Skip to main content
main-content
Erschienen in: BMC Infectious Diseases 1/2022

Open Access 01.12.2022 | Research

Assessment of socio-behavioural correlates and risk perceptions regarding anthrax disease in tribal communities of Odisha, Eastern India

verfasst von: Matrujyoti Pattnaik, Jaya Singh Kshatri, Hari Ram Choudhary, Debaprasad Parai, Jyoti Shandilya, Asit Mansingh, Arun Kumar Padhi, Sanghamitra Pati, Debdutta Bhattacharya

Erschienen in: BMC Infectious Diseases | Ausgabe 1/2022

Abstract

Background

This study is a baseline survey to assess the knowledge, attitude and practices with regards to the anthrax disease among the communities before demonstrating a One Health approach for elimination of human anthrax in an endemic district of Odisha. A total of 2670 respondents from 112 villages of 14 blocks were interviewed for the study using a structured questionnaire by multi-stage sampling method. Descriptive statistics were reported and logistic regression was performed to estimate the relationship between the variables and knowledge of anthrax.

Result

Out of 2670 participants in the study, 76.25% were male and about half were illiterate. Most of the respondents (54.19%) were involved in agriculture as an occupation. 71% of the respondents had livestock in their houses and farming was the main purpose for keeping the livestock. Only one-fifth of the respondents (20.26%) knew about anthrax and a majority of them have come across the disease during community outbreaks. Almost 25.9% of livestock owners had knowledge about vaccination against anthrax disease although 83.4% of the livestock owners disposed the animal carcass by burial method.

Conclusion

The study findings indicated that the community members had poor knowledge of cause, symptoms, transmission and prevention of anthrax disease which may be improved by a One Health approach.
Hinweise

Supplementary Information

The online version contains supplementary material available at https://​doi.​org/​10.​1186/​s12879-022-07035-9.
Matrujyoti Pattnaik, Jaya Singh Kshatri, Hari Ram Choudhary, Debaprasad Parai and Jyoti Shandilya have contributed equally

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Introduction

Anthrax is a globally neglected zoonotic disease caused by Bacillus anthracis and is widely found in cattle, goats, sheep and deer [1, 2]. Humans often got the disease when they come in close contact with an infected animal. The risk of an anthrax outbreak in the endemic areas is increased due to the exposure of inactive Bacillus anthracis spores from the soil [3, 4]. These spores are then swallowed by the herbivores during grazing which are then germinated inside the body and manifests various disease symptoms [5].
Anthrax has three clinical forms in humans based on the route of infection namely cutaneous (skin), gastrointestinal (ingestion) and pulmonary anthrax [6]. It is a disease more prevalent among animal handlers who get infected from contamination during the production, processing and handling of animal products and also among people who ingest/consume infected meat [7, 8]. Lack of awareness among livestock owners regarding anthrax is one of the most important factors leading to the disease outbreaks and becomes a big hurdle in controlling the disease [9].
In India, anthrax cases have been reported from different states like Odisha, Andhra Pradesh, Jammu & Kashmir, Tamil Nadu and Karnataka. In the last 15 years, 14 out of 30 districts have witnessed repeated outbreaks of anthrax affecting at least 1208 people, mostly cutaneous anthrax of which 436 had died in Odisha [10, 11]. The anthrax outbreaks become an endemic in few parts of this state and the most frequently affected districts are Koraput, Rayagada, Malkangiri, Sundargarh, and Kandhamal of which Koraput district tops the list with more than 300 human cases and more than 10 deaths with confirmed anthrax infection during the last 6 years [11, 12].
The following study is a baseline study which was conducted as a part of a One Health approach demonstration to map the current knowledge, attitude and practices among the communities residing in Koraput district of Odisha and to enlist the risky practices that can be a potential threat to catch the disease.

Materials and methods

Study design

The study was a cross-sectional survey conducted as a baseline before using the intervention of the One Health approach for the elimination of human anthrax cases in the district. This study was conducted from February 2020 to October 2020. All methods were carried out in accordance with relevant guidelines and regulations.

