Antoine-Moussiaux, Nicolas ; Université de Liège - ULiège > Département de gestion vétérinaire des Ressources Animales (DRA) > Biostatistique, économie, sélection animale
Fasina, F.O.
Language :
English
Title :
Antimicrobial use, residues, resistance and governance in the food and agriculture sectors, tanzania
Government of Tanzania (GoT). Tanzania Livestock Master Plan (2017/2018–2021/2022). 2017. Available online: https://www.mifugouvuvi.go.tz/uploads/projects/1553601793-TANZANIA%20LIVESTOCK%20MASTER%20PLAN.pdf (accessed on 6 August 2019).
Matthew, M.; Mruttu, H.; Gebru, G. Animal Health Strategy and Vision for Tanzania; Tanzania Ministry of Agriculture, Livestock and Fisherie; ILRI: Nairobi, Kenya, 2016.
Centers for Disease Control and Prevention (CDC). One Health Zoonotic Disease Prioritization for Multisectoral Engagement in Tanzania. 2017. Available online: https://www.cdc.gov/onehealth/pdfs/tanzania-report-508.pdf (accessed on 23 December 2020).
Food and Agriculture Organization of the United Nations (FAO). Challenges of animal health information systems and surveillance for animal diseases and zoonoses. In Proceedings of the FAO Animal Production and Health Proceedings No. 14, Rome, Italy, 23–26 November 2010; Available online: http://www.fao.org/3/i2415e/i2415e00.pdf (accessed on 23 December 2020).
American Veterinary Medical Association (AVMA). Judicious Therapeutic Use of Antimicrobials. 2019. Available online: https://www.avma.org/resources-tools/avma-policies/judicious-therapeutic-use-antimicrobials (accessed on 23 December 2020).
World Health Organization (WHO). Antimicrobial Resistance. 2017. Available online: https://www.who.int/health-topics/antimicrobial-resistance (accessed on 23 December 2020).
Morar, A.; Sala, C.; Imre, K. Occurrence and antimicrobial susceptibility of Salmonella isolates from pig slaughter process in Romania. J. Infect. Dev. Ctries. 2015, 9, 99–104. [CrossRef]
World Health Organization (WHO). What to do about resistant bacteria in the food-chain? Bull. WHO 2015, 93, 217–218. [CrossRef]
Founou, L.L.; Founou, R.C.; Essack, S.Y. Antibiotic Resistance in the Food Chain: A Developing Country-Perspective. Front. Microbiol. 2016, 7, 1881. [CrossRef] [PubMed]
Food and Agriculture Organization of the United Nations. Situation Analysis of Antimicrobial Use and Resistance in the Food and Agriculture Sectors in Tanzania; Internal report of the FAO Representation: Dar es Salaam, Tanzania, 2019.
Centers for Disease Control and Prevention (CDC). Antibiotic/Antimicrobial Resistance. Available online: https://www.cdc. gov/drugresistance/about.html (accessed on 23 December 2020).
Midtlyng, P.J.; Grave, K.; Horsberg, T.E. What has been done to minimize the use of antibacterial and antiparasitic drugs in Norwegian aquaculture? Aquaculture 2011, 42, 28–34. [CrossRef]
Aly, S.M.; Albutti, A. Antimicrobials use in aquaculture and their public health impact. J. Aquac. Res. Dev. 2014, 5, 1–6.
Codex Alimentarius. Code of Practice to Minimize and Contain Antimicrobial Resistance. 2005. CAC/RCP 61-2005. Available online: http://www.fao.org/fao-who-codexalimentarius/committees/ewg/detail/en/c/1026199/(accessed on 23 December 2020).
Food and Agriculture Organization of the United Nations. The FAO Action Plan. on Antimicrobial Resistance, 2016–2020: Supporting the Food and Agriculture Sectors in Implementing the Global Action Plan. on Antimicrobial Resistance to Minimize the Impact of Antimicrobial Resistance. 2016. Available online: http://www.fao.org/3/a-i5996e.pdf (accessed on 18 August 2020).
World Organisation for Animal Health. The OIE Strategy on Antimicrobial Resistance and the Prudent Use of Antimicrobials. 2016. Available online: https://www.oie.int/fileadmin/Home/eng/Media_Center/docs/pdf/PortailAMR/EN_OIE-AMRstrategy. pdf (accessed on 18 August 2020).
