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The impact of poverty on dog ownership and access to canine rabies vaccination:results from a knowledge,attitudes and practices survey,Uganda 2013

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Infectious Diseases of Poverty 2017年第1期6卷 859-880页

作者： Ryan MacLaren Wallace jason mehal Yoshinori Nakazawa Sergio Recuenco Barnabas Bakamutumaho Modupe Osinubi Victor Tugumizemu Jesse D.Blanton Amy Gilbert Joseph Wamala United States Centers for Disease Control and Prevention AtlantaGAUSA Uganda Virus Research Institute KampalaUganda Veterinary Public Health Division Ministry of HealthKampalaUganda World Health Organization KampalaUganda

Background:Rabies is a neglected disease despite being responsible for more human deaths than any other zoonosis.A lack of adequate human and dog surveillance,resulting in low prioritization,is often blamed for this *** methods are often employed to describe the rabies burden when surveillance data are not available,however these figures are rarely based on country-specific ***:In 2013 a knowledge,attitudes,and practices survey was conducted in Uganda to understand dog population,rabies vaccination,and human rabies risk factors and improve in-country and regional rabies burden *** and multi-level logistic regression techniques were conducted to estimate the total dog population and vaccination ***:Twenty-four villages were selected,of which 798 households completed the survey,representing 4375 *** owning households represented 12.9%of the population,for which 175 dogs were owned(25 people per dog).A history of vaccination was reported in 55.6%of owned *** and human population density highly correlated with dog ownership,and when accounted for in multi-level regression models,the human to dog ratio fell to 47:1 and the estimated national canine-rabies vaccination coverage fell to 36.1%.This study estimates there are 729486 owned dogs in Uganda(95%CI:719919-739053).Ten percent of survey respondents provided care to dogs they did not own,however unowned dog populations were not enumerated in this estimate.89.8%of Uganda’s human population was estimated to reside in a community that can support enzootic canine rabies ***:This study is the first to comprehensively evaluate the effect of poverty on dog ownership in *** results indicate that describing a dog population may not be as simple as applying a human:dog ratio,and factors such as poverty are likely to heavily influence dog ownership and vaccination *** modelled estimates should be confirmed through further f

关键词： Rabies Dogs Vaccination Poverty Low-income Neglected Africa

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