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      Household knowledge, attitudes and practices related to pet contact and associated zoonoses in Ontario, Canada

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          Abstract

          Background

          Many human infections are transmitted through contact with animals (zoonoses), including household pets. Although pet ownership is common in most countries and non-pet owners may have frequent contact with pets, there is limited knowledge of the public’s pet contact practices and awareness of zoonotic disease risks from pets. The objective of this study was to characterize the general public’s knowledge, attitudes and risks related to pet ownership and animal contact in southern Ontario, Canada.

          Methods

          A self-administered questionnaire was distributed to individuals at two multi-physician clinics in Waterloo, Ontario, Canada during 2010. A single adult from each household was invited to participate in the study.

          Results

          Seventy five percent (641/853) of individuals approached completed the questionnaire. Pet ownership and contact were common; 64% of participants had a pet in their household and 37% of non-pet owning households had a member with at least weekly animal contact outside the home. Pet ownership was high (55%) for households with individuals at higher risk for infections (i.e., < 5 yrs, ≥ 65 yrs, immunocompromised). Most respondents (64%) indicated that they had never received information regarding pet-associated disease risks. When given a list of 11 infectious pathogens, respondents were only able to correctly classify just over half on their potential to be transmitted from pets to people (mean 6.4); independently, pet owners and those who recalled receiving information in the past about this topic were able to make significantly more correct identifications. Pet (36%) and non-pet owning households (10%) reported dog or cat bites or scratches during the preceding year. Households with individuals at higher risk for an infection did not differ from the remaining households regarding their perceived disease risk of pets, zoonotic disease knowledge, recall of being asked by their medical provider if they owned any pets, or recall of having received information regarding pet-associated disease risks and preventive measures.

          Conclusions

          These results suggest that there is a need for accessible zoonotic disease information for both pet and non-owning households, with additional efforts made by veterinary, human and public health personnel. Immediate educational efforts directed toward households with individuals at higher risk to infections are especially needed.

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          Most cited references40

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          Trends in diabetes prevalence, incidence, and mortality in Ontario, Canada 1995-2005: a population-based study.

          The prevalence of diabetes has been increasing greatly, but WHO's predicted 39% rise in the global rate of diabetes from 2000 to 2030 might be an underestimate. We aimed to assess diabetes trends in Ontario, Canada. Using population-based data, including a validated diabetes database from the province of Ontario, Canada, we examined trends in diabetes prevalence and mortality from 1995 to 2005, and incidence from 1997 to 2003, in adults aged 20 years or older. Age-adjusted and sex-adjusted diabetes prevalence increased by 69%, from 5.2% in a population of 7,908,562 in 1995 to 8.8% of 9,276,945 in 2005. Prevalence increased by 27% from 6.9% in a population of 8,457,720 in 2000 to 8.8% of 9,276,945 in 2005. Although prevalence rates have remained higher in people aged 50 years or older (7.1% of 3,675,554) than in those aged 20-49 years (3.5% of 5 601 391), rates increased to a greater extent in the younger population (94%vs 63%, p<0.0001). A 31% increase occurred in yearly incidence over 6 years, from 6.6 per 1000 in 1997 to 8.2 per 1000 in 2003. The adjusted mortality rate in people with diabetes fell by 25% from 1995 to 2005. The prevalence of diabetes in Ontario, Canada increased substantially during the past 10 years, and by 2005 already exceeded the global rate that was predicted for 2030. This increase in prevalence is attributable to both rising incidence and declining mortality. Effective public-health interventions aimed at diabetes prevention are needed, as well as improved resources to manage the greater number of people living longer with the disease.
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            Zoonotic hepatitis E: animal reservoirs and emerging risks

            Hepatitis E virus (HEV) is responsible for enterically-transmitted acute hepatitis in humans with two distinct epidemiological patterns. In endemic regions, large waterborne epidemics with thousands of people affected have been observed, and, in contrast, in non-endemic regions, sporadic cases have been described. Although contaminated water has been well documented as the source of infection in endemic regions, the modes of transmission in non-endemic regions are much less known. HEV is a single-strand, positive-sense RNA virus which is classified in the Hepeviridae family with at least four known main genotypes (1–4) of mammalian HEV and one avian HEV. HEV is unique among the known hepatitis viruses, in which it has an animal reservoir. In contrast to humans, swine and other mammalian animal species infected by HEV generally remain asymptomatic, whereas chickens infected by avian HEV may develop a disease known as Hepatitis-Splenomegaly syndrome. HEV genotypes 1 and 2 are found exclusively in humans while genotypes 3 and 4 are found both in humans and other mammals. Several lines of evidence indicate that, in some cases involving HEV genotypes 3 and 4, animal to human transmissions occur. Furthermore, individuals with direct contact with animals are at higher risk of HEV infection. Cross-species infections with HEV genotypes 3 and 4 have been demonstrated experimentally. However, not all sources of human infections have been identified thus far and in many cases, the origin of HEV infection in humans remains unknown.
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              Number and ownership profiles of cats and dogs in the UK.

              A random sample of 2980 households in the UK in 2007 showed that 26 per cent and 31 per cent of households owned cats and dogs, respectively. Households with gardens were more likely to own cats and dogs than households without gardens. Households in which someone was qualified to degree level were more likely to own cats and less likely to own dogs than other households. Cats were more likely to be owned by semi-urban/rural households and by female respondents. Dog ownership significantly decreased the likelihood of cat ownership, and respondents aged 65 years or more were less likely to report that their household owned a cat than younger respondents. Households with one or more dogs and children aged 11 to 15 years were more likely to own a cat than other households. The likelihood of dog ownership increased as household size increased. Dogs were more likely to be owned by rural households, and less likely to be owned by households with cats or children aged 10 years or younger. Female respondents and those aged less than 55 years were more likely to report dog ownership than other respondents. The estimated size (and 95 per cent confidence intervals) of the owned cat and dog populations in the UK in 2006 was 10,332,955 (9,395,642 to 11,270,269) cats and 10,522,186 (9,623,618 to 11,420,755) dogs.
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                Author and article information

                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central
                1471-2458
                2012
                25 July 2012
                : 12
                : 553
                Affiliations
                [1 ]Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, ON, N1G2W1, Canada
                [2 ]Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, N1G2W1, Canada
                [3 ]Centre for Public Health and Zoonoses, University of Guelph, Guelph, ON, N1G2W1, Canada
                Article
                1471-2458-12-553
                10.1186/1471-2458-12-553
                3489606
                22831165
                f4f82fea-73e4-47bd-9207-534f2d641b53
                Copyright ©2012 Stull et al.; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 February 2012
                : 13 July 2012
                Categories
                Research Article

                Public health
                knowledge,scratch,education,canada,zoonoses,bite,pet
                Public health
                knowledge, scratch, education, canada, zoonoses, bite, pet

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