Pub Date : 2019-01-01DOI: 10.35248/2329-891X.19.7.312
N. O. Nlinwe, N. G. Forgha, Yakum Ivan Mboambogoh, Fozoh Isiah Aziseh
Malaria remains a major threat to life in Cameroon and in the North West Region in particular. This threat is especially common in rural areas despite the fact that it is preventable and treatable. It is from the above count that this study examines the role of; Household income, Family Size, Gender and Age of household head, Educational level of the Household head, Knowledge on signs, symptoms, and prevention of malaria among Households in the North West Region of Cameroon. This study used data collected from 6341 households selected from ten health districts with the highest malaria prevalence in the North West Region. Data were analyzed using ordered logit Regression. The findings of this study reveal the significant ability of; gender, age, marital status and educational attainments of household heads; household per capita income; household size; knowledge on malaria prevention/ transmission, in predicting households ’ malaria prevention seeking behaviors in the North West Region of Cameroon. There is also evidence of the knowledge gap on the signs, causes, and prevention of malaria. The study strongly recommends sensitization campaigns; creation of community-based malaria control committees; sponsored media programs; household empowerment programs and free distribution of Insecticide Treated Bed Nets, as ways of curbing the prevalence of malaria in the North West Region in particular and Cameroon in general.
{"title":"Malaria Preventive Behaviour among Rural Households in the North West Region of Cameroon","authors":"N. O. Nlinwe, N. G. Forgha, Yakum Ivan Mboambogoh, Fozoh Isiah Aziseh","doi":"10.35248/2329-891X.19.7.312","DOIUrl":"https://doi.org/10.35248/2329-891X.19.7.312","url":null,"abstract":"Malaria remains a major threat to life in Cameroon and in the North West Region in particular. This threat is especially common in rural areas despite the fact that it is preventable and treatable. It is from the above count that this study examines the role of; Household income, Family Size, Gender and Age of household head, Educational level of the Household head, Knowledge on signs, symptoms, and prevention of malaria among Households in the North West Region of Cameroon. This study used data collected from 6341 households selected from ten health districts with the highest malaria prevalence in the North West Region. Data were analyzed using ordered logit Regression. The findings of this study reveal the significant ability of; gender, age, marital status and educational attainments of household heads; household per capita income; household size; knowledge on malaria prevention/ transmission, in predicting households ’ malaria prevention seeking behaviors in the North West Region of Cameroon. There is also evidence of the knowledge gap on the signs, causes, and prevention of malaria. The study strongly recommends sensitization campaigns; creation of community-based malaria control committees; sponsored media programs; household empowerment programs and free distribution of Insecticide Treated Bed Nets, as ways of curbing the prevalence of malaria in the North West Region in particular and Cameroon in general.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"7 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70008741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2329-891x.19.7.321
A. Hillary, Mugisha Julius, Ngonzi Joseph, K. Musa, M. Ronald, Kanyesigye Hamson, Wasswa Salongo, Lugobe Henry Mark, M. Richard, Bakibinga Pauline, Masembe Sezalio, Kab, a Taseera
Background: Hepatitis B infection is a disease of public health significance. The burden of the disease among the pregnant women at Mbarara Regional Referral Hospital was not known yet determining seropositivity at antenatal care could prevent HBV in the newborn. This study assessed the prevalence and factors associated with hepatitis B surface antigen positivity among women attending antenatal care at Mbarara Regional Referral Hospital. Methods: This was a cross-sectional study that consisted of 385 pregnant women who attended antenatal care clinic at Mbarara Regional Referral Hospital in a period of three months beginning December 2018 to February 2018. Blood samples were tested for HBsAg using immune-chromatography and positive samples confirmed using the ARCHITECT S2000r system. Data was collected using a structured questionnaire. Logistic regression analysis to assess associated factors with HBsAg was done, results were presented in tables. Results: Three hundred eighty-five women were enrolled in the study. Their median age was 26 years. Prevalence of current (HBsAg) was 3.12% (95% CI 1.62-5.38%). Prevalence of HBsAg was higher. The factors associated with HBsAg positivity were having more than one sexual partner 10.3% or 4.695% CI (1.34-16.30) pvalue= 0.016, history of valval ulcerations 0. R=3.35(CI 1.04-10.77), p-value=0.045 and history of body piercing 12.88% (CI 1.34-124.40), p=0.0027. Conclusion: The prevalence of hepatitis B surface antigen positivity among pregnant women receiving antenatal care at Mbarara Regional Referral Hospital is high. According to the WHO classification of hepatitis B infection, results show intermediate endemicity, and this clearly points to the need for universal screening of all women attending antenatal care at Mbarara Hospital.
