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Abstract

This paper anthropologically explores how key actors in the Chittagong live bird trading network perceive biosecurity and risk in relation to avian influenza between production sites, market maker scenes and outlets. They pay attention to the past and the present, rather than the future, downplaying the need for strict risk management, as outbreaks have not been reported frequently for a number of years. This is analysed as ‘temporalities of risk perception regarding biosecurity’, through Black Swan theory, the idea that unexpected events with major effects are often inappropriately rationalized (Taleb in The Black Swan. The impact of the highly improbable, Random House, New York, 2007). This incorporates a sociocultural perspective on risk, emphasizing the contexts in which risk is understood, lived, embodied and experienced. Their risk calculation is explained in terms of social consent, practical intelligibility and convergence of constraints and motivation. The pragmatic and practical orientation towards risk stands in contrast to how risk is calculated in the avian influenza preparedness paradigm. It is argued that disease risk on the ground has become a normalized part of everyday business, as implied in Black Swan theory. Risk which is calculated retrospectively is unlikely to encourage investment in biosecurity and, thereby, points to the danger of unpredictable outlier events.
ORIGINAL ARTICLE
Competing biosecurity and risk rationalities
in the Chittagong poultry commodity chain, Bangladesh
Erling Høg
1
·Guillaume Fournié
2
·
Md. Ahasanul Hoque
3
·Rashed Mahmud
3
·
Dirk U. Pfeiffer
2,4
·Tony Barnett
1
Published online: 20 August 2018
©The Author(s) 2018
Abstract This paper anthropologically explores how key actors in the Chittagong
live bird trading network perceive biosecurity and risk in relation to avian influenza
between production sites, market maker scenes and outlets. They pay attention to
the past and the present, rather than the future, downplaying the need for strict risk
management, as outbreaks have not been reported frequently for a number of years.
This is analysed as ‘temporalities of risk perception regarding biosecurity’, through
Black Swan theory, the idea that unexpected events with major effects are often
inappropriately rationalized (Taleb in The Black Swan. The impact of the highly
&Erling Høg
Erling.Hoeg@lshtm.ac.uk
Guillaume Fournie
´
gfournie@rvc.ac.uk
Md. Ahasanul Hoque
md.hoque@my.jcu.edu.au
Rashed Mahmud
rashed.mahmud1@gmail.com
Dirk U. Pfeiffer
dirk.pfeiffer@cityu.edu.hk; pfeiffer@rvc.ac.uk
Tony Barnett
Tony.Barnett@lshtm.ac.uk
1
Department of Global Health and Development, London School of Hygiene & Tropical
Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK
2
Department of Pathobiology and Population Sciences, Royal Veterinary College, Hawkshead
Lane, Hatfield, Hertfordshire AL97TA, UK
3
Faculty of Veterinary Medicine, Chittagong Veterinary and Animal Sciences University, Zakir
Hossain Road, Khulshi, Chittagong-4225, Bangladesh
4
Department of Infectious Diseases and Public Health, College of Veterinary Medicine and Life
Sciences, City University of Hong Kong, 31 To Yuen Street, Kowloon Tong, Hong Kong
BioSocieties (2019) 14:368–392
https://doi.org/10.1057/s41292-018-0131-2
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
improbable, Random House, New York, 2007). This incorporates a sociocultural
perspective on risk, emphasizing the contexts in which risk is understood, lived,
embodied and experienced. Their risk calculation is explained in terms of social
consent, practical intelligibility and convergence of constraints and motivation. The
pragmatic and practical orientation towards risk stands in contrast to how risk is
calculated in the avian influenza preparedness paradigm. It is argued that disease
risk on the ground has become a normalized part of everyday business, as implied in
Black Swan theory. Risk which is calculated retrospectively is unlikely to
encourage investment in biosecurity and, thereby, points to the danger of unpre-
dictable outlier events.
Keywords Bangladesh · Commodity chain · Avian influenza · Risk perception ·
Biosecurity · Ethnography · Epidemiology
Introduction
The highly pathogenic influenza virus H5N1 is endemic in Bangladesh (Ahmed
et al. 2012b; Osmani et al. 2014). 555 avian influenza outbreaks were reported in 51
of the 64 Bangladeshi districts over the 10-year period 2007–2017 (OIE 2018).
1
Chittagong experienced 32 outbreaks during 2008–2011 of which 75% occurred in
2008 and 2009.
2
No new outbreaks have been reported in Chittagong since March
2011. Consequently, the actors in the Chittagong live poultry sector
3
perceive the
likelihood of new outbreaks to be very low. Indeed, outbreaks may have happened,
but have not been reported, due to the lack of compensation, poor disease
surveillance systems, farmers’ non-cooperation and the difficulty of differential
diagnosis from Newcastle disease. Yet, their low risk perception may be influenced
by the fact that the epidemiological authorities do not inform them about new
outbreaks. They would only know, if the outbreaks received intensive media
coverage, as they did during the peak years. Individually and collectively, they do
not perceive, recognize and take preventive action against the potential danger of
avian influenza, according to rigorous disease control recommendations. This is not
1
Highly Pathogenic Avian Inuenza, H5N1, was first reported in Bangladesh among backyard chickens
in the northern Jamalpur district in January 2007. The virus had spread to 47 of the 64 districts by April
2008 (Brooks et al. 2009). By March 2013, Bangladesh had reported 549 H5N1 outbreaks in 51 districts
(431,981 infected birds, 2,282,756 susceptible birds) (OIE 2013).
2
There have been three major waves of H5N1 outbreaks in the southern Chittagong district: January-
April 2008 (17 outbreaks), January–September 2009 (7 outbreaks) and February–March 2011 (7
outbreaks). There was only 1 reported outbreak in 2010. In total, Chittagong experienced 83,680 reported
cases of H5N1 in birds between 2008 and 2011. Additionally, 83,036 susceptible birds were destroyed.
This gives a total of 113,716 dead birds attributed to avian influenza in three years (OIE 2013).
3
Poultry production in Bangladesh falls into three broad categories: (1) industrial and integrated; (2)
commercial (large and small scale); and backyard (1–60 birds). Chicken and duck production has grown
from 23 million in 1961 to 313 million in 2015 (FAOSTAT 2015; MoP 2015, p. 277). About five million
people are employed in large-scale and small-scale poultry farms (Nasreen et al. 2013). Here we focus on
common broiler chickens, crossbred Sonali chickens and egg laying hens, situated in the commercial
sector between independent farmers and live bird markets.
Competing biosecurity and risk rationalities in the… 369
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unique to Bangladesh. The actors argue that there have been no dangers for a
number of years and, therefore, do not need strict risk management.
Actors in the commodity chain, between domestic production sites, market maker
scenes and outlets, measure risk retrospectively, not prospectively. Like in Nassim
Taleb’s Black Swan theory, the idea that unexpected events with major effects are
often inappropriately rationalized (Taleb 2007), observers accumulate wisdom after
an event has happened. They assess risk looking to the past, weighed against their
current resources. Such hindsight bias may influence the way the actors calculate
risk, which stands in contrast to how risk is calculated in the foresight preparedness
paradigm underlying current disease control strategies. However, it does not mean
that actors in hindsight will say: ‘if we had made biosecurity improvements we
could have prevented poultry diseases and mortality.’ On the contrary, they tend to
downplay the need for strict risk management, as outbreaks have not been reported
for several years. In other words, their hindsight bias is way of justifying their
current minimal attention to preventive biosecurity practices. We term this
phenomenon temporalities of risk perception regarding biosecurity. Such hindsight
bias must be seen in a context of limited resources and limited knowledge about
avian influenza. The actors pay more attention to immediate everyday business-
related risks than to disease-associated risks. Nevertheless, they have developed
strategies to mitigate economic losses which may increase the risk of infection for
birds and humans alike. Such strategies lower adverse effects on livelihood, even
when the probability of infection may, in scientific terms, be high. Such time-related
calculated risk—what has happened in the past, what can practically be done in the
present and what may happen in the future—points to the danger of unpre-
dictable Black Swan outlier events (Taleb 2007).
It is a way of rationalizing past events, however inappropriately, as if avian flu
could be explained and coped with in hindsight. Taleb defines a Black Swan event
by its rarity, extreme impact and retrospective (though not prospective)predictabil-
ity. The highly expected scenario that an event will not happen is also a Black Swan
(ibid.). In other words, a Black Swan is an unpredictable outlier event and humans
have a miserable track record in predicting such events. Taleb communicates by
way of analogy how human beings think they can understand events in retrospect:
“we are drivers looking through the rear view mirror while convinced we are
looking ahead” (Taleb 2004).
Towards understanding such hindsight bias, how it is embedded in a multitude of
circumstantial factors like poverty, ignorance, disbelief, aspiration, inability and
reluctance among the actors in relation to the protection against avian influenza, we
adopt a sociocultural perspective on risk, emphasizing the social and cultural
context in which risk is understood,lived,embodied and experienced (Lupton 2013,
p. 36). We apply a classical functional structuralist approach, assessing how
different groups of actors perceive risk and biosecurity and how they follow or
deviate from accepted preventive behaviour. This exposes different risk perceptions
and biosecurity practices among the actor groups along the food chain. We are
interested in how their situated meanings and understandings of risk influence their
risk approaches. The macro-context of Bangladesh stipulates an unregulated poultry
sector in which action against avian influenza is left largely to the agents in the
370 E. Høg et al.
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poultry commodity chain.
