Hemali Kothalawala - Academia.edu (original) (raw)
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Papers by Hemali Kothalawala
Preventive Veterinary Medicine, 2017
The aim of the study was to investigate the farmers' socio-economic factors and their ass... more The aim of the study was to investigate the farmers' socio-economic factors and their association with Brucella prevalence in the dry zone of Sri Lanka. A cross-sectional survey was planned and a total of 1,153 blood samples were collected from milking and dry animals of 155 farms from three selected veterinary ranges of Kalmunai, Navithanveli, and Mahaoya in the Ampara district, which is a multi-ethnic area. The Rose Bengal Test (RBT) and competitive enzyme-linked immunosorbent assay (c-ELISA) were used for the Brucella screening and confirmation, respectively. Socio-economic attributes such as family income, poverty, education, main job, ethnicity, parent farmer, farming experience, and training in animal husbandry were determined as potential farmer-level risk factors. Meanwhile, herd size, grazing practice, breeding method, animal brought-in to the farm, and abortions were considered as herd factors. The results revealed that the overall animal level sero-prevalence of brucellosis was 2.7% (35/1153; 95% confidence interval [CI]: 1.7, 3.7%) and the herd prevalence was 9.6% (15/155; 95% CI: 5.7, 15.7%) in the area of study. Brucellosis prevalence varies significantly (p<0.001) among the selected veterinary ranges with the highest herd prevalence in Kalmunai (20.0%) followed by Navithanveli (11.9%) and Mahaoya (2.7%). Disease prevalence showed variability (p<0.001) among ethnicities with the highest in Muslims (27.3%) followed by Tamils (8.1%) and Sinhalese (2.7%). Poverty was highly associated (OR=3.75; 95% CI: 1.43-10.00) with the disease. Free movement grazing practices (p<0.01) with OR=7.2 and animal brought-in from outside (p<0.06) with OR=3.06 were positively related to brucellosis. It was revealed that farmers' socio-economics, such as ethnicity and poverty, and animal movement patterns, such as grazing practices are significantly associated with epidemiology of brucellosis in the dry zone of Sri Lanka. Therefore, the "farmer factor" should be carefully considered in veterinary epidemiological studies and animal disease control plans in the future. .
Background: China is at greatest risk of the Pandemic (H1N1) 2009 due to its huge population and ... more Background: China is at greatest risk of the Pandemic (H1N1) 2009 due to its huge population and high residential density. The unclear comprehension and negative attitudes towards the emerging infectious disease among general population may lead to unnecessary worry and even panic. The objective of this study was to investigate the Chinese public response to H1N1 pandemic and provide baseline data to develop public education campaigns in response to future outbreaks. Methods: A close-ended questionnaire developed by the Chinese Center for Disease Control and Prevention was applied to assess the knowledge, attitudes and practices (KAP) of pandemic (H1N1) 2009 among 10,669 responders recruited from seven urban and two rural areas of China sampled by using the probability proportional to size (PPS) method. Results: 30.0% respondents were not clear whether food spread H1N1 virusand. 65.7% reported that the pandemic had no impact on their life. The immunization rates of the seasonal flu and H1N1vaccine were 7.5% and 10.8%, respectively. Farmers and those with lower education level were less likely to know the main transmission route (cough or talk face to face). Female and those with college and above education had higher perception of risk and more compliance with preventive behaviors. Relationships between knowledge and risk perception (OR = 1.69; 95%CI 1.54-1.86), and knowledge and practices (OR = 1.57; 95%CI 1.42-1.73) were found among the study subjects. With regard to the behavior of taking up A/H1N1 vaccination, there are several related factors found in the current study population, including the perception of life disturbed (OR = 1.29; 95%CI 1.11-1.50), the safety of A/H1N1 vaccine (OR = 0.07; 95%CI 0.04-0.11), the knowledge of free vaccination policy (OR = 7.20; 95%CI 5.91-8.78), the state's priority vaccination strategy(OR = 1.33; 95%CI 1.08-1.64), and taking up seasonal influenza vaccine behavior (OR = 4.69; 95%CI 3.53-6.23). Conclusions: This A/H1N1 epidemic has not caused public panic yet, but the knowledge of A/H1N1 in residents is not optimistic. Public education campaign may take the side effects of vaccine and the knowledge about the state's vaccination strategy into account.
