Bronsvoort, B.M. de C.

Cook, Elizabeth A.J.

Fèvre, Eric M.

Gibbons, C.L.

Kariuki, S.

CGSpace

Slaughterhouse workers as reservoirs of zoonotic disease E.A.J. Cook1,2, C.L. Gibbons1, B.M.D.Bronsvoort3, S. Kariuki4 and E.M. Fèvre1,2 Organism Prevalence n=723 95% CI Salmonella sp. 7 5-8 Campylobacter sp 24 21-27 S. aureus (n=738) 33 29-36 Knowledge and practices Percent n=738 95% CI Knowledge of zoonoses 31 28-34 Know meat carries disease 41 37-45 Wear protective clothing 52 48-56 Eat at the slaughterhouse 20 17-23 Slaughter sick animals 17 14-20 Cleans the slaughterhouse 5 3-7 Health status   Diarrhoea in past 3 months 22 19-25 Wounds noted at clinical exam 8 6-10 Febrile at exam 2 1-3  Background  Slaughterhouse workers are high risk for zoonoses due to contact with animals  Slaughterhouse workers may act as the source of zoonotic disease to the community   Contamination of meat can occur via cross contamination between carcasses or workers may be asymptomatic carriers   No previous studies in Kenya investigating zoonoses in slaughterhouse workers  Asymptomatic carriage of organisms in workers may be an important reservoir for dissemination of pathogens.   Simple hygiene interventions would reduce disease in slaughterhouse workers  Study site 45km radius from Busia, Kenya 142 slaughterhouses and 738 slaughterhouse workers Sampling  Questionnaire—Knowledge of zoonoses and risk factors Faecal and nasal swab Sample analysis Salmonella sp., Campylobacter sp. and S. aureus Data analysis Chi squared or Fishers exact test. P value of <0.05 considered statis-tically significant.  1Centre for Infectious Diseases and Centre for Immunity, Infection and Evolution, University of Edinburgh, Ashworth Laboratories, West Mains Rd, Edinburgh, EH9 3JT UK 2International Livestock Research Institute (ILRI), Old Naivasha Road, PO Box, 30709-00100, Kenya 3Epidemiology, Economics and Risk Assessment Group, The Roslin Institute,  University of Edinburgh, Easter Bush, EH25 9RG, UK 4Centre for Microbiology Research,  Kenya Medical Research Institute  PO Box 54840 , 00100, Nairobi, Kenya Objective Determine carriage of bacteria in slaughterhouse workers Outcomes  Prevalence of enteric pathogens and MRSA   Risk factors associated with carriage Key findings Campylobacter significantly associated with diarrhoea (OR 1.89 95% CI 1.26-2.83) Salmonella was not (OR 1.22 95% CI 0.56-2.47) 8% of S. aureus isolates MRSA (95% CI 4-11, n=241). MRSA carriage significantly associated with workers in-volved in cleaning (OR 4.15 95%CI 1.25-12.1). Results Conclusion Methods 

Slaughterhouse workers as reservoirs of zoonotic disease

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Slaughterhouse workers as reservoirs of zoonotic disease

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