4
It is for this reason that we focus on the micro-contexts
of everyday life.
We compare hatchery, farm, feed dealer, middleman and market biosecurity in
the Chittagong
5
live bird trading network, capturing the practices that facilitate the
movement of pathogens. It draws on insights from multispecies ethnography
(Haraway 2008; Kirksey and Helmreich 2010; Kirksey et al. 2014; Ogden et al.
2013; Porter 2013) and studies of material culture (Appadurai 1986b).
Birds and people
Such comparison requires analytical engagement with questions of structure and
agency and ethnographically with commodities on the move, human bird handling
practices, relationships and interactions. Birds and people have become joint
subjects in disease regulation, subject to similar biological risks (Porter 2012b,p.
35), but within a chain of different practices and different risk perceptions.
Conducting ethnographic fieldwork among people working in a poultry commodity
chain between hatcheries and live bird markets raises the question of how to situate
and contextualize the ethnographic subject matter (Marcus 2002). Trade in poultry
involves people who take care of business matters and people who transport the
birds between the transaction sites. Mobility, a multiplicity of sites, flows and
circulations of bird commodities characterize the trading network. This represents a
challenge for defining the appropriate scale, representativeness and appropriate
methods of data collection.
We conducted individual interviews, locating informants through gatekeepers
and snowball sampling (Hammersley and Atkinson 2007). This produced 173
interviews with 144 informants at 33 sites. We interviewed backyard farmers,
independent farm managers and workers at small-, medium- and large-scale farms,
middlemen and their employees, feed dealers, field veterinarians, live bird market
vendors, hatchery managers and workers and government livestock officers. Focus
groups were organized with feed dealers, middlemen and field veterinarians. Grand
and mini tour observations (Spradley 1980) were produced at 4 backyard farms, 10
commercial farms, 2 hatcheries and 2 poultry unloading sites.
Multi-site fieldwork, applying a range of research strategies, presents practical,
methodological and analytical challenges. Multi-site fieldwork provides an
4
The Bangladeshi government made two national plans (in 2006 and 2009) to manage avian influenza. It
recognized its shortcomings in terms of both preparedness and response. Routine active surveillance is
not currently implemented, because of human resource constraints for surveillance, prevention, health
education and laboratory diagnosis. Health facilities and equipment remain inadequate (MoFL 2006,p.
21). Instead, the Department of Livestock Services depends on a passive surveillance system (MoFL
2009, p. 17), awaiting poultry mortality reports from the farmers. Not all farmers report mortality, fearing
financial loss from compulsory culling (Gregory et al. 2010).
5
Bangladesh is a lower middle-income country with a rapidly growing population on a surface area of
148,460 km
2
. One of the most densely populated countries in the world at 1,222 people per km
2
, its
population increased from 48 million in 1960 to 159 million in 2014 (World Bank 2015). Chittagong
administrative division in the southeast, geographically the largest covering a quarter of the country,
contains a fifth of this population.
Competing biosecurity and risk rationalities in the… 371
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understanding of connections and relationships, enabling researchers to move from
site to site producing, juxtaposing and triangulating field data. It requires researcher
physical and intellectual mobility, recognizing that ‘site’ means ‘location’, ‘place’
and ‘time’ but also socially produced space and analytical ‘perspective’, which
points to methodological and epistemological convergence (Falzon 2009). Inductive
ethnography follows a cumulative path: you discover the field and start thinking in
new ways about how and what to ask, taking into consideration previous unknown
ideas and relations (Marcus 2007, p. 1132), uncovering new ethnographic questions
which generate juxtapositions and comparisons (Marcus 1995, p. 102). The
ethnographic chronicle of risk and biosecurity begins in a hatchery and will continue
among feed dealers, middlemen, poultry transporters and farmers.
Competing risk rationalities
Hatchery managers
Anamika, a hatchery manager, explained zoonotic disease prevention:
6
Normally we use masks, gloves and aprons to protect ourselves against the
risk of exposure to avian influenza and other viruses. We maintain strict
biosecurity to protect against avian influenza. We spray the body and take a
footbath before entering the hatchery.
This hatchery brings eggs from its own breeder farm in its own company vehicles. It
also transports the day-old chicks in its own vehicles to feed dealers and large-scale
commercial farms. Twice a week, the hatchery sends day-old chicks directly to
farmers or indirectly via feed dealers. Anamika explains what they do to avoid
disease spread between premises:
We grade the chicks up to level. We cull all substandard chicks. Then we
vaccinate the healthy and standard chicks.
7
We pack them in chick boxes.
Then we load the vehicle with chick boxes and transport them to the dealers
and sometimes to the farms directly.
This exemplifies the commodity phase and evaluation of commodity candidacy, as
part of a tripartite commodity situation: phase,candidacy and context (Appadurai
1986b). They grade the birds qualifying as commodities and kill the birds that
disqualify. This process is governed in regular ways, biosecurity complementing
business.
6
Eight humans (children and poultry workers) have been reported infected with H5N1 or H9N2 in
Bangladesh, since 2008. They were exposed to live, sick or dead poultry during slaughter or meat
preparation (WHO 2008,2011a,b,2013,2015,2016; ICDDRB 2011,2013; IEDCR 2012a,b; Brooks
et al. 2009).
7
Marek’s disease vaccine is given to layer chicks. If required by the feed dealer or farmer, then the layer
chicks are also given avian influenza vaccine at the hatchery. Broiler chicks are not vaccinated at the
hatchery.
372 E. Høg et al.
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There are about 120 hatcheries across the country, half of them located in
Gazipur, Dhaka and Chittagong districts. But only 50 hatcheries are fully functional
of which 11 are government owned (Begum et al. 2011, p. 11). Another hatchery
manager explained that the biggest problem remains electricity failure and
mechanical breakdowns.
Hatchery biosecurity is strictly maintained, because the stakes are high and the
hatchery stands at the origin of the commodity chain. Establishing a hatchery
necessitates large investment capital and disease outbreaks will have dramatic
adverse economic consequences. Thus, investment in biosecurity is incorporated as
a necessary budget allocation. Investment in biosecurity remains essential and it can
be maintained, because of their apex position: hatcheries have predictable income
and profit, unlike most farmers.
Feed dealers
Feed dealers receive chicks from the hatcheries, reselling them to farmers. When
asked about common risks in their daily work, they did indeed mention disease
risks, but they were more concerned about recurrent and predictable risks in their
everyday business: accidental risks, their likely inability to sell all their live
consumables on a given day, fluctuating poultry prices and, not least, problems with
money recovery from middlemen and farmers. Indeed, disease risk and other
business risks may seem inseparable: a disease outbreak leads to economic loss or
less profit than expected. Morbidity and mortality in a poultry flock leads to
disqualification of birds as commodities. Both demand and price may decrease as a
consequence of these factors. Yet, as Eyad explained, in the presence of 12 other
feed dealers: “Yes, I see business risk in terms of problems with money recovery,
but in terms of disease risk, then I see no risk”. Bari added a Black swan
perspective: “I don’t do anything to protect against the exposure to avian influenza,
as there is no history of avian flu in my area. I don’t receive any birds with avian flu,
so there is no chance of getting it”. This could be explained by the fact that feed
dealers do not store birds. Therefore, there are no real risks that feed dealers will
experience sick and dying birds between their purchase from farmers and their sales
to middlemen or markets. This implies that feed dealers do not run a business risk
when birds sicken and die and that disease outbreaks merely affect the farmers and
to a smaller extent the middlemen who organize the transportation of birds between
farms and markets. Feed dealers, farmers and middlemen do not share profit and
loss. They do not share risk because they do not share the same transaction time
period. In other words, risk is time dependent. The shorter the period you hold the
birds, the better for your business as the risk is low. For feed dealers, it is even better
not to hold birds at all but rather to deal in fungible money. In business, it is usually
best to aim for maximum fungibility at all times.
Feed dealers agreed that poultry diseases are common in Bangladesh. They were
concerned about poultry diseases,varying quality of drugs and vaccines,risks for the
poultry sector, when selling sick birds, and bird mortality during transportation.
They mentioned ranikhet (Newcastle disease) and gumboro (infectious bursal
disease), but not avian influenza. Seeing no risk in their daily work was explained as
Competing biosecurity and risk rationalities in the… 373
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a matter of adaptation to everyday work practices. They trust the current hygiene
practices. In business terms, this may be explained by the fact that they can afford to
do so from their position in the poultry commodity chain structure: they have little
reason to be concerned about system-related risk. Other than that, they associated
risk with accidents while riding a motorbike, electric shock from poorly maintained
equipment and feed sacks that could fall down on birds and chicks.
During the final focus group interview, the feed dealers were invited to raise
issues as a professional group. First, they want to know how to protect themselves
and their employees against avian influenza. They agreed that they are doing well in
most aspects of their occupation, except avian influenza. Second, they raised
questions about three business risks, none of them being specific disease risks.
