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坦桑尼亚盖罗和蒙杜利地区农牧混合社区及牧民社区对蜱虫和蜱传人畜共患病的当前认知、态度及行为

Current Knowledge, Attitudes, and Practices Toward Ticks and Tick-Borne Zoonoses among Mixed Farming and Pastoral Communities in Gairo and Monduli Districts, Tanzania.

作者信息

Haji Isihaka, Magesa Walter S, Simuunza Martin

机构信息

Department of Veterinary Microbiology, Parasitology and Biotechnology, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.

APOPO Training and Research Centre, Sokoine University of Agriculture, Morogoro, Tanzania.

出版信息

Am J Trop Med Hyg. 2025 Jun 10;113(2):469-474. doi: 10.4269/ajtmh.24-0439. Print 2025 Aug 6.

Abstract

Tick-borne zoonoses (TBZ) are a group of infectious diseases whose pathogens can be transmitted to animals and humans by ticks. They are among the emerging and reemerging infectious diseases that cause significant global health concerns. There is inadequate information about the occurrence and awareness of TBZ in some endemic areas, especially in rural communities in countries like Tanzania. In this study, a questionnaire was used to assess the knowledge, attitudes, and practices regarding ticks and TBZ infection among 102 respondents (50 from the Monduli District, a livestock-wildlife area and 52 from Gairo District, not a livestock-wildlife area) in Tanzania. Knowledge of ticks and TBZ varied significantly, with the majority of the respondents in Gairo 35 (67.3%), but only 7 (14%) in Monduli, being aware that ticks can transmit pathogens to humans. A total of 70% of the respondents reported having been bitten by ticks, and the frequency varied significantly with respect to the locality, daily activities, and sex of the respondent. Many of the respondents from Gairo (55.8%) and Monduli (26%) mentioned muscle pain, flu-like symptoms, and fever as symptoms that often appear after a tick bite. None of the participants reported attending a healthcare facility after a tick bite. We recommend comprehensive community health education and campaigns to impart knowledge about potential zoonotic disease transmission by ticks, presenting symptoms of commonly known TBZ, along with advice to seek medical care when residents experience symptoms after a tick bite.

摘要

蜱传人畜共患病(TBZ)是一组传染病,其病原体可通过蜱传播给动物和人类。它们属于引起全球重大健康问题的新出现和再次出现的传染病。在一些流行地区,尤其是在坦桑尼亚等国的农村社区,关于蜱传人畜共患病的发生情况和认知程度的信息不足。在本研究中,通过问卷调查评估了坦桑尼亚102名受访者(50名来自蒙杜利区,一个畜牧-野生动物区域;52名来自盖罗区,非畜牧-野生动物区域)对蜱及蜱传人畜共患病感染的知识、态度和行为。对蜱及蜱传人畜共患病的了解程度差异显著,盖罗区的大多数受访者35人(67.3%),但蒙杜利区只有7人(14%)意识到蜱可将病原体传播给人类。共有70%的受访者报告曾被蜱叮咬,叮咬频率因受访者的所在地、日常活动和性别而有显著差异。来自盖罗区(55.8%)和蒙杜利区(26%)的许多受访者提到,肌肉疼痛、流感样症状和发烧是蜱叮咬后经常出现的症状。没有参与者报告在被蜱叮咬后去过医疗机构。我们建议开展全面的社区健康教育和宣传活动,传授关于蜱可能传播人畜共患病的知识,介绍常见蜱传人畜共患病的症状,并建议居民在被蜱叮咬后出现症状时寻求医疗护理。

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