‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 2019

<h4>Introduction</h4> Anthrax is the highest-ranked priority zoonotic disease in Kenya with about ten human cases annually. Anthrax outbreak was reported in Kisumu East Sub County after some villagers slaughtered and ate beef from a cow suspected to have died of anthrax. We aimed at esta...

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Autores principales: Bernard Chege Mugo, Cornelius Lekopien, Maurice Owiny
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:d9e6024581714bbcb2545ed05663df332021-11-11T07:14:36Z‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 20191932-6203https://doaj.org/article/d9e6024581714bbcb2545ed05663df332021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568283/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4> Anthrax is the highest-ranked priority zoonotic disease in Kenya with about ten human cases annually. Anthrax outbreak was reported in Kisumu East Sub County after some villagers slaughtered and ate beef from a cow suspected to have died of anthrax. We aimed at establishing the magnitude of the outbreak, described associated factors, and assessed community knowledge, attitude, and practices on anthrax. <h4>Methods</h4> We reviewed human and animal records, conducted case search and contact tracing using standard case definitions in the period from July 1through to July 28, 2019. A cross-sectional study was conducted to assess community knowledge, attitude, and practices towards anthrax. The household selection was done using multistage sampling. We cleaned and analyzed data in Ms. Excel and Epi Info. Descriptive statistics were carried out for continuous and categorical variables while analytical statistics for the association between dependent and independent variables were calculated. <h4>Results</h4> Out of 53 persons exposed through consumption or contact with suspicious beef, 23 cases (confirmed: 1, probable: 4, suspected: 18) were reviewed. The proportion of females was 52.17% (12/23), median age 13.5 years and range 45 years. The attack rate was 43.4% (23/53) and the case fatality rate was 4.35% (1/23). Knowledge level, determined by dividing those considered to be ‘having good knowledge’ on anthrax (numerator) by the total number of respondents (denominator) in the population regarding cause, transmission, symptoms and prevention was 51% for human anthrax and 52% for animal anthrax. Having good knowledge on anthrax was associated with rural residence [OR = 5.5 (95% CI 2.1–14.4; p<0.001)], having seen a case of anthrax [OR = 6.2 (95% CI 2.8–14.2; p<0.001)] and among those who present cattle for vaccination [OR = 2.6 (95% CI 1.2–5.6; p = 0.02)]. About 23.2% (26/112) would slaughter and sell beef to neighbors while 63.4% (71/112) would bury or burn the carcass. Nearly 93.8% (105/112) believed vaccination prevents anthrax. However, 5.4% (62/112) present livestock for vaccination. <h4>Conclusion</h4> Most anthrax exposures were through meat consumption. Poor knowledge of the disease might hamper prevention and control efforts.Bernard Chege MugoCornelius LekopienMaurice OwinyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Bernard Chege Mugo
Cornelius Lekopien
Maurice Owiny
‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 2019
description <h4>Introduction</h4> Anthrax is the highest-ranked priority zoonotic disease in Kenya with about ten human cases annually. Anthrax outbreak was reported in Kisumu East Sub County after some villagers slaughtered and ate beef from a cow suspected to have died of anthrax. We aimed at establishing the magnitude of the outbreak, described associated factors, and assessed community knowledge, attitude, and practices on anthrax. <h4>Methods</h4> We reviewed human and animal records, conducted case search and contact tracing using standard case definitions in the period from July 1through to July 28, 2019. A cross-sectional study was conducted to assess community knowledge, attitude, and practices towards anthrax. The household selection was done using multistage sampling. We cleaned and analyzed data in Ms. Excel and Epi Info. Descriptive statistics were carried out for continuous and categorical variables while analytical statistics for the association between dependent and independent variables were calculated. <h4>Results</h4> Out of 53 persons exposed through consumption or contact with suspicious beef, 23 cases (confirmed: 1, probable: 4, suspected: 18) were reviewed. The proportion of females was 52.17% (12/23), median age 13.5 years and range 45 years. The attack rate was 43.4% (23/53) and the case fatality rate was 4.35% (1/23). Knowledge level, determined by dividing those considered to be ‘having good knowledge’ on anthrax (numerator) by the total number of respondents (denominator) in the population regarding cause, transmission, symptoms and prevention was 51% for human anthrax and 52% for animal anthrax. Having good knowledge on anthrax was associated with rural residence [OR = 5.5 (95% CI 2.1–14.4; p<0.001)], having seen a case of anthrax [OR = 6.2 (95% CI 2.8–14.2; p<0.001)] and among those who present cattle for vaccination [OR = 2.6 (95% CI 1.2–5.6; p = 0.02)]. About 23.2% (26/112) would slaughter and sell beef to neighbors while 63.4% (71/112) would bury or burn the carcass. Nearly 93.8% (105/112) believed vaccination prevents anthrax. However, 5.4% (62/112) present livestock for vaccination. <h4>Conclusion</h4> Most anthrax exposures were through meat consumption. Poor knowledge of the disease might hamper prevention and control efforts.
format article
author Bernard Chege Mugo
Cornelius Lekopien
Maurice Owiny
author_facet Bernard Chege Mugo
Cornelius Lekopien
Maurice Owiny
author_sort Bernard Chege Mugo
title ‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 2019
title_short ‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 2019
title_full ‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 2019
title_fullStr ‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 2019
title_full_unstemmed ‘We dry contaminated meat to make it safe’: An assessment of knowledge, attitude and practices on anthrax during an outbreak, Kisumu, Kenya, 2019
title_sort ‘we dry contaminated meat to make it safe’: an assessment of knowledge, attitude and practices on anthrax during an outbreak, kisumu, kenya, 2019
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/d9e6024581714bbcb2545ed05663df33
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