These may appear contradictory to the issues raised during individual interviews,
but they may reflect a group consensus:
1. Price increase: Hatcheries may increase the price of day-old chickens. This
happens before the religious festivals, e.g. Eid,Durga Puja,Mohorom and
Bangla New Year. Vaccination and spray of chicks may also lead to price
increase.
2. Business competition: The large industrial poultry companies may influence the
poultry sector in ways that threaten the feed dealer business, operating in the
live bird sector of independent poultry farmers. The feed dealers fear their
business may disappear in the future.
3. Price drop below market price: The price of poultry may drop below the market
price due to events in the poultry commodity chain.
Individually and collectively, feed dealers do not prioritize the prevention of an
unpredictable disease like avian influenza that they have not seen happening for a
number of years. This also becomes evident among their closest business relations,
the middlemen.
Middlemen
Middlemen organize the transportation of birds between farms and markets, while
their employees do the actual bird transfer in vehicles. Dider, a middleman based at
a live bird market in Chittagong City, buys broilers directly from 50 feed dealers
and 5–6 brokers. On average, Dider sells 2500 broilers per day to 30 Chittagong
City live bird markets. He employs 20 workers, who handle birds every day. They
do not wear personal protective equipment to protect against zoonotic transmission.
Dider explains this as a matter of tacit agreement among poultry traders. There
would be no reason to protect against avian flu during a disease-free Black Swan
period.
I realize that there might be health risks for my employees, but I let them do
their work. The common perception is: if employees use personal protective
equipment, then the customers would become suspicious. Why are they
wearing PPE? Are the birds sick? But if everyone were wearing PPE, then it
374 E. Høg et al.
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would a different scenario. Then customers would perceive the use of PPE
differently.
The middlemen were not concerned about avian influenza, but, as in the case of feed
dealers, worried about everyday risks: feed and storage costs when the birds are in
their possession,trafc jams,indirect cash transactions,bird handling risks,police
harassment and hijacking. Before the birds are sold at the markets, the middlemen
must maintain quality commodities. This means they have to pay to feed and store
the birds while in transit. Many middlemen have overnight storage rooms for unsold
surplus of birds at the end of the day.
Nazir: During the transportation of birds, they may get sick or die because of
long distance travel. If I don’t sell all my birds to the markets in one day, then
I will have to keep them overnight in my storage room. This sometimes causes
reduced body weight, which then creates an increase in feed costs. Some of the
birds die, due to these problems during overnight storage.
Transportation takes longer in the frequent traffic jams in Bangladesh, meaning that
many birds may die, particularly during the summer heat. Bird mortality and weight
loss lead to economic loss. The problem of indirect cash transactions refers to their
worry about dishonesty among their employees. Additionally, they mentioned
police harassment. The police frequently stop poultry vehicles and ask for bribes. In
rare cases, thieves attempt to hijack poultry vehicles.
Nazir: In rare cases, I experience attempts to kidnap my vehicle full of birds.
But I experience a more common problem: Police men frequently stop the
vehicle, when we transport birds and they commonly ask for bribes.
The police check, whether the drivers carry poultry health certificates issued by the
livestock authorities, necessary by law. They ask for bribes, in case the poultry
transporters do not have such documentation.
In terms of disease risk, the middlemen were mostly concerned about physical
harm and accidents, for example, when birds get sick and die during transportation
or local storage. They also worry that hatcheries sometimes deliver second- or third-
quality chicks. Generally, middlemen do not have direct contact with birds.
Therefore, they do not see any risk for their personal health in their daily work.
Even some of those who do have direct contact with birds see no risk for humans, as
they have never knowingly experienced illness due to bird contact. Yet, as Dider
explained earlier, bird handling risk is part of their everyday work—a calculated
risk, based on their experience and consequently on what they see as the most
convenient and appropriate everyday practice. Such calculated risk—what has
happened in the past, what can practically be done in the present and what may
happen in the future—points again to the danger of unpredictable outlier events
(Taleb 2007).
Competing biosecurity and risk rationalities in the… 375
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Middlemen employees
Such time-dependent, experientially shaped risk perception also predominates
among their employees, every day handling live birds bare handed. That is,
middlemen employees act as the key bird movers. Upon receiving orders from feed
dealers and middlemen, they visit poultry farms to pick up birds and then deliver
them to live bird markets. Rahim has worked as a middleman employee for
16 years, continuing the pattern of working late at night every other day, after a long
night’s work traveling 6 h between Chittagong and his hometown and sleeping
during the day. His colleagues work on his days off. He works with his bare hands:
“If I wear gloves, then I am not feeling comfortable at all. And I cannot load and
unload the truck quickly. During the summer, it creates rashes and blisters as well,
when I am wearing gloves”.
Rahim may wear a mask and gloves during the winter, when the risk of getting ill
is highest, and he always makes sure to take a shower, when he comes home from
work. Eventually wearing a mask and gloves gives him protection against getting ill
in general. This is not a conscious choice to protect against avian influenza in
particular. In fact, Rahim admits his ignorance about avian influenza: “I have no
idea about it”. He reflects on the question, whether the risk of human exposure to
avian influenza would be minimized, if one or more of his daily practices were
changed: “Nothing changes in our daily work to minimize the risk of avian
influenza, because nowadays we all know there is no avian flu in Bangladesh”. Is
this an example of false confidence by relying on hindsight bias? As explained
earlier, the Black Swan is an unpredictable outlier event.
In retrospect, he recalls the avian influenza outbreaks among birds during 2008–
2011. Farmers wanted to sell all their birds quickly, maintaining their commodity
candidacy by reducing the price. They feared their birds would turn into non-
commodities, which would affect their business negatively.
Rahim: At that time, many birds died due to this disease. We bought more
poultry at a cheaper rate, because farmers wanted to sell their birds quickly.
Sometimes we bought healthy birds from the farms, but during the
transportation many birds died on the truck. Suddenly my owner lost a lot
of money. Customers lost interest in buying poultry and the market price
suddenly dropped. But I think we have recovered by now.
Rahim’s final statement “but I think we have recovered by now” is another example
of hindsight bias. Most informants reflect in this way: they underestimate the need
to protect against avian influenza during times with no outbreaks. Did you know that
avian influenza viruses can transmit from birds to humans? Rahim laconically
replies: “No”.
Like feed dealers and middlemen, the poultry transporters were not concerned
about the risk of avian influenza, but worried about the risks they face in their
everyday working life: police harassment,hijacking and road accidents. They see
these problems as the main risks. Secondarily, they mention that feathers and dust
may cause allergy, colds, coughing and fever. But they are not sure whether
working with poultry represents a particularly important cause of ill health,
376 E. Høg et al.
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reasoning that all people eventually suffer such common illnesses. They always
work with their bare hands and have found ways to avoid getting bitten by the birds.
The middlemen employees experienced the impact of avian flu during the 2007–
2012 outbreaks. This is an example of an epidemic on the move as a social disease,
in that human practices along the commodity chain determined the course of the
epidemic. Actors predominantly engaged in reactive behaviours, not preventive
ones. Farmers wanted to sell their poultry quickly at a cheaper rate to avoid the
consequences of having sick birds on their farms. The middlemen bought apparently
healthy birds, but many birds died during transportation. That middlemen buy from
several farms means that sick birds get mixed with healthy birds. But why do
farmers refrain from engaging in preventive behaviours, mostly turning to reactive
behaviours in case of a disease outbreak?
Farmers
Farmers explain that they do not invest in biosecurity, because of economic
predicaments,collective behaviour and the limits of conceptual biosecurity.Some
farmers ‘do not see any risk’. This can be explained in two ways. The first variation
you know about risk, but do not see any riskrelates to the phenomena emphasized
in Black Swan theory: risk perception is based on what the farmers have
experienced in the past, not so much what may happen in the future. They had not
experienced or heard about avian influenza for more than 5 years. The second
variation ‘you have no clear idea what risk means and therefore do not see any risk’
appears to mean: ‘you cannot perceive risk, if you have no idea what it is’. In
addition, some farmers could not provide an explanation as to why they do not
invest in biosecurity to prevent future disease outbreak. This remains a black box
phenomenon. We do not know more than the fact that farmers simply cannot
explain why they do not invest in preventive practices to avoid poultry disease
outbreaks. These farmers may not know what risk is and/or what biosecurity is.
Moreover, most farm managers do not own the farms, so they explained that they
have no authority to invest in biosecurity. This might be a case of evasive
prevarication, escaping the responsibility for not investing in biosecurity, but it
could also be a case of unaccountability among the, otherwise absent, farm owners.
Additionally, some farmers explained that they spend much of their time doing
other businesses, because poultry farming has turned out to be economically
unprofitable. This applies to rich and poor farmers alike and to any farm size. A
farmer may spend more time at a downtown clothes shop, or as a middleman or feed
dealer than on his farm.
In terms of conceptual biosecurity, the farmers referred to the presence of trees
and the large number of crows at their farms, indicating a fear that the crows would
transmit disease to animals and humans. In comparison, Vietnamese poultry farmers
explained non-human environmental factors as circumstances exempting them from
responsibility for disease control (Porter 2012a, p. 104). Some farms were built
before the development of surrounding residential areas and this hampers
improvement of conceptual biosecurity.
