Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.

Human Nipah virus (NiV) infection in Bangladesh is a fatal disease that can be transmitted from bats to humans who drink contaminated raw date palm sap collected overnight during the cold season. Our study aimed to understand date palm sap consumption habits of rural residents and factors associated...

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Main Authors: Nazmun Nahar, Repon C Paul, Rebeca Sultana, Emily S Gurley, Fernando Garcia, Jaynal Abedin, Shariful Amin Sumon, Kajal Chandra Banik, Mohammad Asaduzzaman, Nadia Ali Rimi, Mahmudur Rahman, Stephen P Luby
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4638332?pdf=render
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author Nazmun Nahar
Repon C Paul
Rebeca Sultana
Emily S Gurley
Fernando Garcia
Jaynal Abedin
Shariful Amin Sumon
Kajal Chandra Banik
Mohammad Asaduzzaman
Nadia Ali Rimi
Mahmudur Rahman
Stephen P Luby
author_facet Nazmun Nahar
Repon C Paul
Rebeca Sultana
Emily S Gurley
Fernando Garcia
Jaynal Abedin
Shariful Amin Sumon
Kajal Chandra Banik
Mohammad Asaduzzaman
Nadia Ali Rimi
Mahmudur Rahman
Stephen P Luby
author_sort Nazmun Nahar
collection DOAJ
description Human Nipah virus (NiV) infection in Bangladesh is a fatal disease that can be transmitted from bats to humans who drink contaminated raw date palm sap collected overnight during the cold season. Our study aimed to understand date palm sap consumption habits of rural residents and factors associated with consumption. In November-December 2012 the field team interviewed adult respondents from randomly selected villages from Rajbari and Kushtia Districts in Bangladesh. We calculated the proportion of people who consumed raw sap and had heard about a disease from raw sap consumption. We assessed the factors associated with raw sap consumption by calculating prevalence ratios (PR) adjusted for village level clustering effects. Among the 1,777 respondents interviewed, half (50%) reported drinking raw sap during the previous sap collection season and 37% consumed raw sap at least once per month. Few respondents (5%) heard about NiV. Thirty-seven percent of respondents reported hearing about a disease transmitted through raw sap consumption, inclusive of a 10% who related it with milder illness like diarrhea, vomiting or indigestion rather than NiV. Respondents who harvested date palm trees in their household were more likely to drink sap than those who did not own date palm trees (79% vs. 65% PR 1.2, 95% CI 1.1-1.3, p<0.001). When sap was available, respondents who heard about a disease from raw sap consumption were just as likely to drink it as those who did not hear about a disease (69% vs. 67%, PR 1.0, 95% CI 0.9-1.1, p = 0.512). Respondents' knowledge of NiV was low. They might not have properly understood the risk of NiV, and were likely to drink sap when it was available. Implementing strategies to increase awareness about the risks of NiV and protect sap from bats might reduce the risk of NiV transmission.
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spelling doaj.art-bc3e517499ff48d596ee71cfea10a6a12022-12-22T03:13:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011011e014229210.1371/journal.pone.0142292Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.Nazmun NaharRepon C PaulRebeca SultanaEmily S GurleyFernando GarciaJaynal AbedinShariful Amin SumonKajal Chandra BanikMohammad AsaduzzamanNadia Ali RimiMahmudur RahmanStephen P LubyHuman Nipah virus (NiV) infection in Bangladesh is a fatal disease that can be transmitted from bats to humans who drink contaminated raw date palm sap collected overnight during the cold season. Our study aimed to understand date palm sap consumption habits of rural residents and factors associated with consumption. In November-December 2012 the field team interviewed adult respondents from randomly selected villages from Rajbari and Kushtia Districts in Bangladesh. We calculated the proportion of people who consumed raw sap and had heard about a disease from raw sap consumption. We assessed the factors associated with raw sap consumption by calculating prevalence ratios (PR) adjusted for village level clustering effects. Among the 1,777 respondents interviewed, half (50%) reported drinking raw sap during the previous sap collection season and 37% consumed raw sap at least once per month. Few respondents (5%) heard about NiV. Thirty-seven percent of respondents reported hearing about a disease transmitted through raw sap consumption, inclusive of a 10% who related it with milder illness like diarrhea, vomiting or indigestion rather than NiV. Respondents who harvested date palm trees in their household were more likely to drink sap than those who did not own date palm trees (79% vs. 65% PR 1.2, 95% CI 1.1-1.3, p<0.001). When sap was available, respondents who heard about a disease from raw sap consumption were just as likely to drink it as those who did not hear about a disease (69% vs. 67%, PR 1.0, 95% CI 0.9-1.1, p = 0.512). Respondents' knowledge of NiV was low. They might not have properly understood the risk of NiV, and were likely to drink sap when it was available. Implementing strategies to increase awareness about the risks of NiV and protect sap from bats might reduce the risk of NiV transmission.http://europepmc.org/articles/PMC4638332?pdf=render
spellingShingle Nazmun Nahar
Repon C Paul
Rebeca Sultana
Emily S Gurley
Fernando Garcia
Jaynal Abedin
Shariful Amin Sumon
Kajal Chandra Banik
Mohammad Asaduzzaman
Nadia Ali Rimi
Mahmudur Rahman
Stephen P Luby
Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.
PLoS ONE
title Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.
title_full Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.
title_fullStr Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.
title_full_unstemmed Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.
title_short Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.
title_sort raw sap consumption habits and its association with knowledge of nipah virus in two endemic districts in bangladesh
url http://europepmc.org/articles/PMC4638332?pdf=render
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