Abstract:
Tuberculosis is caused by bacteria of the Mycobacterium
tuberculosis complex (MTBC) and affects both human
and animal populations. Animal-adapted MTBC
threatens the wellbeing of humans, animals, and their
livelihoods. The 2019 WHO annual tuberculosis report1
estimated that there were 143 000 new human cases
of zoonotic tuberculosis with 12 300 deaths caused
by Mycobacterium bovis globally in 2018. Prevalence
estimates of zoonotic tuberculosis are inaccurate,
however, because routine laboratory tests cannot
differentiate between infections caused by the humanadapted
and animal-adapted species of MTBC, including
newer members such as Mycobacterium orygis.2 Thus,
the true effect of zoonotic tuberculosis on the human
tuberculosis epidemic remains unclear. Accurate disease
differentiation is also important given that M bovis isuniversally resistant to pyrazinamide, a key first-line
tuberculosis drug.