Competing biosecurity and risk rationalities in the… 377
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Habib, Mahmudul and Hafizur, small-, medium- and large-scale farmers,
respectively, have implemented little to no bioexclusion and biocontainment
measures. Their farms are in residential areas. Crows are sitting in the trees. The
farmers and their workers are not wearing gloves, masks, aprons or protective shoes.
Local chickens and ducks wander freely around the farm premises. They keep feed
bags, litter and solid waste inside the poultry sheds. Habib and Mahmudul explain
that they are too poor to invest in biosecurity.
Habib: Since I am poor, I face the problem of money to improve biosecurity.
Other than that, I have no problem. I plan to rebuild my existing poultry house,
which is now made of steel, turning it into a four-story building. I also plan to
make my farm larger and make a boundary of concrete, instead of the one I
have made by steel plates. But it all depends on my financial situation.
Chicken farming does not provide sufficient income to support Habib and his
dependents, so he runs a clothes shop in the town centre. This also affects his farm
management, because of his absence.
Habib: I have the clothes shop in the town centre and this is my primary
business. Every day in the morning after finishing my work at my poultry
farm, I go to the shop and in the evening, I come back. So, when I am away,
then my father-in-law looks after my poultry farm. I am poor and sometimes
there are no chickens at my farm, so I have to do both businesses.
Mahmudul explains the constraints of conceptual biosecurity and economic
predicaments.
Mahmudul: You know that my farmhouse is located within a residential area.
So, I cannot do much to improve biosecurity. The fact that I am poor is also
one of the major challenges. The biggest challenge is that the poultry price is
not fixed. It always varies, while the feed price is always stable and high. So, I
cannot predict how much I gain from one batch of Sonali. So, my income is
not fixed. This is why I cannot make a plan to improve biosecurity. You know,
everything in the world depends on money.
Mahmudul has improved his farm biosecurity, both bioexclusion and
biocontainment.
Mahmudul: In the beginning, I hadn’t even heard the word biosecurity. At that
time, anyone could enter my farmhouse. Now I have made some changes. I no
longer give the middleman employee permission to enter my farmhouse. In the
beginning, I did not bury the dead birds, but now I bury all dead birds deep in
the ground, 3 feet down.
Hafizur is concerned about controlling fatal diseases at the farm. Yet, overall
biosecurity is unsatisfactory. Hafizur rents this farm and he therefore has no
authority to change biosecurity practices. Moreover, although he is managing a
large-scale farm, this is not his primary job. He cannot make a living from poultry
farming and he is mostly absent from this large-scale poultry farm, spending most of
378 E. Høg et al.
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the daily business hours as a poultry middleman. He sees this as a major challenge
for attending to biosecurity issues. Hafizur explains:
Hazur: You already know that this is not my farm, I just rent it from the farm
owner and my farm house is located in a residential area. So, I cannot improve
biosecurity. Also, I have another business: this is one of the major challenges.
In terms of contact zones,hotspots, ows and mobilities, Habib does business with 1
feed dealer, 6 middlemen, 8 retailers and 3 wholesalers, Mahmudul with 1 feed
dealer and 1 middleman and Hafizur with 3 feed dealers, several farms, 12
wholesalers and 18 retailers. Birds are mixed as a generic commodity between the
actors in the commodity chain. Feed dealers, middlemen, market retailers and
wholesalers buy chickens from several producers, changing source farms from one
purchase cycle to another.
How does this make sense in terms of disease surveillance, control and
epidemiology? Do poultry farmers with many business relations complicate the risk
of disease transmission? They may unwittingly trade in viruses. Think of the
situation in which Habib sells 500 broilers with asymptomatic infection. No one can
tell. The chickens appear healthy. The chicken transporter adds the 500 birds onto
his truck, mixed with 3,000 other broilers from other farms. The 3,500 birds are then
unloaded in Chittagong and sold to different market vendors in batches of between
20 and several hundreds. The 500 sick chickens from Habib’s farm may now infect
thousands of other chickens in several retailer shops at different live bird markets.
Moreover, it will be impossible to trace the disease to Habib’s farm and sick birds
will be sold to consumers at several live bird markets.
Infected chickens have a latency period, an asymptomatic infectious period and a
symptomatic infectious period. Infection with highly pathogenic influenza A virus
(H5N1) would generally result in the rapid death of infected chickens within 2–
3 days. Symptom onset would be preceded by a period of asymptomatic
viral shedding lasting about 24 h (Bouma et al. 2009). In contrast, ducks may not
die of the infection or show any symptoms (Hulse-Post et al. 2005). In fact, the
chickens can be picked up and delivered to the live bird markets and passed on to
the consumers, slaughtered or alive, within the latent non-infectious and asymp-
tomatic infectious periods.
We found four explanations in economic terms as to why farmers do not invest in
farm biosecurity: income volatility,poverty,credit reliance and cost of intervention.
First, poor farmers observe the dynamics of the poultry business and act accordingly
to maximize profit and minimize losses, since they cannot predict their income. We
argue that this is rational behaviour. One of the primary outcomes of such income
volatility is to sacrifice investment in farm biosecurity. Second, poor farmers
explain that it all depends on the ‘money in my pocket’. The sale price of poultry
always fluctuates, while the price of feed remains high and stable. Farmers cannot
predict their income and they are too poor to improve biosecurity.
We think this relates to rational self-interest decision-making. Investing in
biosecurity depends on belief in predictable income and profit. Given their
circumstances these farmers are unable to secure capital to invest in biosecurity.
Third, we could assume that credit reliance limits the investment in biosecurity, but
Competing biosecurity and risk rationalities in the… 379
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cash farmers do not invest in biosecurity more than credit farmers. Fourth, many
farmers ‘have a biosecurity plan for the future’, but cannot predict the day when
they will have sufficient capital to implement such a plan.
A farmer investing heavily in biosecurity would be viewed with suspicion: ‘his
birds must be sick’. They fear ridicule and stigmatization. Thus, contrary to what we
might expect, investment in biosecurity could adversely affect a farmer’s reputation.
Anthropological studies support our findings among farmers: poor biosecurity, low
risk perception, financial inability, but also emphasize the still vaguely understood
phenomenon of ‘inconvenience’ (Rimi et al. 2016,2017). Anthropologists piloted
messages to increase awareness about avian influenza and its prevention in two rural
communities, and explored change in villagers’ awareness and behaviours
attributable to the intervention. Even when farmers know about biosecurity they
do not implement it. Villagers evoked Black Swan reasoning: they keep seeing a
low risk of avian influenza. Investment in biosecurity is costly, impracticable,
inconvenient and cause personal discomfort. They fear being rebuked or ridiculed
by their neighbours, when they take precautions during times with no avian flu
outbreak. In general, they tended to doubt the necessity of behaviour change (ibid.).
We suggest that preventive action is particularly socially unacceptable during Black
Swan periods of no disease outbreaks in poultry. Following poor farmers’ reasoning,
why would they pay for such luxury, when their birds are ‘healthy’?
Sacrices and compromises
We argue that poor farmers with little investment capital operate in a world of
sacrifices and compromises. Looking to the past is cheaper than looking to the
future. This may explain the temporalities of risk perception with regard to
biosecurity among farmers, as preventive behaviour turns into reactive behaviour.
Sacrifices and compromises among farmers include minimizing losses, selling sick
birds, ignoring (costly) preventive behaviours, not investing in biosecurity and
preferring indirect trade as a matter of convenience, though they know that direct
trade would be more profitable. Rehanul, a credit farmer, recites a Bengali proverb:
“Father’s name will come if I survive”. This relates to ‘self-preservation as the
foremost task’, an expression of self-consciousness. Rehanul explains: “When I lose
money, how can I think about others’ profit or safety! I need to care for my own
interests first. I need to minimize my losses”.
The evidence from this research strongly suggests that farmers make rational
choices through such compromises in order to survive, making a profit to feed the
family. Biosecurity is a luxury they cannot afford. It would be irrational to invest in
future-oriented preventive practices, when what matters is the immediate short-term
perspective and, simultaneously, your risk perception is oriented towards the past—
an example of Taleb’s Black Swan hindsight bias (Taleb 2007). Already dire
socioeconomic circumstances make the perceived risk of an avian influenza
outbreak seem more improbable. Moreover, biosecurity makes little sense when you
know little about what it necessitates in practice. Preventive practices are part of the
preparedness paradigm and this fails to take into consideration the reality of
farmers’ everyday lives and the way things are including the temporalities of risk
380 E. Høg et al.
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perception: orientation towards the past, practical experience, changing risk
perception and practices during and in between disease outbreaks. We suggest,
whatever farmers do, their behaviours are pragmatic and rational. It is what makes
sense in order to survive and feed their families. By not investing in preventive
practices to avoid the transmission of avian influenza viruses, a poor farmer is acting
rationally—within the given context and circumstances of his or her life. Normative
future-oriented preventive behaviour as defined in the global preparedness paradigm
does not make sense to poultry farmers in Bangladesh give their circumstances and
in particular in a political context of an unregulated poultry sector. This applies also
to their rationalities in relation to risks to their own health.
