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Anthrax is one of the most significant zoonotic diseases in Albania due to its endemic presence in livestock, the potential for occupational exposure, and human cases. Although the implementation of risk-based livestock immunization, animal movement restrictions, and appropriate carcass disposal, the efficacy of targeted management remains limited in certain outbreaks due to insufficient enforcement of these measures. Their efficacy is specifically diminished by insufficient disinfection, the absence of grazing bans in contaminated pastures, and the absence of designated burial sites for the safe disposal of dead animals. District-level data on animal anthrax control programs were collected and analyzed for the period 2021–2025. In addition, a retrospective analysis of national datasets covering the same period was conducted using data from the national surveillance system, alongside a review of the relevant scientific and grey literature and aggregated program and routine surveillance data. Analysis showed that anthrax affected 149 animals in 97 farms, and the average number of animals per infected farm declined from 1.70 to 1.08, indicating a slight reduction within-farm outbreak. Hotspots for human anthrax were aligned with the animal cases and persisted particularly in the southern districts. The peak of outbreaks was in 2023, primarily driven by cattle (n = 32) and sheep (n = 24). Equine cases appeared only in 2024, with small clusters of 3 cases in both 2024 and 2025. Caprine cases remained consistently low throughout the period. Nevertheless, the number of outbreaks and within-herd cases are decreasing due to more rapid identification and response. Targeted surveillance on animal outbreaks provides critical insights into disease spread and links among affected farms in Albania. Therefore, One Health genomic surveillance and antibiotic susceptibility testing of Bacillus anthracis isolates are essential for understanding its epidemiology, transmission routes, and for tracing the sources of infection across humans, animals, and the environment.

Brucellosis is a ubiquitous zoonotic disease globally. It is endemic among bovines, sheep, and goats in Albania. The national control and eradication programs for brucellosis has been applied on sheep and goat farms as well as large dairy cattle farms, i.e., those with more than ten milking cows. The current study aims at estimating the herd and average individual animal prevalence of brucellosis in the national beef cattle herds, the missing information that was essential to propose the most appropriate control measures for this sub-population. Rose Bengal Test (RBT), Fluorescence Polarization Assay (FPA), and Enzyme-Linked Immunosorbent Assay (ELISA) were used as serological tests and classical bacteriology for isolation. Results were also used to investigate the difference in sensitivity between the assays used. In total, 655 animals from 38 beef cattle herds from six southern districts of Albania were sampled. Sera were tested using RBT, FPA, and ELISA. Fifteen positive cows and a bull from eight high-prevalence positive herds were slaughtered, and particular tissue samples were collected for bacteriology. The overall herd seroprevalence in the tested beef cattle population was 55%, while the overall average within-herd prevalence (including only positive herds) was 38.3%, 42.7%, and 45.6% determined by the RBT, ELISA, and FPA, respectively. FPA was used for the first time in the diagnosis of bovine brucellosis in Albania, and its sensitivity was higher than RBT and ELISA. Three B. abortus strains were identified, two from the supra-mammary lymph node of two cows and one from the epididymis of a seropositive bull. Brucellosis was highly prevalent in beef cattle in the southern part of Albania, and B. abortus was isolated from this subpopulation. To the best of our knowledge, this is the first statistically based survey of bovine brucellosis in beef herds in Albania. Using the FPA in parallel with other serological tests improved overall diagnostic sensitivity. Test and slaughter policy is not a rational approach for the control of brucellosis in beef cattle in Albania, and vaccination is only applicable, including strict control of the movement of animals.

Trace elements, which may have harmful health effects, are present in the environment at varying concentrations. In Albania, data on exposure risks are limited. This study aimed to assess and compare the concentrations of various trace elements (aluminum, arsenic, boron, calcium, cadmium, chromium, copper, iron, potassium, magnesium, manganese, nickel, lead, and zinc) in the hair of cattle and sheep raised in Central Albania (Tirana and Elbasan Counties). Hair samples were collected from 25 cattle and 25 sheep per county and analyzed using inductively coupled plasma–optical emission spectroscopy. Zinc concentrations were significantly higher in cattle than in sheep (p = 0.029), while no differences were observed between counties (p > 0.05), indicating similar environmental conditions. Copper (17.84, 95%CI: 13.63–16.34 and 15.84, 95%CI: 14.00–17.69 mg/kg in cattle, and 15.58, 95%CI: 13.61–17.56 and 14.14, 95%CI: 12.07–16.20 mg/kg in sheep, in Elbasan and Tirana County, respectively), arsenic (2.08, 95%CI: 1.45–1.21 and 1.51, 95%CI: 1.19–1.81 mg/kg in cattle, 1.73, 95%CI: 1.38–2.07 and 1.39, 95%CI: 1.02–1.75 mg/kg in sheep, in Elbasan and Tirana County, respectively), and cadmium (2.36, 95%CI: 1.63–2.07 and 2.00, 95%CI: 1.68–2.32 mg/kg in cattle, 2.00, 95%CI: 1.59–2.40 and 1.71, 95%CI: 1.39–2.02 mg/kg in sheep, in Elbasan and Tirana County, respectively) concentrations exceeded the values reported in the literature, likely due to contamination from local mining and metal processing activities. Further research is needed to determine the sources of contamination and assess potential risks to animal and human health.