Study settings

The study was undertaken in the Koraput district, which is situated in south Odisha spreading out over 8807 sq. km with 14 blocks and 2028 revenue villages. It lies between 18.8561° N latitude and 82.7347° E longitude.

Sample size

The sample size was calculated by using the formula stated in Bhattacharya et al. [13]. Assuming the knowledge of anthrax in the community as 5% with a design effect of 1.3 and confidence interval of 95%, relative precision of 20% and non-response rate of 10% was calculated to a total of 2608 which was rounded off to 2640.

Sampling method

A multistage simple random sampling method was adopted for selecting the study participants from all the 14 blocks in the district. Block is a district sub-division and Gram Panchayat is the basic village governing body in Indian villages consisting of several villages. A list of fourteen blocks with total Gram panchayats and their total villages were made according to census 2011 for randomisation. The list of selected Gram panchayats and villages are provided as Additional file 1 (Annexure 1 and 2).
We have selected two Gram Panchayats from each administratively divided block and further four villages from each Gram Panchayat were selected based on simple random sampling using the random number generation method. If the number of villages in a Gram Panchayat was less than four, then another Gram Panchayat was selected randomly from the same block. In this way, 112 villages were selected for data collection in the district. In each selected village, households were selected systematically and only one adult individual was enrolled from each selected house. If there were two or more adults in one house, then simple random sampling was followed to select an individual for the study. The flow diagram for sampling is provided in (Fig. 1).

Data collection

A questionnaire was developed with 85-items based on the contents described in the Bhattacharya et al [13]. The structured questionnaire primarily consisted of semi-open questions and was arranged into domains namely socio-demographic characteristics (age, sex, education level, occupation, number of people in the household, animal ownership status), information on domestic animal (type of livestock, grazing habits, years of experience in handling livestock), dead-animal handling, food habits (consumption of meat and its sources) and knowledge assessment & awareness of the respondent about anthrax disease (signs or symptoms, transmission, precaution and prevention). The questionnaire was uploaded in Open Data Kit and data were collected using electronic devices. The field staff were provided with hands-on training for collecting the data through the tablet. The collected data were downloaded at regular intervals and data cleaning and monitoring were carried out by the data handler.

Data analysis

Statistical Package for Social Sciences (SPSS) version 21 was used for data analysis. The frequency distribution and percentages of the variables were calculated. The bivariate and multivariate logistic regression determined whether variables such as age, gender, educational level, occupation, presence or absence of livestock and meat consumption influenced the knowledge of anthrax at a significance level of 0.05. Heat map regarding knowledge of anthrax disease was done using QGIS (ver. 3.10).