It might seem contradictory that on one hand they state that they see no risk in
their work, while on the other that they plan to invest in biosecurity. This apparent
contradiction relates to the following factors. First, they refer to human health risks
—and implicitly that there is no risk of zoonotic disease transmission. They say that
personal protective equipment is too costly and uncomfortable. Second, risk
perception decreases during times of no disease outbreaks. Third, most farmers have
no clear idea about biosecurity, both what the term and its implied practices mean
for humans and animals alike. Some farmers have ‘a plan’, which might include ‘a
boundary wall’ and/or ‘disinfection practices’, but few farmers have an idea of
comprehensive standards of farm biosecurity.
Temporalities of risk perception
Taking feed dealers, middlemen, poultry transporters and farmers together, they
perceive the risk of avian influenza as low and are unlikely to be concerned about
the potentially huge adverse impact. Such temporalities of risk perception
phenomenon can be explained by social consent (Douglas and Wildavsky 1982),
practical intelligibility (Schatzki 2002), convergence of constraints and motivation
(Ortner 1984) and calculated risk (Taleb 2007).
First, tacit social consent in the poultry sector predicates a certain cultural bias
towards selective risk management: “The choice of risks and the choice of how we
live are taken together” (Douglas and Wildavsky 1982, p. 50). This view implies
that social life and thus common values regulate the perception of risk to produce
what is ‘taken for granted’ and thus ‘normal’. We see a tendency that people
involved in the poultry sector fear other business risks more than disease-associated
business risks. The norm of the majority prevails. Farmers do what other farmers do.
Feed dealers do what other feed dealers do. As Dider explained earlier: people using
personal protective equipment would raise suspicion among customers, whether the
birds are sick.
Second, how can they take action against avian influenza realizing that it cannot
be dealt with in any practical way? As a practice theory, Theodore Schatzki invoked
the idea of practical intelligibility as what makes sense to a person with regard to a
course of action. This is not necessarily in accordance with reason, logic or
normativity: “what makes sense for someone to do is not the same as or what is or
Competing biosecurity and risk rationalities in the… 381
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what seems to be to the actor to be, appropriate, right or correct” (Schatzki 2002,p.
75).
Third, practical intelligibility is portrayed as an individualist phenomenon, and it
would therefore at first not explain social consent among the actors. However,
Schatzki argues that social phenomena influence individual practices. In anthropo-
logical terms, this is a convergence of constraints and (lack of) motivation (Ortner
1984).
For example, feed dealers and middlemen seem to subordinate animal and human
disease concerns to other business risks. Rather, they may choose to live with
disease risk, hoping that nothing happens, while recognizing that immediate and
tangible business risks must be dealt with and knowing how to do this. This is
practical intelligibility: what makes sense to individual actors under the given
circumstances (Schatzki 2002). While this may not sound rational and logical, we
argue that in such circumstances disease risk has become a calculated risk, a
normalized part of everyday business, as implied in Black Swan theory (Taleb
2007). Avian influenza is seen as a rare and unpredictable event.
Yet, we do question whether the actors have an interest in protection against
avian influenza and what would motivate them to do so, considering the limited
resources and the reluctance among those who would be able to invest in risk
management. Such motivation would need to depend on individual, social and
political risk perception and recognition, which would lead to action. This
recognizes a social representation approach to risk perception, emphasizing the
complex content of common-sense thinking regarding particular risks, determined
by consensus-making and social influences (Joffe 2003; Douglas 1992). Moreover,
Ortner, building on Bourdieu’s concepts of praxis and habitus and Sahlin’s work on
agency and structure, maintains that “a theory of practice is a theory of history”:
What people can do to change their actions is culturally and historically contingent
(Ortner 1989, p. 193).
The different risk perceptions exemplify a case of uneven access to resources.
Farmers, feed dealers and middlemen do not share profit and loss. In other words,
they do not share risk. The farmers who engage in oral agreements with feed dealers
—non-binding, yet morally, ethically and culturally binding contracts that rest upon
trust and loyalty—are forced to repay the credit incurred under any circumstances,
which minimizes their financial capital to invest in biosecurity. For all independent
farmers, their profit margin is very small.
An assemblage of risk perceptions and biosecurity practices
The Black Swan hindsight perspective as described and analysed here from an
anthropological perspective challenges its counterpart. At a time of rapidly
intensifying production to provide affordable protein, the avian influenza pandemic
preparedness paradigm emphasizes foresight preventive measures such as vaccina-
tion and investment in various forms of biosecurity, prioritizing and promoting
improvements in veterinary infrastructure, surveillance systems, communication,
awareness and research (Martinot et al. 2007; FAO 2011). Here, biosecurity refers
to “the sum of the measures taken to prevent incursion and spread of disease” (Sims
382 E. Høg et al.
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2008). Specifically, “Biosecurity includes the concept and measures of preventing
introduction and spread of new infectious agents into flocks (‘Bioexclusion’), and
the potential and need to reduce the risk for flocks to spread disease to others
(‘Biocontainment’)” (Thieme 2007, pp. 2–3). Such preparedness depends on
government and poultry sector financial and human resources.
The theory of risk behind pandemic preparedness is a double-edged sword: the
calculable and the incalculable. On one hand, its premise rests on a technico-
scientific approach to risk, the assumption that risk can be monitored and measured
scientifically. This is the taken for granted understanding of risk and does not
problematize how scientific measurement of risk is constructed as a social fact
(Lupton 2013, p. 28). Indeed, while such probabilistic accounts of risk can be used
to anticipate disease outbreaks and resources for disease control (Hinchliffe et al.
2013, p. 536), the preparedness paradigm approaches events characterized by
incalculable probability with a simplicity which opens the way to potentially
catastrophic consequences should such events materialize (Lakoff 2007). In other
words, the preparedness paradigm brings together the predictable and unpredictable,
both focussed on the time ahead.
We have focussed on conceptual, structural and operational biosecurity in farms
(Shane 2005). Conceptual biosecurity refers to factors related to the location of the
farm, affecting the likelihood of viral incursions or release. Once the farm is
established, the farmer has no control over these factors, which include distance
from the main road, location of residential accommodation, poultry farms, backyard
birds and water bodies and trees. Structural biosecurity (bioexclusion) measures
prevent virus incursion, i.e. the entrance of infected birds, contaminated humans,
wild or domestic animals, vehicles and equipment. Operational biosecurity
(biocontainment) measures aim to prevent the release of viruses from infected
poultry populations. It includes sanitation, disinfection, control of traffic (humans,
vehicles, rodents and wild birds) and health monitoring and vaccination of birds
(Chowdhury et al. 2015).
Our attention to lived experience and everyday practices adds an empirical
human perspective on risk and biosecurity, as opposed to multispecies ethnogra-
phies of avian influenza that have focussed on ‘narratives’ (Lowe 2010) and ‘risk
mapping’ (Porter 2012a). Social science studies recognize a plurality of ‘biosecu-
rity’. Biosecurity is about safety. It implies a sense of uncertainty, unpredictability,
precariousness, probability, danger and risk. It has been defined in different
contexts, such as farm-based practices; emerging infectious diseases; the life
sciences; food safety; measures against bioterrorism and border control for the
regulation of the spread of infectious agents (Collier and Lakoff 2008; Keck 2008),
yet it is understood differently by different actors, for example, as between farmers,
veterinarians, policy makers, governments, scientists and the general public
(Enticott and Wilkinson 2013).
Contact zones: a convergence of circumstances
In this context, anthropology offers an emphasis on contact zones, constituted by
social relations between humans, animals and viruses. Studying contact zones—an
Competing biosecurity and risk rationalities in the… 383
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important aspect of intensification—emphasizes the nature–culture perspective on
how subjects are constituted in and by their relations to each other (Kirksey and
Helmreich 2010). Specifically, multispecies ethnographers focus on how living
organisms (viruses, humans, animals) shape and are shaped by political, economic
and cultural forces. This is a way to examine social relations between humans and
non-humans and it makes good sense in the Bangladeshi poultry sector, where there
is a diversity of contact zones between people, poultry and viruses—a context
suitable for the improbable Black Swan event.
Contact zones may host certain hotspots, defined differently in epidemiological
studies. A ‘hot spot’ originally meant “a location with high biodiversity and wildlife
density that was under significant threat of degradation or destruction as a
consequence of human activities” (Paige et al. 2015, p. 79). Later, a ‘hot spot’ meant
a virus ‘dissemination point’ or a ‘high risk area’ (Ahmed et al. 2012a; Gilbert et al.
2010), or a geographical area prone to the emergence of zoonotic infectious diseases
(Baudon et al. 2017). In anthropology, a hot spot refers to a convergence of
circumstances that create the conditions for disease communicability, ethnograph-
ically focused on intimate interactions between humans, animals and viruses
(Brown and Kelly 2014). Through innovative methodological pathways following
birds and people through the poultry commodity chain, we show that individual and
collective behavioural preferences and risk perceptions may, inadvertently, shape
risky transactions that increase the risk of avian influenza virus transmission,
between animals and from animals to humans. Such convergence of circumstances
exemplifies a Black Swan—its improbable and unpredictable nature, yet with a
massive impact, when it eventually occurs.