Agriculture is an important production sector in Albania that makes a significant contribution to the gross domestic product (GDP) and employment. The livestock sector contributes more than half of the agricultural GDP. The Albanian cattle population represents 50% of the total livestock units and accounts for 85% of the national milk production, the rest being supplied by small ruminants. Cattle productivity, health and welfare are hindered by infectious diseases, some of which are also transmissible to humans (zoonosis). The aim of this manuscript is to provide an overview of the control of selected regulated and non-EU regulated cattle diseases in Albania and to highlight specific challenges for the Albanian cattle industry. The most important infectious cattle diseases in Albania for which national control and eradication strategies are in place are bovine brucellosis, bovine tuberculosis, and anthrax, which are all zoonotic. Additionally, lumpy skin disease recently emerged in the Balkan region and is currently subject to controls. Most of the available funds and European Union support are allocated to the control of EU regulated zoonotic diseases. For control of non-EU regulated cattle diseases, no funds are available resulting in the lack of national control programmes (CPs). Based on research, clinical investigations and laboratory results, several non-EU regulated cattle infectious diseases appear endemic in Albanian dairy farms. While no national CPs exist for any of them, regional initiatives are available on a voluntary basis to control infectious bovine rhinotracheitis and bovine viral diarrhea. In the voluntary CPs, there is no monitored requirement to prove disease freedom of purchased animals and to re-evaluate the herd's free status after the introduction of animals into a herd. Data on animal movements that are routinely collected could potentially be used to control the risk of purchase, but quality needs to be further improved to increase its usefulness in disease CPs. This overview aims to collate existing information on the CPs implemented in Albania and to evaluate these to highlight gaps and threats in disease control, as well as opportunities and strengths through a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, with the goal of providing a framework for the future implementation of animal disease control measures in Albania.

Various European Member States have implemented control or eradication programmes for endemic infectious diseases in cattle. The design of these programmes varies between countries and therefore comparison of the outputs of different control programmes is complex. Although output-based methods to estimate the confidence of freedom resulting from these programmes are under development, as yet there is no practical modeling framework applicable to a variety of infectious diseases. Therefore, a data collection tool was developed to evaluate data availability and quality and to collect actual input data required for such a modeling framework. The aim of the current paper is to present the key learnings from the process of the development of this data collection tool. The data collection tool was developed by experts from two international projects: STOC free (Surveillance Tool for Outcome-based Comparison of FREEdom from infection, www.stocfree.eu ) and SOUND control (Standardizing OUtput-based surveillance to control Non-regulated Diseases of cattle in the EU, www.sound-control.eu ). Initially a data collection tool was developed for assessment of freedom of bovine viral diarrhea virus in six Western European countries. This tool was then further generalized to enable inclusion of data for other cattle diseases i.e., infectious bovine rhinotracheitis and Johne's disease. Subsequently, the tool was pilot-tested by a Western and Eastern European country, discussed with animal health experts from 32 different European countries and further developed for use throughout Europe. The developed online data collection tool includes a wide range of variables that could reasonably influence confidence of freedom, including those relating to cattle demographics, risk factors for introduction and characteristics of disease control programmes. Our results highlight the fact that data requirements for different cattle diseases can be generalized and easily included in a data collection tool. However, there are large differences in data availability and comparability across European countries, presenting challenges to the development of a standardized data collection tool and modeling framework. These key learnings are important for development of any generic data collection tool for animal disease control purposes. Further, the results can facilitate development of output-based modeling frameworks that aim to calculate confidence of freedom from disease.

In last decades, the prevalence and importance of Johne's disease is increased, and consequently different programs are designed for its control. Johne's disease is considered the most important disease of cattle industry regarding the economic lost. In addition they are published several data, which implicate the Mycobacterium avium subsp. paratuberculosis as a pathogen bacteria of Chrohn's disease in humans. The chronic pattern of disease, complexity of its path biology, limitations knowledge's on pathogenesis, poor sensitivity and specificity of currently available laboratory diagnostic methods, lack of successful vaccines, make Johne's disease control a significant challenge for veterinary services and scientific community as well. This paper aim to highlight the current achievements on path-biology, diagnosis, biosecurity, in order to translate them in practical action for Johne's disease control.

