Unintended consequences of the `bushmeat ban' in West Africa during the 2013-2016 Ebola virus disease epidemic

被引:101
作者
Bonwitt, Jesse [1 ]
Dawson, Michael [2 ]
Kandeh, Martin [3 ]
Ansumana, Rashid [2 ]
Sahr, Foday [4 ]
Brown, Hannah [1 ]
Kelly, Ann H. [5 ]
机构
[1] Univ Durham, Dept Anthropol, Dawson Bldg,South Rd, Durham DH1 3LE, England
[2] Mercy Hosp, Res Lab, Bo, Sierra Leone
[3] Njala Univ, Dept Social Sci, Bo, Sierra Leone
[4] Univ Sierra Leone, Coll Med & Allied Hlth Sci, Dept Microbiol, Freetown, Sierra Leone
[5] Kings Coll London, Fac Social Sci & Publ Policy, Sch Global Affairs, Dept Global Hlth & Social Med, London, England
基金
英国经济与社会研究理事会;
关键词
Sierra Leone; Guinea; Bushmeat; Ebola virus disease; Global health security; Health messaging; Hunting; Outbreak control; Wild meat; GLOBAL HEALTH; ORIGIN;
D O I
10.1016/j.socscimed.2017.12.028
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Following the 2013-2016 outbreak of Ebola virus disease (EVD) in West Africa, governments across the region imposed a ban on the hunting and consumption of meat from wild animals. This injunction was accompanied by public health messages emphasising the infectious potential of wild meat, or 'bushmeat.' Using qualitative methods, we examine the local reception and impact of these interventions. Fieldwork was focused in 9 villages in the Eastern and Southern provinces of Sierra Leone between August and December 2015. We conducted 47 semi-structured interviews, coordinated 12 informal group discussions, and conducted direct observations throughout. We also draw from research undertaken in Sierra Leone immediately before the outbreak, and from our participation in the EVD response in Guinea and Sierra Leone. Our findings underscore the social and political reverberations of hunting proscriptions. Messaging that unilaterally stressed the health risk posed by wild meat contradicted the experiences of target publics, who consume wild meat without incident. This epistemic dissonance radically undercut the effectiveness of the ban, which merely served to proliferate informal networks of wild animal trade and sale rendering the development of acceptable, evidence-based surveillance and mitigation strategies for zoonotic spillovers almost impossible. Further, the criminalisation of wild meat consumption fuelled fears and rumours within communities under considerable strain from the health, social, and economic effects of the epidemic, entrenching distrust towards outbreak responders and exacerbating pre-existing tensions within villages. These unintended consequences are instructive for public health emergency response and preparedness. While wild meat is a risk for zoonotic infection, mitigating those risks entails interventions that fully take into account the local significances of hunting including a communicative engagement that is designed, validated, and continually refined before emergency situations. Ultimately, our research questions the value of legal sanctions as a means of behavioural change in an emergency context.
引用
收藏
页码:166 / 173
页数:8
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