One Health Epidemiology, Associated Risk Factors and
Molecular Characterization of Toxoplasma gondii
at the Human–Small Ruminants–Cat Interface in Lahore,
Pakistan
Taha Majid Mahmood Sheikh1, Mian Abdul Hafeez2*,
Muntazir Mehdi3, Abdur Rauf Khalid4,
Faiza Aslam5, Adeel Sattar6, Zeb
Akhtar7, Rabia Suleman8, Farwa
Saghir9, Rimsha Farooq10 and Adil
Shahzad5,11
1School
of Medical Sciences, Shandong Xiehe University, Jinan,
250109, P. R. China; 2Department of
Parasitology, University of Veterinary and Animal
Sciences, Lahore 54000, Pakistan; 3Department
of Biosystems, Faculty of Bioscience Engineering, Unit
Animal and Human (A2H), Laboratory of Host Pathogen
Interaction (HPI), KU Leuven (Arenberg) 3000 Leuven,
Belgium; 4Department of Livestock and Poultry
Production, Faculty of Veterinary Sciences, Bahauddin
Zakariya University Multan, Pakistan; 5Department
of Livestock & Dairy Development, Lahore 54000,
Pakistan; 6Department of Pharmacology and
Toxicology, University of Veterinary and Animal
Sciences, Lahore 54000, Pakistan; 7Scientific
Direction Chemical and Physical Health Risks, Service of
Medicines and Health; Products, Sciensano, Rue Juliette
Wytsmanstraat 14, 1050 Brussels, Belgium; 8Thomas
More University of Applied Sciences, Mechelen, Belgium;
9Institute of Biochemistry and Biotechnology,
University of Veterinary and Animal Science Lahore
Pakistan; 10Department of Veterinary and
Animal sciences, Faculty of Medical and Health Sciences,
University of Copenhagen Denmark; 11Institute
of Microbiology, University of Agriculture Faisalabad,
Pakistan
Toxoplasma gondii
(T. gondii) is a food-borne and zoonotic parasite
that causes human and animal diseases worldwide. In this
study, the epidemiology, factors associated with
seropositivity, and molecular characteristics of T.
gondii at the human–small ruminants–cat interface
have been explored in Lahore, Pakistan, using the One
Health perspective. Blood samples were taken from sheep
(n=1000), goats (n=1000), and humans (n=200) and tested
for anti-T. gondii IgG antibody levels using an
indirect enzyme-linked immunosorbent assay (iELISA). A
structured questionnaire was used to evaluate the
potential risk factors, and selected biochemical
parameters were analyzed to evaluate the physiological
effects of infection. The presence of the parasite was
assessed using microscopy, followed by PCR, sequencing,
and phylogenetic analysis of positive samples from 200
cat fecal specimens. The overall seroprevalence of T.
gondii was 23.0%, 28.0%, and 27.0% in sheep, goats,
and human participants, respectively. Sex, age,
reproductive status, and grazing system were associated
with seropositivity in small ruminants; cat access to
feed was associated with seropositivity in goats, while
cat ownership was associated with seropositivity in
humans. Biochemical changes in the serum were noted in
seropositive small ruminants and humans. Microscopic
examination detected T. gondii-like oocysts in 7
(3.5%) of feline fecal samples, with six confirmed via
PCR and further analyzed by partial SAG2 gene
sequencing. Phylogenetic analysis suggested limited
genetic variation among the analysed feline-derived
isolates. The results indicate that T. gondii is
a ubiquitous parasite in humans, animals, and cats and
highlight the importance of the human–small
ruminants–cat interface in disease transmission. The
present study contributes to the implementation of
integrated One Health surveillance and control
strategies to minimize the impact of toxoplasmosis and
safeguard public and animal health.
To Cite This Article:
Sheikh TMM, Hafeez MA, Mehdi M, Khalid AR, Aslam F,
Sattar A, Akhtar Z, Suleman R, Saghir F, Farooq R and
Shahzad A, 2026. One health epidemiology, associated
risk factors and molecular characterization of
Toxoplasma gondii at the human–small ruminants–cat
interface in Lahore, Pakistan.
Pak Vet J, 46(8): 1995-2003.
http://dx.doi.org/10.29261/pakvetj/2026.206