{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T23:44:43Z","timestamp":1793663083713,"version":"4.5.1"},"update-to":[{"DOI":"10.1371\/journal.pntd.0012067","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000}}],"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T00:00:00Z","timestamp":1712188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["00HCVLEG-2017-11701"],"award-info":[{"award-number":["00HCVLEG-2017-11701"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Anthrax and brucellosis are endemic national priority zoonotic diseases in Ethiopia. This study assess the possible factors explaining the current limited information available on animal and human cases in pastoral communities.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Two questionnaire surveys gathered data from 509 pastoralists and 51 healthcare providers between February and April 2019 in five districts of Afar and the Somali region (SRS).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Among the 51 healthcare providers, 25 (49%) and 38 (74.5%) had heard of brucellosis, and anthrax, respectively. Of those, only 3 (12%) and 14 (36.8%) knew the symptoms of brucellosis and Anthrax. None of the Health Extension Workers knew any disease symptoms. Healthcare providers recalled two human cases of brucellosis and 39 cases of Anthrax in the last 12 months, based on symptom-based diagnosis. Pastoralists had a moderate level of knowledge about diseases in their animals, with over half (52.4%; n = 267\/509) understanding that animals can transmit diseases to people. Overall, 280 out of 508 (55.1%) and 333 out of 507 (65.7%) pastoralists had heard of brucellosis and Anthrax, respectively. Among the latter, 282 (51.3%) knew at least one preventive measure for Anthrax. However, disease knowledge among women was poor. Despite their knowledge, pastoralists engaged in risky unprotected animal handling, animal product consumption\/usage as well as husbandry behaviors exposing them to pathogens and favoring the spread of diseases. They identified Anthrax as the most important zoonosis (47.6%) and as one of top three diseases suspected to cause mortality in their livestock. Pastoralists highlighted lack of vaccine coverage, availability and their timely administration. Both, pastoralists and healthcare providers stated the lack of disease awareness and the unavailability of drugs in the market as important challenges. Health facilities lacked protocols and standard operating procedures for managing zoonotic diseases, and did not have access to laboratory confirmation of pathogens.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Our study revealed significant under-reporting of Anthrax and brucellosis, and weak prevention and response in humans, mostly associated with poor disease knowledge of healthcare providers. Ability to respond to animal outbreaks was limited by vaccine and drugs availability, timely vaccine administration and the mobility of pastoralists.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pntd.0012067","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T17:54:35Z","timestamp":1712253275000},"page":"e0012067","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":23,"title":["Knowledge-attitude and practice of Anthrax and brucellosis: Implications for zoonotic disease surveillance and control in pastoral communities of Afar and Somali region, Ethiopia"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8435-0259","authenticated-orcid":true,"given":"Rea","family":"Tschopp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashenafi GebreGiorgis","family":"Kidanu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"issue":"7181","key":"pntd.0012067.ref001","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1038\/nature06536","article-title":"Global trends in emerging infectious diseases","volume":"451","author":"KE Jones","year":"2008","journal-title":"Nature"},{"key":"pntd.0012067.ref002","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/eva.12341","article-title":"One health\u2013an ecological and evolutionary framework for tackling Neglected Zoonotic Diseases","author":"JP Webster","year":"2016","journal-title":"Evolutionary Applications"},{"issue":"2","key":"pntd.0012067.ref003","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/zph.12214","article-title":"Use of Multicriteria Risk Ranking of Zoonotic Diseases in a Developing Country: Case Study of Mongolia","volume":"63","author":"AM McFadden","year":"2016","journal-title":"Zoonoses Public Health"},{"key":"pntd.0012067.ref004","unstructured":"Grace D, Mutua F, Ochungo P, Kruska R, Jones K, Brierley L, et al. Mapping of Poverty and Likely Zoonoses Hotspots (ILRI; 2012); Report to the Department for International Development. 