Factors associated with pastoral community knowledge and occurrence of mycobacterial infections in Human-Animal Interface areas of Nakasongola and Mubende districts, UgandaReportar como inadecuado




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BMC Public Health

, 10:471

First Online: 10 August 2010Received: 09 February 2010Accepted: 10 August 2010DOI: 10.1186-1471-2458-10-471

Cite this article as: Kankya, C., Muwonge, A., Olet, S. et al. BMC Public Health 2010 10: 471. doi:10.1186-1471-2458-10-471

Abstract

BackgroundNontuberculous mycobacteria NTM are emerging opportunistic pathogens whose role in human and animal disease is increasingly being recognized. Major concerns are their role as opportunistic pathogens in HIV-AIDS infections. The role of open natural water sources as source and livestock-wildlife as reservoirs of infections to man are well documented. This presents a health challenge to the pastoral systems in Africa that rely mostly on open natural water sources to meet livestock and human needs. Recent study in the pastoral areas of Uganda showed infections with same genotypes of NTM in pastoralists and their livestock. The aim of this study was to determine the environmental, animal husbandry and socio-demographic factors associated with occurrence and the pastoral community knowledge of mycobacterial infections at the human-environment-livestock-wildlife interface HELI areas in pastoral ecosystems of Uganda.

MethodsTwo hundred and fifty three 253 individuals were subjected to a questionnaire survey across the study districts of Nakasongola and Mubende. Data were analyzed using descriptive statistics and multivariable logistic regression analysis.

ResultsHumans sharing of the water sources with wild animals from the forest compared to savannah ecosystem OR = 3.3, the tribe of herding pastoral community OR = 7.9, number of rooms present in household 3-5 vs. 1-2 rooms OR = 3.3 were the socio-demographic factors that influenced the level of knowledge on mycobacterial infections among the pastoral communities. Tribe OR = 6.4, use of spring vs. stream water for domestic use OR = 4.5, presence of sediments in household water receptacle OR = 2.32, non separation of water containers for drinking and domestic use OR = 2.46, sharing of drinking water sources with wild animals OR = 2.1, duration of involvement of >5 yrs in cattle keeping OR = 3.7 and distance of household to animal night shelters >20 meters OR = 3.8 were significant socio-demographic factors associated with the risk of occurrence of mycobacterioses among the pastoral communities in Uganda.

ConclusionThe socio-demographic, environmental and household related factors influence the risk of occurrence as well as pastoralists- knowledge of mycobacterial infections in the pastoral households at the human-environment-livestock-wildlife pastoral interface areas of Uganda.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-10-471 contains supplementary material, which is available to authorized users.

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