The underlying premise is to think of the movement of birds as a ‘commodity
hood’: commodity phase,candidacy and context (Appadurai 1986a; Kopytoff 1986).
Appadurai provides a social analysis of things, extending the Marxian focus on
commodities in the production processes. The social life of a thing concentrates on
its total trajectory between production, exchange, distribution and consumption. It is
defined as “the situation in which its exchangeability (past, present, future) for some
other thing is its socially relevant feature” (Appadurai 1986a, p. 13). The
ethnographic appeal resides in the biographic approach to things. The motionless
bird in itself is uninteresting; the social relationships through birds are interesting.
Methodologically, things-in-motion clarify their human and social context. The
ethnographic revelation relevant to the birds’ epidemiological status comes through
following the thing, its meanings, uses and trajectories in the hands of people. This
allows us to interpret and understand the human transactions that vitalize things and
accord them cultural meanings (ibid., p. 5). Our analytical focus on commodity
chains captures the focus on transactions in exchange, whereby value is removed at
each point in the hierarchy. Such meanings are epidemiologically significant.
In epidemiology, poultry networks have indeed been shown to be heterogeneous
and connected through a diversity of actors and animals (Rasamoelina-Andria-
manivo et al. 2014). Heterogeneity in circumstances of overall intensification may
influence the spread of viruses and have theoretical implications for a social science
of avian influenza. Charles Perrow argued that systems with many non-linear
interactions that are also tightly coupled are eventually bound to fail (Perrow 1999).
384 E. Høg et al.
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In normal accident theory, he argues that risk is embedded in two key dimensions:
coupling and complexity. These are both aspects of intensification and things flow
rapidly through a tightly coupled system, in which all parts are connected. As in the
case of the foot and mouth epidemic in the UK, poultry trade networks encompass a
complex system in the plural sense through its multitude of connections, paths,
flows, directions and mobilities (Law 2006; Hinchliffe et al. 2013). This constitutes
a dynamics of risk in the sense that the flow of a virus exemplifies a patterned web
of partially connected flows in which the multiple intersection flows produces
potential leaks (Law 2006, p. 10). Such flows are similarly seen in many other
systems, for example, in trade, human mobility and in safety and hygiene systems.
Birds flow rapidly through a poultry network. In fact, birds must flow rapidly as
consumable commodities with both economic and sanitary underpinnings. As
opposed to a linear system, where the flow tends to be one-directional, live birds in
Bangladesh flow through a complex heterogeneous system, unidirectionally between
production sites, market maker scenes and outlets.
The Black Swan
Black Swan theory provides explanatory power for such convergence of circum-
stances with the temporalities of risk perception phenomenon at its core. The actors
measure risk retrospectively, combined with an assessment of the resources
available at hand in the present, not prospectively. This is a hindsight bias. This may
influence the way the actors calculate risk, which stands in contrast to how risk is
calculated in the foresight preparedness paradigm. The key actors in the Chittagong
poultry commercial trading network from independent farmers discussed here are
aware of the risk of economic loss in case of severe disease outbreaks, but they may
circumvent such scenario by entering the birds into the commodity chain early, e.g.
at a lower price or quickly. These are ways of lowering adverse effects on their
livelihood, even if the probability of infection may be high. This may indicate that
they have developed strategies to mitigate economic losses, resulting in disease in
their view no longer being a major business risk, although these mitigation
strategies may increase the risk of infection—for birds and humans alike—along the
commodity chain. However, such scenario encompasses a contradiction: for those
farmers who have not yet experienced avian influenza, the chance of an outbreak
remains a contemplated risk (Kousky et al. 2010). An outbreak has not occurred, but
they recognize past occurrences. Yet, due to their low to non-existent knowledge
about avian influenza, they are not able to discuss this disease in scientific terms—or
even just in terms that mean something to them. What goes on in Bangladesh among
the actors in terms of risk perception and management is a case of ‘Black Swan
dynamics’.
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Implications for risk management
Our analysis has focused on temporalities of risk perception with regard to
biosecurity among hatchery managers, feed dealers, middlemen, poultry trans-
porters and farmers. Policy advancement requires an awareness and recognition of
the complex nature of biosecurity. It requires a widened biopolitical inspection that
recognizes the fractured nature of biosecurity along the commodity chain. In fact, it
has been pointed out that the complexity of avian influenza disease and biosecurity
commonly is not identified in official publications (Hinchliffe and Bingham 2008,p.
1542). Are the complex stories of bird flu transmission being neglected, in favour of
simple linear stories of origin and effect? Lowe suggests that “the conventional
avian influenza ‘outbreak narrative’ leaves important sources of contagion out of the
picture” (Lowe 2010, p. 641). In other words, the linear story of bird flu
transmission from wild birds to domestic and farm birds to humans implies a
particular intervention strategy (Rabinow and Rose 2006, p. 197). We suggest that
well-intentioned concern with public health inadvertently favours certain kinds of
poultry production methods, while perhaps neglecting the fact that the poultry sector
in Bangladesh will remain a multi-tiered system of parallel and unequal means to
manage and control infectious diseases, that is, co-existing biosecurity standards
(hatcheries, industrial farms, independent live bird farms, strict versus moderate,
low or no control, common slaughterhouses versus live bird markets). Independent
farmers explain that their profit remains unpredictable, which makes biosecurity
unaffordable. Biosecurity will therefore be compromised. The rule of common
practice and imitation prevails among peers. This raises questions in the plural
sense: we are witnessing a scale of technologies among competing actors in the
poultry sectors and biosocial contexts (Kleinman et al. 2008).
Avian influenza remains an economic and social disease: sick or dead birds
impact production and people’s lives. It embraces social life, context and process, in
which biosecurity and risk management depends on human organization. Indeed,
anthropologists have shown the difficulties in defining and managing avian flu risk:
the uncertainty among scientists and regulators in the US, the UK and Vietnam
(Porter 2016), in managing bio-risks in France, Germany and the UK (Lentzos and
Rose 2009), competing descriptions of animals and their habitats in zoonotic disease
contexts in Vietnam (Porter 2012a) and the uncertainty about the nature and
consequences of avian influenza in Indonesia (Lowe 2010). By focussing on risk
and biosecurity along the live bird commodity chain between independent
production sites, market maker scenes and outlets, we emphasize the divergent
and competing risk rationalities drawing attention to the unpredictable nature of
avian influenza. Such ethnographic findings may not have been captured in
epidemiological studies. We have shown that the poultry commodity chain between
farms and markets may host risky spaces—contact zones and hotspots that may
serve as routes of pathogenic transmission and contagion. However, we emphasize
that the anthropological meaning of a disease hotspot includes the lack or absence of
resources to control diseases in the context of abundant pathogens (Brown and Kelly
2014, p. 293; Sodikoff 2017, p. 118).
386 E. Høg et al.
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The dynamics of such disease ecology raises compelling questions about
improving risk management in the Bangladeshi poultry sector. Which approach is
the more cost-effective: pragmatically taking things as they come, applying
reactive measures, counting the loss and recovering? It is cheaper to calculate risk
retrospectively, as implied in our interpretation of Black Swan theory. In other
words, should participants in the trading system continue living with risk,
considering the limited resources in Bangladesh and the perceived low probability
of a disease outbreak? Or should steps be taken to invest in preventive risk
management that safeguard against dangers in the unknown future as implied in
the preparedness paradigm?
Considering the ‘insecurity’ and the lack of knowledge about avian flu and how
to engage with it among the actors in the poultry commodity chain, we suggest re-
framing the meaning of ‘biosecurity’. It could develop into an inclusive alternative
socio-ecology of disease and health, not just about hygiene and health benefits, but
also welfare, vulnerability, cost, convenience and comfort. Yet, such socio-
ecological definition of biosecurity would decisively depend on a changing political
ecology of animal and human health and disease by the Bangladeshi government,
continuously constrained by lack of human resources and inadequate health
facilities and equipment, recognized by the government many years ago.
The allegorical comparison of a rare event is a bird itself: the question remains
how best to engage with the Black Swan, particularly considering the widespread
perception that H5N1 outbreaks will not happen again. This is also a Black Swan.
Here we show the contradictions between actor worldviews in the everyday
poultry business as contrasted with standard epidemiological thinking and
commonly proposed interventions. We question whether the actors are underes-
timating the likelihood and consequences of avian influenza virus contamination
of birds and humans, in farms and along the poultry commodity chain. People in
the poultry sector have their own perception of disease risk and how to manage it
in their daily coping with immediate business risks. In epidemiological terms,
their attitudes and responses may be incongruent with the current situation of
disease risk, but this should not suggest that their responses arise from
‘ignorance’. In anthropological terms, we should recognize that their responses
are rooted in their focus on a time span and knowledge which is not inaccurate
but merely incongruent with the epidemiological picture. Unpicking and
responding to this incongruity should inform our understanding of how to
formulate policy interventions.
