Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia
Abstract Background Hunters, vendors, and consumers are key actors in the wildlife trade value chain in North Sulawesi, Indonesia, and potentially face an elevated risk of exposure to zoonotic diseases. Understanding the knowledge, attitudes, and practices (KAP) associated with the risk of zoonotic...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-06-01
|
| Series: | One Health Outlook |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42522-022-00067-w |
| _version_ | 1818554703907127296 |
|---|---|
| author | Tina Kusumaningrum Alice Latinne Stephanie Martinez Jusuf Kalengkongan Ageng Wiyatno Aghnianditya Kresno Dewantari Novie Kasenda Janno B. B. Bernadus Ungke Anton Jaya Chairin Nisa Ma’roef Leilani Francisco Emily Hagan Maureen Miller Khin Saw Aye Myint Peter Daszak Kevin J. Olival Suryo Saputro Joko Pamungkas Dodi Safari |
| author_facet | Tina Kusumaningrum Alice Latinne Stephanie Martinez Jusuf Kalengkongan Ageng Wiyatno Aghnianditya Kresno Dewantari Novie Kasenda Janno B. B. Bernadus Ungke Anton Jaya Chairin Nisa Ma’roef Leilani Francisco Emily Hagan Maureen Miller Khin Saw Aye Myint Peter Daszak Kevin J. Olival Suryo Saputro Joko Pamungkas Dodi Safari |
| author_sort | Tina Kusumaningrum |
| collection | DOAJ |
| description | Abstract Background Hunters, vendors, and consumers are key actors in the wildlife trade value chain in North Sulawesi, Indonesia, and potentially face an elevated risk of exposure to zoonotic diseases. Understanding the knowledge, attitudes, and practices (KAP) associated with the risk of zoonotic disease transmission in these communities is therefore critical for developing recommendations to prevent or mitigate zoonotic outbreaks in the future. Methods Qualitative and quantitative methods were combined to understand KAP associated zoonotic diseases transmission risk in communities involved in the wildlife trade in North Sulawesi. Qualitative data were collected through semi-structured ethnographic interviews and focus group discussions (FGDs) while quantitative data were collected using questionnaires. We conducted 46 ethnographic interviews and 2 FGDs in 2016, and 477 questionnaire administrations in 2017–2018 in communities from five districts in North Sulawesi. We also collected biological specimens, including nasal swab, oropharyngeal swab, and blood, from 254 participants. The study sites were targeted based on known wildlife consumption and trade activities. The participants for qualitative data collection were purposively selected while participants for quantitative data collection were randomly selected. Biological samples were tested for five viral families including Coronaviridae, Filoviridae, Flaviviridae, Orthomyxoviridae and Paramyxoviridae. Results Knowledge regarding disease transmission from animals to humans was similar across the participants in qualitative focus groups, including knowledge of rabies and bird flu as zoonotic diseases. However, only a small fraction of the participants from the quantitative group (1%) considered that contact with wild animals could cause sickness. Our biological specimen testing identified a single individual (1/254, 0.004%) who was sampled in 2018 with serological evidence of sarbecovirus exposure. Overall, participants were aware of some level of risk in working with open wounds while slaughtering or butchering an animal (71%) but most did not know what the specific risks were. However, significant differences in the attitudes or beliefs around zoonotic disease risk and health seeking behaviors were observed across our study sites in North Sulawesi. Conclusions Our study showed variable levels of knowledge, attitudes, and practices associated with the risk of zoonotic disease transmission among study participants. These findings can be used to develop locally responsive recommendations to mitigate zoonotic disease transmission. |
| first_indexed | 2024-12-12T09:43:29Z |
| format | Article |
| id | doaj.art-9ed66ce252c74901aac7fe2249987f7a |
| institution | Directory Open Access Journal |
| issn | 2524-4655 |
| language | English |
| last_indexed | 2024-12-12T09:43:29Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | One Health Outlook |
| spelling | doaj.art-9ed66ce252c74901aac7fe2249987f7a2022-12-22T00:28:30ZengBMCOne Health Outlook2524-46552022-06-014111510.1186/s42522-022-00067-wKnowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, IndonesiaTina Kusumaningrum0Alice Latinne1Stephanie Martinez2Jusuf Kalengkongan3Ageng Wiyatno4Aghnianditya Kresno Dewantari5Novie Kasenda6Janno B. B. Bernadus7Ungke Anton Jaya8Chairin Nisa Ma’roef9Leilani Francisco10Emily Hagan11Maureen Miller12Khin Saw Aye Myint13Peter Daszak14Kevin J. Olival15Suryo Saputro16Joko Pamungkas17Dodi Safari18Eijkman Institute of Molecular BiologyEcoHealth AllianceEcoHealth AllianceEcoHealth AllianceEijkman Institute of Molecular BiologyEijkman Institute of Molecular BiologyEcoHealth AllianceFaculty of Medicine, Sam Ratulangi UniversityEijkman Institute of Molecular BiologyEijkman Institute of Molecular BiologyEcoHealth AllianceEcoHealth AllianceEcoHealth AllianceEijkman Institute of Molecular BiologyEcoHealth AllianceEcoHealth AlliancePrimate Research Center, IPB UniversityPrimate Research