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_|STUDY: LOW AI-RELATED RISK KNOWLEDGE AMONG ITALIANS|_

Giuseppe

Emeritus
A survey of knowledge, attitudes and practices towards avian influenza in an adult population of Italy
Gabriella Di Giuseppe , Rossella Abbate , Luciana Albano , Paolo Marinelli and Italo F Angelillo

BMC Infectious Diseases 2008, 8:36doi:10.1186/1471-2334-8-36


Published: 17 March 2008

Abstract (provisional)
Background
Several public health strategic interventions are required for effective prevention and control of avian influenza (AI) and it is necessary to create a communication plan to keep families adequately informed on how to avoid or reduce exposure. This investigation determined the knowledge, attitudes, and behaviors relating to AI among an adult population in Italy.

Methods
From December 2005 to February 2006 a random sample of 1020 adults received a questionnaire about socio-demographic characteristics, knowledge of transmission and prevention about AI, attitudes towards AI, behaviors regarding use of preventive measures and food-handling practices, and sources of information about AI.

Results
A response rate of 67% was achieved. Those in higher socioeconomic classes were more likely to identify the modes of transmission and the animals as vehicles for AI. Those older, who knew the modes of transmission and the animals as vehicles for AI, and who still need information, were more likely to know that washing hands soap before and after touching raw poultry meat and using gloves is recommended to avoid spreading of AI through food. The risk of being infected was significantly higher in those from lower socioeconomic classes, if they did not know the definition of AI, if they knew that AI could be transmitted by eating and touching raw eggs and poultry foods, and if they did not need information. Compliance with the hygienic practices during handling of raw poultry meat was more likely in those who perceived to be at higher risk, who knew the hygienic practices, who knew the modes of transmission and the animalsa vehicles for AI, and who received information from health professionals and scientific journals.

Conclusions
Respondents demonstrate no detailed understanding of AI, a greater perceived risk, and a lower compliance with precautions behaviors and health educational strategies are strongly needed.

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http://www.biomedcentral.com/1471-2334/8/36
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[No surprise! AI is completely disappeared from media (TV, daily newspapers, GPs' posters and leaflets], although more than twenty epizootics (by various AI subtypes) happened in the latest months across Italy. EDs and hospitals in general don't apply respiratory precaution when patients are hospitalized (my experience with a female patient who went to ER with acute pneumonia, fever and contacts with birds fecal droppings: more than three hours in a crowdy room with patients, even elderly and no masks for nobody, nurses and doctors included! - Ironorehopper]
 
Re: _|STUDY: LOW AI-RELATED RISK KNOWLEDGE AMONG ITALIANS|_

Conclusions
Respondents demonstrate no detailed understanding of AI, a greater perceived risk, and a lower compliance with precautions behaviors and health educational strategies are strongly needed.
...
------
[No surprise! AI is completely disappeared from media (TV, daily newspapers, GPs' posters and leaflets], although more than twenty epizootics (by various AI subtypes) happened in the latest months across Italy. EDs and hospitals in general don't apply respiratory precaution when patients are hospitalized (my experience with a female patient who went to ER with acute pneumonia, fever and contacts with birds fecal droppings: more than three hours in a crowdy room with patients, even elderly and no masks for nobody, nurses and doctors included! - Ironorehopper]


Well said Ironorehopper.

Like previously wroted: the media-blanket, and the hospital infections problem (read staff non-biosecure measures).

Till we have people willing to eat raw eggs on public TV to state that the fowl products are 100% secure at the same time when some news reports chicken flu, nothing will change.
Busines is busines.
Eat poultry, but not raw.

Hospital underfunding, lack of personel, and the "smiling" on biosec. measures will take the infections danger additionaly at much upper level.<!-- / message --><!-- sig -->
 
Re: _|STUDY: LOW AI-RELATED RISK KNOWLEDGE AMONG ITALIANS|_

but nobody is infected yet (?).

No human H5N1-cases in Europe.
We had the ~100 H7N7 cases in Netherlands,2003 with one death,
but no cases in Italy AFAIK.

Media reports will change, once there are the first human cases.
 
Re: _|STUDY: LOW AI-RELATED RISK KNOWLEDGE AMONG ITALIANS|_

but nobody is infected yet (?).

No human H5N1-cases in Europe.
We had the ~100 H7N7 cases in Netherlands,2003 with one death,
but no cases in Italy AFAIK.

Media reports will change, once there are the first human cases.

No. But some evidence of seroconversion in poultry workers was reported by italian researchers. Currently, in Italy, several instance of Low Pathogenic AI A/H7N3 / A/H5N2 poultry epizootics occurred in industrial farms and small backyard-type settings (biological farming, nature hostels). Vaccination campaign was implemented. No media coverage, internally and by international press. Bird flu circulates, but none demonstrates interest.
I posted in this forum several pieces regarding italian epizootics and I sent to Promed a note, but a bitter response from national spokeperson closed discussion (Italy dispatch OIE report every six months).
 
Re: _|STUDY: LOW AI-RELATED RISK KNOWLEDGE AMONG ITALIANS|_

no reports by Italy to OIE except for H5N1 in 2006.

http://www.oie.int/wahid-prod/public.php?page=disease_immediate_summary&selected_year=2008
http://www.oie.int/wahid-prod/public.php?page=event_summary&this_country_code=ITA&reportid=4535

only one HA at genbank from Italy 2007
EU3915361678Avian4 (HA)H7N3Italy2007Influenza A virus (A/turkey/Italy/5425/2007(H7N3))


it had been suggested in the EU to treat LP just as HP, since LP can become (recombine ?) HP,
as seen in Italy 2000.
In Germany all LP H5 was culled last year alongside with HP-Qinghai-H5N1, same security zones etc.
 
Re: _|STUDY: LOW AI-RELATED RISK KNOWLEDGE AMONG ITALIANS|_

no reports by Italy to OIE except for H5N1 in 2006.

http://www.oie.int/wahid-prod/public.php?page=disease_immediate_summary&selected_year=2008
http://www.oie.int/wahid-prod/public.php?page=event_summary&this_country_code=ITA&reportid=4535

only one HA at genbank from Italy 2007
EU3915361678Avian4 (HA)H7N3Italy2007Influenza A virus (A/turkey/Italy/5425/2007(H7N3))


it had been suggested in the EU to treat LP just as HP, since LP can become (recombine ?) HP,
as seen in Italy 2000.
In Germany all LP H5 was culled last year alongside with HP-Qinghai-H5N1, same security zones etc.


Is it a better excuse to post the bitter response to my enquiry? Mis(t)ery of governments...
 
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