Preventive Veterinary Medicine, 2017
The aim of the study was to investigate the farmers' socio-economic factors and their ass... more The aim of the study was to investigate the farmers' socio-economic factors and their association with Brucella prevalence in the dry zone of Sri Lanka. A cross-sectional survey was planned and a total of 1,153 blood samples were collected from milking and dry animals of 155 farms from three selected veterinary ranges of Kalmunai, Navithanveli, and Mahaoya in the Ampara district, which is a multi-ethnic area. The Rose Bengal Test (RBT) and competitive enzyme-linked immunosorbent assay (c-ELISA) were used for the Brucella screening and confirmation, respectively. Socio-economic attributes such as family income, poverty, education, main job, ethnicity, parent farmer, farming experience, and training in animal husbandry were determined as potential farmer-level risk factors. Meanwhile, herd size, grazing practice, breeding method, animal brought-in to the farm, and abortions were considered as herd factors. The results revealed that the overall animal level sero-prevalence of brucellosis was 2.7% (35/1153; 95% confidence interval [CI]: 1.7, 3.7%) and the herd prevalence was 9.6% (15/155; 95% CI: 5.7, 15.7%) in the area of study. Brucellosis prevalence varies significantly (p<0.001) among the selected veterinary ranges with the highest herd prevalence in Kalmunai (20.0%) followed by Navithanveli (11.9%) and Mahaoya (2.7%). Disease prevalence showed variability (p<0.001) among ethnicities with the highest in Muslims (27.3%) followed by Tamils (8.1%) and Sinhalese (2.7%). Poverty was highly associated (OR=3.75; 95% CI: 1.43-10.00) with the disease. Free movement grazing practices (p<0.01) with OR=7.2 and animal brought-in from outside (p<0.06) with OR=3.06 were positively related to brucellosis. It was revealed that farmers' socio-economics, such as ethnicity and poverty, and animal movement patterns, such as grazing practices are significantly associated with epidemiology of brucellosis in the dry zone of Sri Lanka. Therefore, the "farmer factor" should be carefully considered in veterinary epidemiological studies and animal disease control plans in the future. .
Background: China is at greatest risk of the Pandemic (H1N1) 2009 due to its huge population and ... more Background: China is at greatest risk of the Pandemic (H1N1) 2009 due to its huge population and high residential density. The unclear comprehension and negative attitudes towards the emerging infectious disease among general population may lead to unnecessary worry and even panic. The objective of this study was to investigate the Chinese public response to H1N1 pandemic and provide baseline data to develop public education campaigns in response to future outbreaks. Methods: A close-ended questionnaire developed by the Chinese Center for Disease Control and Prevention was applied to assess the knowledge, attitudes and practices (KAP) of pandemic (H1N1) 2009 among 10,669 responders recruited from seven urban and two rural areas of China sampled by using the probability proportional to size (PPS) method. Results: 30.0% respondents were not clear whether food spread H1N1 virusand. 65.7% reported that the pandemic had no impact on their life. The immunization rates of the seasonal flu and H1N1vaccine were 7.5% and 10.8%, respectively. Farmers and those with lower education level were less likely to know the main transmission route (cough or talk face to face). Female and those with college and above education had higher perception of risk and more compliance with preventive behaviors. Relationships between knowledge and risk perception (OR = 1.69; 95%CI 1.54-1.86), and knowledge and practices (OR = 1.57; 95%CI 1.42-1.73) were found among the study subjects. With regard to the behavior of taking up A/H1N1 vaccination, there are several related factors found in the current study population, including the perception of life disturbed (OR = 1.29; 95%CI 1.11-1.50), the safety of A/H1N1 vaccine (OR = 0.07; 95%CI 0.04-0.11), the knowledge of free vaccination policy (OR = 7.20; 95%CI 5.91-8.78), the state's priority vaccination strategy(OR = 1.33; 95%CI 1.08-1.64), and taking up seasonal influenza vaccine behavior (OR = 4.69; 95%CI 3.53-6.23). Conclusions: This A/H1N1 epidemic has not caused public panic yet, but the knowledge of A/H1N1 in residents is not optimistic. Public education campaign may take the side effects of vaccine and the knowledge about the state's vaccination strategy into account.