Results

A total of 2670 individuals were surveyed from 112 villages across 14 blocks of the district. Socio-demographic characteristics of the study population are provided in Table 1. More than 3/4th (76.25%) of the studied population were male with a mean age of males being 40.4 ± 14.4 years and the mean age of females were recorded as 38.1 ± 13.8 years. Most of the study population were in the 18–29 age group (26.75%). The study participants mainly belonged to the Hindu religion (86.78%) and were tribal (62.43%). Respondents were classified into illiterate who received no formal education and literate who have completed atleast primary, secondary or tertiary level of education. More than 50% of the respondents were illiterate and a majority of the population (54.19%) were found to be engaged in agricultural practices.
Table 1
Socio-demographic information of the study participants in Koraput district
Variables
Frequency
Proportion (%)
Gender
 Male
2036
76.25
 Female
634
23.75
Age-groups
 18–29
714
26.75
 30–39
633
23.7
 40–49
542
20.3
 50–59
397
14.87
 60 and above
384
14.38
Category
 General
259
9.7
 Other backward caste
330
12.36
 Schedule caste
414
15.51
 Schedule tribe
1667
62.43
Education
 Illiterate
1432
53.63
 Literate
1238
46.37
Annual income (in Rs)
 Less than 10,000
496
18.58
 10,000–50,000
1598
59.85
 More than 50,000
576
21.57
Household size
 1–3
533
19.96
 4–6
1546
57.91
 7 and more
591
22.13
Occupation
 Unemployed
128
4.79
 Government service
61
2.28
 Private service
87
3.27
 Housewife
148
5.54
 Agriculture
1447
54.19
 Business
173
6.48
 Daily labour
626
23.45
Information about livestock handling is provided in Table 2. Of all the households visited, 71.42% of the households were having livestock. Most of the households were having cattle/buffalos (96.06%), then goat (24.49%) and sheep (18.56%) respectively. The main purpose for keeping the livestock was for cultivating the agricultural field (82.12%) followed by dairy farming (24.59%) and selling meat (17.93%). Forest (61.98%) was the most preferred place for grazing of animals along with grass fields (18.51%) and agricultural lands (17.99%).
Table 2
Information about livestock and animal handling
Question
Frequency
Proportion (%)
Respondents having livestock (n = 2670)
 Yes
1907
71.42
 No
763
28.58
Person’s dealing with the livestock (n = 1907)
 Myself
1269
66.54
 Wife/Husband
218
11.43
 Parents
222
11.65
 Son
104
5.45
 Other relatives
94
4.93
Respondents having which livestock# (n = 1907)
 Cattle/Buffalo
1832
96.06
 Goat
467
24.49
 Pig
30
1.57
 Sheep
354
18.56
Purpose of keeping livestock animals (n = 1907)
 Leather industry
2
0.1
 Skinning
6
0.31
 Dairy
469
24.59
 Farming
1566
82.12
 Selling meat
342
17.93
Respondent’s preferred place for grazing (n = 1907)
 Forest
1182
61.98
 Agricultural land
343
17.99
 Grass field
353
18.51
 Buy commercial fodder
29
1.52
Respondent’s having how many years of experience in handling livestock animals (n = 1907)
 Less than 1 year
140
7.34
 1–5 years
200
10.49
 5–10 years
284
14.89
 More than 10 years
1283
67.28
#Multiple choices were noted
Knowledge of anthrax refers to the people who could tell the signs and/or symptoms and/or transmission of anthrax in either humans or animals. Categorization of the study population according to the knowledge, attitude and practices regarding anthrax is shown in Table 3. Around 20.26% of people were aware of anthrax disease in animals and humans. Most of the respondents (43.3%) knew about anthrax from the community, 19.2% from the doctors, 13.7% from the veterinary department, 14.6% from media such as newspapers, internet, television, etc. and 9.2% from healthcare workers like Accredited Social Health Activist (ASHA), Auxiliary Nurse-Midwife (ANM), Anganwadi Workers (AWW), Primary Health Centre (PHC) doctors etc. (Fig. 2). A heat map for blocks regarding the distribution of participants who knew about anthrax is given in Fig. 3. One-fourth of the population handling livestock (25.9%) was aware of the anthrax vaccination of animals which is a preventive method for controlling anthrax disease among livestock animals. More than 70% of livestock owners inform relevant authorities on suspected anthrax cases in animals, whereas 23% of the people do not report it. About the risk practices and intended behaviour of persons towards anthrax, 14.75% of the study population was involved in the consumption of beef and 25.03% consume animal blood in their diet. Approximately 4.2% of the livestock owners consume the dead animal’s meat. Among livestock owners, 2.8% distribute the dead animals among villagers and 2.6% sell the carcass. Around 83% of the livestock owners were involved in burial of dead animals where they dig a land upto 5 feet and bury the dead animal in the presence of livestock inspector or veterinary doctor.
Table 3
Participant’s knowledge, attitude and practices towards anthrax disease in Koraput
Model
Question
Frequency
Proportion (%)
95% CI
Knowledge
Have heard about anthrax in animals or humans (n = 2670)
   
