Perception of health risks in Lao market vendors.

Chanfong Philavong, Mathieu Pruvot, Daniel Reinharz, Mayfong Mayxay, Kongsy Khammavong, Phonesavanh Milavong, Sayapeth Rattanavong, Paul F Horwood, Philippe Dussart, Bounlom Douangngeun, Watthana Theppangna, Amanda E Fine, Matthew T Robinson, Paul N Newton
Author Information
  1. Chanfong Philavong: Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR.
  2. Mathieu Pruvot: Wildlife Conservation Society, Health Program, Bronx, NY, USA. ORCID
  3. Daniel Reinharz: Institut de la Francophonie pour la Médecine Tropicale, Vientiane, Lao PDR.
  4. Mayfong Mayxay: Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR. ORCID
  5. Kongsy Khammavong: Wildlife Conservation Society, Lao PDR Program, Vientiane, Lao PDR.
  6. Phonesavanh Milavong: Wildlife Conservation Society, Lao PDR Program, Vientiane, Lao PDR.
  7. Sayapeth Rattanavong: Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR.
  8. Paul F Horwood: College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Australia.
  9. Philippe Dussart: Virology Unit, Institut Pasteur du Cambodge, Institut Pasteur International Network, Phnom Penh, Cambodia.
  10. Bounlom Douangngeun: Department of Livestock and Fisheries, National Animal Health Laboratory, Ministry of Agriculture, Vientiane, Lao PDR.
  11. Watthana Theppangna: Department of Livestock and Fisheries, National Animal Health Laboratory, Ministry of Agriculture, Vientiane, Lao PDR.
  12. Amanda E Fine: Wildlife Conservation Society, Health Program, Bronx, NY, USA.
  13. Matthew T Robinson: Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR. ORCID
  14. Paul N Newton: Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR. ORCID

Abstract

Wet markets are a critical part of South-East Asian culture and economy. However, their role in circulation and transmission of both endemic and emerging disease is a source of concern in a region considered a hotspot of disease emergence. In the Lao People's Democratic Republic (Lao PDR, Laos), live and dead wild animals are frequently found in wet markets, despite legislation against the bushmeat trade. This is generally considered to increase the risk of disease transmission and emergence, although whether or not wildlife vendors themselves have indeed increased incidence of zoonotic disease has rarely been assessed. In preparation for a future longitudinal study of market vendors investigating vendors' exposure to zoonotic pathogens, we conducted a pilot survey of Lao market vendors of wildlife meat, livestock meat and vegetables, to identify demographic characteristics and potential control groups within markets. We also investigated baseline risk perception for infectious diseases among market vendors and assessed the association between risk perception and risk mitigation behaviours. The surveys conducted with 177 vendors revealed similar age, sex, ethnic background and geographical origin between vendor types, but differences in professional background and work history for livestock meat vendors. The perception of disease risk was very low across all vendors, as was the reported use of personal protective equipment, and the two appeared unrelated. Personal risk discounting and assumptions about transmission routes may explain this lack of association. This information will help inform the development of future research, risk communication and risk mitigation policy, especially in the light of the COVID-19 pandemic.

Keywords

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Grants

  1. /Wellcome Trust
  2. DCIASIE/2013/315-151/European Union: EU- LACANET

MeSH Term

Adolescent
Adult
Aged
Animals
Animals, Wild
Commerce
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Laos
Livestock
Longitudinal Studies
Male
Meat
Middle Aged
Pandemics
Pilot Projects
Risk Factors
Young Adult
Zoonoses

Word Cloud

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