背景:乙型肝炎感染是一种具有公共卫生意义的疾病。Mbarara地区转诊医院孕妇的疾病负担尚不清楚,确定产前护理血清阳性可以预防新生儿感染HBV。本研究评估了在姆巴拉拉地区转诊医院接受产前护理的妇女中乙型肝炎表面抗原阳性的患病率和相关因素。方法:这是一项横断面研究,包括在2018年12月至2018年2月的三个月内在姆巴拉拉地区转诊医院产前保健诊所就诊的385名孕妇。血样采用免疫层析法检测HBsAg,阳性样本采用ARCHITECT S2000r系统确认。使用结构化问卷收集数据。Logistic回归分析与HBsAg相关因素,结果见表。结果:385名女性参与了这项研究。他们的平均年龄为26岁。当前(HBsAg)患病率为3.12% (95% CI 1.62 ~ 5.38%)。HBsAg患病率较高。与HBsAg阳性相关的因素为:有多于一个性伴侣10.3%或4.695% CI (1.34-16.30) p值= 0.016,瓣膜溃疡史0。R=3.35(CI 1.04 ~ 10.77), p值=0.045,穿刺史12.88% (CI 1.34 ~ 124.40), p=0.0027。结论:在姆巴拉拉地区转诊医院接受产前护理的孕妇中,乙型肝炎表面抗原阳性率较高。根据世卫组织对乙型肝炎感染的分类,结果显示为中等地方性,这清楚地表明需要对在姆巴拉拉医院接受产前护理的所有妇女进行普遍筛查。
{"title":"Prevalence and Factors Associated with Hepatitis B Surface Antigen Positivity among Women Receiving Antenatal Care at Mbarara Regional Referral Hospital","authors":"A. Hillary, Mugisha Julius, Ngonzi Joseph, K. Musa, M. Ronald, Kanyesigye Hamson, Wasswa Salongo, Lugobe Henry Mark, M. Richard, Bakibinga Pauline, Masembe Sezalio, Kab, a Taseera","doi":"10.35248/2329-891x.19.7.321","DOIUrl":"https://doi.org/10.35248/2329-891x.19.7.321","url":null,"abstract":"Background: Hepatitis B infection is a disease of public health significance. The burden of the disease among the pregnant women at Mbarara Regional Referral Hospital was not known yet determining seropositivity at antenatal care could prevent HBV in the newborn. This study assessed the prevalence and factors associated with hepatitis B surface antigen positivity among women attending antenatal care at Mbarara Regional Referral Hospital. Methods: This was a cross-sectional study that consisted of 385 pregnant women who attended antenatal care clinic at Mbarara Regional Referral Hospital in a period of three months beginning December 2018 to February 2018. Blood samples were tested for HBsAg using immune-chromatography and positive samples confirmed using the ARCHITECT S2000r system. Data was collected using a structured questionnaire. Logistic regression analysis to assess associated factors with HBsAg was done, results were presented in tables. Results: Three hundred eighty-five women were enrolled in the study. Their median age was 26 years. Prevalence of current (HBsAg) was 3.12% (95% CI 1.62-5.38%). Prevalence of HBsAg was higher. The factors associated with HBsAg positivity were having more than one sexual partner 10.3% or 4.695% CI (1.34-16.30) pvalue= 0.016, history of valval ulcerations 0. R=3.35(CI 1.04-10.77), p-value=0.045 and history of body piercing 12.88% (CI 1.34-124.40), p=0.0027. Conclusion: The prevalence of hepatitis B surface antigen positivity among pregnant women receiving antenatal care at Mbarara Regional Referral Hospital is high. According to the WHO classification of hepatitis B infection, results show intermediate endemicity, and this clearly points to the need for universal screening of all women attending antenatal care at Mbarara Hospital.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70008997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.4172/2329-891X.1000300
Christian Kosisochukwu Anumudu, Nwachukwu Mi, Obasi Cc, Nwachukwu Io, Ihenetu Fc
This study was designed to investigate the antimicrobial activity of leaf and ground snuff extracts of Tobacco (Nicotiana tabacum) against Candida albicans and Streptococcus pyogenes using methanol and water as extracting solvents. The study employed the agar diffusion and tube dilution assays. Methanol extracts of tobacco leaf produced zones of inhibition of 13.0 mm against Streptococcus and 9.5 mm against Candida, whereas the water extracts produced inhibition zones of 10.0 mm for Streptococcus and no inhibitory activity on Candida. A minimum inhibitory concentration of 25 mg/ml was recorded by the methanol extracts of tobacco leaves against Candida and 100 mg/ml MIC against Streptococcus. The methanolic leaf extracts had both bactericidal and fungicidal effect on both Streptococcus and Candida at a concentration of 200 mg/ml. The zones of inhibition obtained from methanolic extracts of grounded snuff against Streptococcus was 10.5 mm and 15.0 mm against Candida whereas the water extracts produced inhibition zones of 7.5 mm for Streptococcus and 11.0 mm against Candida. A minimum inhibitory concentration of 100 mg/ml was recorded by both methanolic and water snuff extracts against Streptococcus. While the MIC obtained from the methanolic extract of ground snuff against Candida was 50 mg/ml. The water extracts of ground snuff showed no bactericidal or fungicidal activity. Whereas 200 mg/ml of the methanolic extract of ground snuff was microbiocidal against Streptococcus and Candida. In summary, the study showed that Grounded snuff is more of an antifungal agent than antibacterial while tobacco leaves have great antibacterial potential. This may justify the use of tobacco leaves and its ground snuff in the treatment of oral thrush caused by Candida albicans and strep throat caused by Streptococcus pyogenes.
