Asakura Shingo, Makingi George, John Kunda, Kazwala Rudovick, Makita Kohei
Veterinary Epidemiology Unit, Graduate School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Japan.
Department of Veterinary Medicine and Public Health, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Front Vet Sci. 2022 Feb 9;9:767198. doi: 10.3389/fvets.2022.767198. eCollection 2022.
Brucellosis is widespread in both humans and livestock in many developing countries. The authors have performed a series of epidemiological studies on brucellosis in agro-pastoral areas in Tanzania since 2015, with the aim of the disease control. Previously, the potential of a community-based brucellosis control initiative, which mainly consisted of the sale of cattle with experience of abortion and vaccinating calves, was assessed as being effective and acceptable based on a quantitative approach. This study was conducted to investigate the feasibility of community-based brucellosis control program using participatory rural appraisals (PRAs) and key-informant interviews. Four PRAs were performed together with livestock farmers and livestock and medical officers in 2017. In the PRAs, qualitative information related to risky behaviors for human infection, human brucellosis symptoms, willingness to sell cattle with experience of abortion, and willingness to pay for calf vaccination were collected, and a holistic approach for a community-based disease control project was planned. All of the communities were willing to implement disease control measures. To avoid human infection, education, especially for children, was proposed to change risky behaviors. The findings of this study showed that community-based disease control measures are promising.
布鲁氏菌病在许多发展中国家的人类和家畜中广泛存在。自2015年以来，作者们在坦桑尼亚的农牧区开展了一系列关于布鲁氏菌病的流行病学研究，旨在控制该疾病。此前，一项以社区为基础的布鲁氏菌病控制倡议，主要包括出售有流产史的奶牛和为小牛接种疫苗，基于定量方法评估其具有有效性和可接受性。本研究旨在通过参与式农村评估（PRA）和关键信息访谈来调查以社区为基础的布鲁氏菌病控制项目的可行性。2017年，与牧民、畜牧和医务人员一起进行了四次参与式农村评估。在参与式农村评估中，收集了与人类感染的危险行为、人类布鲁氏菌病症状、出售有流产史奶牛的意愿以及为小牛接种疫苗付费的意愿相关的定性信息，并规划了一个基于社区的疾病控制项目的整体方法。所有社区都愿意实施疾病控制措施。为避免人类感染，建议开展教育，尤其是对儿童的教育，以改变危险行为。本研究结果表明，基于社区的疾病控制措施前景广阔。
