Zootherapy as a potential pathway for zoonotic spillover: a mixed-methods study of the use of animal products in medicinal and cultural practices in Nigeria.

BACKGROUND: Understanding how and why people interact with animals is important for the prevention and control of zoonoses. To date, studies have primarily focused on the most visible forms of human-animal contact (e.g., hunting and consumption), thereby blinding One Health researchers and practitioners to the broader range of human-animal interactions that can serve as cryptic sources of zoonotic diseases. Zootherapy, the use of animal products for traditional medicine and cultural practices, is widespread and can generate opportunities for human exposure to zoonoses. Existing research examining zootherapies omits details necessary to adequately assess potential zoonotic risks. METHODS: We used a mixed-methods approach, combining quantitative and qualitative data from questionnaires, key informant interviews, and field notes to examine the use of zootherapy in nine villages engaged in wildlife hunting, consumption, and trade in Cross River State, Nigeria. We analyzed medicinal and cultural practices involving animals from a zoonotic disease perspective, by including details of animal use that may generate pathways for zoonotic transmission. We also examined the sociodemographic, cultural, and environmental contexts of zootherapeutic practices that can further shape the nature and frequency of human-animal interactions. RESULTS: Within our study population, people reported using 44 different animal species for zootherapeutic practices, including taxonomic groups considered to be "high risk" for zoonoses and threatened with extinction. Variation in use of animal parts, preparation norms, and administration practices generated a highly diverse set of zootherapeutic practices (n = 292) and potential zoonotic exposure risks. Use of zootherapy was patterned by demographic and environmental contexts, with zootherapy more commonly practiced by hunting households (OR = 2.47, p < 0.01), and prescriptions that were gender and age specific (e.g., maternal and pediatric care) or highly seasonal (e.g., associated with annual festivals and seasonal illnesses). Specific practices were informed by species availability and theories of healing (i.e., "like cures like" and sympathetic healing and magic) that further shaped the nature of human-animal interactions via zootherapy. CONCLUSIONS: Epidemiological investigations of zoonoses and public health interventions that aim to reduce zoonotic exposures should explicitly consider zootherapy as a potential pathway for disease transmission and consider the sociocultural and environmental contexts of their use in health messaging and interventions.

Eating Bushmeat Improves Food Security in a Biodiversity and Infectious Disease "Hotspot".

Hunting and consumption of wild animals, colloquially known as "bushmeat," is associated with health trade-offs. Contact with wildlife increases exposure to wildlife-origin zoonotic diseases yet bushmeat is an important nutritional resource in many rural communities. In this study, we test the hypothesis that bushmeat improves food security in communities that hunt and trade bushmeat regularly. We conducted 478 interviews with men and women in six communities near Cross River National Park in Nigeria. We used interview responses to relate prevalence and diversity of bushmeat consumption to household food security status. Animal-based foods were the most commonly obtained items from the forest, and 48 types of wild vertebrate animals were consumed within the past 30 days. Seventy-five percent of households experienced some degree of food insecurity related to food access. Bushmeat consumption was significantly associated with relatively higher household food security status. Rodents were more important predictors of food security than other animal taxa. Despite increased bushmeat consumption in food-secure households, food-insecure households consumed a higher diversity of bushmeat species. Results show that consumption of bushmeat, especially rodents, is uniquely related to improved food security. Reliance on a wider diversity of species in food-insecure households may in turn affect their nutrition, exposures to reservoirs of zoonotic infections, and impact on wildlife conservation. Our results indicate that food security should be addressed in conservation and public health strategies aimed at reducing human-wildlife contact, and that improved wildlife protection, when combined with alternative animal-based foods, would positively affect food security in the long term.