World Health Organization. Global Action Plan on Antimicrobial Resistance. 2015. Available online: https://www.who.int/antimicrobial-resistance/global-action-plan/en (accessed on 23 February 2021).
Kimera, Z.I.; Frumence, G.; Mboera, L.E.G.; Rweyemamu, M.; Mshana, S.E.; Matee, M.I.N. Assessment of Drivers of Antimicrobial Use and Resistance in Poultry and Domestic Pig Farming in the Msimbazi River Basin in Tanzania. Antibiotics 2020, 9, 838. [CrossRef]
Nonga, H.E.; Mariki, M.; Karimuribo, E.D.; Mdegela, R.H. Assessment of Antimicrobial Usage and Antimicrobial Residues in Broiler Chickens in Morogoro Municipality, Tanzania. Pak. J. Nutr. 2009, 8, 203–207. [CrossRef]
Minich, J.J.; Zhu, Q.; Xu, Z.Z.; Amir, A.; Ngochera, M.; Simwaka, M.; Eric, E.; Allen, E.E.; Zidana, H.; Knight, R. Microbial effects of livestock manure fertilization on freshwater aquaculture ponds rearing tilapia (Oreochromis shiranus) and North African catfish (Clarias gariepinus). Microbiol Open 2018, 7, e716. [CrossRef]
Government of Tanzania. Grazing Land and Animal Feed Resources; Act No.13 of 2010; Government Press: Dar es Salaam, Tanzania, 2010; 33p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan97356.pdf (accessed on 23 February 2021).
Mboera, L.; Rumisha, S.F.; Lyimo, E.P.; Chiduo, M.G.; Mangu, C.D.; Mremi, I.R.; Kumalija, C.J.; Joachim, C.; Kishamawe, C.; Massawe, I.S.; et al. Cause-specific mortality patterns among hospital deaths in Tanzania, 2006–2015. PLoS ONE 2018, 13, e0205833. [CrossRef] [PubMed]
Van Boeckel, T.P.; Brower, C.; Gilbert, M.; Grenfell, B.T.; Levin, S.A.; Robinson, T.P.; Teillant, A.; Laxminarayan, R. Global trends in antimicrobial use in food animals. Proc. Natl. Acad. Sci. USA 2015, 112, 5649–5654. [CrossRef] [PubMed]
Caudell, M.A.; Quinlan, M.B.; Subbiah, M.; Call, D.R.; Roulette, C.J.; Roulette, J.W.; Roth, A.; Matthews, L.; Quinlan, J.R. Antimicrobial Use and Veterinary Care among Agro-Pastoralists in Northern Tanzania. PLoS ONE 2017, 12, e0170328. [CrossRef] [PubMed]
Nonga, H.E.; Muhairwa, A.P. Prevalence and antibiotic susceptibility of thermophilic Campylobacter isolates from free-range domestic duck (Cairina moschata) in Morogoro municipality, Tanzania. Trop Anim. Health Pro. 2010, 42, 165–172. [CrossRef] [PubMed]
Katakweba, A.A.S.; Mtambo, M.M.A.; Olsen, J.E.; Muhairwa, A.P. Awareness of human health risks associated with the use of antibiotics among livestock keepers and factors that contribute to selection of antibiotic resistance bacteria within livestock in Tanzania. LRRD. 2012, 24. Available online: http://www.lrrd.org/lrrd24/10/kata24170.htm (accessed on 23 February 2021).
Mubito, E.P.; Shahada, F.; Kimanya, M.E.; Buza, J.J. Antimicrobial use in the poultry industry in Dar-es-Salaam, Tanzania and public health implications. Am. J. Res. Commun. 2014, 2, 51–63.
Kilobe, B.M.; Mdegela, R.H.; Mtambo, M.M.A. Heavy metal concentration in tomatoes grown in wastewater irrigated sites in Dodoma District, Tanzania. Int J. Phys. Soc. Sci. 2013, 3, 180–191.