{"title":"Antimicrobial Activities of Extracts of Tobacco Leaf (Nicotiana tabacum) and Its Grounded Snuff (Utaba) on Candida albicans and Streptococcus pyogenes","authors":"Christian Kosisochukwu Anumudu, Nwachukwu Mi, Obasi Cc, Nwachukwu Io, Ihenetu Fc","doi":"10.4172/2329-891X.1000300","DOIUrl":"https://doi.org/10.4172/2329-891X.1000300","url":null,"abstract":"This study was designed to investigate the antimicrobial activity of leaf and ground snuff extracts of Tobacco (Nicotiana tabacum) against Candida albicans and Streptococcus pyogenes using methanol and water as extracting solvents. The study employed the agar diffusion and tube dilution assays. Methanol extracts of tobacco leaf produced zones of inhibition of 13.0 mm against Streptococcus and 9.5 mm against Candida, whereas the water extracts produced inhibition zones of 10.0 mm for Streptococcus and no inhibitory activity on Candida. A minimum inhibitory concentration of 25 mg/ml was recorded by the methanol extracts of tobacco leaves against Candida and 100 mg/ml MIC against Streptococcus. The methanolic leaf extracts had both bactericidal and fungicidal effect on both Streptococcus and Candida at a concentration of 200 mg/ml. The zones of inhibition obtained from methanolic extracts of grounded snuff against Streptococcus was 10.5 mm and 15.0 mm against Candida whereas the water extracts produced inhibition zones of 7.5 mm for Streptococcus and 11.0 mm against Candida. A minimum inhibitory concentration of 100 mg/ml was recorded by both methanolic and water snuff extracts against Streptococcus. While the MIC obtained from the methanolic extract of ground snuff against Candida was 50 mg/ml. The water extracts of ground snuff showed no bactericidal or fungicidal activity. Whereas 200 mg/ml of the methanolic extract of ground snuff was microbiocidal against Streptococcus and Candida. In summary, the study showed that Grounded snuff is more of an antifungal agent than antibacterial while tobacco leaves have great antibacterial potential. This may justify the use of tobacco leaves and its ground snuff in the treatment of oral thrush caused by Candida albicans and strep throat caused by Streptococcus pyogenes.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"7 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70276496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2329-891X.19.7.309
A. Srirangan, J. Pushpakumara, K. Wanigasuriya
Background: Hump-nosed viper bite, the commonest venomous snake bite in Sri Lanka, is associated with significant morbidity. Specific anti-venom is not available for hump-nosed viper envenomation which is usually managed with supportive treatment. Pulmonary hemorrhage is an unusual manifestation of hump-nosed viper bite. Here we present a case of hump-nosed viper envenomation which complicated by pulmonary hemorrhage and was successfully treated with systemic steroids. To the best of our knowledge, it has not been reported in the literature before. Case Presentation: A previously healthy 55-year-old man presented to the local hospital 18 hours after a humpnosed viper bite. He developed bilateral severe pulmonary hemorrhages, evidenced by rapid desaturation which needed intubation and mechanical ventilation, bleeding from the endotracheal tube and bilateral alveolar shadows in a chest X-ray. He had no other bleeding manifestations. Because of the life-threatening situation, he was treated with methylprednisolone pulse therapy. There was a rapid improvement of hypoxia with a resolution of X-ray changes. He was successfully weaned off from the ventilation after 24 hours. Conclusion: This case highlights the importance of suspecting pulmonary hemorrhage in a patient who develops desaturation and alveolar shadow following hump-nosed viper bite even in the absence of other bleeding manifestation. Early and timely treatment with systemic steroid can be lifesaving in such patients.