2012. (available at http:\/\/mahider.ilri.org\/handle\/10568\/21161)."},{"key":"pntd.0012067.ref005","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.onehlt.2016.09.001","article-title":"Prioritizing zoonotic diseases in Ethiopia using a one health approach","volume":"2","author":"EG Pieracci","year":"2016","journal-title":"One Health"},{"issue":"2","key":"pntd.0012067.ref006","first-page":"75","article-title":"Human and animal anthrax in Ethiopia: A retrospective record review 2009\u20132013","volume":"20","author":"G Bahiru","year":"2016","journal-title":"Eth Vet J"},{"issue":"2","key":"pntd.0012067.ref007","doi-asserted-by":"crossref","first-page":"e0010181","DOI":"10.1371\/journal.pntd.0010181","article-title":"First PCR Confirmed anthrax outbreaks in Ethiopia\u2014Amhara region, 2018\u20132019","volume":"16","author":"AB Wassie","year":"2022","journal-title":"PLoS Negl Trop Dis"},{"issue":"4","key":"pntd.0012067.ref008","first-page":"415","article-title":"Human brucellosis in pregnancy- an overview","volume":"20","author":"M Bosilkovski","year":"2020","journal-title":"Bosn J of Basic Med Sci"},{"issue":"8","key":"pntd.0012067.ref009","doi-asserted-by":"crossref","first-page":"e0009593","DOI":"10.1371\/journal.pntd.0009593","article-title":"Integrated human-animal sero-surveillance of Brucellosis in the pastoral Afar and Somali regions of Ethiopia","volume":"15","author":"R Tschopp","year":"2021","journal-title":"PLoS Negl Trop Dis"},{"key":"pntd.0012067.ref010","unstructured":"Central Statistical Agency (CSA). The Federal Democratic Republic of Ethiopia; central statistical agency, agricultural sample survey, 2020\/21 (2013 E. C.), Volume II: Statistical Bulletin No. 589. CSA, Addis Ababa, Ethiopia.2021."},{"key":"pntd.0012067.ref011","unstructured":"United Nations Development Program; Emergency Unit for Ethiopia. 2020. Afar Pastoralists Face Consequences of Poor Rains. Rapid Assessment Mission: 19\u201324 April 2000 (accessed 03 October 2023; reliefweb.int\/report\/Ethiopia\/Afar Pastoralists face consequences of poor rains)"},{"key":"pntd.0012067.ref012","volume-title":"Public Health Emergency Management guidelines for Ethiopia","author":"PHEM","year":"2012"},{"key":"pntd.0012067.ref013","article-title":"Determining Sample Size; How to Calculate Survey Sample Size.","author":"H. Taherdoost","year":"2017","journal-title":"International Journal of Economics and Management System"},{"issue":"1","key":"pntd.0012067.ref014","first-page":"10","article-title":"A Retrospective Survey and Assessment of Farmers Indigenous Knowledge on Anthrax in and Around Tanqua-Abergelle District, Northern Ethiopia Acad","volume":"4","author":"AT Mebratu","year":"2015","journal-title":"J. Anim. Diseases"},{"key":"pntd.0012067.ref015","doi-asserted-by":"crossref","first-page":"e08531","DOI":"10.1016\/j.heliyon.2021.e08531","article-title":"Anthrax prevention practice and associated factors among farmers in Farta district, South Gondar, Amhara region, Northwest Ethiopia","author":"D Mesfin","year":"2021","journal-title":"Heliyon"},{"key":"pntd.0012067.ref016","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1186\/s12879-023-08136-9","article-title":"Case-control study of human anthrax outbreak investigation in Farta woreda, South Gondar, Northwest Ethiopia","volume":"23","author":"T Wondmnew","year":"2023","journal-title":"BMC Infect Dis"},{"key":"pntd.0012067.ref017","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1186\/s12879-020-05544-z","article-title":"Knowledge, attitude and practice towards anthrax in northern Ethiopia: a mixed approach study","volume":"20","author":"G Romha","year":"2020","journal-title":"BMC Infect Dis"},{"issue":"2","key":"pntd.0012067.ref018","doi-asserted-by":"crossref","first-page":"027","DOI":"10.17352\/ijvsr.000134","article-title":"Study on status, Zoonoses, Biowarfare, Economic and public health importance of anthrax: Review","volume":"9","author":"DT Welde Mariam","year":"2023","journal-title":"Int J Vet Sci Res"},{"issue":"2","key":"pntd.0012067.ref019","first-page":"104","article-title":"Where there is no data: participatory approaches to veterinary epidemiology in pastoral areas of the Horn of Africa","volume":"6","author":"A Catley","year":"2002","journal-title":"Nomadic People"},{"issue":"6","key":"pntd.0012067.ref020","first-page":"279","article-title":"Perception of the public on the common zoonotic diseases in Jimma, Southwestern Ethiopia","volume":"5","author":"D Tesfaye","year":"2013","journal-title":"Int J Med Medic Sci"},{"key":"pntd.0012067.ref021","unstructured":"Hailemariam Z. An outbreak investigation of anthrax in Tanqua-abergelle district, Tigray region, Ethiopia. 