Agmas, B.; Adugna, M. Antimicrobial residue occurrence and its public health risk of beef meat in Debre Tabor and Bahir Dar, Northwest Ethiopia. Vet. World 2018, 11, 902–908. [CrossRef]
Mhongole, O.J.; Mdegela, R.H.; Kusiluka, L.J.M.; Dalsgaard, A. Occurrence of Escherichia coli in Brassica rapa L. chinensis irrigated with low quality water in urban areas of Morogoro, Tanzania. Afr. J. Biotech. 2016, 15, 2772–2777. [CrossRef]
Mdegela, R.H.; Kusiluka, L.J.M.; Kapaga, A.M.; Karimuribo, E.; Turuka, F.M.; Bundala, A.; Kivaria, F.; Kabula, B.; Manjurano, A.; Loken, T. Prevalence and determinants of mastitis and milk borne zoonoses in smallholder dairy farming sector in Kibaha and Morogoro districts, Eastern Tanzania. J. Vet. Med. 2004, 51, 123–128. [CrossRef]
Kivaria, F.M.; Noordhuizen, J.P.T.M.; Kapaga, A.M. Evaluation of the Hygienic Quality and Associated Public Health Hazards of Raw Milk Marketed by Smallholder Dairy Producers in the Dar es Salaam Region, Tanzania. Trop. Anim. Health Prod. 2006, 38, 185–194. [CrossRef] [PubMed]
Kurwijila, L.R.; Omore, A.; Staal, S.; Mdoe, N.S.Y. Investigation of the Risk of Exposure to Antimicrobial Residues Present in Marketed Milk in Tanzania. J. Food Protect. 2006, 69, 2487–2492. [CrossRef] [PubMed]
Mdegela, R.H.; Ryoba, R.; Karimuribo, E.D.; Phiri, E.J.; Løken, T.; Reksen, O.; Mtengeti, E.; Urio, N.A. Prevalence of clinical and subclinical mastitis and quality of milk on smallholder dairy farms in Tanzania. J. S. Afr. Vet. Assoc. 2009, 80, 163–168. [CrossRef] [PubMed]
Kashoma, I.P.; Kassem, I.I.; Kumar, A.; Kessy, B.M.; Gebreyes, W.; Kazwala, R.R.; Rajashekara, G. Antimicrobial Resistance and Genotypic Diversity of Campylobacter Isolated from Pigs, Dairy, and Beef Cattle in Tanzania. Front. Microbiol. 2015, 6, 240. [CrossRef]
Mgonja, F.; Mosha, R.; Mabiki, F.; Choongo, K. Oxytetracycline residue levels in beef in Dodoma region, Tanzania. Afr. J. Food Sci. 2017, 11, 40–43.
Mgonja, F.; Mosha, R.; Mabiki, F.; Choongo, K. A simple and sensitive method for the detection of “Oxytetracycine”xlevels in ready-to-eat beef by liquid chromatography-mass spectrometry. Afr. J. Pharm. Pharmacol. 2016, 10, 571–578.
Nonga, H.E.; Simon, C.; Karimuribo, E.D.; Mdegela, R.H. Assessment of Antimicrobial Usage and Residues in Commercial Chicken Eggs from Smallholder Poultry Keepers in Morogoro Municipality, Tanzania. Zoonoses Public Health 2010, 57, 339–344. [CrossRef]
Katakweba, A.A.S.; Møller, K.S.; Muumba, J.; Muhairwa, A.P.; Damborg, P.; Rosenkrantz, J.T.; Minga, U.M.; Mtambo, M.M.A.; Olsen, J.E. Antimicrobial resistance in faecal samples from buffalo, wildebeest and zebra grazing together with and without cattle in Tanzania. J. Appl. Microbiol. 2014, 118, 966–975. [CrossRef]
Mshana, S.E.; Matee, M.; Rweyemamu, M. Antimicrobial resistance in human and animal pathogens in Zambia, Democratic Republic of Congo, Mozambique and Tanzania: An urgent need of a sustainable surveillance system. Ann. Clin. Microbiol Antimicrob. 2013, 12, 28. [CrossRef]
Shah, S.Q.A.; Colquhoun, D.J.; Nikuli, H.L.; Sørum, H. Prevalence of Antibiotic Resistance Genes in the Bacterial Flora of Integrated Fish Farming Environments of Pakistan and Tanzania. Environ. Sci. Technol. 2012, 46, 8672–8679. [CrossRef] [PubMed]
Jabbar, M.A.; Grace, D. Regulations for Safety of Animal Source Foods in Selected Sub-Saharan African Countries: Current Status and Their Implications; ILRI: Nairobi, Kenya, 2012.
Nonga, H.E.; Sungura, K.H.; Ngowi, H.A. Assessment of veterinary drug use and determination of antimicrobial residues in broiler chicken meat in Urban district, Zanzibar, Tanzania. Tanzan. Vet. J. 2013, 28, 26–36.
