• Elena Awwad Faculty of Veterinary Medicine, University of Agronomic Science and Veterinary Medicine of Bucharest, Romania; Central Veterinary Laboratory, General Directorate of Veterinary Services and Animal Health, Ramallah, Ministry of Agriculture, Palestine
  • Osama Awwad Central Veterinary Laboratory, General Directorate of Veterinary Services and Animal Health, Ramallah, Ministry of Agriculture, Palestine
  • Mohammad Farraj Master Program in Clinical Laboratory Science (MCLS), Birzeit University, Palestine
  • Tamer Essawi Master Program in Clinical Laboratory Science (MCLS), Birzeit University, Palestine
  • Kamel Adwan Department of Biology and Biotechnology, An-Najah National University, Nablus, Palestine
  • Assad Manasra Central Veterinary Laboratory, General Directorate of Veterinary Services and Animal Health, Ramallah, Ministry of Agriculture, Palestine
  • Stelian Baraitareanu Faculty of Veterinary Medicine, USAMV B, Romania
  • Maria Rodica Gurau Faculty of Veterinary Medicine, USAMV B, Romania
  • Doina Danes Faculty of Veterinary Medicine, USAMV B, Romania
Keywords: KAP, investigation, awareness, prevention, sheep, goat, Palestine


: Brucellosis is endemic in Palestine and therefore since 1998 a national program of brucellosis control has been launched. In the traditional breeding area of small ruminants, brucellosis is often reported in humans, mainly as a food borne disease. Any control strategy requires a well-functioning surveillance system, the co-operation with owners and a sustainable financial support. The aim of this study is sizing up of the current situation of knowledge, of the attitude and practice (KAP) regarding brucellosis, among sheep and goat farmers. A cross-sectional survey was conducted in 118 participants through an anonymous questionnaire to assess to which extent the flock owners are familiar with the knowledge and practices related to brucellosis of small ruminants. The designs of the questionnaire consider the implementation of KAP. Results shown that farmers, independent on their education, heard about brucellosis (100%) and all of them consider the washing of hands as necessary after close contact with animals or their products, and animal vaccination as being necessary to prevent brucellosis. Despite the educational level, almost all owners are aware about the risk of exposure of their family to animals infected with Brucella: they are considering the heating of cheese at boiling point and the use of gloves, as appropriate practices to reduce the exposure to Brucella. Great majorities of the participants (89.8%) have good knowledge about the transmission of Brucella from animals to humans, but only 37.3% correctly answered about the transmission of brucellosis by drinking raw milk, eating unpasteurized cheese, eating raw meat, liver, spleen and kidney or by contact with an aborted foetus and placenta fluid. Referring to the brucellosis’ prevention, 83% answered that boiling of milk and cheese and wearing of gloves when handling an aborted foetus could prevent it: these answers fit with the level of knowledge. From the questioned owners, 28.8% knew that boiling the milk affect his nutritive value; 84.7% think that owners of animals and their families are more exposed to brucellosis and 11.9% of their families have been diseased. Relative good general knowledge of owners about brucellosis was recorded, but high-risk behaviors still exist. Awareness campaigns on the control and prevention of the brucellosis are success stories, and government agencies should continue the public education.


Addo, K. K., Mensah, G. I., Nartey, N., Nipah, G. K., Mensah, D., Aning, K. H., & Smits, H. L. (2011). Knowledge, Attitudes and Practices (KAP) of Herdsmen in Ghana with respect to Milk-Borne Zoonotic Diseases and the Safe Handling of Milk. Journal of Basic and Applied Scientific Research, 1(10), 1556-1562.

CIA. (2014). West Bank. Retrieved from

Corbel, M. J. (2006). Brucellosis in human and animals. Retrieved from

Doganay, M., & Aygen, B. (2003). Human brucellosis: an overview. International Journal of Infectious Diseases, 7(3), 173-182. DOI:10.1016/S1201-9712(03)90049-X

EU. (2013). The European Union programme in support of agriculture and livestock based livelihoods in the West Bank. Retrieved from

FAO. (2010). Brucella melitensis in Eurasia and the Middle East. Retrieved from

Gul, T., & Khan, A. (2007). Epidemiology and epizootology of brucellosis: A review. Pakistan Veterinary Journal, 27(3), 145-151.

