Title |
Role of Food Insecurity in Outbreak of Anthrax Infections among Humans and Hippopotamuses Living in a Game Reserve Area, Rural Zambia - Volume 23, Number 9—September 2017 - Emerging Infectious Diseases journal - CDC
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Published in |
Emerging Infectious Diseases, September 2017
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DOI | 10.3201/eid2309.161597 |
Pubmed ID | |
Authors |
Mark W. Lehman, Allen S. Craig, Constantine Malama, Muzala Kapina-Kany’anga, Philip Malenga, Fanny Munsaka, Sergio Muwowo, Sean Shadomy, Melissa A. Marx |
Abstract |
In September 2011, a total of 511 human cases of anthrax (Bacillus anthracis) infection and 5 deaths were reported in a game management area in the district of Chama, Zambia, near where 85 hippopotamuses (Hippopotamus amphibious) had recently died of suspected anthrax. The human infections generally responded to antibiotics. To clarify transmission, we conducted a cross-sectional, interviewer-administered household survey in villages where human anthrax cases and hippopotamuses deaths were reported. Among 284 respondents, 84% ate hippopotamus meat before the outbreak. Eating, carrying, and preparing meat were associated with anthrax infection. Despite the risk, 23% of respondents reported they would eat meat from hippopotamuses found dead again because of food shortage (73%), lack of meat (12%), hunger (7%), and protein shortage (5%). Chronic food insecurity can lead to consumption of unsafe foods, leaving communities susceptible to zoonotic infection. Interagency cooperation is necessary to prevent outbreaks by addressing the root cause of exposure, such as food insecurity. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 10 | 53% |
Bolivia, Plurinational State of | 1 | 5% |
Venezuela, Bolivarian Republic of | 1 | 5% |
Unknown | 7 | 37% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 13 | 68% |
Practitioners (doctors, other healthcare professionals) | 4 | 21% |
Scientists | 2 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 89 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 18 | 20% |
Student > Ph. D. Student | 13 | 15% |
Student > Bachelor | 9 | 10% |
Researcher | 8 | 9% |
Lecturer | 7 | 8% |
Other | 17 | 19% |
Unknown | 17 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 14 | 16% |
Agricultural and Biological Sciences | 11 | 12% |
Veterinary Science and Veterinary Medicine | 10 | 11% |
Nursing and Health Professions | 8 | 9% |
Environmental Science | 5 | 6% |
Other | 19 | 21% |
Unknown | 22 | 25% |