Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya

We carried out a participatory risk assessment to estimate the risk (negative consequences and their likelihood) from zoonotic Cryptosporidium originating in dairy farms in urban Dagoretti, Nairobi to dairy farm households and their neighbours. We selected 20 households at high risk for Cryptosporid...

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Main Authors: Grace, Delia, Monda, J., Karanja, N., Randolph, Thomas F., Kang'ethe, Erastus K.
Format: Journal Article
Language:Inglés
Published: Springer 2012
Subjects:
Online Access:https://hdl.handle.net/10568/21690
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author Grace, Delia
Monda, J.
Karanja, N.
Randolph, Thomas F.
Kang'ethe, Erastus K.
author_browse Grace, Delia
Kang'ethe, Erastus K.
Karanja, N.
Monda, J.
Randolph, Thomas F.
author_facet Grace, Delia
Monda, J.
Karanja, N.
Randolph, Thomas F.
Kang'ethe, Erastus K.
author_sort Grace, Delia
collection Repository of Agricultural Research Outputs (CGSpace)
description We carried out a participatory risk assessment to estimate the risk (negative consequences and their likelihood) from zoonotic Cryptosporidium originating in dairy farms in urban Dagoretti, Nairobi to dairy farm households and their neighbours. We selected 20 households at high risk for Cryptosporidium from a larger sample of 300 dairy households in Dagoretti based on risk factors present. We then conducted a participatory mapping of the flow of the hazard from its origin (cattle) to human potential victims. This showed three main exposure pathways (food and water borne, occupational and recreational). This was used to develop a fault tree model which we parameterised using information from the study and literature. A stochastic simulation was used to estimate the probability of exposure to zoonotic cryptosporidiosis originating from urban dairying. Around 6 % of environmental samples were positive for Cryptosporidium. Probability of exposure to Cryptosporidium from dairy cattle ranged from 0.0055 for people with clinical acquired immunodeficiency syndrome in non-dairy households to 0.0102 for children under 5 years from dairy households. Most of the estimated health burden was born by children. Although dairy cattle are the source of Cryptosporidium, the model suggests consumption of vegetables is a greater source of risk than consumption of milk. In conclusion, by combining participatory methods with quantitative microbial risk assessment, we were able to rapidly, and with appropriate ‘imprecision’, investigate health risk to communities from Cryptosporidium and identify the most vulnerable groups and the most risky practices.
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spelling CGSpace216902024-08-27T10:34:53Z Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya Grace, Delia Monda, J. Karanja, N. Randolph, Thomas F. Kang'ethe, Erastus K. animal diseases zoonoses health We carried out a participatory risk assessment to estimate the risk (negative consequences and their likelihood) from zoonotic Cryptosporidium originating in dairy farms in urban Dagoretti, Nairobi to dairy farm households and their neighbours. We selected 20 households at high risk for Cryptosporidium from a larger sample of 300 dairy households in Dagoretti based on risk factors present. We then conducted a participatory mapping of the flow of the hazard from its origin (cattle) to human potential victims. This showed three main exposure pathways (food and water borne, occupational and recreational). This was used to develop a fault tree model which we parameterised using information from the study and literature. A stochastic simulation was used to estimate the probability of exposure to zoonotic cryptosporidiosis originating from urban dairying. Around 6 % of environmental samples were positive for Cryptosporidium. Probability of exposure to Cryptosporidium from dairy cattle ranged from 0.0055 for people with clinical acquired immunodeficiency syndrome in non-dairy households to 0.0102 for children under 5 years from dairy households. Most of the estimated health burden was born by children. Although dairy cattle are the source of Cryptosporidium, the model suggests consumption of vegetables is a greater source of risk than consumption of milk. In conclusion, by combining participatory methods with quantitative microbial risk assessment, we were able to rapidly, and with appropriate ‘imprecision’, investigate health risk to communities from Cryptosporidium and identify the most vulnerable groups and the most risky practices. 2012-09 2012-08-24T19:52:54Z 2012-08-24T19:52:54Z Journal Article https://hdl.handle.net/10568/21690 en Limited Access Springer Grace, D., Monda, J., Karanja, N., Randolph, T.F. and Kang'ethe, E.K. 2012. Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya. Tropical Animal Health and Production 44(Suppl 1): S33-S40.
spellingShingle animal diseases
zoonoses
health
Grace, Delia
Monda, J.
Karanja, N.
Randolph, Thomas F.
Kang'ethe, Erastus K.
Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya
title Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya
title_full Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya
title_fullStr Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya
title_full_unstemmed Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya
title_short Participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in Dagoretti, Nairobi, Kenya
title_sort participatory probabilistic assessment of the risk to human health associated with cryptosporidiosis from urban dairying in dagoretti nairobi kenya
topic animal diseases
zoonoses
health
url https://hdl.handle.net/10568/21690
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