Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya

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cg.authorship.typesCGIAR and developing country instituteen_US
cg.authorship.typesCGIAR and advanced research instituteen_US
cg.contributor.affiliationInternational Livestock Research Instituteen_US
cg.contributor.affiliationUniversity of Edinburghen_US
cg.contributor.affiliationKenya Medical Research Instituteen_US
cg.contributor.affiliationUniversity of Liverpoolen_US
cg.contributor.crpAgriculture for Nutrition and Healthen_US
cg.contributor.donorMedical Research Council, United Kingdomen_US
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen_US
cg.contributor.donorWellcome Trusten_US
cg.contributor.donorDepartment for International Development, United Kingdomen_US
cg.contributor.donorEconomic and Social Research Council, United Kingdomen_US
cg.contributor.donorNatural Environment Research Council, United Kingdomen_US
cg.contributor.donorDefence Science and Technology Laboratory, United Kingdomen_US
cg.coverage.countryKenyaen_US
cg.coverage.iso3166-alpha2KEen_US
cg.coverage.regionAfricaen_US
cg.coverage.regionEastern Africaen_US
cg.creator.identifierElizabeth Cook: 0000-0001-6081-8363en_US
cg.creator.identifierWilliam de Glanville: 0000-0003-2474-0356en_US
cg.creator.identifierLian Thomas: 0000-0001-8447-1210en_US
cg.creator.identifierMark Bronsvoort: 0000-0002-3271-8485en_US
cg.creator.identifierEric M. Fèvre: 0000-0001-8931-4986en_US
cg.howPublishedFormally Publisheden_US
cg.identifier.doihttps://doi.org/10.1136/oemed-2016-103895en_US
cg.isijournalISI Journalen_US
cg.issn1351-0711en_US
cg.issue5en_US
cg.journalOccupational and Environmental Medicineen_US
cg.reviewStatusPeer Reviewen_US
cg.subject.ilriANIMAL DISEASESen_US
cg.subject.ilriZOONOTIC DISEASESen_US
cg.volume74en_US
dc.contributor.authorCook, Elizabeth A.J.en_US
dc.contributor.authorGlanville, William A. deen_US
dc.contributor.authorThomas, Lian F.en_US
dc.contributor.authorKariuki, S.en_US
dc.contributor.authorBronsvoort, B.M. de C.en_US
dc.contributor.authorFèvre, Eric M.en_US
dc.date.accessioned2016-12-06T14:15:22Zen_US
dc.date.available2016-12-06T14:15:22Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/78160en_US
dc.titleRisk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenyaen_US
dcterms.abstractObjectives Leptospirosis has been documented in slaughterhouse workers around the world. Risk factors include smoking and drinking at work, and performing tasks such as cleaning offal. This paper examined risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya. Methods The study was conducted between May 2011 and October 2012. Questionnaires were used to collect information from workers on demographic data, health and hygiene practices in the slaughterhouse. A commercial ELISA detected antibodies to Leptospira spp. in serum samples and multilevel logistic regression analysis identified factors associated with leptospirosis seropositivity. Results A total of 737 workers from 142 slaughterhouses were recruited. The seroprevalence of antibodies to Leptospira spp. was 13.4% (95% CI 11.1% to 16.1%). Risk factors included: having wounds (OR 3.1; 95% CI 1.5 to 6.1); smoking (OR 1.8; 95% CI 1.1 to 2.9); eating at work (OR 2.1; 95% CI 1.2 to 3.6); cleaning the offal (OR 5.1; 95% CI 1.8 to 15.0); and having a borehole for personal water use (OR 2.3; 95% CI 1.1 to 4.7). At the slaughterhouse level, risk factors included having a roof (OR 2.6; 95% CI 1.2 to 5.6) and drawing water from a well (OR 2.2; 95% CI 1.2 to 4.0). Protective factors included working in slaughterhouses where antemortem inspection was conducted (OR 0.6; 95% CI 0.4 to 1.0) and where workers wore protective aprons (OR 0.4; 95% CI 0.2 to 0.7). Conclusions This is the first report of leptospirosis seropositivity in slaughterhouse workers in Kenya. Potential risk factors were identified and this information can be used to educate workers regarding their disease risks and ways to prevent or reduce transmission.en_US
dcterms.accessRightsOpen Accessen_US
dcterms.audienceScientistsen_US
dcterms.available2016-12-02en_US
dcterms.bibliographicCitationCook, E.A.J., Glanville, W.A. de, Thomas, L.F., Kariuki, S., Bronsvoort, B.M. de C. and Fèvre, E.M. 2017. Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya. Occupational and Environmental Medicine 74:357–365.en_US
dcterms.extentp. 357-365en_US
dcterms.issued2017-05en_US
dcterms.languageenen_US
dcterms.publisherBMJen_US
dcterms.subjectanimal diseasesen_US
dcterms.subjectzoonosesen_US
dcterms.typeJournal Articleen_US

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