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Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda

BACKGROUND: Uganda is one of the few countries in Africa that has been experiencing outbreaks of viral hemorrhagic fevers such as Ebola, Marburg and Crimean-Congo Hemorrhagic fevers. In 2017 Uganda experienced a Marburg Virus Disease (MVD) outbreak with case fatality rate of 100% in Kween district....

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Autores principales: Siya, Aggrey, Bazeyo, William, Tuhebwe, Doreen, Tumwine, Gabriel, Ezama, Arnold, Manirakiza, Leonard, Kugonza, Donald R., Rwego, Innocent B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357374/
https://www.ncbi.nlm.nih.gov/pubmed/30704427
http://dx.doi.org/10.1186/s12889-019-6477-y
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author Siya, Aggrey
Bazeyo, William
Tuhebwe, Doreen
Tumwine, Gabriel
Ezama, Arnold
Manirakiza, Leonard
Kugonza, Donald R.
Rwego, Innocent B.
author_facet Siya, Aggrey
Bazeyo, William
Tuhebwe, Doreen
Tumwine, Gabriel
Ezama, Arnold
Manirakiza, Leonard
Kugonza, Donald R.
Rwego, Innocent B.
author_sort Siya, Aggrey
collection PubMed
description BACKGROUND: Uganda is one of the few countries in Africa that has been experiencing outbreaks of viral hemorrhagic fevers such as Ebola, Marburg and Crimean-Congo Hemorrhagic fevers. In 2017 Uganda experienced a Marburg Virus Disease (MVD) outbreak with case fatality rate of 100% in Kween district. Although hunting for wild meat was linked to the MVD outbreak in Kween district, less was reported on the land use changes, especially the changing animal grazing practices in Kween district. METHODS: Through Makerere University One Health graduate fellowship program with attachment to Uganda Red Cross Society, a study was conducted among the agricultural communities to elucidate the risk behaviors in Kween district that can be linked to the 2017 Marburg disease outbreak. RESULTS: Results show that although a few elderly participants ascribed fatal causes (disobedience to gods, ancestors, and evil spirits) to the MVD outbreak during FGDs, majority of participants linked MVD to settling in caves (inhabited by Fruit Bats) during wet season as upper belts are extensively used for crop production leaving little space for animal grazing. Members also noted side activities like hunting for wild meat during this grazing period that could have predisposed them to Marburg Virus. CONCLUSIONS: There is need to integrate One Health concepts within agricultural extension service provision in Uganda so as to enhance the management of such infectious diseases.
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spelling pubmed-63573742019-02-07 Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda Siya, Aggrey Bazeyo, William Tuhebwe, Doreen Tumwine, Gabriel Ezama, Arnold Manirakiza, Leonard Kugonza, Donald R. Rwego, Innocent B. BMC Public Health Research Article BACKGROUND: Uganda is one of the few countries in Africa that has been experiencing outbreaks of viral hemorrhagic fevers such as Ebola, Marburg and Crimean-Congo Hemorrhagic fevers. In 2017 Uganda experienced a Marburg Virus Disease (MVD) outbreak with case fatality rate of 100% in Kween district. Although hunting for wild meat was linked to the MVD outbreak in Kween district, less was reported on the land use changes, especially the changing animal grazing practices in Kween district. METHODS: Through Makerere University One Health graduate fellowship program with attachment to Uganda Red Cross Society, a study was conducted among the agricultural communities to elucidate the risk behaviors in Kween district that can be linked to the 2017 Marburg disease outbreak. RESULTS: Results show that although a few elderly participants ascribed fatal causes (disobedience to gods, ancestors, and evil spirits) to the MVD outbreak during FGDs, majority of participants linked MVD to settling in caves (inhabited by Fruit Bats) during wet season as upper belts are extensively used for crop production leaving little space for animal grazing. Members also noted side activities like hunting for wild meat during this grazing period that could have predisposed them to Marburg Virus. CONCLUSIONS: There is need to integrate One Health concepts within agricultural extension service provision in Uganda so as to enhance the management of such infectious diseases. BioMed Central 2019-01-31 /pmc/articles/PMC6357374/ /pubmed/30704427 http://dx.doi.org/10.1186/s12889-019-6477-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Siya, Aggrey
Bazeyo, William
Tuhebwe, Doreen
Tumwine, Gabriel
Ezama, Arnold
Manirakiza, Leonard
Kugonza, Donald R.
Rwego, Innocent B.
Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda
title Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda
title_full Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda
title_fullStr Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda
title_full_unstemmed Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda
title_short Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda
title_sort lowland grazing and marburg virus disease (mvd) outbreak in kween district, eastern uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357374/
https://www.ncbi.nlm.nih.gov/pubmed/30704427
http://dx.doi.org/10.1186/s12889-019-6477-y
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