TY - JOUR
T1 - Animal husbandry practices in rural Bangladesh
T2 - Potential risk factors for antimicrobial drug resistance and emerging diseases
AU - Roess, Amira A.
AU - Winch, Peter J.
AU - Ali, Nabeel A.
AU - Akhter, Afsana
AU - Afroz, Dilara
AU - El Arifeen, Shams
AU - Darmstadt, Gary L.
AU - Baqui, Abdullah H.
PY - 2013/11
Y1 - 2013/11
N2 - Antimicrobial drug administration to household livestock may put humans and animals at risk for acquisition of antimicrobial drug-resistant pathogens. To describe animal husbandry practices, including animal healthcareseeking and antimicrobial drug use in rural Bangladesh, we conducted semi-structured in-depth interviews with key informants, including female household members (n = 79), village doctors (n = 10), and pharmaceutical representatives, veterinarians, and government officials (n = 27), and performed observations at animal health clinics (n = 3). Prevalent animal husbandry practices that may put persons at risk for acquisition of pathogens included shared housing and water for animals and humans, antimicrobial drug use for humans and animals, and crowding. Household members reported seeking human and animal healthcare from unlicensed village doctors rather than formal-sector healthcare providers and cited cost and convenience as reasons. Five times more per household was spent on animal than on human healthcare. Strengthening animal and human disease surveillance systems should be continued. Interventions are recommended to provide vulnerable populations with a means of protecting their livelihood and health.
AB - Antimicrobial drug administration to household livestock may put humans and animals at risk for acquisition of antimicrobial drug-resistant pathogens. To describe animal husbandry practices, including animal healthcareseeking and antimicrobial drug use in rural Bangladesh, we conducted semi-structured in-depth interviews with key informants, including female household members (n = 79), village doctors (n = 10), and pharmaceutical representatives, veterinarians, and government officials (n = 27), and performed observations at animal health clinics (n = 3). Prevalent animal husbandry practices that may put persons at risk for acquisition of pathogens included shared housing and water for animals and humans, antimicrobial drug use for humans and animals, and crowding. Household members reported seeking human and animal healthcare from unlicensed village doctors rather than formal-sector healthcare providers and cited cost and convenience as reasons. Five times more per household was spent on animal than on human healthcare. Strengthening animal and human disease surveillance systems should be continued. Interventions are recommended to provide vulnerable populations with a means of protecting their livelihood and health.
UR - http://www.scopus.com/inward/record.url?scp=84888625107&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84888625107&partnerID=8YFLogxK
U2 - 10.4269/ajtmh.12-0713
DO - 10.4269/ajtmh.12-0713
M3 - Article
C2 - 24062478
AN - SCOPUS:84888625107
SN - 0002-9637
VL - 89
SP - 965
EP - 970
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 5
ER -