 Yes
541
20.26
18.7—21.8
 No
2129
79.74
78.1—81.2
Knowledge about symptoms of animal anthrax (n = 2670)
   
 Yes
227
8.50
7.4–9.6
 No
2443
91.50
90.3–92.5
Knowledge about transmission of anthrax in animals (n = 2670)
   
 Yes
271
10.15
9.1–11.3
 No
2399
89.85
88.6–90.9
Knowledge about symptoms of human anthrax (n = 2670)
   
 Yes
296
11.08
9.9–12.3
 No
2374
88.92
87.6–90.1
Knowledge on mode of transmission of anthrax from animal to human (n = 2670)
   
 Yes
207
7.75
6.7–8.8
 No
2463
92.25
91.1–93.2
Knowledge about preventive method of anthrax—vaccination of livestock (n = 1907)
   
 Yes
495
25.96
24.0–27.9
 No
1412
74.04
72.0–75.9
Information about financial help from the government for the burial of dead animals (n = 1907)
   
 Yes
22
1.15
0.7–1.8
 No
1885
98.85
98.2–99.3
Attitude
Place of anthrax vaccination (n = 495)
   
 Home
377
76.16
72.1–79.8
 Veterinary hospital
82
16.56
13.4–20.2
 Animal health check-up camps
36
7.28
5.2–10.0
Misconceptions and challenges regarding anthrax vaccination (n = 495)
   
 Productivity of animals will be hampered
90
18.19
14.9–21.9
 Vaccination is costly
86
17.38
14.2–21.0
 Livestock inspector is not coming home
61
12.32
9.6–15.6
 Animals become weak after vaccination
108
21.81
18.3–25.7
 None
150
30.30
26.3–34.6
Respondents’ reaction to suspected anthrax cases in animals (n = 541)
   
 Inform relevant authority
398
73.57
69.6–77.1
 Traditional methods
18
3.33
2.0–5.3
 Do not report anyone
125
23.1
19.6–26.9
Practices
Vaccinated their livestock animals against anthrax (n = 1907)
   
 Yes
406
21.29
19.5–23.2
 No
1501
78.71
76.7–80.5
Period of conduction of anthrax vaccination of animals (n = 406)
   
 Less than 6 months
245
60.35
55.4–65.1
 6 months–1 year
117
28.81
24.5–33.5
 1–2 years
23
5.67
3.7–8.5
 More than 2 years
21
5.17
3.3–7.9
Was the anthrax vaccination free of cost (n = 406)
   
 Yes
162
39.90
35.1–44.8
 No
244
60.10
55.1–64.8
Respondent’s meat consuming habit (n = 2670)
   
 Yes
2393
89.63
88.3–90.7
 No
277
10.37
9.3–11.6
Type of meat the respondents consume# (n = 2393)
   
 Beef
353
14.75
13.4–16.2
 Pig
135
5.64
4.7–6.6
 Sheep
2204
92.1
90.9–93.1
 Goat
1810
75.64
73.8–77.3
Respondent’s consuming animal blood in their diet (n = 2393)
   
 Yes
599
25.03
23.3–26.8
 No
1794
74.97
73.1–76.6
Respondents managing dead bodies of livestock animals (n = 1907)
   
 Burial
1591
83.43
81.6–85.1
 Throw them away
129
6.77
5.7–8.0
 Distribute among villagers
55
2.88
2.2–3.7
 Selling the carcass
51
2.67
2.0–3.5
 Consume the meat
81
4.25
3.4–5.3
#Multiple choices were noted
The odds ratio of both unadjusted and adjusted with their 95% confidence intervals (CIs) were used to assess the association as in Table 4. People with the age group 30–39 years had 1.4 times higher odds of possessing knowledge about anthrax compared to the people of the reference age group. Males were more likely to possess the knowledge of anthrax than females which might be due to the livestock handling predominantly done by them. Compared to the participants who received no formal education, those who had received formal education were two times more likely to possess the knowledge of anthrax. Participants who had more than 10 years of experience in handling livestock were 1.4 times more probable of possessing the knowledge of anthrax than others who had less than 10 years of experience.
Table 4
Bivariate and multivariate logistic regression analysis output of factors associated with knowledge of anthrax
Characteristic
Comparison
Knowledge of anthrax
Total
Unadjusted
odds ratio
95% C.I.
p-value
Adjusted odds ratio
95% C.I.
p-value
Age
18–29
138
714
Reference
     
