Abstract
In Kenya, human anthrax cases most often occur linked to animal anthrax. In most cases, human behaviors, especially slaughter and consumption of meat from animal anthrax cases, has been implicated. This case study is based on an anthrax outbreak investigation conducted in an endemic region in Kenya in May 2016.The case study simulates how a mixed methods approach can be used in epidemiologic research.To fully benefit from this case study, participants should have had prior lectures or other instruction in quantitative and qualitative study designs and sampling approachesused in epidemiologic research. The case study is ideally suited for trainees at intermediate or advance level training in field epidemiology who should be able to complete the case study in approximately 3 hours.
Keywords: Outbreak investigation, anthrax, Kenya, mixed methods
How to use this Study
General instructions: the case study is suited for a class of up to 20 trainees per session. Ideally, 1 to 2 instructors can facilitate the case study in a classroom or conference room. The instructor facilitating the session should direct participants to read a paragraph out aloud, going around the room to give each participant a chance to read. When a participant reads a question, the instructor may choose to engage the class in large group discussion of the answer, randomly identify a participant to respond to the question, or divide the class into smaller groups for exercises, depending on the type of question. The role of the instructor is largely to coordinate the session such that participants learn more from each other, and not just from the instructor.
Audience: intermediate and advance level trainees in the Field Epidemiology and Laboratory Training Program (FELTP).
Prerequisites: for this case study, participants should have received lectures or other instructions in; Study designs in epidemiologic research; Survey and sampling in epidemiologic research; Ethics in Research: Writing an Informed Consent Form.
Materials needed: flipcharts or white board with markers.
Level of training: intermediate and advanced level training in epidemiology.
Time required: approximately 3 hours
Language: English
Competing interest
The authors declare no competing interest.
Acknowledgements
The authors wish to thank the residents of the Kenya field epidemiology and laboratory training program who carried out the investigations. We wish also to thank AFENET and organizers of the case study design and development course at Emory University School of Public Health for logistical and technical support during development of the case study.
Resources
- 1.Opare C, Nsiire A, Awumbilla B, Akanmori BD. Human behavioural factors implicated in outbreaks of human anthrax in the Tamale municipality of northern Ghana. Acta Tropica. 2000 Jul 21;76(1):49–52. doi: 10.1016/s0001-706x(00)00089-9. [DOI] [PubMed] [Google Scholar]
- 2.Doreen Chilolo Sitali, Chisoni Mumba, Eystein Skjerve, Oliver Mweemba, Consolata Kabonesa, Mwinyi Omary Mwinyi, Luke Nyakarahuka, John Bwalya Muma. Awareness and attitudes towards anthrax and meat consumption practices among affected communities in Zambia: a mixed methods approach. PLoS Negl Trop Dis. 2017 May;11(5):e0005580. doi: 10.1371/journal.pntd.0005580. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Janice Blanchard C, Yolanda Haywood, Bradley Stein D, Terri Tanielian L, Michael Stoto, Nicole Lurie. In their own words: lessons learned from those exposed to anthrax. American Journal of Public Health. 2005;95(3):489–495. doi: 10.2105/AJPH.2004.038349. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Chikerema SM, Matope G, Pfukenyi DM. Awareness and attitude toward zoonoses with particular reference to anthrax among cattle owners in selected rural communities of Zimbabwe. Vector Borne Zoonotic Dis. 2013 Apr;13(4):243–9. doi: 10.1089/vbz.2011.0916. [DOI] [PubMed] [Google Scholar]