Strengthening Health Outcomes through the Private Sector (SHOPS). Tanzania Private Health Sector Assessment. 2013. Available online: https://www.shopsplusproject.org/sites/default/files/resources/Tanzania%20Private%20Sector%20Assessment%20 2.pdf (accessed on 6 August 2020).
Global Antibiotic Resistance Partnership—Tanzania Working Group (GARP-TWG). Situation Analysis and Recommendations: Antibiotic Use and Resistance in Tanzania; Center for Disease Dynamics, Economics & Policy: Washington, DC, USA; New Delhi, India, 2015. Available online: https://cddep.org/wp-content/uploads/2017/06/garp-tz_situation_analysis-1.pdf (accessed on 5 August 2020).
Kimera, Z.I.; Mdegela, R.H.; Mhaiki, C.J.N.; Karimuribo, E.D.; Mabiki, F.; Nonga, H.E.; Mwesongo, J. Determination of oxytetracycline residues in cattle meat marketed in the Kilosa district, Tanzania. Onderstepoort J. Vet. Res. 2015, 82, 1–5. [CrossRef] [PubMed]
Bilashoboka, E.; Mudenda, B.; Munyinda, N.; Moshi, F.V.; Kambarage, D.M. Determination of oxytetracycline residue levels in edible tissues of slaughtered cattle. Food Environ. Saf. J. 2018, 17, 404–412.
Mdegela, R.H. Assessment of Knowledge, Attitude and Practices on Antibiotic Use, Resistance and Containment in Animal Keeping Households in Morogoro, Tanzania. In Proceedings of the 2nd OHCEA International One Health Conference, Kampala, Uganda, 16–20 November 2015. Available online: http//:www.ohcea.org/conferencereport (accessed on 15 April 2020).
Moremi, N.; Claus, H.; Mshana, S.E. Antimicrobial resistance pattern: A report of microbiological cultures at a tertiary hospital in Tanzania. BMC Infect. Dis. 2016, 16, 756. [CrossRef]
Subbiah, M.; Caudell, M.A.; Mair, C.; Davis, M.A.; Matthews, L.; Quinlan, R.J.; Quinlan, M.B.; Lyimo, B.; Buza, J.; Keyyu, J.; et al. Antimicrobial resistant enteric bacteria are widely distributed amongst people, animals and the environment in Tanzania. Nat. Commun. 2020, 11, 228. [CrossRef] [PubMed]
Kurwijila, L.R.; Mwingira, J.; Karimuribo, E.; Shirima, G.; Lema, B.; Ryoba, R.; Kilima, B. Safety of Animal Source Foods in Tanzania: A Situational Analysis. ILRI 2011, 36. (internal report).
Government of Tanzania. The Veterinary Act, 2003; Act No.16 of 2003; Government Press: Dar es Salaam, Tanzania, 2003; 31p. Available online: https://www.mifugouvuvi.go.tz/uploads/publications/sw1595836341-The%20Veterinary%20Act,%202003. pdf (accessed on 23 February 2021).
Government of Tanzania. Animal Disease Act; Act No.17 of 2003; Government Press: Dar es Salaam, Tanzania, 2003; 10p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan169399.pdf (accessed on 23 February 2021).
Mkony, M.F.; Mizinduko, M.M.; Massawe, A.; Matee, M. Management of neonatal sepsis at Muhimbili National Hospital in Dar es Salaam: Diagnostic accuracy of C-reactive protein and newborn scale of sepsis and antimicrobial resistance pattern of etiological bacteria. BMC Pediatr. 2014, 14, 293. [CrossRef]
Kayange, N.; Kamugisha, E.; Mwizamholya, D.L.; Jeremiah, S.; Mshana, S.E. Predictors of positive blood culture and deaths among neonates with suspected neonatal sepsis in a tertiary hospital, Mwanza-Tanzania. BMC Pediatr. 2010, 10, 39. [CrossRef] [PubMed]
Blomberg, B.; Manji, K.P.; Urassa, W.K.; Tamim, B.S.; Mwakagile, D.S.; Jureen, R.; Msangi, V.; Tellevik, M.G.; Holberg-Petersen, M. Antimicrobial resistance predicts death in Tanzanian children with bloodstream infections: A prospective cohort study. BMC Infect. Dis. 2007, 7, 43. [CrossRef]
Vaagland, H.; Blomberg, B.; Kruger, C.; Naman, N.; Jureen, R.; Langeland, N. Nosocomial outbreak of neonatal Salmonella enterica serotype Enteritidis meningitis in a rural hospital in northern Tanzania. BMC Infect. Dis. 2004, 4, 35. [CrossRef]
Government of Tanzania. The United Republic of Tanzania: The National Action Plan on Antimicrobial Resistance 2017–2022; WHO: Dar es Salaam, Tanzania; 76p. Available online: https://www.who.int/publications/m/item/united-republic-of-tanzania-the-national-action-plan-on-antimicrobial-resistance (accessed on 23 February 2021).