30–39
162
633
1.43
1.11–1.85
 < 0.01
1.48
1.08–2.03
0.02
40–49
105
542
1
0.75–1.33
0.98
0.96
0.69–1.42
0.96
50–59
73
397
0.94
0.68–1.28
0.7
1.07
0.72–1.57
0.73
60 & above
63
384
0.81
0.59–1.13
0.23
0.98
0.65–1.49
0.95
Gender
Female
60
634
Reference
     
Male
481
2036
2.95
2.22–3.93
 < 0.01
2.20
1.50–3.22
 < 0.01
Education
Illiterate
191
1432
Reference
     
Literate
350
1238
2.56
2.10–3.11
 < 0.01
2.17
1.68–2.79
 < 0.01
Occupation
Non-agriculture
243
1260
Reference
     
Agriculture
298
1410
1.12
0.92–1.35
0.23
1.09
0.85–1.39
0.47
Livestock
Absent
138
763
Reference
     
Present
403
1907
1.21
0.97–1.50
0.07
1.17
0.93–1.47
0.18
Experience of handling livestock
Less than 10 years
103
624
Reference
     
More than 10 years
300
1283
1.54
1.20–1.97
0.01
1.49
1.14–1.94
 < 0.01
Meat consumption
No
31
277
Reference
     
Yes
510
2393
2.14
1.46–3.16
 < 0.01
1.79
1.13–2.82
0.01

Discussion

The study provides preliminary baseline information regarding the knowledge, attitude and practices of anthrax among the people of Koraput district. In our study, socio-demographic characteristics from the community were significantly associated with the knowledge of anthrax. Many communities in the district have very low levels of understanding of human and animal anthrax disease, which leads them to the risk of anthrax exposure as well as underreporting of the cases to the health officials. There are some harmful practices which include eating livestock blood, eating dead animals’ meat, distributing or selling carcasses to local people and even throwing carcasses anywhere in the field. Such occurrences may lead to environmental contamination by anthrax spores [14]. Once the spores are released into the environment, they can remain viable for a period of 90 years or more and can be a source of future outbreaks [15]. The attention of authorities towards anthrax is sought when outbreaks happen in the community, making people sick or dead after consuming infected or uninspected meat [16]. Almost 71% of the population owns livestock of which 96% have cattle/buffalo, which indicates that the community is highly dependent on cattle for livelihood. This could be one of the major reasons for frequent outbreaks in cattle than any other livestock in Koraput [17]. Majority of livestock visit the forest for grazing which can be another factor of ingesting spores and a possible risk factor for anthrax disease outbreaks among animals. Several studies have hypothesized the seasonal variations or climate conditions for anthrax disease outbreaks, and there is strong evidence regarding their association [1820]. Around 21.2% of livestock owners have vaccinated their animals against anthrax disease which shows a lack of anthrax vaccination knowledge and practice in the community. Veterinarians contribute a major role in building and implementing disease control programs in livestock. The annual vaccination of livestock against anthrax significantly lowers the odds of acquiring anthrax than those that were never vaccinated [21]. Non-livestock owners had less knowledge about anthrax disease than livestock owners, as it was expected that the disease occurs mainly in livestock animals but it was not significantly associated. The Government is providing financial assistance for the burial of dead animals to the livestock owners but more than 98% of the livestock owners are unaware of the incentive as per our study. Livestock owners had indigenous knowledge of various diseases affecting their livestock but awareness of anthrax disease, vaccination of animals against anthrax and the government incentive for burial of dead animals was lacking in most cases which must be done by the local governmental organizations or veterinary department. The education of livestock owners for the handling of anthrax suspect cases or dead livestock animals is very important by training them on the proper burial of animals and not to cut such carcasses or consume them. Anthrax is a neglected zoonotic disease that is often underreported from its actual prevalence [22]. Establishing a surveillance network for reporting anthrax cases in endemic districts can be beneficial in preventing outbreaks of the disease. The findings from the study could open the doors for future contributions, research efforts and also can be used to optimize prevention and control strategies, including vaccination of livestock and educational campaigns of livestock owners.