Acknowledgements We are thankful to the study participants for their time and information. In response
to a security situation in Bangladesh, affecting foreign field researchers, fieldwork was carried out in
collaboration with 8 research assistants from Chittagong Veterinary and Animal Sciences University
(CVASU) between September 2015 and January 2016. These participating investigators, who have
experience with epidemiological avian influenza research, received training by the main author on how to
conduct ethnographic fieldwork. We thank in particular BALZAC Research Assistant Rashed Mahmud,
who organized initial communication with informants and led substantial proportions of the data
production in collaboration with the late Fakhrul Islam (1990–2017), Rubyath Hasan, Brishti Barua,
Shohel Rana, Kazi Rukon, Billal Uddin and Nur Mohammad. We thank the Bengali–English translators
Professor Abdul Ahad and Assistant Professor Abdul Rahman. In particular, for the research at live bird
Competing biosecurity and risk rationalities in the… 387
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markets, we thank the interpreter anthropologist Ahmed Suja Uddin, Chittagong University. We would
also like to thank the anonymous reviewers of this paper for their comments and suggestions.
Funding This study received funding from the BALZAC research programme Behavioural Adaptations
in Live Poultry Trading and Farming Systems and Zoonoses Control in Bangladesh. This is one of 11
programs funded under Zoonoses & Emerging Livestock Systems, ZELS, a joint research initiative
between Biotechnology and Biological Sciences Research Council (BBSRC) (Grant No. BB/L018993/1),
Defense Science and Technology Laboratory (DSTL), Department for International Development
(DFID), Economic and Social Research Council (ESRC), Medical Research Council (MRC) and Natural
Environment Research Council (NERC). The funders had no involvement in the conduct of the research
or preparation of this paper.
Compliance with ethical standards
Conict of interest The authors declare that they have no competing interests.
Ethical approval The Institutional Review Board, Institute of Epidemiology, Disease Control and
Research, IEDCR, Dhaka and the Observational Research Ethics Committee, London School of Hygiene
& Tropical Medicine, ethically approved this ethnographic study. We provided an informed consent
statement translated into Bengali, which explained the aims, objectives and affiliations of this study. It
promised voluntary participation and confidentiality. It was read aloud for the illiterate. The names used
are pseudonyms to protect the anonymity of informants.
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Erling Høg, anthropologist, is a Research Fellow in Social Science, Department of Global Health and
Development, London School of Hygiene & Tropical Medicine. He leads the anthropological BALZAC
project in Bangladesh: An initial ethnographic investigation of practices and rationales among people
working with poultry in live bird markets and other parts of the transaction chain.
Competing biosecurity and risk rationalities in the… 391
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
Guillaume Fournié is a Research Fellow in Veterinary Epidemiology, Department of Pathobiology and
Population Sciences, Royal Veterinary College.
Md. Ahasanul Hoque is a Professor of Veterinary Epidemiology and National Coordinator of the ZELS
Project, Faculty of Veterinary Medicine, Chittagong Veterinary and Animal Sciences University.
Rashed Mahmud is a veterinarian and ZELS Research Assistant, Faculty of Veterinary Medicine, Chit-
tagong Veterinary and Animal Sciences University.
Dirk Pfeiffer is a Chair Professor of One Health, City University of Hong Kong & Royal Veterinary
College.
Tony Barnett is a Professorial Research Fellow in the Social Sciences of Infectious Diseases, Department
of Global Health and Development, London School of Hygiene & Tropical Medicine and Honorary
Professor, Humanitarian and Conflict Response Institute, University of Manchester. Jointly, this team of
researchers combines methodological expertise in veterinary epidemiology and modelling, public health
and social science in the study of avian influenza in Bangladesh.
392 E. Høg et al.
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... 92 Although farms are the primary source of infection and on-farm interventions are a critical point of infection control, poultry meat has multiple opportunities for contamination prior to consumption that require food hygiene interventions beyond the farm. 95 Intervention studies aimed at improving meat safety at informal markets that focused on training and providing the equipment necessary to safely butcher meat found that the butchers recalled essential hygiene practices taught during the intervention. 92 However, the benefits were short-term without sustained implementation of these measures or additional institutional support. ...
... 92 Heterogenous approaches to mitigating zoonotic disease risks should be considered to incorporate differences in practices and risk perceptions within and across markets and poultry trading networks. 95,96 Food safety is underprioritized in targeted global food security efforts. SDG Target 2.1 aims to end to hunger and ensure access to safe and sufficient food throughout the year by 2030. ...
Article
Background: Small-scale poultry production is widespread and increasing in low- and middle-income countries (LMICs). Exposure to enteropathogens in poultry feces increases the hazard of human infection and related sequela, and the burden of disease due to enteric infection in children <5 y in particular is substantial. Yet, the containment and management of poultry-associated fecal waste in informal settings in LMICs is largely unregulated. Objectives: To improve the understanding of potential exposures to enteropathogens carried by chickens, we used mixed methods to map and quantify microbial hazards along production value chains among broiler, layer, and indigenous chickens in Maputo, Mozambique. Methods: To map and describe the value chains, we conducted 77 interviews with key informants working in locations where chickens and related products are sold, raised, and butchered. To quantify microbial hazards, we collected chicken carcasses (n=75) and fecal samples (n=136) from chickens along the value chain and assayed them by qPCR for the chicken-associated bacterial enteropathogens C. jejuni/coli and Salmonella spp. Results: We identified critical hazard points along the chicken value chains and identified management and food hygiene practices that contribute to potential exposures to chicken-sourced enteropathogens. We detected C. jejuni/coli in 84 (76%) of fecal samples and 52 (84%) of carcass rinses and Salmonella spp. in 13 (11%) of fecal samples and 16 (21%) of carcass rinses. Prevalence and level of contamination increased as chickens progressed along the value chain, from no contamination of broiler chicken feces at the start of the value chain to 100% contamination of carcasses with C. jejuni/coli at informal markets. Few hazard mitigation strategies were found in the informal sector. Discussion: High prevalence and concentration of C. jejuni/coli and Salmonella spp. contamination along chicken value chains suggests a high potential for exposure to these enteropathogens associated with chicken production and marketing processes in the informal sector in our study setting. We identified critical control points, such as the carcass rinse step and storage of raw chicken meat, that could be intervened in to mitigate risk, but regulation and enforcement pose challenges. This mixed-methods approach can also provide a model to understand animal value chains, sanitary risks, and associated exposures in other settings. https://doi.org/10.1289/EHP11761.
... These are usually borrowed from a broadly defined range of social sciences. Some of the qualitative methods deployed within veterinary and One Health research spaces include thematic analysis (e.g., Doolan-Noble et al., 2023;Hennessey et al., 2021;Khan et al., 2022), content analysis (e.g., Geiger and Hovorka, 2015;Hennessey et al., 2023), interpretive phenomenological analysis (e.g., Dickson et al., 2019;Whitnall and Simmonds, 2021), grounded theory (e.g., Gaida et al., 2018), and ethnography (e.g., Høg et al., 2018;Schneider, 2017). While out of the scope of this paper, we recognise that the usual base data in qualitative studies -language, texts, utterances 1 --require framing and re-framing. ...
... Thus, for example, to frame a veterinary problem such as chicken production in relation to One Health is to adopt a very different approach to that where the researcher thinks only about one aspect of the system. This could entail study of the health of chickens from hatching to slaughter without, for example, thinking about risks of zoonotic disease emergence (Barnett and Pfeiffer, 2014;Høg et al., 2021Høg et al., , 2018Liverani et al., 2013;Moyen et al., 2021) or sustainability (Vaarst et al., 2015). ...
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Full-text available
This article spans a number of theoretical, empirical and practice junctures at the intersection of human and animal medicine and the social sciences. We discuss the way thematic analysis, a qualitative method borrowed from the social sciences, is being increasingly used by veterinary and One Health researchers to investigate a range of complex issues. By considering theoretical aspects of thematic analysis, we expand our discussion to question whether this tool, as well as other social science methods, is currently being used appropriately by veterinary and human health researchers. We suggest that additional engagement with social science theory would enrich research practices and improve findings. We argue that considerations of ‘big theory’ - ontological and epistemological positioning of the researcher - and ‘small(er)’ theory, the specific social theory in which research is situated, are both necessary. Our point of departure is that scientific discourse is not merely construction or ideology but a unique and continuing arena of debate, in part at least because of the elevation of self criticism to a central tenet of its practice. We argue for further engagement with the core ideas and concepts outlined above and discuss them in what follows. In particular, and by way of focusing the point, we suggest that for veterinary, One Health, and human medical researchers to use thematic analysis to its maximum potential they should be encouraged to engage with both broader socio-economic theories and with questions of ontology and epistemology.
... For broilers, all AIV-positive chickens originated from a single farm, whereas the particularly high proportion of positive backyard chickens (14.1 %) may have resulted from selection bias. Refusal rate was high and the willingness of rural households to sell chickens may have been associated with ongoing or recent disease outbreaks in the village or their own flock (Høg et al., 2019). Moreover, due to logistic constraints, we recruited backyard chickens in only a small fraction of the catchment area supplying Chattogram city's LBMs (Moyen et al., 2021), where prevalence of infection may be heterogeneous. ...