Government of Tanzania. Fisheries Act, 2003; Act No. 22 of 2003; Government Press: Dar es Salaam, Tanzania, 2003; 42p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan53024.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Fisheries Regulations of 2009; Act No.2 of 2009; Government Press: Dar es Salaam, Tanzania, 2009; 520p. Available online: http://extwprlegs1.fao.org/docs/pdf/vic121353.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Foods, Drugs and Cosmetics Act of 2003, Part IV, 2003; Act No.1 of 2003; Government Press: Dar es Salaam, Tanzania, 2003; 89p. Available online: https://tanzania.eregulations.org/media/TFDA%20ACT.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Food and Drug Authority (TFDA) Regulation of 2006; Act No.116 of 2006; Government Press: Dar es Salaam, Tanzania, 2006; 11p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan153765.pdf (accessed on 23 February 2021).
Government of Tanzania. Tropical Pesticides Research Institute Act, 1979 (No. 18 of 1979); Act No.18 of 1979; Government Press: Dar es Salaam, Tanzania, 1979; 30p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan4081.pdf (accessed on 23 February 2021).
Government of Tanzania. The Dairy Industry Act No 8 of 2004 Cap 262; Act No. 8 of 2004; Government Press: Dar es Salaam, Tanzania, 2004; 22p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan61559.pdf (accessed on 23 February 2021).
Government of Tanzania. Animal Disease Regulations of 2001; Act No. 131 of 2001; Government Press: Dar es Salaam, Tanzania; 4p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan28124.pdf (accessed on 23 February 2021).
Government of Tanzania. National Livestock Policy; Government Press: Dar es Salaam, Tanzania, 2006; 55p. Available online: https://www.tnrf.org/files/E-INFO_National_Livetock_Policy_Final_as_per_Cabinet_Dec-2006.pdf (accessed on 23 February 2021).
Government of Tanzania. Livestock Sector Development Strategy; Government Press: Dar es Salaam, Tanzania, 2010; 90p. Available online: https://www.tanzania.go.tz/egov_uploads/documents/development_strategy-_Livestock_sw.pdf (accessed on 23 February 2021).
Government of Tanzania. Livestock Sector Development Strategy; Government Press: Dar es Salaam, Tanzania, 2011; 123p. Available online: https://www.tanzania.go.tz/egov_uploads/documents/Livestock_Programe_sw.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Livestock Modernization Initiatives; Government Press: Dar es Salaam, Tanzania, 2015; 40p. Available online: https://livestocklivelihoodsandhealth.org/wp-content/uploads/2015/07/Tanzania_Livestock_Modernization_ Initiative_July_2015.pdf (accessed on 23 February 2021).
Government of Tanzania. Environmental Management Act, 2004; Act No. 20 of 2004; Government Press: Dar es Salaam, Tanzania, 2004; 129p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan61491.pdf (accessed on 23 February 2021).
Government of Tanzania. The Grazing Land and Animal Resources Regula-tions of 2010; Act No.13 of 2010; Government Press: Dar es Salaam, Tanzania, 2010; 32p. Available online: https://www.mifugouvuvi.go.tz/uploads/publications/en1595835588-GRAZING%20LAND%20AND%20ANIMAL%20FEED%20RESOURCE%20ACT%202010.pdf (accessed on 23 February 2021).
Government of Tanzania. The Meat Industry Act No10 of 2006; Act No.10 of 2006; Government Press: Dar es Salaam, Tanzania, 2006; 19p. Available online: https://trade.business.go.tz/media/The%20Meat%20industry%20Act,%202006.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Animal Welfare Act, 2008; Act No.19 of 2009; Government Press: Dar es Salaam, Tanzania, 2009; 25p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan85327.pdf (accessed on 23 February 2021).