Conclusion

This study highlights substantial knowledge and practice gaps on anthrax in the community which indicates a need for improvement in these areas. Several risk practices were identified such as consumption, distribution and trading of dead animal meat which could be the potential factors in the transmission of anthrax from animal to human. A surveillance system for early case detection and proper education among the community regarding anthrax is essential for the timely detection, prevention and control of outbreaks. Immediate measures should be taken to maximize the coverage of anthrax vaccination among the livestock of the district. Active inter-departmental coordination by adopting the One Health approach in endemic regions is a potential method to address these gaps.

Acknowledgements

The authors gratefully acknowledge all the participants for voluntarily participating in this study and for sharing valuable information and experiences. We are also thankful to our research team including Biren Kumar Padhi, Padma Mohan Pradhan, Subrat Kumar Sahoo and Annalisha Peter.

Declarations

Ethical clearance was obtained from the Institutional Human Ethics Committee of ICMR-Regional Medical Research Centre (RMRC), Bhubaneswar [ECH/911/Inst/OR/2017]. Each participant was explained about the aims and objectives of the study and provided with the participant information sheet for reference. Written informed consent was taken from each literate participant and the same was obtained from legally authorized representatives/tribe’s head for illiterate participant before participation in the study. There was no child participant in this study. The study was conducted following the relevant ethical guidelines of Indian Council of Medical Research, New Delhi.
All the authors have scrutinized the script and give their consent for publication.

