Dutuze M Fausta, Espino Analise, Christofferson Rebecca C
Rwanda Institute for Conservation Agriculture, Kigali, Rwanda.
Milken School of Public Health, George Washington University, Washington, District of Columbia.
Am J Trop Med Hyg. 2024 Sep 18;111(6):1364-1372. doi: 10.4269/ajtmh.24-0099. Print 2024 Dec 4.
Rural Rwandan communities face health challenges for humans and animals, and the topography and climate of the Kirehe District of Rwanda put farmers at high risk for mosquito-borne diseases. Individuals from 92 Rwandan farms were surveyed about farm practices, as well as animal and human health histories between December 2017 and February 2018. Human, animal, and environmental factors were investigated to determine whether there is a pattern of risk for abortion incidence and/or history of malarial disease on the farm. Iterative, complementary logistic regression models were used to determine whether there was an association between variables and abortion history in animals. These factors were then used to investigate association with a reported history of malaria. Of the 92 farms in our study, 82 were family farms and 10 were commercial farms. On average, 88% of the farms had cattle, and 30% of farms had experienced a cattle abortion in the past 2 years. There was no observed statistical significance in the risk factors for history of abortion in cattle and the measured variables. Using One Health as a guiding framework, we sought to determine whether human, animal, and environmental factors were statistically associated with observed disease outcomes. From our study of the practices of the farmers with respect to biosafety and self-protection against disease, we have identified potential sources of risk that could be targeted to enhance education and protection on these farms.
卢旺达农村社区面临着人类和动物的健康挑战,卢旺达基雷赫区的地形和气候使农民极易感染蚊媒疾病。2017年12月至2018年2月期间,对卢旺达92个农场的人员进行了调查,了解农场的做法以及动物和人类的健康史。对人类、动物和环境因素进行了调查,以确定农场是否存在流产发病率和/或疟疾病史的风险模式。使用迭代互补逻辑回归模型来确定变量与动物流产史之间是否存在关联。然后利用这些因素来调查与报告的疟疾病史的关联。在我们研究的92个农场中,82个是家庭农场,10个是商业农场。平均而言,88%的农场养有牛,30%的农场在过去两年中发生过牛流产。在牛流产史的风险因素和测量变量之间未观察到统计学意义。以“同一健康”为指导框架,我们试图确定人类、动物和环境因素与观察到的疾病结果是否存在统计学关联。通过对农民在生物安全和疾病自我保护方面做法的研究,我们确定了潜在的风险来源,可针对这些来源加强这些农场的教育和保护。