在一个新兴疾病“热点地区”发现人畜共患病认知情况。
Uncovering zoonoses awareness in an emerging disease 'hotspot'.
作者信息
Paige Sarah B, Malavé Carly, Mbabazi Edith, Mayer Jonathan, Goldberg Tony L
机构信息
University of Wisconsin-Madison, USA.
University of Wisconsin-Madison, USA.
出版信息
Soc Sci Med. 2015 Mar;129:78-86. doi: 10.1016/j.socscimed.2014.07.058. Epub 2014 Jul 30.
Emerging infectious diseases from animals pose significant and increasing threats to human health; places of risk are simultaneously viewed as conservation and emerging disease 'hotspots'. The One World/One Health paradigm is an 'assemblage' discipline. Extensive research from the natural and social sciences, as well as public health have contributed to designing surveillance and response policy within the One World/One Health framework. However, little research has been undertaken that considers the lives of those who experience risk in hotspots on a daily basis. As a result, policymakers and practitioners are unable to fully comprehend the social and ecological processes that catalyze cross-species pathogen exchange. This study examined local populations' comprehension of zoonotic disease. From October 2008-May 2009 we collected data from people living on the periphery of Kibale National Park, in western Uganda. We administered a survey to 72 individuals and conducted semi-structured, in-depth interviews with 14 individuals. Results from the survey showed respondents had statistically significant awareness that transmission of diseases from animals was possible compared to those who did not think such transmission was possible (x(2) = 30.68, df = 1, p < 0.05). However, individual characteristics such as gender, occupation, location, and age were not significantly predictive of awareness. Both quantitative and qualitative data show local people are aware of zoonoses and provided biomedically accurate examples of possible infections and corresponding animal sources (e.g., worm infection from pigs and Ebola from primates). Qualitative data also revealed expectations about the role of the State in managing the prevention of zoonoses from wildlife. As a result of this research, we recommend meaningful discourse with people living at the frontlines of animal contact in emerging disease and conservation hotspots in order to develop informed and relevant zoonoses prevention practices that take into account local knowledge and perceptions.
来自动物的新发传染病对人类健康构成了重大且日益增加的威胁;风险地区同时被视为保护和新发疾病的“热点”。“同一个世界/同一健康”范式是一门“综合性”学科。自然科学、社会科学以及公共卫生领域的大量研究为在“同一个世界/同一健康”框架内设计监测和应对政策做出了贡献。然而,很少有研究关注那些每天在热点地区面临风险的人们的生活。因此,政策制定者和从业者无法充分理解催化跨物种病原体传播的社会和生态过程。本研究调查了当地居民对人畜共患病的理解。2008年10月至2009年5月,我们收集了乌干达西部基巴莱国家公园周边居民的数据。我们对72人进行了调查,并对14人进行了半结构化的深入访谈。调查结果显示,与那些认为动物不可能传播疾病的人相比,受访者在统计学上有显著的意识,即意识到动物传播疾病是可能的(χ² = 30.68,自由度 = 1,p < 0.05)。然而,性别、职业、地点和年龄等个体特征并不能显著预测这种意识。定量和定性数据都表明,当地人了解人畜共患病,并提供了可能感染及相应动物来源的医学上准确的例子(例如,猪引起的蠕虫感染和灵长类动物引起的埃博拉)。定性数据还揭示了对国家在管理野生动物人畜共患病预防方面作用的期望。基于这项研究,我们建议与生活在新发疾病和保护热点地区动物接触前沿的人们进行有意义的对话,以便制定考虑到当地知识和认知的明智且相关的人畜共患病预防措施。