Competing interests

The authors have no competing interests in any form.
Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Literatur
1.
Zurück zum Zitat Fukao T. Immune system paralysis by anthrax lethal toxin: the roles of innate and adaptive immunity. Lancet Infect Dis. 2004;4:166–70. CrossRef Fukao T. Immune system paralysis by anthrax lethal toxin: the roles of innate and adaptive immunity. Lancet Infect Dis. 2004;4:166–70. CrossRef
2.
Zurück zum Zitat Tuchili LM, Pandey GS, Sinyangwe PG, Kaji T. Anthrax in cattle, wildlife and humans in Zambia. Vet Rec. 1993;132:487. CrossRef Tuchili LM, Pandey GS, Sinyangwe PG, Kaji T. Anthrax in cattle, wildlife and humans in Zambia. Vet Rec. 1993;132:487. CrossRef
3.
Zurück zum Zitat Walsh MG, de Smalen AW, Mor SM. Climatic influence on anthrax suitability in warming northern latitudes. Sci Rep. 2018;8:9269. CrossRef Walsh MG, de Smalen AW, Mor SM. Climatic influence on anthrax suitability in warming northern latitudes. Sci Rep. 2018;8:9269. CrossRef
4.
Zurück zum Zitat Dey R, Hoffman PS, Glomski IJ. Germination and amplification of anthrax spores by soil-dwelling amoebas. Appl Environ Microbiol. 2012;78:8075–81. CrossRef Dey R, Hoffman PS, Glomski IJ. Germination and amplification of anthrax spores by soil-dwelling amoebas. Appl Environ Microbiol. 2012;78:8075–81. CrossRef
6.
Zurück zum Zitat Goossens PL. Animal models of human anthrax: the Quest for the Holy Grail. Mol Aspects Med. 2009;30:467–80. CrossRef Goossens PL. Animal models of human anthrax: the Quest for the Holy Grail. Mol Aspects Med. 2009;30:467–80. CrossRef
7.
Zurück zum Zitat Dixon TC, Meselson M, Guillemin J, Hanna PC. Anthrax. N Engl J Med. 1999;341:815–26. CrossRef Dixon TC, Meselson M, Guillemin J, Hanna PC. Anthrax. N Engl J Med. 1999;341:815–26. CrossRef
8.
Zurück zum Zitat D’Amelio E, Gentile B, Lista F, D’Amelio R. Historical evolution of human anthrax from occupational disease to potentially global threat as bioweapon. Environ Int. 2005;85:133–46. CrossRef D’Amelio E, Gentile B, Lista F, D’Amelio R. Historical evolution of human anthrax from occupational disease to potentially global threat as bioweapon. Environ Int. 2005;85:133–46. CrossRef
9.
Zurück zum Zitat Sitali DC, Mumba C, Skjerve E, Mweemba O, Kabonesa C, Mwinyi MO, et al. Awareness and attitudes towards anthrax and meat consumption practices among affected communities in Zambia: a mixed methods approach. PLoS Negl Trop Dis. 2017;11:e0005580. CrossRef Sitali DC, Mumba C, Skjerve E, Mweemba O, Kabonesa C, Mwinyi MO, et al. Awareness and attitudes towards anthrax and meat consumption practices among affected communities in Zambia: a mixed methods approach. PLoS Negl Trop Dis. 2017;11:e0005580. CrossRef
10.
Zurück zum Zitat Patil RR. Anthrax: public health risk in India and socio-environmental determinants, Indian. J Community Med. 2010;35:189–90. Patil RR. Anthrax: public health risk in India and socio-environmental determinants, Indian. J Community Med. 2010;35:189–90.
12.
Zurück zum Zitat Sahoo KC, Negi S, Barla D, Badaik G, Sahoo S, Bal M, et al. The landscape of anthrax prevention and control: stakeholders’ perceptive in Odisha, India. Int J Environ Res Public Health. 2020;17:3094. CrossRef Sahoo KC, Negi S, Barla D, Badaik G, Sahoo S, Bal M, et al. The landscape of anthrax prevention and control: stakeholders’ perceptive in Odisha, India. Int J Environ Res Public Health. 2020;17:3094. CrossRef
13.
Zurück zum Zitat Bhattacharya D, Kshatri JS, Choudhary HR, Parai D, Shandilya J, Mansingh A, et al. One Health approach for elimination of human anthrax in a tribal district of Odisha: study protocol. PLoS ONE. 2021;16:e0251041. CrossRef Bhattacharya D, Kshatri JS, Choudhary HR, Parai D, Shandilya J, Mansingh A, et al. One Health approach for elimination of human anthrax in a tribal district of Odisha: study protocol. PLoS ONE. 2021;16:e0251041. CrossRef
14.
