**Background:** In sub-Saharan Africa, transhumance is a common practice where herders move cattle seasonally to access better pastures and water. However, this movement often forces herds to cross tsetse-infested areas, exposing them to animal African trypanosomiasis (AAT), a vector-borne disease causing significant economic losses. While insecticides are applied before transhumance, cattle are typically untreated upon return. This study aimed to assess trypanosome infection rates and anemia status in cattle immediately after returning from transhumance in tsetse-infested regions of Cameroon, a context that has been previously overlooked.
**Methods:** Blood samples were collected in May 2020 from 405 Zebu Gudali cattle (100 males, 305 females; 3–12 years old) across four villages (Bamti Mbam, n=100; Djoundé, n=105; Ngaoundal, n=100; Ngatt, n=100) in the Djerem Division, Adamawa Region, Cameroon. Cattle had just returned from 5 months of transhumance in Yoko (Center region), approximately 202 km away, crossing tsetse-infested areas including the Mbam and Djerem animal reserves. Anemia was assessed using packed cell volume (PCV), with anemia defined as PCV < 25%. Trypanosome infections were detected using the Very Diag Kit (immunological test for T. congolense and T. vivax) and PCR-based methods targeting the ITS1 region of ribosomal DNA, with species-specific primers to differentiate T. congolense savannah type (Tcs), T. congolense forest type (Tcf), T. vivax (Tvx), and T. brucei s.l. (Tbr). Statistical analyses used chi-square tests, ANOVA, and Student's t-test with significance at p < 0.05.
**Key Results:** The Very Diag Kit showed a global infection rate of 76.5% (310/405), with 37.8% for T. congolense s.l., 18.0% for T. vivax, and 20.7% for mixed infections. No significant differences were found between villages (χ² = 1.408; p = 0.704). PCR revealed a global infection rate of 68.6% (278/405), with 54.3% single infections and 14.3% mixed infections. Tcs was predominant (31.8%), followed by Tvx (9.4%), Tcf (6.9%), and Tbr (6.2%). Significant differences between villages were found for overall infection (χ² = 7.91; p = 0.05), mixed infections (χ² = 13.36; p = 0.004), and Tbr infections (χ² = 8.67; p = 0.03). The Very Diag Kit and PCR showed similar T. congolense s.l. rates (37.8% vs. 38.8%), but the Kit reported nearly double the T. vivax rate (18% vs. 9.4%). Mean PCV across all cattle was 23.15% (SD 4.365), indicating anemia. PCV varied significantly between villages (F = 3.8; p = 0.01): Bamti Mbam 22.36, Djoundé 23.58, Ngaoundal 24.12, Ngatt 22.54. Both infected and uninfected cattle were anemic (mean PCV < 25%), with no significant difference in PCV between infected and uninfected groups. Infection by specific trypanosome species did not significantly affect anemia severity.
**Clinical Implications:** This study demonstrates that cattle returning from transhumance in tsetse-infested areas of Cameroon harbor high trypanosome infection rates (68.6–76.5%) and are universally anemic (mean PCV 23.15%). The lack of correlation between infection and anemia suggests other factors (e.g., long travel distances of 50–200 km, concurrent parasitic infections, nutritional stress) may contribute to poor health. The discrepancy between the Very Diag Kit and PCR for T. vivax detection (18% vs. 9.4%) raises concerns about the specificity of the immunological test and highlights the need for confirmatory PCR testing. The findings strongly recommend systematic trypanocidal treatment and nutritional support for all cattle returning from transhumance to improve health and prevent the spread of trypanosome infections to other herds and regions.