Risk Factors And Knowledge Of Ebola Virus Disease Among Hunters In Kwara State, Nigeria

Ebola virus disease (EVD) is a hemorrhagic, severe, often fatal, zoonotic disease transmitted by exposure to body fluids of infected bats and non-human primates. This study assessed the risk factors and knowledge of EVD among hunters in Kwara state. We conducted a cross-sectional survey of 427 hunters using a structured questionnaire that was administered between January and April 2016.Most of the hunters (99.3 %, n=424/427)) were male and the mean age was 39 years. The mean knowledge score was 4.3 +/- 0.9. Most of the hunters (96.2%, n=411/427) were aware of EVD but only 42.6% (n=182/427) of them had good knowledge (GK) of the disease. About one-quarter (22.5%, n=96/427) of the hunters hunted bats and monkeys and 17.1% (n=73/427) of them have consumed raw or undercooked game animals (bushmeat). The knowledge of EVD was significantly influenced by the marital status, form of education, occupation, and religion. Hunters who went through conventional western education (OR: 4.6; 95% CI: 2.6, 8.1; p<0.001) and those who were married (OR: 4.4; 95%CI: 1.4, 11.0; p = 0.051) were more likely to have a GK of EVD respectively than those with no formal education and single hunters. Similarly, hunters who were also professional farmers were more likely (OR = 23.1, 95% C.I.: 7.3, 55.2; p <0.01) to have a GK of EVD. Similarly, the education of hunters (OR = 4.6, 95% CI =2.6-8.1; p = <0.001), their ethnicity (OR = 2.4; 95% CI = 1.4-4.1; p = 0.002), and their religion (OR = 8.7, 95% CI = 2.0-38.9; p = 0.004) had significant impact on their knowledge of EVD.This study reported high awareness of EVD among hunters in Kwara state. However, mass advocacy on the EVD should be re-instituted with emphasis on the mode of transmission, preventive, and control measures to prevent the re-introduction of EVD into the human population.