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      Medical pluralism and livestock health: ethnomedical and biomedical veterinary knowledge among East African agropastoralists

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          Abstract

          Background

          Human and animal health are deeply intertwined in livestock dependent areas. Livestock health contributes to food security and can influence human health through the transmission of zoonotic diseases. In low-income countries diagnosis and treatment of livestock diseases is often carried out by household members who draw upon both ethnoveterinary medicine (EVM) and contemporary veterinary biomedicine (VB). Expertise in these knowledge bases, along with their coexistence, informs treatment and thus ultimately impacts animal and human health. The aim of the current study was to determine how socio-cultural and ecological differences within and between two livestock-keeping populations, the Maasai of northern Tanzania and Koore of southwest Ethiopia, impact expertise in EVM and VB and coexistence of the two knowledge bases.

          Methods

          An ethnoveterinary research project was conducted to examine dimensions of EVM and VB knowledge among the Maasai ( N = 142 households) and the Koore ( N = 100). Cultural consensus methods were used to quantify expertise and the level of agreement on EVM and VB knowledge. Ordinary least squares regression was used to model patterns of expertise and consensus across groups and to examine associations between knowledge and demographic/sociocultural attributes.

          Results

          Maasai and Koore informants displayed high consensus on EVM but only the Koore displayed consensus on VB knowledge. EVM expertise in the Koore varied across gender, herd size, and level of VB expertise. EVM expertise was highest in the Maasai but was only associated with age. The only factor associated with VB expertise was EVM expertise in the Koore.

          Conclusions

          Variation in consensus and the correlates of expertise across the Maassi and the Koore are likely related to differences in the cultural transmission of EVM and VB knowledge. Transmission dynamics are established by the integration of livestock within the socioecological systems of the Maasai and Koore and culture historical experiences with livestock disease. Consideration of the nature and coexistence of EVM and VB provides insight into the capacity of groups to cope with disease outbreaks, pharmaceutical use patterns, and the development of community health interventions.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s13002-017-0135-1) contains supplementary material, which is available to authorized users.

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          Most cited references85

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          The global problem of antimicrobial resistance is particularly pressing in developing countries, where the infectious disease burden is high and cost constraints prevent the widespread application of newer, more expensive agents. Gastrointestinal, respiratory, sexually transmitted, and nosocomial infections are leading causes of disease and death in the developing world, and management of all these conditions has been critically compromised by the appearance and rapid spread of resistance. In this first part of the review, we have summarised the present state of resistance in these infections from the available data. Even though surveillance of resistance in many developing countries is suboptimal, the general picture is one of accelerating rates of resistance spurred by antimicrobial misuse and shortfalls in infection control and public health. Reservoirs for resistance may be present in healthy human and animal populations. Considerable economic and health burdens emanate from bacterial resistance, and research is needed to accurately quantify the problem and propose and evaluate practicable solutions. In part II, to be published next month, we will review potential containment strategies that could address this burgeoning problem.
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            Culture as Consensus: A Theory of Culture and Informant Accuracy

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                Author and article information

                Contributors
                mcaudell@vetmed.wsu.edu
                mquinlan@wsu.edu
                rquinlan@wsu.edu
                drcall@vetmed.wsu.edu
                Journal
                J Ethnobiol Ethnomed
                J Ethnobiol Ethnomed
                Journal of Ethnobiology and Ethnomedicine
                BioMed Central (London )
                1746-4269
                21 January 2017
                21 January 2017
                2017
                : 13
                : 7
                Affiliations
                [1 ]ISNI 0000 0001 2157 6568, GRID grid.30064.31, Paul G. Allen School for Global Animal Health, , Washington State University, ; Pullman, WA USA
                [2 ]ISNI 0000 0001 2157 6568, GRID grid.30064.31, Department of Anthropology, , Washington State University, ; Pullman, WA USA
                [3 ]ISNI 0000 0004 0468 1595, GRID grid.451346.1, , Nelson Mandela African Institution of Science and Technology, ; Arusha, Tanzania
                Article
                135
                10.1186/s13002-017-0135-1
                5251319
                28109305
                b1962681-cba6-4b34-9f8a-c84d57550a2f
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 10 October 2016
                : 6 January 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100000155, Division of Environmental Biology;
                Award ID: 1216040
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2017

                Health & Social care
                ethnoveterinary medicine,medical pluralism,cultural consensus,one health,agropastoralists,east africa,tanzania,ethiopia

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