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Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan

BACKGROUND: More than 500,000 people are affected by brucellosis each year while the incidence of Q fever is poorly recorded. Consistent outbreaks of brucellosis have been reported in Afghanistan, affecting social and economic life. This study aimed to determine the means of propagation of brucellos...

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Autores principales: Saeed, Khwaja Mir Islam, Ahadi, Jamalludin, Sahak, Mohammad Nadir, Ghiasi, Ahmad Farid, Ashgar, Rana Jawad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University Library System, University of Pittsburgh 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927743/
https://www.ncbi.nlm.nih.gov/pubmed/29755882
http://dx.doi.org/10.5195/cajgh.2013.58
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author Saeed, Khwaja Mir Islam
Ahadi, Jamalludin
Sahak, Mohammad Nadir
Ghiasi, Ahmad Farid
Ashgar, Rana Jawad
author_facet Saeed, Khwaja Mir Islam
Ahadi, Jamalludin
Sahak, Mohammad Nadir
Ghiasi, Ahmad Farid
Ashgar, Rana Jawad
author_sort Saeed, Khwaja Mir Islam
collection PubMed
description BACKGROUND: More than 500,000 people are affected by brucellosis each year while the incidence of Q fever is poorly recorded. Consistent outbreaks of brucellosis have been reported in Afghanistan, affecting social and economic life. This study aimed to determine the means of propagation of brucellosis and Q-fever and establish appropriate control measures for both. METHODS AND MATERIALS: An outbreak of 1,317 cases of brucellosis and Q fever was investigated from May 2011 to the end of 2012 in Bamyan province of Afghanistan. A total of 100 cases were selected by random sampling with equal number of neighbor controls. Data were collected through structured questionnaire. RESULTS: The average age was 30 years ±14 years. Of those sampled, 62% were female, 38% were male, and resided in three districts: Punjab, Yakawlang and Waras. Using multivariate analysis, being a housewife (OR=7.36), being within proximity of kitchens to barns (OR= 2.98), drinking un-boiled milk (OR= 5.26), butchering (OR= 3.53) and purchasing new animals in the last six months (OR= 3.53) were significantly associated with contraction of brucellosis and Q fever. CONCLUSION: Health educators should focus on families dealing with animals, especially on females. Pasturing, healthy milking, dunging, and slaughtering practices, along with use of safe dairy products should be the focus of preventive measures.
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spelling pubmed-59277432018-05-11 Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan Saeed, Khwaja Mir Islam Ahadi, Jamalludin Sahak, Mohammad Nadir Ghiasi, Ahmad Farid Ashgar, Rana Jawad Cent Asian J Glob Health Research BACKGROUND: More than 500,000 people are affected by brucellosis each year while the incidence of Q fever is poorly recorded. Consistent outbreaks of brucellosis have been reported in Afghanistan, affecting social and economic life. This study aimed to determine the means of propagation of brucellosis and Q-fever and establish appropriate control measures for both. METHODS AND MATERIALS: An outbreak of 1,317 cases of brucellosis and Q fever was investigated from May 2011 to the end of 2012 in Bamyan province of Afghanistan. A total of 100 cases were selected by random sampling with equal number of neighbor controls. Data were collected through structured questionnaire. RESULTS: The average age was 30 years ±14 years. Of those sampled, 62% were female, 38% were male, and resided in three districts: Punjab, Yakawlang and Waras. Using multivariate analysis, being a housewife (OR=7.36), being within proximity of kitchens to barns (OR= 2.98), drinking un-boiled milk (OR= 5.26), butchering (OR= 3.53) and purchasing new animals in the last six months (OR= 3.53) were significantly associated with contraction of brucellosis and Q fever. CONCLUSION: Health educators should focus on families dealing with animals, especially on females. Pasturing, healthy milking, dunging, and slaughtering practices, along with use of safe dairy products should be the focus of preventive measures. University Library System, University of Pittsburgh 2014-01-03 /pmc/articles/PMC5927743/ /pubmed/29755882 http://dx.doi.org/10.5195/cajgh.2013.58 Text en New articles in this journal are licensed under a Creative Commons Attribution 3.0 License (https://creativecommons.org/licenses/by/3.0/) .
spellingShingle Research
Saeed, Khwaja Mir Islam
Ahadi, Jamalludin
Sahak, Mohammad Nadir
Ghiasi, Ahmad Farid
Ashgar, Rana Jawad
Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan
title Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan
title_full Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan
title_fullStr Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan
title_full_unstemmed Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan
title_short Concurrent Brucellosis and Q Fever Infection: a Case Control Study in Bamyan Province, Afghanistan
title_sort concurrent brucellosis and q fever infection: a case control study in bamyan province, afghanistan
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927743/
https://www.ncbi.nlm.nih.gov/pubmed/29755882
http://dx.doi.org/10.5195/cajgh.2013.58
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