2012. In the 2013 Proceedings of the 2nd International Congress on Pathogens at the Human-Animal Interface (ICOPHAI): One Health for Sustainable Development, Porto de Galinhas, Brazil. pp: 51\u201353."},{"key":"pntd.0012067.ref022","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s12917-020-2267-0","article-title":"Livestock owners\u2019 anthrax prevention practices and its associated factors in Sekota Zuria district, Northeast Ethiopia","volume":"16","author":"K Seid","year":"2020","journal-title":"BMC Vet Res"},{"key":"pntd.0012067.ref023","doi-asserted-by":"crossref","first-page":"105557","DOI":"10.1016\/j.prevetmed.2021.105557","article-title":"Risk factors for Brucellosis and knowledge-attitude practice among pastoralists in Afar and Somali regions of Ethiopia","volume":"199","author":"R Tschopp","year":"2022","journal-title":"Prev Vet Med"},{"issue":"2","key":"pntd.0012067.ref024","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.chnaes.2022.05.004","article-title":"Medicinal plants with traditional healthcare importance to manage human and livestock ailments in Enemay District, Amhara Region, Ethiopia","volume":"43","author":"YS Birhan","year":"2023","journal-title":"Acta Ecologica Sinica"},{"key":"pntd.0012067.ref025","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1746-4269-9-8","article-title":"Ethnobotanical study of plants used in management of livestock health problems by Afar people of Ada\u2019ar District, Afar Regional State, Ethiopia","volume":"9","author":"M Giday","year":"2013","journal-title":"J Ethnobiology Ethnomed"},{"issue":"50","key":"pntd.0012067.ref026","first-page":"21701","article-title":"Global capacity for emerging infectious disease detection","volume":"107","author":"EH Chan","year":"2010","journal-title":"Biol Sci"},{"key":"pntd.0012067.ref027","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1126\/science.aam8332","article-title":"Driving improvements in emerging disease surveillance through locally relevant capacity strengthening","volume":"357","author":"JEB Halliday","year":"2017","journal-title":"Science"},{"issue":"6","key":"pntd.0012067.ref028","doi-asserted-by":"crossref","first-page":"e2800","DOI":"10.1371\/journal.pntd.0002800","article-title":"Neglected Zoonotic Diseases-the Long and Winding Road to Advocacy","volume":"8","author":"HE Mableson","year":"2014","journal-title":"PLoS Negl Trop Dis"},{"key":"pntd.0012067.ref029","unstructured":"Tadesse M, Zewdu M, Walelign E, Veira A, Lakew M, Tadesse B, et al. National Anthrax prevention and control strategic plan-2018-2030. Joint Ministry of Health, Ministry of Agriculture and Livestock Resources, Ministry of Culture and Tourism and Ministry of Environment, Forest and Climate Change Implementation PlanFederal Democratic Republic of Ethiopia."},{"key":"pntd.0012067.ref030","article-title":"Health Care Providers\u2019 Knowledge and Practice Gap towards Joint Zoonotic Disease Surveillance System: Challenges and Opportunities, Gomma District, Southwest Ethiopia","author":"DH Gemeda","year":"2016","journal-title":"BioMed Research International"},{"issue":"4","key":"pntd.0012067.ref031","doi-asserted-by":"crossref","first-page":"712","DOI":"10.26444\/aaem\/80705","article-title":"Diagnosis of cutaneous anthrax in resource-poor settings in West Arsi Province, Ethiopia","volume":"24","author":"R P\u00e9rez-Tanoira","year":"2017","journal-title":"Ann Agric Environ Med"},{"key":"pntd.0012067.ref032","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1186\/1756-0500-6-313","article-title":"Periocular cutaneous anthrax in Jimma Zone, Southwest Ethiopia: a case series","volume":"6","author":"Y Gelaw","year":"2013","journal-title":"BMC Res Notes"},{"key":"pntd.0012067.ref033","first-page":"1","article-title":"Operationalizing a community-based One Health surveillance and response in Adadle district of Ethiopia","volume":"2","author":"Y Osman","year":"2023","journal-title":"CABI One Health"}],"updated-by":[{"DOI":"10.1371\/journal.pntd.0012067","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000}}],"container-title":["PLOS Neglected Tropical Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0012067","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T18:31:52Z","timestamp":1713292312000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0012067"}},"subtitle":[],"editor":[{"given":"Richard A.","family":"Bowen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,4,4]]},"references-count":33,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,4]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pntd.0012067","relation":{"new_version":[{"id-type":"doi","id":"10.1371\/journal.pntd.0012067","asserted-by":"object"}]},"ISSN":["1935-2735"],"issn-type":[{"value":"1935-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,4]]}}}