ArticlePloS one2015
Raw Sap Consumption Habits and Its Association with Knowledge of Nipah Virus in Two Endemic Districts in Bangladesh.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 45 citations in OpenAlex.
- Empowering youth: a school-based digital awareness campaign for sustainable Nipah virus prevention in Bangladesh.IJID regions · 2026Article
- Social Media Promotion of Raw Date Palm Sap and Emerging Nipah Virus Transmission Risk in Bangladesh: Descriptive Analysis of Multisource Data.JMIR formative research · 2026Article
- Emerging Vector-Borne Nipah Virus Infection: Unexplored Hazards, Diagnostic Challenges, and the Potential of Phytomedicine-Based Therapeutics.Current pharmaceutical design · 2026Review
- Community knowledge and response to Nipah virus infection and its transmission, prevention and control measures: Insights from a cross-sectional survey in Bangladesh.PLoS neglected tropical diseases · 2025Article
- Occupational zoonoses, neurological diseases, and public health: A one health approach.Infectious medicine · 2025Article
- 'Community people are the most powerful resources': qualitative critical realist analysis and framework to support co-produced responses to zoonotic disease threats with(in) Nepali communities.BMC public health · 2025Article
- Assessment of the general population knowledge about the emergence of Nipah virus outbreak in Bangladesh: A nationwide cross-sectional study.Journal of virus eradication · 2025Article
- Human-bat contacts in the Netherlands, and potential risks for virus exchange.One health outlook · 2025Article
- Nipah virus: epidemiology, pathogenesis, treatment, and prevention.Frontiers of medicine · 2024Review
- Knowledge and attitude among Bangladeshi healthcare workers regarding the management and infection prevention and control of Nipah virus.Journal of virus eradication · 2024Article
- Bacterial Metabarcoding of Raw Palm Sap Samples from Bangladesh with Nanopore Sequencing.Foods (Basel, Switzerland) · 2024Article
- Development and evaluation of a quadruple real-time fluorescence-based quantitative reverse transcription polymerase chain reaction assay for detecting Langya, Mojiang, Nipah, and Cedar viruses.Biosafety and health · 2024Article
- Immunogenicity of poxvirus-based vaccines against Nipah virus.Scientific reports · 2023Article
- Henipavirus Immune Evasion and Pathogenesis Mechanisms: Lessons Learnt from Natural Infection and Animal Models.Viruses · 2022Review
- Drivers of zoonotic disease risk in the Indian subcontinent: A scoping review.One health (Amsterdam, Netherlands) · 2021Article
- Hunting and consumption of rodents by children in the Lassa fever endemic area of Faranah, Guinea.PLoS neglected tropical diseases · 2021Article
- Understanding the Community Perceptions and Knowledge of Bats and Transmission of Nipah Virus in Bangladesh.Animals : an open access journal from MDPI · 2020Article
- Nipah virus circulation at human-bat interfaces, Cambodia.Bulletin of the World Health Organization · 2020Article
- Are the medical interns ready to deal with the treatment, prevention and control of Nipah virus infection at the tertiary care hospital?Journal of family medicine and primary care · 2019Article
- Diagnostics for Nipah virus: a zoonotic pathogen endemic to Southeast Asia.BMJ global health · 2019Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Human Nipah virus (NiV) infection in Bangladesh is a fatal disease that can be transmitted from bats to humans who drink contaminated raw date palm sap collected overnight during the cold season. Our study aimed to understand date palm sap consumption habits of rural residents and factors associated with consumption. In November-December 2012 the field team interviewed adult respondents from randomly selected villages from Rajbari and Kushtia Districts in Bangladesh. We calculated the proportion of people who consumed raw sap and had heard about a disease from raw sap consumption. We assessed the factors associated with raw sap consumption by calculating prevalence ratios (PR) adjusted for village level clustering effects. Among the 1,777 respondents interviewed, half (50%) reported drinking raw sap during the previous sap collection season and 37% consumed raw sap at least once per month. Few respondents (5%) heard about NiV. Thirty-seven percent of respondents reported hearing about a disease transmitted through raw sap consumption, inclusive of a 10% who related it with milder illness like diarrhea, vomiting or indigestion rather than NiV. Respondents who harvested date palm trees in their household were more likely to drink sap than those who did not own date palm trees (79% vs. 65% PR 1.2, 95% CI 1.1-1.3, p<0.001). When sap was available, respondents who heard about a disease from raw sap consumption were just as likely to drink it as those who did not hear about a disease (69% vs. 67%, PR 1.0, 95% CI 0.9-1.1, p = 0.512). Respondents' knowledge of NiV was low. They might not have properly understood the risk of NiV, and were likely to drink sap when it was available. Implementing strategies to increase awareness about the risks of NiV and protect sap from bats might reduce the risk of NiV transmission.
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