Government of Tanzania. The Hides and Skin Trade Act No 18 of 2008; Act No.18 of 2008; Government Press: Dar es Salaam, Tanzania, 2008; 23p. Available online: https://www.tanzania.go.tz/egov_uploads/documents/The_Hides,_Skins_and_Leather_ Trade_Act,_2008_-_(Act_No_sw.pdf (accessed on 23 February 2021).
Government of Tanzania. National Guideline for Supervision of Livestock Services of 2016; Government Press: Dar es Salaam, Tanzania, 2016; 57p.
Government of Tanzania. Livestock Identification, Registration and Traceability Act, 2010; Act No. 12 of 2010; Government Press: Dar es Salaam, Tanzania, 2010; 18p. Available online: http://extwprlegs1.fao.org/docs/pdf/tan97294.pdf (accessed on 23 February 2021).
East African Community. EAC Protocol on Sanitary and Phytosanitary (SPS) Measures, 2013; EAC Press: Arusha, Tanzania, July 2013; 11p, (The harmonised EAC SPS measures (under review) Section 2.8-(2.8.1), Section 3.7-(3.7.5), Section 3.7-(3.7.6) and Section 3.12). Available online: https://www.eac.int/documents/category/sanitary-and-phytosanitary-sps-measures (accessed on 23 February 2021).
Government of Tanzania. Livestock Extension Service Guidelines 2006; Government Press: Dar es Salaam, Tanzania, 2006; 27p. Available online: http://vetparaprofessional.blogspot.com/2012/08/livestock-extension-guideline.html (accessed on 23 February 2021).
World Trade Organization (WTO). Sanitary and Phyto-sanitary Measures Agreements. Available online: https://www.wto.org/english/tratop_e/sps_e/spsund_e.htm#:~{}:text=protecting%20domestic%20producers%3F-,The%20Agreement%20on%20 the%20Application%20of%20Sanitary%20and%20Phytosanitary%20Measures,to%20set%20their%20own%20standards.&text= They%20should%20be%20applied%20only,or%20plant%20life%20or%20health (accessed on 23 March 2021).
Government of Tanzania and World Organisation for Animal Health. OIE Performance of Veterinary Services (PVS) Evaluation Report 2008; OIE: Paris, France, 2008; 188p. Available online: https://rr-africa.oie.int/wp-content/uploads/2019/11/tanzania-20 16-fu.pdf (accessed on 23 February 2021).
Food and Agriculture Organization of the United Nations (FAO). The FAO Action Plan on Antimicrobial Resistance 2016–2020; FAO: Rome, Italy, 2016; 25p. Available online: http://www.fao.org/3/i5996e/i5996e.pdf (accessed on 23 February 2021).
Revolutionary Government of Zanzibar. Zanzibar Livestock Policy; Government Press: StoneTown, Zanzibar, 2011; 101p. Available online: http://www.tzdpg.or.tz/fileadmin/documents/dpg_internal/dpg_working_groups_clusters/cluster_1/agriculture/2._Ag_policies_and_strategies/Zanzibar_Ag_policies/2._2011_Zanzibar_Livestock_Policy_bk_edit.pdf (accessed on 23 February 2021).
Government of Tanzania. Mwongozo wa Usajili wa Maduka ya Dawa Muhimu za Mifugo (in Swahili); Government Press: Dar es Salaam, Tanzania, 2015; 32p. Available online: https://www.tanzania.go.tz/egov_uploads/documents/mwongozo_wa_usajili_ wa_maduka_ya_dawa_muhimu_za_mifugo_sw.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Pharmacy Act, 2011; Act No.1 of 2011; Government Press: Dar es Salaam, Tanzania, 2011; 38p. Available online: https://www.pc.go.tz/files/THE%20PHARMACY%20ACT-2011.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Water Supply and Sanitation Act, 2009; Act No.12 of 2009; Government Press: Dar es Salaam, Tanzania, 2009; 31p. Available online: https://www.duwasa.go.tz/uploads/publications/en-1566284112-THE%20WATER%20 SUPPLY%20%20AND%20SANITATION%20ACT%20NO%2012%20OF%202009.pdf (accessed on 23 February 2021).
Government of Tanzania. Tanzania Public Health Act, 2009; Act No.1 of 2009; Government Press: Dar es Salaam, Tanzania, 2009; 105p. Available online: https://www.tanzania.go.tz/egov_uploads/documents/The_Public_Health_Act,_2009_(Act_No_sw.pdf (accessed on 23 February 2021).
World Medical Association. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull. World Health Organ. 2001, 79, 373–374.