Forestry and Environmental Resources, North Carolina State University, Raleigh, North Carolina.
The Water Trust, New York, New York.
Am J Trop Med Hyg. 2020 Mar;102(3):526-533. doi: 10.4269/ajtmh.19-0012.
Domestic animals have been associated with enteric infections in young children and can also be carriers of respiratory viruses. We conducted a cross-sectional assessment of health outcomes in children aged < 5 years associated with animal presence among 793 rural households in Uganda. We recorded the 2-week prevalence of diarrhea and respiratory infections in children, and the number of cows, poultry, sheep/goats, and pigs in the household. We used generalized linear models with robust standard errors to estimate the prevalence ratio (PR) for diarrhea and respiratory infections associated with households owning the above- versus below-median number of animals. We conducted unadjusted and adjusted analyses controlling for socioeconomic, water, sanitation, and hygiene indicators. Children in households with the above-median number (> 5) of poultry had 83% higher diarrhea prevalence than those with ≤ 5 poultry (adjusted PR = 1.83 [1.04, 3.23], = 0.04). Children in households with the above-median number (> 2) of cows had 48% lower prevalence of respiratory infection than those with ≤ 2 cows (adjusted PR = 0.52 [0.35, 0.76], < 0.005). There were no other significant associations between domestic animals and child health. Studies should assess if barring chickens from indoor living quarters and sanitary disposal of chicken and other animal feces can reduce childhood zoonotic infections.
家养动物与幼儿的肠道感染有关,也可能是呼吸道病毒的携带者。我们在乌干达对 793 户农村家庭进行了横断面评估,以评估与动物存在相关的<5 岁儿童的健康结果。我们记录了儿童腹泻和呼吸道感染的两周患病率,以及家庭中牛、家禽、绵羊/山羊和猪的数量。我们使用广义线性模型和稳健标准误差来估计与拥有上述中位数以上动物数量的家庭相比,与腹泻和呼吸道感染相关的患病率比(PR)。我们进行了未调整和调整分析,控制了社会经济、水、环境卫生和卫生指标。与拥有≤5 只家禽的家庭相比,拥有中位数以上(>5)只家禽的家庭的儿童腹泻患病率高 83%(调整后的 PR = 1.83 [1.04, 3.23], = 0.04)。与拥有≤2 头牛的家庭相比,拥有中位数以上(>2)头牛的家庭的儿童呼吸道感染患病率低 48%(调整后的 PR = 0.52 [0.35, 0.76],<0.005)。家养动物与儿童健康之间没有其他显著关联。研究应评估是否可以禁止鸡进入室内居住场所,并对鸡和其他动物粪便进行卫生处理,以减少儿童的人畜共患病感染。