Article
Full-text available
The prevalence of avian influenza viruses is commonly found to increase dramatically as birds are transported from farms to live bird markets. Viral transmission dynamics along marketing chains are, however, poorly understood. To address this gap, we implemented a controlled field experiment altering chicken supply to a live bird market in Chattogram, Bangladesh. Broilers and backyard chickens traded along altered (intervention) and conventional (control) marketing chains were tested for avian influenza viruses at different time points. Upon arrival at the live bird market, the odds of detecting avian influenza viruses did not differ between control and intervention groups. However, 12 h later, intervention group odds were lower, particularly for broilers, indicating that viral shedding in live bird markets resulted partly from infections occurring during transport and trade. Curtailing avian influenza virus prevalence in live bird markets requires mitigating risk in marketing chain nodes preceding chickens’ delivery at live bird markets.
... One possible explanation is that backyard farmers included in this study saw an opportunity to sell chickens that were already sick, potentially due to AIV infection. Selling sick birds is not an uncommon practice among backyard farmers near Chattogram, who often operate in a world of compromises 46 . ...
Article
Full-text available
H9N2 avian influenza viruses (AIVs) are a major concern for the poultry sector and human health in countries where this subtype is endemic. By fitting a model simulating H9N2 AIV transmission to data from a field experiment, we characterise the epidemiology of the virus in a live bird market in Bangladesh. Many supplied birds arrive already exposed to H9N2 AIVs, resulting in many broiler chickens entering the market as infected, and many indigenous backyard chickens entering with pre-existing immunity. Most susceptible chickens become infected within one day spent at the market, owing to high levels of viral transmission within market and short latent periods, as brief as 5.3 hours. Although H9N2 AIV transmission can be substantially reduced under moderate levels of cleaning and disinfection, effective risk mitigation also requires a range of additional interventions targeting markets and other nodes along the poultry production and distribution network.
... While such transformative changes have proven instrumental towards improving food security, nutrition and economic and societal development e.g. in China, India, Bangladesh among others, they also require careful monitoring and investigation. Indeed, the growth of poultry production and distribution networks has brought novel challenges in terms of disease management: intensive farming, limited surveillance infrastructure and veterinary services and in many examples poor biosecurity conditions [12,13] can lead to an environment replete with health hazards. For example, widespread sub-optimal use of antimicrobial drugs by poultry farmers represents a leading driver of the emergence of antimicrobial resistance [14][15][16]. ...
Article
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The rapid intensification of poultry production raises important concerns about the associated risks of zoonotic infections. Here, we introduce EPINEST (EPIdemic NEtwork Simulation in poultry Transportation systems): an agent-based modelling framework designed to simulate pathogen transmission within realistic poultry production and distribution networks. We provide example applications to broiler production in Bangladesh, but the modular structure of the model allows for easy parameterization to suit specific countries and system configurations. Moreover, the framework enables the replication of a wide range of eco-epidemiological scenarios by incorporating diverse pathogen life-history traits, modes of transmission and interactions between multiple strains and/or pathogens. EPINEST was developed in the context of an interdisciplinary multi-centre study conducted in Bangladesh, India, Vietnam and Sri Lanka, and will facilitate the investigation of the spreading patterns of various health hazards such as avian influenza, Campylobacter, Salmonella and antimicrobial resistance in these countries. Furthermore, this modelling framework holds potential for broader application in veterinary epidemiology and One Health research, extending its relevance beyond poultry to encompass other livestock species and disease systems.
... Through open-ended interviews about why and how shoppers purchase live poultry, our study tested the hypothesis that 'freshness' was a predominant value driving consumption of live poultry. The study contributes to literature providing a "sociocultural perspective on risk" that "emphasiz[es] the contexts in which risk is understood, lived, embodied, and experienced" (Høg et al., 2019;Paul et al., 2015;Keck, 2019;Porter, 2019;Veeck et al., 2010). It aims to understand why some consumers continue to consume foods identified by veterinary epidemiologists or other experts as risky (Munn, 2008;Enticott, 2003;Paxson, 2008). ...
Book
This book explores issues surrounding measles and vaccination in Pakistan. Drawing on long-term ethnographic research, it focuses on two major outbreaks in Sindh Province and on Pakistan’s vaccination campaigns. The chapters examine the responses to outbreaks and vaccination from various stakeholders including local people, the Pakistani government and the WHO. Inayat Ali reflects on the competing agendas, differing conceptualizations of measles and vaccination, and the factors that lie behind these contestations. Situating outbreaks within the institutionalized form of disparities, he analyzes the rituals used to deal with measles and local resistance to vaccines in Pakistan. The distinct imaginaries and practices related to measles and vaccination are considered in national and global context, and the book makes a valuable contribution to the development of an anthropology of vaccination and medical anthropology of Pakistan.
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H9N2 avian influenza viruses (AIVs) are a major concern for the poultry sector and human health in countries where this subtype is endemic. By fitting a model simulating H9N2 AIV transmission to data from a field experiment, we characterise the epidemiology of the virus in a live bird market in Bangladesh. Many supplied birds arrive already exposed to H9N2 AIVs, resulting in many broiler chickens entering the market as infected, and many indigenous backyard chickens entering with pre-existing immunity. Most susceptible chickens become infected within one day spent at the market, owing to high levels of viral transmission within market and short latent periods, as brief as 5.3 hours. Although H9N2 AIV transmission can be substantially reduced under moderate levels of cleaning and disinfection, effective risk mitigation also requires a range of additional interventions targeting markets and other nodes along the poultry production and distribution network.
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The prevalence of avian influenza viruses (AIVs) is commonly found to increase dramatically from farms to live bird markets (LBMs). Viral transmission dynamics along marketing chains is, however, poorly understood. To address this gap, we implemented a field experiment altering chicken supply to an LBM in Chattogram, Bangladesh. Chickens traded along altered (intervention) and conventional (control) marketing chains were tested for AIVs. Upon arrival at the LBM, the odds of detecting AIVs did not differ between control and intervention groups. However, 12 hours later, intervention group odds were lower, particularly for broiler chickens, indicating that viral shedding in LBM resulted partly from infections during transport and trade. Curtailing AIV prevalence in LBMs requires mitigating risk in marketing chain nodes preceding chickens’ delivery at LBMs. Article Summary Line The high prevalence of avian influenza viruses in marketed chickens cannot be solely attributed to viral transmission within live bird markets but is also influenced by infections occurring prior to the chickens’ supply to these markets.
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Background The spread of the highly pathogenic avian influenza (HPAI) H5N1 virus among poultry and humans has raised global concerns and has motivated government and public health organizations to initiate interventions to prevent the transmission of HPAI. In Bangladesh, H5N1 became endemic in poultry and seven human H5N1 cases have been reported since 2007, including one fatality. This study piloted messages to increase awareness about avian influenza and its prevention in two rural communities, and explored change in villagers’ awareness and behaviors attributable to the intervention. Methods During 2009–10, a research team implemented the study in two rural villages in two districts of Bangladesh. The team used a focused ethnographic approach for data collection, including informal interviews and observations to provide detailed contextual information about community response to a newly emerging disease. They collected pre-intervention qualitative data for one month. Then another team disseminated preventive messages focused on safe slaughtering methods, through courtyard meetings and affixed posters in every household. After dissemination, the research team collected post-intervention data for one month. Results More villagers reported hearing about ‘bird flu’ after the intervention compared to before the intervention. After the intervention, villagers commonly recalled changes in the color of combs and shanks of poultry as signs of avian influenza, and perceived zoonotic transmission of avian influenza through direct contact and through inhalation. Consequently the villagers valued covering the nose and mouth while handling sick and dead poultry as a preventive measure. Nevertheless, the team did not observe noticeable change in villagers’ behavior after the intervention. Villagers reported not following the recommended behaviors because of the perceived absence of avian influenza in their flocks, low risk of avian influenza, cost, inconvenience, personal discomfort, fear of being rebuked or ridiculed, and doubt about the necessity of the intervention. Conclusions The villagers’ awareness about avian influenza improved after the intervention, however, the intervention did not result in any measurable improvement in preventive behaviors. Low cost approaches that promote financial benefits and minimize personal discomfort should be developed and piloted.
Article
In Bangladesh, highly pathogenic avian influenza H5N1 is endemic in poultry. This study aimed to understand the biosecurity conditions and farmers’ perception of avian influenza biosecurity in Bangladeshi small commercial chicken farms. During 2011–2012, we conducted observations, in-depth interviews and group discussions with poultry farmers in 16 farms and in-depth interviews with seven local feed vendors from two districts. None of the farms were completely segregated from people, backyard poultry, other animals, households, other poultry farms or large trees. Wild birds and rodents accessed the farms for poultry feed. Farmers usually did not allow the buyers to bring egg trays inside their sheds. Spraying disinfectant in the shed and removing feces were the only regular cleaning and disinfection activities observed. All farmers sold or used untreated feces as fish feed or fertilizer. Farmers were more concerned about Newcastle disease and infectious bursal disease than about avian influenza. Farmers’ understanding about biosecurity and avian influenza was influenced by local vendors. While we seldom observed flock segregation, some farmers used measures that involved additional cost or effort to protect their flocks. These farmers could be motivated by interventions to protect their investment from diseases they consider harmful. Future interventions could explore the feasibility and effectiveness of low-cost alternative biosecurity measures.