Abstract
Outbreaks of avian influenza H5N1 in poultry occurred in Africa’s poultry and 16 countries have reported human infections globally. Intensified human-animal interactions necessitate correct communication of health messages to reduce zoonotic infection. This work was done to determine differences between pictorial and literal health education communication. Cross-sectional survey using literal and pictorial questionnaires in LBMs and poultry farms was carried out among respondents based on matching criteria. Responses were scored and analysed with probability of independence using Chi square test and pairwise correlation. The degree of knowledge of clinical signs in birds, species affected, communication means and biosecurity were good, that of the post-mortem signs was poor with increasing potentials of human exposure to virus-rich visceral tissues from slaughtered sick birds. Marked differences exist for the various items listed within each knowledge field, the odds of having correct responses from pictorial were better than with literal respondents. Risky practices were still practised in the LBMs despite the good degree of knowledge of hygiene and biosecurity. Knowledge and implementation does not always correlate and pictorial representation out surpasses literal method in communicating potential zoonotic H5N1 influenza A infection to the undiscerning public.
References
Alexandratos N., Bruinsma J. 2012. World agriculture towards 2030/2050: The 2012 revision. ESA Working Paper No. 12-03 June 2012. Agricultural Development Economics Division, Food and Agriculture Organization of the United Nations. Available at: http://www.fao.org/docrep/016/ap106e/ap106e.pdf. Accessed 21 June 2016.
AU-IBAR. 2009. Support Programme to Intergrated National Action Plans for Avian and Human Influenza: A Prototype Communication Strategy for Avian Influenza. Available at: file:///C:/Users/user/Downloads/doc_20100901_spinap_commaistrategy_en.pdf. 2009. Accessed 10 June 2016.
Brautbar N. 1998. Ammonia Exposure: A Common Cause for Sinusitis. A Case Report and review of the literature. Toxicology & Industrial Health 14(6), 891-895.
Breiman R.F., Nasidi A., Katz M.A., Kariuki Njenga M., Vertefeuille J. 2007. Preparedness for highly pathogenic avian influenza pandemic in Africa. Emerging infectious diseases 13(10),1453-1458.
Bridges C.B., Lim W., Hu-Primmer J., Sims L., Fukuda K., Mak K.H., et al. 2002. Risk of influenza A (H5N1) infection among poultry workers, Hong Kong, 1997-1998. J.Infect.Dis. 185(8),1005-1010.
Cleaveland S., Laurenson M.K., Taylor L.H. 2001. Diseases of humans and their domestic mammals: pathogen characteristics, host range and the risk of emergence. Philos.Trans.R.Soc.Lond.B.Biol.Sci. 356(1411), 991-999.
Decker D.J., Evensen D.T., Siemer W.F., Leong K.M., Riley S.J., Wild M.A., et al. 2010. Understanding risk perceptions to enhance communication about human-wildlife interactions and the impacts of zoonotic disease. ILAR J. 51(3),255-261.
FAO. Global Programme for the Prevention and Control of H5N1 Highly Pathogenic Avian Influenza. Available at: ftp://ftp.fao.org/docrep/fao/010/ai380e/ai380e00.pdf. ;2008. Accesed 10 June 2016.
Fasanmi O.G., Laleye A.T., Fasina F.O. 2016. Systematic review and meta-analyses of cases and deaths associated with highly pathogenic avian influenza H5N1 in humans and poultry. CAB Reviews 11,004. doi:10.1079/PAVSNNR20161104.
Fasina F.O., Njage P., Ali A., Yilma J., Bwala D., Rivas A., et al. 2016. Development of Disease‐specific, Context‐specific Surveillance Models: Avian Influenza (H5N1)‐Related Risks and Behaviours in African Countries. Zoonoses and Public Health 63(1),20-33.
Gebreyes W.A., Dupouy-Camet J., Newport M.J., Oliveira C.J., Schlesinger L.S., Saif Y.M., et al. 2014. The global one health paradigm: challenges and opportunities for tackling infectious diseases at the human, animal, and environment interface in low-resource settings. PLoS Negl Trop Dis 8(11),e3257.
Graham J.P., Leibler J.H., Price L.B., Otte J.M., Pfeiffer D.U., Tiensin T., et al. 2008. The animal-human interface and infectious disease in industrial food animal production: rethinking biosecurity and biocontainment. Public Health Rep. 123(3), 282-299.
Herfst S., Schrauwen E.J., Linster M., Chutinimitkul S., de Wit E., Munster V.J., et al. 2012. Airborne transmission of influenza A/H5N1 virus between ferrets. Science 336(6088),1534-1541.
Horimoto T., Kawaoka Y. 2001. Pandemic threat posed by avian influenza A viruses. Clin.Microbiol.Rev. 14(1),129-149.
Kandun I.N., Wibisono H., Sedyaningsih E.R., Hadisoedarsuno W., Purba W., Santoso H., et al. 2006. Three Indonesian clusters of H5N1 virus infection in 2005. N.Engl.J.Med. 355(21),2186-2194.
Keesing F., Belden L.K., Daszak P., Dobson A., Harvell C.D., Holt R.D., et al. 2010. Impacts of biodiversity on the emergence and transmission of infectious diseases. Nature 468(7324),647-652.
