Knowledge, attitudes, and practices related to anthrax and animal care: A case-control study in Georgia

Autoři: Rita M. Traxler aff001;  Tsira Napetvaridze aff002;  Zviad Asanishvili aff002;  Marika Geleishvili aff003;  Ketevan Rukhadze aff004;  Giorgi Maghlakelidze aff003;  Mariam Broladze aff005;  Maka Kokhreidze aff006;  Edmond F. Maes aff007;  Debby Reynolds aff008;  Mo Salman aff008;  Sean V. Shadomy aff009;  Sangeeta Rao aff008
Působiště autorů: Centers for Disease Control and Prevention (CDC), Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Atlanta, Georgia, United States of America aff001;  National Food Agency (NFA) of Ministry of Environmental Protection and Agriculture of Georgia (MEPA), Tbilisi, Georgia aff002;  CDC, Division of Global Health Protection, Center for Global Health, Atlanta, Georgia, United States of America aff003;  Department of Rural Development and Vocational Education (DRDVE) of Georgian Institute of Public Affairs (GIPA), Tbilisi, Georgia aff004;  National Center for Disease Control and Prevention (NCDC), Tbilisi, Georgia aff005;  Laboratory of the Ministry of Agriculture (LMA), Tbilisi, Georgia aff006;  CDC, Global Immunization Division, Center for Global Health, Atlanta, Georgia, United States of America aff007;  Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado, United States of America aff008;  CDC One Health Office, NCEZID, Atlanta, Georgia, United States of America aff009
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article



Anthrax is endemic in Georgia and recent outbreaks prompted a livestock-handler case-control study with a component to evaluate anthrax knowledge, attitudes, and practices (KAP) among livestock handlers or owners.


Cases were handlers of livestock with confirmed animal anthrax from June 2013-May 2015. Handlers of four matched unaffected animals were selected as controls, two from the same village as the case animal (“village control”) and two from 3–10 km away (“area control”). Descriptive statistics were reported and conditional logistic regression was performed to estimate the magnitude of the association of cases with specific study KAP factors.


Cases were more likely male, had lower level college education, less animal care experience, and provided more animal care to their cattle. Cases had lower odds of burying a suddenly dead animal compared to all controls (Odds Ratio [OR]: 0.32, 95% Confidence interval [CI]:0.12, 0.88) and area controls (OR: 0.32, 95% CI: 0.11, 0.91). On an 8-point knowledge scale, cases having an animal with anthrax had a 1.31 times greater knowledge score compared to all controls (95% CI: 1.03, 1.67). Cases had higher odds of ever having human anthrax or knowing another person who had anthrax compared to all controls (OR: 4.56, 95% CI: 1.45, 14.30) and area controls (OR: 7.16, 95% CI: 1.52, 33.80).


Cases were more knowledgeable of anthrax and had better anthrax prevention practices, but these are likely a result of the case investigation and ring vaccination following the death of their animal.


The findings reveal a low level of knowledge and practices related to anthrax control and prevention, and will guide educational material development to fill these gaps.

Klíčová slova:

Case-control studies – Cattle – Livestock – Livestock care – Vaccination and immunization – Veterinarians – Veterinary diseases – Anthrax


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Článek vyšel v časopise


2019 Číslo 10
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