Rumosa Gwaze, F., Chimonyo, M., & Dzama, K. (2009). Communal goat production in Southern Africa: a review. Tropical Animal Health and Production, 41(7), 1157-1168. DOI:10.1007/s11250-008-9296-1

Holt, H. R., Eltholth, M. M., Hegazy,Y. M., El-Tras, W. F., Taye, A. A., & Guitian, J. (2011). Brucella spp. infection in large ruminants in an endemic area of Egypt: cross-sectional study investigating seroprevalence, risk factors and livestock owner’s knowledge, attitudes and practices (KAPs). BMC Public Health, 11, 341. DOI:10.1186/1471-2458-11-341

Kaoud, H. A., Zaki, M. M., El-Dahshan, A. R., & Nasr, S. A. (2010). Epidemiology of brucellosis among farm animals. Nature and Science, 8(5), 190-197.

Khan, H. A. A., Akram, W., Shad, S. A., Razaq, M., Naeem-Ullah, U., & Zia, K. (2013). A cross sectional survey of knowledge, attitude and practices related to house flies among dairy farmers in Punjab Pakistan. Journal of Ethnobiology and Ethnomedicine, 9, 18. DOI:10.1186/1746-4269-9-18

Lindahl, E., Sattorov, N., Boqvist, S., & Magnusson, U. (2015). A study of knowledge, attitudes and practices relating to brucellosis among small-scale dairy farmers in an urban and peri-urban area of Tajikistan. PLoS One, 10(2), e0117318. DOI:10.1371/journal.pone.0117318

Macias, Y. F., & Glasauer, P. (2014). Guidelines for assessing nutrition-related Knowledge, Attitudes and Practices. Retrieved from

MOA. (2011). Action Plan of the National Agricultural Strategy “Shared Vision” 2011-2013. Palestinian National Authority. Retrieved from

MOA. (2013). National Priority Interventions in the Agricultural Sector 2013-2015. Palestinian National Authority. Retrieved from

Ramlawi, A. (2000). Preventive Medicine Team. Brucellosis Prevention and Control Program: (KAP) Knowledge-Attitude and Practice, Palestinian National Authority, Ministry of Health.

Refai, M. (2002). Incidence and control of brucellosis in the Near East region. Veterinary Microbiology, 90(1-4), 81-110. DOI:10.1016/S0378-1135(02)00248-1

Saleem, M. N., Boyle, S. M., & Sriranganathan, N. (2010). Brucellosis: a re-emerging zoonosis. Veterinary Microbiology, 140(3-4), 392-398. DOI:10.1016/j.vetmic.2009.06.021

Sanco (2001). Brucellosis in sheep and goats (Brucella melitensis). Retrieved from

Smits, H. L. (2012). Control and prevention of brucellosis in small ruminants: time for action. Veterinary Record, 170(4), 97-98. DOI:10.1136/vr.e666

UNDP. (2010). Palestinian Brucellosis Control Project, Annual Progress Report, Retrieved from

USAID. (2011). The KAP Survey Model (Knowledge, Attitudes, and Practices). Retrieved from

WHO. (1998). Human and animal brucellosis: Epidemiological Surveillance in the MZCP Countries. The MZCP report on the third workshop on human and animal brucellosis epidemiological surveillance in the MZCP countries. 1998 May 4-5; Damascus, Syrian Arab Republic. Athens: World Health Organization Mediterranean Zoonoses Control Programme.

WHO. (2009). A guide to developing knowledge, attitude and practice surveys. Retrieved from

Xiang, N., Shi, Y., Wu, J., Zhang, S., Ye, M., Peng, Z., Zhou, L., Zhou, H., Liao, Q., Huai, Y., Li, L., Yu, Z., Cheng, X., Su, W., Wu, X., Ma, H., Lu, J., McFarland, J., & Yu, H. (2010). Knowledge, attitudes and practices (KAP) relating to avian influenza in urban and rural areas of China. BMC Infectious Diseases, 10, 34. DOI:10.1186/1471-2334-10-34

Zvizdic, S., Cengic, D., Bratic, M., Mehanic, S., Pinjo, F., & Hamzic, S. (2006). Brucella melitensis review of the human infection case. Bosnian Journal of Basic Medical Sciences, 6(1), 15-18.