Knowledge, attitudes and practices of smallholder farmers on foot and mouth disease control in two Cambodian provinces

Using Abattoir-Based Surveillance to Establish Foot-and-Mouth Disease Non-Structural Protein Seropositivity in Cattle and Pigs in Cambodia

Foot-and-mouth disease (FMD) is a contagious transboundary animal disease that causes economic loss and obstacles to international trade. Frequent FMD outbreaks in Cambodia negatively impact farmers' and smallholders' incomes. This study aimed to estimate the seroprevalence of FMD Non-Structural Protein (NSP) antibodies, which are an indicator of FMD antibodies raised during a natural infection rather than those produced following vaccination, that were detected using a commercial enzyme-linked immunosorbent assay (ELISA). Sample collection from cattle and pigs (n = 2238) was performed at ten abattoirs in seven provinces between October 2019 and December 2020. Overall seroprevalence in cattle and pigs was 43.2% (363/839; 95% CI 39.8-46.7), and 0.6% (9/1399; 95% CI 0.2-1.2), respectively. Only the cattle dataset was included in the risk factor analysis, as the prevalence of sero-reactors was too low in the pig dataset to be analyzed. Significant risk factors identified by the logistic regression model included the province of origin (p = 0.02), body condition score (BCS) (p = 0.0002) and sex (p = 0.0007). Odds ratios of the significant risk factors were 7.05 (95% CI 1.43-34.67; p = 0.02) for cattle that originated from Kampong Thom, 1.41 (95% CI 1.05-1.89; p = 0.02) for female cattle, and 3.28 (95% CI 1.06-10.12; p = 0.04) for animals with BCS of 3/5. The study revealed that the seroprevalence of FMD NSP in cattle presented at the abattoirs was high, while the FMD NSP seroprevalence in abattoir pigs was very low. Further investigation is required to map the disease distribution in Cambodia, especially the serotypes and strains causing clinical disease. These findings call for the extension of work on effective disease prevention measures.

Identification of the O/ME-SA/Ind-2001e Sublineage of Foot-and-Mouth Disease Virus in Cambodia

Foot-and-mouth (FMD) is endemic in Cambodia with numerous outbreaks in cattle, pigs and other susceptible animal species reported every year. Historically, these outbreaks were caused by the FMD virus (FMDV) of serotype O PanAsia and Mya-98 lineages and serotype A Sea-97 lineage. However, the trans-pool movement of FMDV between inter-pool regions or countries throughout FMD endemic regions has raised concerns regarding infection with the new genotype or serotype of FMDV in Cambodia. In this study, 19 sequences of VP1 coding region obtained from 33 clinical samples collected from FMDV-affected cattle farms in Cambodia during January to March 2019 were genetically characterized to identify the genotypes/lineages of FMDV. Phylogenetic analysis of VP1 coding sequences revealed that recent field viruses belonged to O/ME-SA/Ind-2001e (15.8%), O/ME-SA/PanAsia (52.7%), and A/ASIA/Sea-97 (31.5%). Besides, the field viruses of O/ME-SA/Ind-2001e in Cambodia showed 93.5-96.8% identity with the VP1 coding sequences of the same sublineage viruses from pool 1 and 2 surrounding Cambodia. This is the first report of O/ME-SA/Ind-2001e infection in Cambodia, suggesting that the trans-pool movement of the new genotype should be closely monitored for efficient control of FMD.

Contributions of village animal health workers to foot-and-mouth disease control in Cambodia

Local animal health services in rural communities in Cambodia are mainly provided by village animal health workers (VAHWs), although the participation and contribution of VAHWs to livestock disease prevention are uncertain. The participation of the VAHWs as identified by their 'dropout rate' was examined in a desktop review in December 2020 of the national data on VAHWs recorded between 2011 and 2020. The contribution and involvement of VAHWs in disease prevention programmes were examined in a survey conducted between February and March 2014, then analyzed in the context of other surveys of VAHW knowledge, attitudes and practices. The survey involved guided group discussion with VAHWs (n = 198) from the two Cambodian provinces of Kampong Cham and Pursat. This study identified that VAHWs generated less than 22% of their annual household incomes from animal health services. Less than one-third had vaccinated livestock against foot-and-mouth disease (FMD), with none having vaccinated cattle every 6 months during the study period, and nearly half of the VAHWs having never vaccinated their own cattle against FMD. As no privately provided FMD vaccination services occurred in these communities, with all vaccines delivered through the government-subsidized programme, the findings confirmed that VAHWs only vaccinated animals against FMD when vaccines were made available by the Government. The desktop review found that the number of VAHWs in 2020 declined by more than 24% since 2017, and the proportion of female VAHWs was consistently low, with a mean of 8.26 (±1.019). These findings confirm findings from previous studies that identified considerable weaknesses in the VAHW system in Cambodia, particularly in contributing to FMD control. Cambodian animal health authorities require more effective policies to strengthen the current VAHW system, improving their services delivery; their retention as 'active'; their development of more sustainable roles with lower 'dropout' rates and the prolonged gender inequity. With the limited availability of government-subsidized FMD vaccination currently, extension programmes that engage VAHWs and farmers in seeking privately funded and delivered FMD vaccination that incorporates appropriate multivalent FMD serotype vaccines of high quality, delivered in small dose vials from a robust cold chain, is suggested. This strategy would assist VAHWs to contribute to the provision of private livestock vaccination services that are likely essential for sustainable FMD prevention and control in Cambodia.

Knowledge, Attitudes, and Practices (KAPs) of Farmers on Foot and Mouth Disease in Cattle in Baghlan Province, Afghanistan: A Descriptive Study

Simple Summary

Foot and mouth disease (FMD) affects the productivity and health of several animals species, including cattle. In Afghanistan, cattle represent a valuable source of food security and play a vital role in the rural economy. Using a questionnaire-based approach, we evaluated the self-reported knowledge, attitudes, and practices of various stakeholders involved in the cattle industry and veterinary management of animal health in a northern province of Afghanistan. The study pointed to several aspects that could be translated into practical management options to add value to FMD management in the cattle industry in Afghanistan.

Abstract

This study was performed to investigate the knowledge, attitudes, and practices (KAPs) of farmers, animal traders, and veterinary professionals on FMD in Baghlan province, Afghanistan. Four structured questionnaires were administered to the respondents. Almost half (48.5%) of the farmers had heard of the occurrence of FMD in their neighbourhood or knew the name of the disease. The majority of farmers could recognise the clinical signs of FMD in their animals (salivation, 85.9%; tongue ulcers, 78.8%; gum lesions, 78.2%; hoof lesions, 76.8%). Most farmers stated that the “introduction of new animals” was the primary cause of FMD appearing on their farms and to control the spread of the disease, over half of the farmers (56%) preferred not to buy cattle from unknown or potentially infected sources. Animal traders’ knowledge was limited to recognising some clinical signs of the disease such as: salivation, and lesions in the mouth and on the feet. No animals were directly imported by the traders from outside Afghanistan. Over half of the local veterinary professionals (65%) kept record books of the animal diseases seen and/or treatment plans undertaken, and 80% of them reported the occurrence of FMD to the provincial, regional, and central veterinary authorities. No regular vaccination programme against FMD was implemented in the province. Poor import controls and quarantine were considered to be the main barriers to the control of FMD in the study area and the surrounding provinces. It can be concluded that, despite relatively good knowledge about FMD in the study area, there are gaps in farmers’ and traders’ knowledge that need to be addressed to overcome the burden of the disease in the province. These should focus on strengthening interprovincial quarantine measures and implementation of regular vaccination campaigns against the circulating FMDV within the area.