What is bovine TB?
Bovine TB is a disease caused by a specific type (species) of bacteria called M. bovis. Bovine TB usually affects animals such as cattle, but it can affect practically all mammals causing a general state of illness, coughing and eventual death. It can be transmitted from animals to humans as well as to other animals. M. bovis is a different type of bacteria to the bacteria M. tuberculosis, that is the type that usually causes disease in humans. 1 The name Tuberculosis comes from the nodules, called ‘tubercles’ which form in the lymph nodes of affected animals.
All the information on this website apart from this page, is about Tuberculosis (TB) in humans caused by M. tuberculosis. To learn more about TB in humans caused by M. tuberculosis, you might like to start by reading the Introduction to TB page.
How is bovine TB transmitted and spread?
Differing views are held about the safety of raw milk
The disease is contagious and it is spread by contact between infected domestic animals such as cattle, and wild animals and humans. The usual route of infection is by animals and humans inhaling infected droplets which are expelled from the lungs by coughing. Infection can also occur from direct contact with a wound. For example, a wound that might happen during slaughter or hunting. It is also believed by most people that calves and humans can also become infected by ingesting raw (unpasteurized) milk and other dairy products from infected cows.
Because the course of the disease is slow, an animal can spread the disease to many other herd mates before it begins to show clinical signs of disease. So movement of infected but undiagnosed domestic animals and contact with infected wild animals are the major ways of spreading the disease.
What are the symptoms of bovine TB in humans?
Some people say that the symptoms of bovine TB are different to the normal symptoms of TB in humans. It is said that young children infected with M. bovis typically have abdominal infections and older patients have swollen and sometimes ulcerated lymph glands in the neck.2 Other sources say that the symptoms of M. bovis in people are similar to the symptoms of TB caused by M. tuberculosis.3
How is bovine TB diagnosed?
The standard method for the detection of bovine TB in animals is the TB skin test. This is the same test that is used to diagnose TB caused by either M. bovis or M. tuberculosis in humans. A definitive diagnosis is made through the use of the culture test a test which can take at least six weeks.
How is it treated?
Bovine TB is not treated in animals as the treatment for TB, which is the same as the treatment for TB in humans, takes too long and is uneconomic. Bovine TB in humans can be treated and cured. However, one complication is that M. bovis is always resistant to the TB drug pyrazinamide, although other first line TB drugs can still be used.4
How much human disease is caused by M. bovis?
In most developed countries the number of cases of TB in humans that is caused by M. bovis is very small. One of the major difficulties in knowing how much human disease is caused by M. bovis is that some of the most commonly used laboratory processes can’t distinguish between disease caused by M. bovis and disease caused by M. tuberculosis.
The World Health Organisation (WHO) does have some estimates of TB disease in humans caused by M. bovis 5 A zoonotic disease is a disease of animals which can also affect humans. So the figures below cover all TB disease in humans that is estimated to have started in diseased animals whose disease is caused by the bacteria M. bovis. The WHO program to End TB calls for the diagnosis and treatment of every TB case in humans, including cases of TB in humans caused by M. bovis.