Contrasting views of animal healthcare providers on worm control practices for sheep and goats in an arid environment

Farmers' and Experts' Knowledge Coping with Sheep Health, Control and Anthelmintic Resistance of Their Gastrointestinal Nematodes

Gastrointestinal nematodes are common in grazing sheep, but the intensity of the infection is not easily appreciated by farmers. For decades, they have relied on anthelmintic treatments to control these gastrointestinal nematodes. This has led to anthelmintic resistance and poor control of infection in most regions of the world. Using face-to-face semidirective interviews with farmers, we recorded their views on gastrointestinal nematode infection and its control. Ten organic and nine conventional meat sheep farmers from central France and 20 milk sheep farmers from the Basque region were interviewed and the data were analysed using a health model based on the importance of the disease and the barriers to implementing control. It was found that gastrointestinal nematodes were not the main health concern, and therefore farmers were not willing to invest too much time and money in their control. The conventional farmers relied on their veterinarians (the experts) to organise and select the anthelmintics, although they complained about the limited investment of their veterinarians in this matter. Organic farmers complained about their lack of knowledge about complementary and alternative medicines. Farmers rarely used faecal egg counts to build control of gastrointestinal nematodes and were unaware of the intensity of their infection. Knowledge of anthelmintic resistance was general (it exists) but farmers did not know if it existed on their farm. Resistance was often considered to have come from elsewhere, so the farmer did not feel at fault and did not take measures to prevent resistance. There is a need for all stakeholders to use faecal egg counts to assess the intensity of infection as well as the level of anthelmintic resistance to establish individual farm control programmes rather than standard blanket treatments.

Assessment of knowledge, perception, practices and drivers of antimicrobial resistance and antimicrobial usage among veterinarians in Pakistan

BACKGROUND

Antimicrobial resistance (AMR) and irrational antimicrobial usage (AMU) are a global problem, particularly evident in low- and middle-income countries including Pakistan. Our study aimed to assess the knowledge, attitudes and prescribing practices (KAP) of field veterinarians regarding AMR and AMU.

METHODS

A questionnaire-based online survey was conducted using Google forms to collect data on AMR and AMU from veterinary practitioners in Pakistan between July 25, 2020, and February 2, 2021. The questionnaire was comprised of four sections: 1) Demographic information of the respondents, 2) Knowledge about AMR, and AMU, 3) Antibiotic prescribing behavior, attitudes and influencing drivers and 4) Practices of respondents about AMU and drug disposal.

RESULTS

A total of 545 participants (Male 84%, Female 16%) completed the survey. The respondents' qualification (P = 0.008), gender (P = 0.007) and type of practitioner (P < 0.001) had a significant association with the mean knowledge score about AMR. Most of the veterinarians had never attended any training, symposium, or awareness session on AMR (63%) and methods to detect antibiotic residues (71%). Participating veterinarians frequently included "critically important antimicrobials" in their treatment regimens. Most veterinarians (60%) prescribed antibiotics for viral diseases. Our study showed that about 44% of veterinarians disposed of expired drugs in the garbage. Antibiotics were prescribed as mass medication and for prophylaxis by 59% and 33% of the veterinarians, respectively, while about 60% of the veterinarians prescribed antibiotics starting with double doses in their treatment regimens. Importantly, only 4% of the veterinarians recognized the concept of One Health. Male veterinarians had higher odds of prescribing mass medication (OR=3.07, P < 0.001) and use of antibiotics for disease prophylaxis (OR=2.31, P = 0.002) than females, whereas improper disposal of expired antimicrobials (OR=2.12, P = 0.003) was more common in female veterinarians. Government veterinarians had 2 (OR=1.95, P = 0.016) and 3 (OR=3.05, P < 0.001) times higher odds to prescribe antibiotics prophylactically and for mass treatments, respectively compared to full-time private veterinarians.

CONCLUSION

Our study identifies key factors influencing veterinarians' decision about antimicrobial prescription and highlights important shortcomings such as lack of training on rational use of antimicrobials, frequent use of antimicrobials for mass medication and prophylaxis, widespread use of critically important antimicrobials, and improper disposal practices. There is a dire need to improve knowledge of veterinary practitioners regarding AMR and to adopt a One Health approach to rationalize AMU at the national level in line with the regional and international guidelines.

Farmers' Views and Tools Compared with Laboratory Evaluations of Parasites of Meat Goats in French West Indies

Gastrointestinal nematodes (GINs) are a major health problem in tropical goat husbandry. The control of GIN has been nearly exclusively reliant on the use of anthelmintic treatments. Their wide use has provoked the appearance and diffusion of anthelmintic resistance. Therefore, there is a need to use anthelmintics only when they are really needed. This strategy of targeted selective treatment (TST) has been recommended. The selection of animals to be treated has been based either on the objective measures of GIN intensity (fecal nematode egg counts) performed in the laboratory or on indirect assessment such as anemia (FAMACHA©), diarrhea score or weight gains, particularly in sheep. The roughness of hair has also been proposed in goats. These indicators can be handled by the farmer. Their opinion on the importance of GINs, and the indicators that they are ready to accept and use have very rarely been studied. Goat for meat production is important in the French West Indies (especially in Guadeloupe) and GIN infection may significantly alter this production. Eighteen farmers participated in semi-directive interviews in order to appreciate their relation to goat GIN infection and the solutions they considered. Seventeen farms were investigated for fecal nematode egg counts, FAMACHA©, body score, and roughness of hair. The average infection by GINs was high (average fecal egg count 1562 and standard deviation 2028) with a wide range from one farm to another (from 0 to 25,000 eggs of GIN per gram of feces). The Haemonchus genera was predominant (54%), followed by Trichostrongylus (37%) and Oesophagostomum (9%). Young goats were less infected than adult goats since they were not yet grazing; males were more infected than females; and the Creole breed was more infected than the other breeds. Among the farming types, the professional ones were less infected compared with the traditional or mixed agriculture and husbandry farms. Those using targeted selective treatment did not have a significantly higher GIN infection than those treating the whole herd. Most of the characteristics were related and multivariate analysis could not match the intensity of GIN infection with any parameter. The frequency of anthelmintic treatments was negatively related to the use of body score, FAMACHA©, and hair roughness. The use of semi-directive interviews provided a wider understanding of the strategies and problems of farmers. The farmers valued their animals very much and diseases, in general, were a preoccupation, whereas parasites were not a major issue for traditional farmers. This is due to the important use of indicators and the belief in their value that gives comfort to the farmers that the parasites are being controlled. The extension services have well diffused the practice of indicators to the goat farmers of Guadeloupe, with some depending less on anthelmintics to control the gastrointestinal nematodes by using targeted selective treatments.

ECONOHEALTH: Placing helminth infections of livestock in an economic and social context

Livestock farming is central to global food security and to the sustainability of rural communities throughout Europe. Animal health management has a major impact on farming efficiency. Although animal health research has provided effective prevention strategies for the major endemic diseases of livestock, these strategies typically provide solutions for single infectious diseases and they are often not adequately implemented due to farm-specific constraints. We propose a concept termed "ECONOHEALTH" which aims at including the economic and social context in our understanding of the factors that drive animal health. The concept is elaborated on using the example of the major helminthic diseases of cattle in temperate climate regions (gastrointestinal nematodes, liver fluke and lungworm). By considering major diseases simultaneously and placing disease-complexes in an economic and a social context, we believe that insights will be generated upon which more integrated, situation-adapted and thus more effective prevention strategies can be devised.