Changing risk awareness and personal protection measures for low to high pathogenic avian influenza in live-poultry markets in Taiwan, 2007 to 2012

摘要: Outbreaks of low and high pathogenic avian influenza (LPAI, HPAI) H5N2 in chickens have occurred Taiwan since 2003 2012, respectively. Fully understanding the different awareness, attitudes protective behaviors adopted by workers live-poultry markets (LPMWs) local community residents (CRs) to face challenges LPAI HPAI is very important minimize viral adaptations human populations. A structural questionnaire containing information on respondents’ occupation, personal risk toward policies, preventative measures was administered. The two-stage survey (before after outbreaks) conducted from 2007 including: (1) 430 LPMWs 418 CRs at LPMs geographical areas government announced outbreaks during 2007–2009, (2) 73 152 two central 2012. chi-squared test logistic regression were applied for univariate multivariate analyses, Before HPAI-H5N2 outbreaks, higher educated respondents demonstrated greater awareness concerns regarding AI. However, LPM-workers protected themselves less AI viruses (AIVs) had lower acceptance or vaccines. Most importantly, participants who opposed (versus agreed with) policy banning slaughtering reported prevention control policies [Odds Ratio (OR): 0.76, 95 % Confidence Interval (CI): 0.56–1.01] practiced preventive (OR: 0.42, CI: 0.25–0.70). After about significantly increased [LPAI LPMWs: 34.6 65.6 %, p < 0.05; CRs: 44.0 76.5 %, p < 0.05] LPMWs’ belief effectiveness vaccination prevent virus infection strikingly decreased (92.3 68.5 %, p < 0.05). Risk depends pathogenicity AIVs, working LPMs, levels education, age, proximity sites severe outbreaks. Regardless novel reassortants that pose public health risks, prompt clear communication focusing both correct AIVs most appropriate are effective infection.