Center, IPB UniversityEijkman Institute of Molecular BiologyAbstract Background Hunters, vendors, and consumers are key actors in the wildlife trade value chain in North Sulawesi, Indonesia, and potentially face an elevated risk of exposure to zoonotic diseases. Understanding the knowledge, attitudes, and practices (KAP) associated with the risk of zoonotic disease transmission in these communities is therefore critical for developing recommendations to prevent or mitigate zoonotic outbreaks in the future. Methods Qualitative and quantitative methods were combined to understand KAP associated zoonotic diseases transmission risk in communities involved in the wildlife trade in North Sulawesi. Qualitative data were collected through semi-structured ethnographic interviews and focus group discussions (FGDs) while quantitative data were collected using questionnaires. We conducted 46 ethnographic interviews and 2 FGDs in 2016, and 477 questionnaire administrations in 2017–2018 in communities from five districts in North Sulawesi. We also collected biological specimens, including nasal swab, oropharyngeal swab, and blood, from 254 participants. The study sites were targeted based on known wildlife consumption and trade activities. The participants for qualitative data collection were purposively selected while participants for quantitative data collection were randomly selected. Biological samples were tested for five viral families including Coronaviridae, Filoviridae, Flaviviridae, Orthomyxoviridae and Paramyxoviridae. Results Knowledge regarding disease transmission from animals to humans was similar across the participants in qualitative focus groups, including knowledge of rabies and bird flu as zoonotic diseases. However, only a small fraction of the participants from the quantitative group (1%) considered that contact with wild animals could cause sickness. Our biological specimen testing identified a single individual (1/254, 0.004%) who was sampled in 2018 with serological evidence of sarbecovirus exposure. Overall, participants were aware of some level of risk in working with open wounds while slaughtering or butchering an animal (71%) but most did not know what the specific risks were. However, significant differences in the attitudes or beliefs around zoonotic disease risk and health seeking behaviors were observed across our study sites in North Sulawesi. Conclusions Our study showed variable levels of knowledge, attitudes, and practices associated with the risk of zoonotic disease transmission among study participants. These findings can be used to develop locally responsive recommendations to mitigate zoonotic disease transmission.https://doi.org/10.1186/s42522-022-00067-wKnowledgeAttitudePracticeWildlifeZoonoticRisk |
| spellingShingle | Tina Kusumaningrum Alice Latinne Stephanie Martinez Jusuf Kalengkongan Ageng Wiyatno Aghnianditya Kresno Dewantari Novie Kasenda Janno B. B. Bernadus Ungke Anton Jaya Chairin Nisa Ma’roef Leilani Francisco Emily Hagan Maureen Miller Khin Saw Aye Myint Peter Daszak Kevin J. Olival Suryo Saputro Joko Pamungkas Dodi Safari Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia One Health Outlook Knowledge Attitude Practice Wildlife Zoonotic Risk |
| title | Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia |
| title_full | Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia |
| title_fullStr | Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia |
| title_full_unstemmed | Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia |
| title_short | Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia |
| title_sort | knowledge attitudes and practices associated with zoonotic disease transmission risk in north sulawesi indonesia |
| topic | Knowledge Attitude Practice Wildlife Zoonotic Risk |
| url | https://doi.org/10.1186/s42522-022-00067-w |
| work_keys_str_mv | AT tinakusumaningrum knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT alicelatinne knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT stephaniemartinez knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT jusufkalengkongan knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT agengwiyatno knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT aghniandityakresnodewantari knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT noviekasenda knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT jannobbbernadus knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT ungkeantonjaya knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT chairinnisamaroef knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT leilanifrancisco knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT emilyhagan knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT maureenmiller knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT khinsawayemyint knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT peterdaszak knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT kevinjolival knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT suryosaputro knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT jokopamungkas knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia AT dodisafari knowledgeattitudesandpracticesassociatedwithzoonoticdiseasetransmissionriskinnorthsulawesiindonesia |