The aim of this study was to compare the disease seroprevalence in two different dairy cattle and our goal was to identify risk factors and their impact in disease prevalence.[...]the questions were address regarding the mixing with other species, the presence of dogs, irrigation and drainage systems, the presence of swamps, topographical location, age, implementation of the rat control program, vaccination program against leptospirosis.A Chi-square test was conduct to investigate the association between the exposure to most important risk factors and the disease outcome [2].The serological titres have approximately normal distribution in both farms, however there is a significant difference between the two farms, in the R04 farm the number of positive individuals ranged from 2 ± 1.58 (mean ± standard deviations) while for the second farm they ranged 5.7 ± 2.8 animals.[...]we are 95% confident that the odds ratio in the population (from where the sample was obtained) would be between 2.83 and 12.21.Since the odds ratio confidence interval does not include the null value (i.e. 1), and the p-value (<0.001) is less than 0.05, the conventionally used criterion to evaluate p-values, the association between exposure and outcome is statistically significant at 5% level of significance [1, 2].

Chlamydophila abortus is a zoonotic pathogen, which can cause abortion in cattle worldwide. However, the knowledge of the epidemiology and prevalence of zoonotic diseases, like Chlamydophila abortus in Albania is limited. Therefore, a total of 185 blood samples were collected from cattle from different regions of Albania between January of 2010 and November of 2011. A commercial enzyme-linked immunosorbent assay was used for the detection of antibodies against Cp. abortus. The results showed 45.3% (43/95), 36% (27/75) and 33.3% (5/15) seropositivity among apparently healthy animals from big dairy herds, from backyard flocks and from aborted individuals, respectively. The average seropositivity (40.5%) of Cp. abortus in Albania was relatively high, compared to other European countries, which is probably related with the bad hygienic conditions in Albanian farms. The increased frequency of contact among the animals is assumed to be the cause of the elevated number of infected animals in big dairy herds compared to small farms. This knowledge of the prevalence of Cp. abortus infection is crucial for policy makers in the process of evidence-based decision making.

Background Bovine tuberculosis (bTB) is an important bacterial infectious disease in Albania of concern to animal and human health; its prevalence is poorly documented. Methods In this longitudinal study, we tested by ELISA 2661 serum samples, from 154 herds, with the aim of establishing the suitability of this approach to screen the bovine population for bTB. In a follow-on survey of 87 animals in three villages, we assessed the usefulness of the Mycobacterium bovis IDEXX ELISA (IDEXX M. bovis Antibody (Ab) Test. IDEXX Europe B.V P.O. Box 1334, 2130 EK Hoofddorp, The Netherlands) assay by comparing IDEXX results with the results of the single intradermal cervical skin test. Skin tests were performed either after or at the time of collection of blood samples, and therefore cattle were not sensitized by tuberculin before serological testing. Results The proportion of herds in which serologically positive cattle were found was 18.2 % (95 % CI, 1.9–25.8 %) and the prevalence of seropositive cattle was 1.4 % (95 % CI, 0.8–2.1 %). In the follow-up study, two of the 87 animals reacted positively to the skin test and two produced inconclusive reactions. No overlap was found between the four animals with positive IDEXX ELISA results and the four animals with non-negative skin test results. Conclusion The lack of agreement between the results of the two tests may reflect different elements of the immune response (humoral and cell-mediated immunity). In future, cattle should be sensitized by the intradermal injection of tuberculin 14 days prior to the collection of blood samples, which would then be tested by the Mycobacterium bovis IDEXX ELISA Test in order to determine more accurately the prevalence of infection.

The COST action “Standardising output-based surveillance to control non-regulated diseases of cattle in the European Union (SOUND control),” aims to harmonise the results of surveillance and control programmes (CPs) for selected cattle diseases to facilitate safe trade and improve overall control of cattle infectious diseases. In this paper we aimed to provide an overview on the diversity of control for these diseases in Europe. A selected cattle disease was defined as an infectious disease of cattle with no or limited control at EU level, which is not included in the European Union Animal health law Categories A or B under Commission Implementing Regulation (EU) 2020/2002. A CP was defined as surveillance and/or intervention strategies designed to lower the incidence, prevalence, mortality or prove freedom from a specific disease in a region or country. Passive surveillance, and active surveillance of breeding bulls under Council Directive 88/407/EEC were not considered as CPs. A questionnaire was designed to obtain country-specific information about CPs for each disease. Animal health experts from 33 European countries completed the questionnaire. Overall, there are 23 diseases for which a CP exists in one or more of the countries studied. The diseases for which CPs exist in the highest number of countries are enzootic bovine leukosis, bluetongue, infectious bovine rhinotracheitis, bovine viral diarrhoea and anthrax (CPs reported by between 16 and 31 countries). Every participating country has on average, 6 CPs (min–max: 1–13) in place. Most programmes are implemented at a national level (86%) and are applied to both dairy and non-dairy cattle (75%). Approximately one-third of the CPs are voluntary, and the funding structure is divided between government and private resources. Countries that have eradicated diseases like enzootic bovine leukosis, bluetongue, infectious bovine rhinotracheitis and bovine viral diarrhoea have implemented CPs for other diseases to further improve the health status of cattle in their country. The control of the selected cattle diseases is very heterogenous in Europe. Therefore, the standardising of the outputs of these programmes to enable comparison represents a challenge.