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Cultural drivers and health-seeking behaviours that impact on the transmission of pig-associated zoonoses in Lao People’s Democratic Republic

引用

Infectious Diseases of Poverty 2015年第1期4卷 71-82页

作者： Stephanie Burniston Anna L Okello Boualam Khamlome Phouth Inthavong Jeffrey Gilbert Stuart D Blacksell John Allen Susan C Welburn Division of Infection and Pathway Medicine College of Medicine and VeterinaryMedicineUniversity of Edinburgh49 Little France CrescentEdinburgh EH164SBUK CSIRO Animal Food and Health Sciences Australian Animal Health Laboratory(AAHL)Regional Programme5 Portarlington RoadEast GeelongVictoria 3219Australia Department for Communicable Disease Control(DCDC) Ministry of HealthThadeua RoadVientianeLao PDR Department of Livestock and Fisheries Ministry of Agriculture and ForestryBan Sithan NuaLuang Prabang RoadSikhottabong DistrictVientiane 7042Lao PDR International Livestock Research Institute(ILRI) Asia ProgrammeKabeteNaivasha RoadNairobi 30709-00100Kenya Mahidol-Oxford Tropical Medicine Research Unit Faculty of Tropical MedicineMahidol University420/6 Rajvithee Road10400 BangkokThailand Centre for Tropical Medicine Nuffield Department of Clinical MedicineChurchill HospitalOld RoadHeadingtonOxford OX37LJUK

Pig rearing is an important income source in the Lao People’s Democratic Republic(PDR),with many smallholder farmers using traditional free-range pig production *** the potentially significant health risks posed by pig production regarding pig-associated zoonoses,information on the sociocultural drivers of these zoonoses is significantly *** review summarises the existing sociocultural knowledge on eight pig-associated zoonoses suspected to be endemic in Southeast Asia:brucellosis,Q fever(Coxiella burnetii),trichinellosis,hepatitis E virus,leptospirosis,Japanese encephalitis,Streptococcus suis and Taenia solium *** summarises current knowledge on these diseases grouped according to their clinical manifestations in humans to highlight the propensity for underreporting.A literature search was conducted across multiple databases for publications from 1990 to the present day related to the eight pig-associated zoonoses and the risk and impact connected with them,with Lao PDR as a case *** of these pig-associated zoonoses have similar presentations and are often diagnosed as clinical *** and underreporting are,therefore,substantial and emphasise the need for more robust diagnostics and appropriate surveillance *** some reports exist in other countries in the region,information is significantly lacking in Lao PDR with existing information coming mainly from the capital,*** disease burden imposed by these zoonoses is not only characterised by morbidity and mortality,but directly impacts on livelihoods through income reduction and production losses,and indirectly through treatment costs and lost work *** factors crucial to understanding and controlling these diseases are the influence of ethnicity and culture on food-consumption practices,pig rearing and slaughter practices,hygiene and sanitation,health-seeking behaviours and,therefore,risk factors for disease transmiss

关键词： Sociocultural drivers Pig-associated zoonoses clinical syndromes Health seeking behaviours Brucellosis Q-fever Trichinellosis Hepatitis E Leptospirosis Japanese encephalitis Streptococcus suis Taeniasis-cysticercosis

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