Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya

Objectives 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. Metho...

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Main Authors: Cook, Elizabeth A.J., Glanville, William A. de, Thomas, Lian F., Kariuki, S., Bronsvoort, B.M. de C., Fèvre, Eric M.
Format: Journal Article
Language:Inglés
Published: BMJ 2017
Subjects:
Online Access:https://hdl.handle.net/10568/78160
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author Cook, Elizabeth A.J.
Glanville, William A. de
Thomas, Lian F.
Kariuki, S.
Bronsvoort, B.M. de C.
Fèvre, Eric M.
author_browse Bronsvoort, B.M. de C.
Cook, Elizabeth A.J.
Fèvre, Eric M.
Glanville, William A. de
Kariuki, S.
Thomas, Lian F.
author_facet Cook, Elizabeth A.J.
Glanville, William A. de
Thomas, Lian F.
Kariuki, S.
Bronsvoort, B.M. de C.
Fèvre, Eric M.
author_sort Cook, Elizabeth A.J.
collection Repository of Agricultural Research Outputs (CGSpace)
description Objectives 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.
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spelling CGSpace781602024-05-01T08:19:30Z Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya Cook, Elizabeth A.J. Glanville, William A. de Thomas, Lian F. Kariuki, S. Bronsvoort, B.M. de C. Fèvre, Eric M. animal diseases zoonoses Objectives 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. 2017-05 2016-12-06T14:15:22Z 2016-12-06T14:15:22Z Journal Article https://hdl.handle.net/10568/78160 en Open Access BMJ Cook, 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.
spellingShingle animal diseases
zoonoses
Cook, Elizabeth A.J.
Glanville, William A. de
Thomas, Lian F.
Kariuki, S.
Bronsvoort, B.M. de C.
Fèvre, Eric M.
Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya
title Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya
title_full Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya
title_fullStr Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya
title_full_unstemmed Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya
title_short Risk factors for leptospirosis seropositivity in slaughterhouse workers in western Kenya
title_sort risk factors for leptospirosis seropositivity in slaughterhouse workers in western kenya
topic animal diseases
zoonoses
url https://hdl.handle.net/10568/78160
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