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乌干达农牧和农牧结合社区裂谷热风险因素及传播途径的参与式调查

Participatory survey of risk factors and pathways for Rift Valley fever in pastoral and agropastoral communities of Uganda.

作者信息

Tumusiime Dan, Nijhof Ard M, Groschup Martin H, Lutwama Julius, Roesel Kristina, Bett Bernard

机构信息

Freie Universität Berlin, Institute of Parasitology and Tropical Veterinary Medicine, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany; International Livestock Research Institute, P.O. Box 24384, Kampala, Uganda; Ministry of Agriculture, Animal Industry and Fisheries, P.O. Box 103, Entebbe, Uganda.

Freie Universität Berlin, Institute of Parasitology and Tropical Veterinary Medicine, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany; Freie Universität Berlin, Veterinary Centre for Resistance Research, Robert-von-Ostertag-Str. 8, 14163 Berlin, Germany.

出版信息

Prev Vet Med. 2023 Dec;221:106071. doi: 10.1016/j.prevetmed.2023.106071. Epub 2023 Nov 8.

DOI:10.1016/j.prevetmed.2023.106071
PMID:37984160
Abstract

To assess pastoralists' and agropastoralists' knowledge on Rift Valley fever (RVF), participatory epidemiological studies were conducted with 215 livestock keepers and 27 key informants in Napak, Butebo, Isingiro and Lyantonde districts, Uganda, between January and February 2022. Livestock keepers in all four districts had knowledge of RVF and even had local names or descriptions for it. Pastoralists and agropastoralists possessed valuable knowledge of RVF clinical descriptions and epidemiological risk factors such as the presence of infected mosquitoes, living in flood-prone areas, and excessive rainfall. RVF was ranked among the top ten most important cattle diseases. Pastoralists called RVF Lonyang, symbolizing a disease associated with jaundice, high fever, abortions in pregnant cows, and sudden death in calves. Key informants identified infected domestic animals, the presence of infected mosquitoes, livestock movement and trade, and infected wild animals as risk pathways for the introduction of RVF into an area. Drinking raw blood and milk was perceived as the most likely pathway for human exposure to RVF virus; while the highest consequence was high treatment costs. The results indicate that pastoralists provided key epidemiological information that could be essential for designing an effective national RVF surveillance and early warning system.

摘要

为评估牧民和农牧民对裂谷热(RVF)的了解,2022年1月至2月期间,在乌干达的纳帕克、布泰博、伊辛吉罗和利安通德地区,对215名牲畜饲养者和27名关键信息提供者开展了参与式流行病学研究。所有四个地区的牲畜饲养者都了解裂谷热,甚至有其当地名称或描述。牧民和农牧民掌握了有关裂谷热临床描述和流行病学风险因素的宝贵知识,如存在受感染的蚊子、生活在易发生洪水的地区以及降雨过多。裂谷热被列为十大最重要的牛病之一。牧民称裂谷热为Lonyang,象征着一种与黄疸、高烧、怀孕母牛流产和小牛突然死亡相关的疾病。关键信息提供者确定受感染的家畜、受感染蚊子的存在、牲畜移动和交易以及受感染的野生动物是裂谷热传入一个地区的风险途径。饮用生血和生奶被视为人类接触裂谷热病毒最可能的途径;而最高的后果是治疗成本高昂。结果表明,牧民提供了关键的流行病学信息,这对于设计有效的国家裂谷热监测和预警系统可能至关重要。

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