Zurück zum Zitat Makurumidze R, Gombe NT, Magure T, Tshimanga M. Investigation of an anthrax outbreak in Makoni District, Zimbabwe. BMC Public Health. 2021;21:298. CrossRef Makurumidze R, Gombe NT, Magure T, Tshimanga M. Investigation of an anthrax outbreak in Makoni District, Zimbabwe. BMC Public Health. 2021;21:298. CrossRef
15.
16.
Zurück zum Zitat Chakraborty A, Khan SU, Hasnat MA, Parveen S, Islam MS, Mikolon A, et al. Anthrax outbreaks in Bangladesh, 2009–2010. Am J Trop Med Hyg. 2012;86:703–10. CrossRef Chakraborty A, Khan SU, Hasnat MA, Parveen S, Islam MS, Mikolon A, et al. Anthrax outbreaks in Bangladesh, 2009–2010. Am J Trop Med Hyg. 2012;86:703–10. CrossRef
17.
Zurück zum Zitat Kracalik I, Malania L, Broladze M, Navdarashvili A, Imnadze P, Ryan SJ, et al. Changing livestock vaccination policy alters the epidemiology of human anthrax, Georgia, 2000–2013. Vaccine. 2017;35:6283–9. CrossRef Kracalik I, Malania L, Broladze M, Navdarashvili A, Imnadze P, Ryan SJ, et al. Changing livestock vaccination policy alters the epidemiology of human anthrax, Georgia, 2000–2013. Vaccine. 2017;35:6283–9. CrossRef
18.
Zurück zum Zitat Hampson K, Lembo T, Bessell P, Auty H, Packer C, Halliday J, et al. Predictability of anthrax infection in the Serengeti, Tanzania. J Appl Ecol. 2011;48(6):1333–44. CrossRef Hampson K, Lembo T, Bessell P, Auty H, Packer C, Halliday J, et al. Predictability of anthrax infection in the Serengeti, Tanzania. J Appl Ecol. 2011;48(6):1333–44. CrossRef
19.
Zurück zum Zitat Turner WC, Imologhome P, Havarua Z, Kaaya GP, Mfune JKE, Mpofu IDT, et al. Soil ingestion, nutrition and the seasonality of anthrax in herbivores of Etosha National Park. Ecosphere. 2013;4(1):art13. CrossRef Turner WC, Imologhome P, Havarua Z, Kaaya GP, Mfune JKE, Mpofu IDT, et al. Soil ingestion, nutrition and the seasonality of anthrax in herbivores of Etosha National Park. Ecosphere. 2013;4(1):art13. CrossRef
20.
Zurück zum Zitat Munang’andu HM, Banda F, Siamudaala VM, Munyeme M, Kasanga CJ, Hamududu B. The effect of seasonal variation on anthrax epidemiology in the upper Zambezi floodplain of western Zambia. J Vet Sci. 2012;13(3):293–8. CrossRef Munang’andu HM, Banda F, Siamudaala VM, Munyeme M, Kasanga CJ, Hamududu B. The effect of seasonal variation on anthrax epidemiology in the upper Zambezi floodplain of western Zambia. J Vet Sci. 2012;13(3):293–8. CrossRef
21.
Zurück zum Zitat Kracalik I, Malania L, Broladze M, Navdarashvili A, Imnadze P, Ryan SJ, et al. Changing livestock vaccination policy alters the epidemiology of human anthrax, Georgia, 2000–2013. Vaccine. 2017;35(46):6283–9. CrossRef Kracalik I, Malania L, Broladze M, Navdarashvili A, Imnadze P, Ryan SJ, et al. Changing livestock vaccination policy alters the epidemiology of human anthrax, Georgia, 2000–2013. Vaccine. 2017;35(46):6283–9. CrossRef
22.
Zurück zum Zitat Maudlin I, Eisler MC, Welburn SC. Neglected and endemic zoonoses. Philos Trans R Soc Lond B. 2009;364:2777–87. CrossRef Maudlin I, Eisler MC, Welburn SC. Neglected and endemic zoonoses. Philos Trans R Soc Lond B. 2009;364:2777–87. CrossRef
Metadaten
Titel
Assessment of socio-behavioural correlates and risk perceptions regarding anthrax disease in tribal communities of Odisha, Eastern India
verfasst von
Matrujyoti Pattnaik
Jaya Singh Kshatri
Hari Ram Choudhary
Debaprasad Parai
Jyoti Shandilya
Asit Mansingh
Arun Kumar Padhi
Sanghamitra Pati
Debdutta Bhattacharya
Publikationsdatum
01.12.2022
Verlag
BioMed Central
Erschienen in
BMC Infectious Diseases / Ausgabe 1/2022
Elektronische ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-022-07035-9

Weitere Artikel der Ausgabe 1/2022

BMC Infectious Diseases 1/2022 Zur Ausgabe

Neu im Fachgebiet Innere Medizin

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Innere Medizin und bleiben Sie gut informiert – ganz bequem per eMail.

Fallbeispiele zur Gastroenterologie

Praxisnahe medizinische Fortbildung durch alltägliche bis außergewöhnliche klinische Fallbeispiele