Keusch G.T., Pappaioanou M., Gonzalez M.C., Scott K.A., Tsai P. 2009. Sustaining global surveillance and response to emerging zoonotic diseases. : National Academies Press, Washington DC, USA; 2009.
Lee D., Bahl J., Torchetti M.K., Killian M.L., Ip H.,. DeLiberto T.J., Swayne D.E. 2016. Highly Pathogenic Avian Influenza Viruses and Generation of Novel Reassortants, United States, 2014–2015. Emerg Infect Dis 22(7),1283-1285
Liverani M., Waage J., Barnett T., Pfeiffer D.U., Rushton J., Rudge J.W., et al. 2013. Understanding and managing zoonotic risk in the new livestock industries. Environmental Health Perspectives 121(8), 873.
Mokoele J.M., Spencer B.T., Van Leengoed L.A., Fasina F.O. 2014. Efficiency indices and indicators of poor performance among emerging small-scale pig farmers in the Limpopo Province, South Africa. Onderstepoort J.Vet.Res. 81(1), 12 pages.
Mounts A.W., Kwong H., Izurieta H.S., Ho Y., Au T., Lee M., et al. 1999. Case-control study of risk factors for avian influenza A (H5N1) disease, Hong Kong, 1997. J.Infect.Dis. 180(2), 505-508.
Mowbray F., Marcu A., Godinho C.A., Michie S., Yardley L. 2016. Communicating to increase public uptake of pandemic flu vaccination in the UK: Which messages work? Vaccine 34(28), 3268-3274.
Neupane D., Khanal V., Ghimire K., Aro A.R., Leppin A. 2012. Knowledge, attitudes and practices related to avian influenza among poultry workers in Nepal: a cross sectional study. BMC Infect Dis 12,76. DOI: 10.1186/1471-2334-12-76
Nuttal I., Jutzi S., Alipui N. 2012. Communication for behavioural impact: A toolkit for behavioural and social communication in outbreak response (WHO, FAO &UNICEF publication, 2012) http://apps.who.int/iris/bitstream/10665/75170/1/WHO_HSE_GCR_2012.13_eng.pdf. Accesed 20 July 2016.
OIE/FAO. The Global Strategy for Prevention and Control of H5N1 Highly Pathogenic Avian Influenza. Available at http://web.oie.int/eng/avian_influenza/Global_Strategy_fulldoc.pdf. 2007. Accessed 10 June 2016.
Okoye J., Eze D., Krueger W.S., Heil G.L., Friary J.A., Gray G.C. 2013. Serologic evidence of avian influenza virus infections among Nigerian agricultural workers. J.Med.Virol. 85(4), 670-676.
Okoye J.O., Eze D.C., Krueger W.S., Heil G.L., White S.K., Merrill H.R., et al. 2014. Evidence for subclinical H5N1 avian influenza infections among Nigerian poultry workers. J.Med.Virol. 86(12), 2070-2075.
Pagani P., Abimiku Y., Emeka-Okolie W. 2008. Assessment of the Nigerian poultry market chain to improve biosecurity. FAO (Nigeria, Consultative Mission on Poultry) Study 2008:1-65. FAO, Rome, Italy. Available at: www.fao.org/3/a-ak778e.pdf. Accessed 10 June 2016.
Peiris J.S., de Jong M.D., Guan Y. 2007. Avian influenza virus (H5N1): a threat to human health. Clin.Microbiol.Rev. 20(2),243-267.
Reperant L.A., van de Bildt M.W., van Amerongen G., Leijten L.M., Watson S., Palser A., et al. 2012. Marked endotheliotropism of highly pathogenic avian influenza virus H5N1 following intestinal inoculation in cats. J.Virol. 86(2),1158-1165.
Snyder M.C., Leopold D.A., Chiu B.C., Von Essen S.G., Liebentritt N. 2003. The relationship between agricultural environments and olfactory dysfunction. J.Agric.Saf.Health 9(3),211.
Ungchusak K., Auewarakul P., Dowell S.F., Kitphati R., Auwanit W., Puthavathana P., et al. 2005. Probable person-to-person transmission of avian influenza A (H5N1). N.Engl.J.Med. 352(4),333-340.
UNICEF, World Health Organization. Communication for behavioural impact (COMBI): A toolkit for behavioural and social communication in outbreak response. 2012.
UNICEF. Communication in a Pandemic: Lessons from the H5N1 and H1N1 Experiences. (2011). AED PREVENT Project TASW Draft communication report, May 19, 2011 (Graeff). Available at: http://www.unicef.org/influenzaresources/files/TASW_Communication_Report_Graeff_5.19.11.pdf. Accessed 10 June 2016.
UNICEF. Integrated Communication Strategy for the Prevention and Control of Avian Influenza and Pandemic Human Influenza in Sri Lanka. Available at: http://www.unicef.org/influenzaresources/files/National_API_Framework_for_Sri_Lanka.pdf. 2007. Accessed 10 June 2016.
Wan X.F., Dong L., Lan Y., Long L.P., Xu C., Zou S., et al. 2011. Indications that live poultry markets are a major source of human H5N1 influenza virus infection in China. J.Virol. 85(24),13432-13438.
Wang H., Feng Z., Shu Y., Yu H., Zhou L., Zu R., et al. 2008. Probable limited person-to-person transmission of highly pathogenic avian influenza A (H5N1) virus in China. The Lancet 371(9622),1427-1434.