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- Title
Zoonotic tuberculosis knowledge and practices among cattle handlers in selected districts of Bangladesh.
- Authors
Islam, Sk Shaheenur; Rumi, Tanzida Begum; Kabir, S. M. Lutful; Rahman, AKM Anisur; Faisal, Md. Mahmudul Hasan; Islam, Robiul; van der Zanden, Adri G. M.; Ward, Michael P.; Ross, Allen G.; Rahim, Zeaur
- Abstract
We assessed zoonotic tuberculosis (zTB) knowledge and prevention and control practices of 404 cattle handlers via a survey in three dairy-intensive districts of Bangladesh. Most respondents were aged 30–49 (52%) and male (95%). Almost all (99%) recognized the important public health burden of tuberculosis in Bangladesh, however, most (58%) had inadequate knowledge about zTB transmission to humans. Inappropriate practices such as: not using protective equipment (98%); smoking, drinking or eating food whilst working with cattle (69%); and sharing the same premises with animals (83%) were identified. Cattle handlers educated at secondary or higher levels were 2.82- (95% CI: 1.59–5.10) and 5.15 times (95% CI: 1.74–15.20) more likely to have adequate knowledge of control and prevention activities compared to those with no formal education. Those who had reared animals for 1–5 years were 2.67 times (95% CI: 1.44–4.91) more likely to have adequate knowledge, compared to those who reared animals for >15 years. Cattle handlers with a monthly incomes of 10,000–20,000 taka were significantly (Odds Ratio = 0.36, 95% CI: 0.14–0.92) less likely to have adequate knowledge compared to those with monthly incomes <10,000 taka. Cattle handlers with high school or higher education were 6.98 times (95% CI: 2.47–19.71) more likely to use appropriate zTB control and prevention practices compared to those without formal education. Those who had reared animals for 1–5 years, 6–10 years and 11–15 years were 2.72- (95% CI: 1.42–5.24), 2.49- (95% CI: 1.29–4.77) and 2.86 times (95% CI: 1.13–7.23) more likely to apply appropriate practices compared to those who reared animals for >15 years. Overall, education, duration of cattle rearing and monthly income predicted zTB knowledge and practices. There is an urgent need to educate those at high-risk of zTB transmission on issues including the handling of infected animals, and general hygiene. A One Health approach, to support the Sustainable Development Goals and the End TB strategy, appears to be the way forward. Author summary: Zoonotic tuberculosis (zTB) is a form of tuberculosis derived mainly from cattle (bovine tuberculosis, bTB) via direct or indirect contact (inhalation), and/or consumption of contaminated animal products or water (ingestion). We evaluated the zTB knowledge and practices among cattle handlers in selected districts of Bangladesh via a questionnaire. It was observed that handlers are moderately aware of tuberculosis as an important public health burden in Bangladesh. However, they have inadequate knowledge on the transmission of zTB from humans and animals. Most of the cattle handlers do not use personal protective equipment. Cattle handlers often smoke, drink or eat whilst working with cattle and some even share the same premise with animals. Education, duration of cattle rearing and cattle handlers' monthly income significantly influenced cattle handlers' zTB knowledge and practices. Based on results of this study we recommend implementation of a One Health platform in order to enable health education programs targeting at risk farmers.
- Subjects
BANGLADESH; CATTLE; TUBERCULOSIS; PERSONAL protective equipment; TUBERCULOSIS in cattle; ANIMAL handling
- Publication
PLoS Neglected Tropical Diseases, 2021, Vol 15, Issue 4, p1
- ISSN
1935-2727
- Publication type
Article
- DOI
10.1371/journal.pntd.0009394