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东非维多利亚湖新月生态系统中牲畜贸易参与者对人畜共患病的认知、看法和实践。

Knowledge, perceptions, and practices around zoonotic diseases among actors in the livestock trade in the Lake Victoria crescent ecosystem in East Africa.

机构信息

Institute of Anthropology Gender and African Studies, University of Nairobi, Nairobi, Kenya.

International Livestock Research Institute, Nairobi, Kenya.

出版信息

Front Public Health. 2024 Jan 8;11:1199664. doi: 10.3389/fpubh.2023.1199664. eCollection 2023.

DOI:10.3389/fpubh.2023.1199664
PMID:38264255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10805025/
Abstract

BACKGROUND

Zoonotic diseases such as anthrax, rabies, brucellosis, and Rift Valley fever pose a direct threat to health and undercut livelihoods in the communities in which they occur. A combination of anthropogenic and animal activities like migration and interaction with wildlife and their respective parasites and vectors drives the emergence and re-emergence of zoonotic diseases. Consequently, One Health interdisciplinary approaches that incorporate social scientists can provide key insights into complex local perceptions. The approach calls for collaboration between the human and animal health sectors, including the sharing of disease surveillance data necessary to alleviate disease impacts. Livestock traders interact closely with livestock, which puts them at elevated risk of infection and creates conditions by which they may spread zoonotic disease. It is thus essential to examine practices among actors involved in the livestock trade to understand the most appropriate ways to mitigate these risks.

METHODS

A qualitative study was conducted among the actors in the livestock trade in Busia County on their knowledge and perceptions of zoonotic diseases and practices that may contribute to the spread, control, and prevention of zoonotic disease transmission. A thematic analysis framework was used to categorize and synthesize data from in-depth interviews (IDIs), key informant interviews (KIIs), and structured observations.

RESULTS

Whereas participants could list livestock diseases, they could not identify which ones were zoonoses, demonstrating insufficient knowledge of zoonosis. They identify sick animals by checking for dropped ears, excess mucus production, diarrhea, bloody urinal discharge, and general animal activity levels. To prevent the spread of these diseases, they wash their animals, isolate sick animals from the rest of the stock, and vaccinate their animals. They seek help from animal health professionals for sick animals as part of curative practices. This shows that they perceive the diseases as serious and that they need to be attended to by professionals. The results also show that they perceive animals from outside the region to be more vulnerable to diseases compared to those from within. The actors in the livestock trade engage in practices like skinning dead animals before burying them; to them, this is a normal practice. Some also consume dead carcasses. These increase the risk of zoonotic disease transmission.

CONCLUSION

The actors involved in the livestock trade are critical in the prevention and elimination of zoonotic diseases; hence, they need to be involved when developing intervention programs and policies for animal health extension services. Training them as a continuum of animal health workers blends lay and professional knowledge, which, alongside their intense contact with large numbers of animals, becomes a critical disease surveillance tool. Increasing awareness of zoonoses by using multi-disciplinary teams with social scientists is urgently needed so that practices like skinning dead animals before disposing of them and consumption of dead carcasses can be minimized.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f0d/10805025/a857783e83aa/fpubh-11-1199664-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f0d/10805025/e85a38f22fca/fpubh-11-1199664-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f0d/10805025/a857783e83aa/fpubh-11-1199664-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f0d/10805025/e85a38f22fca/fpubh-11-1199664-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f0d/10805025/a857783e83aa/fpubh-11-1199664-g002.jpg
摘要

背景

炭疽、狂犬病、布鲁氏菌病和裂谷热等动物源性疾病直接威胁着发生地社区的健康,破坏了人们的生计。人类和动物活动的共同作用,如迁徙以及与野生动物及其各自的寄生虫和媒介的相互作用,推动了动物源性疾病的出现和再现。因此,包含社会科学家的跨学科“One Health”方法可以为复杂的地方认知提供关键见解。这种方法要求人类健康和动物健康部门进行合作,包括分享必要的疾病监测数据,以减轻疾病的影响。牲畜交易商与牲畜密切接触,使他们面临更高的感染风险,并为疾病传播创造了条件。因此,有必要检查参与牲畜贸易的行为者的做法,以了解减轻这些风险的最适当方法。

方法

在布西亚县的牲畜贸易行为者中进行了一项定性研究,了解他们对动物源性疾病的知识和认知,以及可能导致动物源性疾病传播、控制和预防的做法。使用主题分析框架对深入访谈(IDI)、关键人物访谈(KII)和结构化观察中收集的数据进行分类和综合。

结果

虽然参与者可以列出牲畜疾病,但他们无法确定哪些是动物源性疾病,这表明他们对动物源性疾病的了解不足。他们通过检查下垂的耳朵、过多的黏液产生、腹泻、血尿和动物的一般活动水平来识别患病动物。为了防止这些疾病的传播,他们给动物洗澡,将患病动物与其他牲畜隔离,并给动物接种疫苗。他们会在动物生病时向动物健康专业人员寻求帮助,这是治疗措施的一部分。这表明他们认为这些疾病很严重,需要专业人员来处理。研究结果还表明,与来自该地区的动物相比,他们认为来自该地区以外的动物更容易感染疾病。牲畜贸易行为者从事一些行为,如在埋葬前剥去死动物的皮;对他们来说,这是一种正常的做法。有些人也会食用死动物的尸体。这些增加了动物源性疾病传播的风险。

结论

参与牲畜贸易的行为者在预防和消除动物源性疾病方面至关重要;因此,在制定动物健康推广服务干预计划和政策时,需要让他们参与其中。将他们作为动物卫生工作者的延续进行培训,融合了实践知识和专业知识,再加上他们与大量动物的密切接触,这成为了一个关键的疾病监测工具。迫切需要利用包含社会科学家的多学科团队提高对动物源性疾病的认识,尽量减少在处理死动物之前剥皮和食用死动物尸体等做法。

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