Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya

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cg.authorship.typesCGIAR and developing country instituteen
cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationInternational Livestock Research Instituteen
cg.contributor.affiliationUniversity of Edinburghen
cg.contributor.affiliationKenya Medical Research Instituteen
cg.contributor.affiliationUniversity of Liverpoolen
cg.contributor.crpAgriculture for Nutrition and Health
cg.contributor.donorMedical Research Council, United Kingdomen
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen
cg.contributor.donorWellcome Trusten
cg.contributor.donorDepartment for International Development, United Kingdomen
cg.contributor.donorEconomic and Social Research Council, United Kingdomen
cg.contributor.donorNatural Environment Research Council, United Kingdomen
cg.contributor.donorDefence Science and Technology Laboratory, United Kingdomen
cg.coverage.countryKenya
cg.coverage.iso3166-alpha2KE
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.creator.identifierElizabeth Cook: 0000-0001-6081-8363en
cg.creator.identifierWilliam de Glanville: 0000-0003-2474-0356en
cg.creator.identifierLian Thomas: 0000-0001-8447-1210en
cg.creator.identifierMark Bronsvoort: 0000-0002-3271-8485en
cg.creator.identifierEric M. Fèvre: 0000-0001-8931-4986en
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1136/oemed-2016-103895en
cg.isijournalISI Journalen
cg.issn1351-0711en
cg.issue5en
cg.journalOccupational and Environmental Medicineen
cg.reviewStatusPeer Reviewen
cg.subject.ilriANIMAL DISEASESen
cg.subject.ilriZOONOTIC DISEASESen
cg.volume74en
dc.contributor.authorCook, Elizabeth A.J.en
dc.contributor.authorGlanville, William A. deen
dc.contributor.authorThomas, Lian F.en
dc.contributor.authorKariuki, S.en
dc.contributor.authorBronsvoort, B.M. de C.en
dc.contributor.authorFèvre, Eric M.en
dc.date.accessioned2016-12-06T14:15:22Zen
dc.date.available2016-12-06T14:15:22Zen
dc.identifier.urihttps://hdl.handle.net/10568/78160
dc.titleRisk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenyaen
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
dcterms.accessRightsOpen Access
dcterms.audienceScientistsen
dcterms.available2016-12-02en
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
dcterms.extentp. 357-365en
dcterms.issued2017-05en
dcterms.languageen
dcterms.publisherBMJen
dcterms.subjectanimal diseasesen
dcterms.subjectzoonosesen
dcterms.typeJournal Article

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