Infection by Mycobacterium tuberculosis, a bacterium that causes tuberculosis in humans and animals, has a major impact on public health, an
Infection by Mycobacterium tuberculosis, a bacterium that causes tuberculosis in humans and animals, has a major impact on public health, animal health and ecological health in rural areas of Uganda. However, this problem has not been paid enough attention, and the relevant inputs are few. In order to control the infection, the quality of drinking water needs to be improved and environmental health needs to be enhanced.
These are the contents of the doctoral thesis Clovice Kankya. He focused on the impact of Mycobacterium tuberculosis infection on social anthropology, social economics and public health. He analyzed how local knowledge and beliefs / superstitions affect the attitudes of local residents towards mycobacterial infections, which can be seen in the social and economic sections of the paper.
The high risk factors of Mycobacterium tuberculosis infection include: drinking unclean water sources (human and animal sharing), with livestock living close. A study of slaughtered animals found that: 9.3% of the pigs slaughtered lymph node pathological changes, suggesting that Mycobacterium tuberculosis infection. Among them, 3.2% of them can be cultured in the laboratory. This suggests that Mycobacterium tuberculosis is ubiquitous in the environment and can interact with humans, domestic animals and wild animals.
Social demographic environment and family health habits also have an important impact on the infection of Mycobacterium tuberculosis. Because of chronic cough and other respiratory symptoms, Mycobacterium tuberculosis is also known as akakonko, akasubba or akafuba. Knowledge, attitudes, habits and smoking, living environment, the use of the same water and so on are all risk factors for TB infection.
The use of Chinese herbal medicine is the main way to infect people in animals or in the environment. The study found that 65% of people use Chinese herbal medicines, while only about 35% of people use modern drugs to fight TB infection. Because of the infection of Mycobacterium tuberculosis and the ignorance of HIV infection, the patients are discriminated and treated unfairly in rural communities.
Clovice Kankya study found widespread presence of non tuberculous mycobacteria (NTM) infection in rural areas of Uganda. These risk factors make it easy for people and animals in this ecosystem to be infected with non tuberculous mycobacteria.
In response to this growing population and animal infection, Clovice Kankya advocates holistic and interdisciplinary approaches ("a health, an ecosystem"). Therefore, he used advanced microbiological methods and anthropological methods in the study.
He proposed that in order to treat mycobacterial infections, the need to establish a small local health center. It is also necessary to educate those in rural areas that the knowledge of mycobacterial infection is relevant, not only to reduce infection, but also to reduce discrimination and unfair treatment of patients. Another important objective is to reduce the burden on individuals and society due to mycobacterial infections. Therefore, Kankya proposed to maintain a good environment, good family health, improve the management of drinking water sources, such as the use of closed pipes conveying pure water.
Kankya's doctoral thesis was completed in Uganda, and laboratory work and data analysis were performed at the Norway Veterinary College and the Norway veterinary science school. Clovice Kankya in December 13, 2011 at the Norway veterinary science school doctoral dissertation defense. The topic of this thesis is: the social anthropological perspective of Mycobacterium infection and its impact on public health; the management of the human environment livestock wildlife interaction in the pastoral ecosystem of Uganda.