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Knowledge, attitudes and practices with regard to the presence, transmission, impact, and control of cystic echinococcosis in Sidi Kacem Province, Morocco

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Infectious Diseases of Poverty 2015年第1期4卷 399-410页

作者： Ikhlass El Berbri Marie J.Ducrotoy Anne-Françoise Petavy Ouaffa Fassifihri Alexra PShaw Mohammed Bouslikhane Franck Boue Susan C.Welburn allal dakkak Department of Pathology and Veterinary Public Health Institut Agronomique et Vétérinaire Hassan IIBP:6202RabatMorocco Department of Parasitology and Medical Mycology Lyon 1 University8 Avenue Rochefeller69373 Lyon Cedex 08France Division of Infection and Pathway Medicine School of Biomedical SciencesCollege of Medicine and Veterinary MedicineThe University of EdinburghChancellor’s Building49 Little France CrescentEdinburgh EH164SBUnited Kingdom Avia-GIS Risschotlei 33B-2980 ZoerselBelgium ANSES Laboratoire de la rage et de la faune sauvage de NancyLaboratoire national de référence pour Echinococcus spp54220 Malzéville cedexFrance

Background:This study is a component of a large research project on five major neglected zoonotic diseases(NZDs)including cystic echinococcosis and was undertaken in the Province of Sidi Kacem over a period of four years(April 2009-March 2013).Methods:Questionnaires were administered at community level in a total of 27 communes and visits were made to all of the 10 abattoirs situated in the Province,to collect qualitative data on determinants of transmission for disease in humans and *** specifically,community knowledge,attitudes and practices related to cystic echinococcosis were assessed,as well as the extent to which local customs and behaviours may promote *** infrastructure and practices,and their role in perpetuating disease transmission were also critically ***:The results show that only 50%of people have heard of the disease,and of those,only 21%are aware of the dog’s role in disease ***-seven per cent of respondents stated that dogs are fed ruminant organs deemed unfit for human *** dogs have access to the family home,including the kitchen,in 39%of *** extent of this close proximity between humans and animals is even more pertinent when one considers that dogs are omnipresent in the community,with an average of 1.8 dogs owned per *** unrestricted access of dogs to abattoirs is a huge issue,which further promotes disease ***:This study would suggest that the high prevalence of cystic echinococcosis in humans and animals in Morocco is largely due to three factors:1)abundance of dogs 2)engagement in risky behaviour of the local population and 3)poor abattoir infrastructure and *** has serious implications in terms of the socio-economic impact of the disease,especially for rural poor communities.

关键词： Attitudes Cystic echinococcosis Knowledge Morocco Transmission factors Practices

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