruminants in sustaining life and ensuring
food security for the rural community is so significant, the economic losses
now being caused by the disease as a result of death and reduced productive
and reproductive performances of the affected animals is of very serious concern.
Moreover, the impact of the disease in causing skin damage is severely limiting
the performance of the tanning industry, which in turn affects the countrys
foreign exchange earnings.
In spite of the heavy
economic losses that the disease is now inflicting and its rapid spread, the
presence of a considerable proportion of the rural population that do not use
veterinary services provided by the government veterinary clinics is a paradox
that requires careful consideration. Apart from the Amhara region, mange is
very likely posing severe problems in the neighboring regional states as much
of the affected areas border other regions and uncontrolled livestock movement
across regional borders is a common phenomenon. It is therefore recommended
that sufficient emphasis be given to conduct an immediate regional control intervention
of the disease that should give considerations to:
ˇ The coverage of all the affected areas and
population of small ruminants.
ˇ The consideration of other species of animals
affected with the disease that may act as possible sources of reinfestation.
ˇ Designing a disease control strategy that
will ensure the full participation of the rural affected population.
ˇ The
poor economic background of most of the rural peasant population that may prevent
them for getting small ruminant stock treated in accordance with professional
recommendations.
ˇ The comparative disadvantage that may result
as a result of getting a certain segment of the affected small ruminants population
not being covered while launching any control program.
ˇ The need of implementing stringent measures
to halt uncontrolled livestock movement, which otherwise may enhance a continuous
spread of the disease into other areas.
ˇ The
need to involve both federal and other regional state agencies in launching
similar control interventions, which may assist in the prevention of reintroduction
of the disease into the region.
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Citation:
Demissie, A., B. Siraw, K. Teferi,
T. Tsertse, G. Mammo, D. Mekonnen and S. Shimelis. 2000. Mange: A disease of
growing threat for the production of small ruminants in the Amhara National
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