The frequency of cat and/or dog ownership in Ghana is comparable to that in
the United Kingdom (similar to 50%). However, in Ghanaian communities pets
are predominantly kept outdoors. Levels of pet allergens (Fel d 1 and Can
f 1) in 100 Ghanaian homes (49 without pets) were compared with levels in 4
10 homes in the United Kingdom (258 without pets). Homes with pets in the U
nited Kingdom contained much higher allergen levels than homes with pets hi
Ghana (for Fel d 1: mean difference, 275-fold; 95% CI, 129-fold to 594-fol
d; P < .0001; for Can f 1: mean difference, 75-fold; 95% CI, 33-fold to 169
-fold; P < .0001). Homes without cuts in the United Kingdom contained signi
ficantly higher levels of Fel d 1 than homes with cats in Ghana (mean diffe
rence, 3.7-fold; 95% CI, 2.0-fold to 7.2-fold; P < .0001). In the United Ki
ngdom, homes with dogs contained 75-fold (95% CI, 47-fold to 139-fold) more
Can f 1 than homes without dogs, whereas in Ghana, homes with dogs contain
ed 3.1-fold (95% CI, 1.5-fold to 6.1-fold; P = .003) more Can f I than home
s without dogs. In the United Kingdom homes with cats contained 77-fold mor
e Fel d 1 (95% CI, 46-fold to 129-fold; P < .0001) than homes without cats;
there was no difference in cat allergen levels between homes with cats and
homes without cats in Ghana. In conclusion, levels of pet allergens in Gha
naian homes with pets were (1) between 75-fold (dog) and 275-fold (cat) low
er than levels in homes with pets in the United Kingdom and (2) lower than
or comparable to levels in homes without pets in the United Kingdom.