Eco-biosociocultural H5N1 Disease
Model In Egypt
Author(s)
S. L. Wilson & N. Oushy
Abstract
This paper explores environmental and behavioral interactions that facilitate
human exposure to the highly pathogenic avian influenza (HPAI) H5N1/A virus
(termed bird flu or H5N1 throughout this document) in Egypt. The approach
used in this research integrates public health and anthropological methods to
assess environmental and behavioral interactions that facilitate human exposure
to bird flu. Four key elements of the H5N1 eco-biosociocultural model were
identified: (1) the subsidized natural environment; (2) the built environment; (3)
the socio-political and economic environment; and, (4) the cultural environment.
Analysis of these elements resulted in development of an eco-biosociocultural
disease model for H5N1 that addresses health disparities by incorporating the
built and subsidized natural environments integrated with associated cultural
beliefs, knowledge, and behaviors. Our results suggest that the disparate
incidence and mortality pattern of H5N1 in Egypt is likely affected by increased
exposure opportunities among women and children resulting from lack of
knowledge, traditional daily activities, poultry practices, and child-rearing
activities. Despite community based health education efforts, knowledge about
poultry diseases and H5N1 transmission are not well understood among
Egyptian women. In the absence of a perceived immediate bird flu threat, this
research suggests that women tend to maintain traditional behaviors. The H5N1
epidemiologic footprint in Egypt differs from other countries, but the lessons
learned provide a basis for health education action that may be transferable to
other venues.
Keywords: ecology and health, social determinants of health, Bird Flu, Egypt,
H5N1, ethnography, built environment, subsidized natural environment, health
disparities, eco-biosociocultural, avian influenza.
Keywords
ecology and health, social determinants of health, Bird Flu, Egypt,
H5N1, ethnography, built environment, subsidized natural environment, health
disparities, eco-biosociocultural, avian influenza
Related Book
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