Abstract
<jats:p>Background: Flea infestation is an important companion-animal health problem and a prime source of zoonotic exposure. However, information on cat owners awareness and preventive behavior regarding fleas and flea-borne diseases (FBDs) in Bangladesh is limited. This study assessed the knowledge, attitudes and practices (KAP) of cat owners regarding flea infestation and flea-borne diseases in selected areas of central Bangladesh. Methods: A cross-sectional survey was conducted from November 2025 to July 2026 among 238 cat owners attending veterinary clinics in Savar, Dhamrai and Manikganj Upazila. Data were collected using a pretested structured questionnaire covering respondent characteristics, flea biology and transmission, perceived risks, and flea-prevention and control practices. Descriptive statistics were used to summarize the findings, and respondents were classified according to their overall KAP scores. Results: Of the respondents, 47.1% owned cats with outdoor access and 77.7% reported that their pets had previously experienced flea infestation. Although 65.5% used flea-control treatments, awareness of zoonotic and disease-transmission risks was limited. Only 14.7% recognized that fleas can parasitize humans, while 17.6% knew that fleas can transmit infectious agents. Overall, 83.2% of respondents had poor knowledge, whereas 69.7% demonstrated moderate attitudes and 63.9% showed moderate practices. Good knowledge and good practice were uncommon, accounting for only 3.8% and 4.6% of respondents, respectively. Veterinary recommendation was the most frequently reported motivation for using flea-control products. Conclusions: Cat owners attending in the surveyed areas frequently reported flea exposure and treatment use, but substantial gaps remained in their understanding of flea biology, zoonotic potential and comprehensive control. Targeted veterinary education emphasizing routine prevention, treatment of all susceptible household animals and environmental management is needed. These findings provide regional baseline evidence and should not be interpreted as nationally representative. Keywords: Bangladesh; cat owners; ectoparasites; flea-borne diseases; flea control; knowledge, attitudes and practices; One Health.</jats:p>