| Literature DB >> 33222018 |
NwaJesus Anthony Onyekuru1, Chukwuma Otum Ume2, Chizoba Perpetua Ezea3, Nice Nneoma Chukwuma Ume4.
Abstract
The 2014 disease outbreak in West Africa of the Ebola virus was the longest, largest, deadliest, and most complex epidemic of its kind in history. It was believed to have originated from bushmeat consumption and exhibited sustained human-to-human transmission. We assessed the effects of the virus outbreak in West Africa on bushmeat enterprise and environmental health risk behaviors among households in Nigeria. We adopted a multistage sampling technique to select 100 respondents. We structured two sets of questionnaires for both bushmeat sellers and consumers. The questionnaire contained information about the respondent's socioeconomic characteristics; perceived causes of the Ebola outbreak; risk behaviors; level of sales; and consumption before, during, and after the Ebola outbreak. We found a significant decrease in the levels of sales and consumption of bushmeat during the outbreak. Consumers perceived touching an infected person, but not eating bushmeat, as a significant mode of Ebola transmission. Although respondents knew about some practices that help to prevent Ebola, they did not practice these to a reasonable extent. We also found that females were 25% more likely than males to consume bushmeat during the outbreak. Given these findings, we recommend that the government should sensitize people and educate them on risk prevention behaviors they should adopt to prevent the transmission of the Ebola disease.Entities:
Keywords: Bushmeat; Disease outbreak; Ebola; Environmental hygiene; Health risk
Mesh:
Year: 2020 PMID: 33222018 PMCID: PMC7680257 DOI: 10.1007/s10935-020-00619-8
Source DB: PubMed Journal: J Prim Prev ISSN: 0278-095X
Fig. 1Map of Enugu State showing the two sample areas
Description of variables and scale of measurement
| Variable | Values/measure |
|---|---|
| Sex | Female = 1, male = 0 |
| Household size | Number of members |
| Age | Number of years |
| Marital status | 1 = single, married = 0 |
| Years spent in school | Years |
| Monthly income | in Nigeria Naira |
| Distance to the nearest location | Kilometres |
| Food consumption status | Number of times the respondent eats in a day |
| Number of selling locations | Numbers |
| Perceived risk of bushmeat consumption | 1 = Risky, 0 = Not a risk |
| Amount of bushmeat sales | Number of plates of bushmeat sold in a month |
| Amount of bushmeat consumed | Frequency of consumption in a month |
Mean monthly sales and consumption before, during, and after the Ebola outbreak
| SALES | CONSUMPTION | |||||
|---|---|---|---|---|---|---|
| Minimum | Maximum | Mean | Minimum | Maximum | Mean | |
| Before Ebola outbreak | 150 | 600 | 192.5 | 2.0 | 50.0 | 12.28 |
| During Ebola outbreak | 0 | 450 | 111 | 0.0 | 60.0 | 8.23 |
| After Ebola outbreak | 0 | 510 | 163.0 | 0.0 | 50.0 | 11.83 |
Fig. 2Mean scores of respondents’ perception of bushmeat as a cause of the Ebola Disease before, during, and after the Ebola outbreak. Decision rule: If mean score < 2.50, then reject that they perceived bushmeat as a cause of Ebola, and if ≥ 2.50, accept.
Fig. 3Mean scores of respondents on their perceived modes of Ebola transmission. Decision rule: If mean score < 2.50, then reject that they perceived bushmeat as a cause of Ebola, and if ≥ 2.50, accept.
A t test comparison of mean consumptions and sales
| Sales before and during | 3.445(40) | .001 |
| Sales during and after | 5.444(40) | <.001 |
| Sales before and after | 4.005(40) | <.001 |
| Consumption before and during | 4.995(60) | <.001 |
| Consumption during and after | 4.558(60) | <.001 |
| Consumption before and after | 1.101(60) | .275 |
Practices believed to be prevention of the spread of Ebola by the respondents
| Practices | Mean | Standard deviation |
|---|---|---|
| Use of gloves when having contact with people | 3.440a | 1.0281 |
| Use of gloves when preparing bushmeat for cooking | 2.080 | 1.1693 |
| Washing hands with hand sanitizer | 3.600a | 0.8040 |
| Avoidance of any bushmeat | 3.580a | 0.8667 |
| Cooking bushmeat properly | 3.030a | 1.1499 |
| Eating bitter kola | 2.850a | 1.2503 |
| Avoidance of any sick person | 2.500a | 1.1763 |
| Praying | 2.840a | 1.1346 |
| Avoiding contact with any person | 3.080a | 1.2365 |
| Disinfecting utensils with ‘sniper’ chemicalb | 1.970 | 0.9477 |
| Abstinence from any type of meat | 2.510a | 1.2988 |
aVariables with mean greater than 2.50 showed participants strongly accepted this as a practice for the prevention of Ebola
bFalse and potentially harmful measures that were adopted dues to unsubstantiated rumors
Measures perceived by the respondents as preventive
| Practices adopted | Mean | % | Standard deviation |
|---|---|---|---|
| Bathing with salta | 1.68 | 33.6 | 0.94 |
| Use of gloves when having contact with people | 1.57 | 31.4 | 0.92 |
| Use of gloves when preparing bushmeat for cooking | 1.60 | 32 | 4.22 |
| Washing hands with hand sanitizer | 2.30 | 46 | 1.29 |
| Avoidance of any bushmeat | 2.23 | 44.6 | 1.34 |
| Cooking bushmeat properly | 2.05 | 41 | 1.29 |
| Eating bitter kola | 1.59 | 31.8 | 1.07 |
| Avoidance of any sick person | 1.73 | 34.6 | 1.08 |
| Praying | 2.08 | 41.6 | 1.24 |
| Avoiding contact with any person | 1.84 | 36.8 | 1.16 |
| Disinfecting utensils with ‘sniper’ chemicala | 1.52 | 30.4 | 0.94 |
| Abstinence from any type of meata | 1.19 | 23.8 | 0.50 |
Source Field survey, 2016
aFalse and potentially harmful measures that were adopted dues to unsubstantiated rumors
Summary of logistic regression analysis
| Demographic and Socioeconomic Characteristics | Coefficient | Marginal effect | ||
|---|---|---|---|---|
| Gender | 6.35 | 0.00*** | 0.37 | 0.01*** |
| Log age | 1.03 | 0.41 | 0.01 | 0.41 |
| Marital status | 0.50 | 0.38 | -0.13 | 0.37 |
| Log years spent in school | 1.06 | 0.25 | 0.01 | 0.25 |
| Family Size | 0.95 | 0.72 | − 0.01 | 0.72 |
| Perceived risk of bushmeat consumption | 0.30 | 0.02** | − 0.23 | 0.01** |
| Distance to the nearest spot | 0.98 | 0.59 | − 0.01 | 0.59 |
| food consumption status | 1.95 | 0.01** | 0.13 | 0.01*** |
| Number of selling locations | 1.63 | 0.08* | 0.09 | 0.08* |
*p < 0.05. **p < 0.01. ***p < 0.001.