LAUSR

Simple Summary Brucellosis is a neglected, bacterial zoonotic disease that affects domesticated animals and people. Infection in cattle is caused by Brucella abortus which causes nonspecific clinical signs in female cattle including lowered milk production, infertility, and abortion in the last trimester. To determine the prevalence and the risk factors associated with brucellosis exposure, we conducted a cross-sectional study of smallholder dairy cattle in six regions of Tanzania, between July 2019 and October 2020. A total of 2048 dairy cattle blood samples were collected and tested for the presence of anti-Brucella antibodies. An overall seroprevalence of 2.39% was found with the highest seroprevalence in the Njombe Region (15.5%). The risk factors that were identified to be significantly associated with brucellosis seropositivity were having goats around dairy cattle and a history of abortion within a farm. The study findings suggest that brucellosis is still present in smallholder dairy cattle at varying levels among the studied regions. Education of smallholder dairy keepers is required regarding the disease, as well as risk and control measures for the disease. A One Health approach is required to study the role of small ruminants in the spread of the disease and to evaluate the public health risk to smallholder dairy farmers, especially in the Njombe Region. Abstract Bovine brucellosis is a bacterial zoonoses caused by Brucella abortus. We conducted a cross-sectional study to determine brucellosis seroprevalence and risk factors among smallholder dairy cattle across six regions in Tanzania. We sampled 2048 dairy cattle on 1374 farms between July 2019 and October 2020. Sera were tested for the presence of anti-Brucella antibodies using a competitive enzyme-linked immunosorbent assay. Seroprevalence was calculated at different administrative scales, and spatial tests were used to detect disease hotspots. A generalized mixed-effects regression model was built to explore the relationships among Brucella serostatus, animals, and farm management factors. Seroprevalence was 2.39% (49/2048 cattle, 95% CI 1.7–3.1) across the study area and the Njombe Region represented the highest percentage with 15.5% (95% CI 11.0–22.0). Moreover, hotspots were detected in the Njombe and Kilimanjaro Regions. Mixed-effects models showed that having goats (OR 3.02, 95% C 1.22–7.46) and abortion history (OR 4.91, 95% CI 1.43–16.9) were significant risk factors for brucellosis. Education of dairy farmers regarding the clinical signs, transmission routes, and control measures for brucellosis is advised. A One Health approach is required to study the role of small ruminants in cattle brucellosis and the status of brucellosis in dairy farmers in the Njombe and Kilimanjaro Regions.