Anthrax, a neglected zoonotic disease that is transmitted by a spore-forming, rod-shaped bacterium, Bacillus anthracis, has reached endemic proportions in the Western Province of Zambia. Transmission of anthrax from the environment as well as between cattle has been observed to be partly because of entrenched beliefs, perceptions and traditional practices among cattle farmers in the known outbreak areas. This study was aimed at exploring lay perceptions, beliefs and practices that influence anthrax transmission in cattle of the Western Province. A mixed-methods study was conducted from August to December 2015. Quantitative data were collected using a cross-sectional survey. Qualitative data were generated by interviewing professional staff and community members. Five focus group discussions and five key informant interviews were conducted. Thematic analysis of interview data was performed using NVivo software. The findings suggested that cattle anthrax was biologically as well as culturally maintained. Cattle farmers were reluctant to have their livestock vaccinated against anthrax because of perceived low efficacy of the vaccine. Also, the cattle farmers did not trust professional staff and their technical interventions. Popular cultural practices that involved exchange of animals between herds contributed to uncontrolled cattle movements between herds and subsequent transmission of anthrax. These findings imply the need for professional staff to be culturally competent in handling socio-cultural issues that are known to be barriers for disease control in animals. There is a need to develop a policy framework that will foster integrated control of anthrax across disciplines.

Human brucellosis, a neglected zoonosis is endemic in KajiadoCounty in both man and livestock. The Kajiado County community’s mainlivelihood is livestock-keeping which puts it at risk. The study objective was to determine the community’s knowledge and practices, and the association between the two in relation to brucellosis. Results revealed three predictors of practices the community undertook that put them at risk of contracting brucellosis. The predictors were respondent’s education status (p=0.002 [CI 0.272-0.749] OR 0.451), knowledge of importance of pre-purchaselivestock breeding soundness (p=0.007 [CI 1.207-3.356] OR 2.013), and knowledge that livestock abortions could result in human disease (p=0.027 [CI 1.070-2.974] OR 1.783). This meant that respondents without formal education were nearly half less likely to undertake practices that prevented transmission of brucellosis than those withformal education. Respondents who knew that livestock examination was important for breeding soundness were twice more likely to engage in practices that prevented brucellosis transmission than those whodid not know. Respondents who knew that livestock abortions could lead to diseases in man were nearly twice more likely to engage in practices that prevented transmission of brucellosis than those whodid not know that livestock abortions could lead to diseases in man. It was concluded that the community’s knowledge and practices that promote brucellosis were inadequate. Two key recommendationswere drawn. There was need to create awareness in the community on the risk factors and practices that contribute to occurrence of human brucellosis. There was need for using qualified animal health providers to mitigate the disease in animals.