21Bovine tuberculosis (bTB) is a disease of cattle that is transmitted through direct contact 22 with an infected animal or ingestion of contaminated food or water. This study seeks to 23 explore the local knowledge on the disease and establish the risk practices that lead to 24 its transmission to cattle and humans (zoonotic TB) in a traditional livestock farming 25 community with a history of bTB diagnosis in cattle and wildlife. Information was 26 collected using a qualitative approach of Focus Group Discussions (FGDs) targeting 27 household members of livestock farmers that owned either bTB infected or uninfected 28 herds. We conducted fourteen FGDs (150 individuals) across four dip tanks that 29 included the following categories of participants from cattle owning households: heads 30 of households, cattle keepers, dip tank committee members and women. The qualitative 31 data was managed using NVivo Version 12 Pro ® software. Social and cultural practices 32 were identified as major risky practices for bTB transmission to people, such as the 33 consumption of undercooked meat, consumption of soured /raw milk and lack of 34 protective measures during slaughtering of cattle. The acceptance of animals into a 35 herd without bTB pre-movement testing following traditional practices (e.g. lobola, 'bride 36 price', the temporary introduction of a bull for 'breeding'), the sharing of grazing and 37 watering points amongst the herds and with wildlife were identified as risky practices for 38 bTB transmission to cattle. Overall, knowledge of bTB in cattle and modes of 39 transmission to people and livestock was found to be high. However, the community 40 was still involved in risky practices that expose people and cattle to bovine TB. An inter-41 disciplinary 'One Health' approach that engages the community is recommended, to 42 provide locally relevant interventions that allows the community to keep their traditional 43 3 practices and socio-economic systems whilst avoiding disease transmission to cattle 44 and people. 45 Author summary 46 Bovine tuberculosis (bTB) is a respiratory disease of cattle that is transmitted to 47 other animals as well as humans (zoonotic TB) through direct contact with infected 48 animals, and consumption of contaminated food (animal products) or water. The study 49 explains the complexities of human-animal relations, reflects on how people understand 50 and conceptualize risk of bovine tuberculosis (bTB) in an endemic area considering the 51 economic value of livestock keeping as well as social and cultural practices of 52 importance to the community. The results of this study identified socio-cultural practices 53 that involved consumption of raw or undercooked animal products and handling of 54 infected animal products during animal slaughter as major risky practices for bTB 55 transmission to people. Introduction of animals into a herd without bTB testing for socio-56 cultural purposes and sharing of resources amongst the communal herd and with 57 wildlife were identified as risky p...