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Ce: 1 Plan for Emerging Infections (PEI), Infectious Ailments Ce: 1 Program for Emerging Infections (PEI), Infectious Diseases Division (IDD), icddr,b, 68, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka 1212, Bangladesh Complete list of author details is offered in the finish with the post?2016 The Author(s). Open Access This article is distributed below the terms of your Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, supplied you give proper credit towards the original author(s) as well as the supply, offer a link for the Creative Commons license, and indicate if modifications have been produced. The Inventive Commons Public Domain Dedication waiver ( applies for the information produced offered in this article, unless otherwise stated.Rimi et al. BMC Public Wellness (2016) 16:Page 2 ofBackground The spread on the extremely pathogenic avian influenza (HPAI) H5N1 virus amongst poultry and humans has raised title= journal.pcbi.1005422 global concerns and has motivated government and public overall health organizations to initiate interventions to prevent the transmission of HPAI in diverse nations [1?]. In 2006, the Government of Bangladesh adopted a national pandemic influenza preparedness program that incorporated risk communication by means of mass media, workshops, posters, and leaflets, and disseminated a set of 10-step messages to prevent poultry to human transmission nationwide [10, 11]. A nationwide survey carried out in 2007 showed that 30 of backyard poultry raisers reported obtaining heard of avian influenza; among those who heard, 53 didn't know any of its signs, 78 didn't know how birds contracted the virus, as well as the most often (38 ) mentioned route of human infection was an incorrect belief that people have been infected by eating meat or eggs of infected poultry [12]. Backyard poultry raisers are rural residents, who raise indigenous breeds with less than 50 free-range chickens, ducks, and/or geese per flock reared around the family's domicile [13]. A subsequent qualitative study among backyard poultry raisers carried out in 2008 located that even when the Government of Bangladesh's preventive messages reached the neighborhood, backyard raisers either didn't know about avian influenza or didn't believe that avian influenza could infect humans and most continued their usual practices of handling and slaughtering of sick poultry and disposal of dead poultry [14]. A principal pathway of human infection with all the HPAI virus is close make contact with with infected birds [15?7]. Handling and slaughtering of sick and dead poultry has been related with a lot of human circumstances of H5N1 and has been identified as many of the most risky behaviors for contagion [15, 18?2]. Bangladesh has reported 549 confirmed poultry outbreaks of HPAI H5N1 in 52 out of 64 districts from 2007 to 2013 [23] and seven human H5N1 situations from 2008 to 2015, like one particular fatality; all of these circumstances had been exposed to slaughtering of infected poultry [24?8]. Slaughtering sick birds is a prevalent practice in Bangladesh [13, 14]. Stopping rural raisers from consuming sick poultry appears tricky, title= journal.pone.0174109 considering the fact that poultry are a valued resource to the raisers [29].