{"title":"Pulmonary Haemorrhage due to Hump-Nosed Viper Bite: Excellent Response to Methyl Prednisolone-Case Report and Review of Literature","authors":"A. Srirangan, J. Pushpakumara, K. Wanigasuriya","doi":"10.35248/2329-891X.19.7.309","DOIUrl":"https://doi.org/10.35248/2329-891X.19.7.309","url":null,"abstract":"Background: Hump-nosed viper bite, the commonest venomous snake bite in Sri Lanka, is associated with significant morbidity. Specific anti-venom is not available for hump-nosed viper envenomation which is usually managed with supportive treatment. Pulmonary hemorrhage is an unusual manifestation of hump-nosed viper bite. Here we present a case of hump-nosed viper envenomation which complicated by pulmonary hemorrhage and was successfully treated with systemic steroids. To the best of our knowledge, it has not been reported in the literature before. Case Presentation: A previously healthy 55-year-old man presented to the local hospital 18 hours after a humpnosed viper bite. He developed bilateral severe pulmonary hemorrhages, evidenced by rapid desaturation which needed intubation and mechanical ventilation, bleeding from the endotracheal tube and bilateral alveolar shadows in a chest X-ray. He had no other bleeding manifestations. Because of the life-threatening situation, he was treated with methylprednisolone pulse therapy. There was a rapid improvement of hypoxia with a resolution of X-ray changes. He was successfully weaned off from the ventilation after 24 hours. Conclusion: This case highlights the importance of suspecting pulmonary hemorrhage in a patient who develops desaturation and alveolar shadow following hump-nosed viper bite even in the absence of other bleeding manifestation. Early and timely treatment with systemic steroid can be lifesaving in such patients.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"7 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70008473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2329-891X.19.7.310
N. Wickramaarachchi, P. Mahanama, R. Ratnayake, B. Ns, ara
The rise of Information Communication Technology (ICT) has offered the world a new and efficient mechanism to increase active citizen engagement. Growth in open source technology has widened the space for engaging a vast number of citizens limitless of geographical and hierarchical boundaries via crowdsourcing real-time data. Even though there is a boom in using ICTs in connecting and sharing knowledge and information among different stakeholders, still, there is a considerable gap in using open source technology in combating public health issues around the world. As a country with a high internet usage rate, Sri Lanka still shows underutilization of such technologies in monitoring and preventing non-communicable diseases. Dengue is a serious health threat in Sri Lanka which shows the need for active surveillance in prevention. The main objective of the paper is to seek the potential possibility of using the Internet of Things (IoT) in preventing dengue outbreak in Sri Lanka. Also, it aims to identify the opportunities for using a mobile application and even tries to address the usability issues that could arise when introducing and retaining a mobile application. By doing that, this paper will contribute to filling the gap in research on functionality and usability issues and also introduces a user-friendly open source application to prevent dengue outbreak in Sri Lanka. The proposed development of the mobile platform for dengue prevention has considered the economic and social understanding of people as rational thinkers and collective actors and also has used the user-friendly guidelines of mobile application development.
{"title":"Public Health Planning and Citizen Engagement: Exploring the Need and the Sustainability of an Open Source Platform for Dengue Prevention in Sri Lanka","authors":"N. Wickramaarachchi, P. Mahanama, R. Ratnayake, B. Ns, ara","doi":"10.35248/2329-891X.19.7.310","DOIUrl":"https://doi.org/10.35248/2329-891X.19.7.310","url":null,"abstract":"The rise of Information Communication Technology (ICT) has offered the world a new and efficient mechanism to increase active citizen engagement. Growth in open source technology has widened the space for engaging a vast number of citizens limitless of geographical and hierarchical boundaries via crowdsourcing real-time data. Even though there is a boom in using ICTs in connecting and sharing knowledge and information among different stakeholders, still, there is a considerable gap in using open source technology in combating public health issues around the world. As a country with a high internet usage rate, Sri Lanka still shows underutilization of such technologies in monitoring and preventing non-communicable diseases. Dengue is a serious health threat in Sri Lanka which shows the need for active surveillance in prevention. The main objective of the paper is to seek the potential possibility of using the Internet of Things (IoT) in preventing dengue outbreak in Sri Lanka. Also, it aims to identify the opportunities for using a mobile application and even tries to address the usability issues that could arise when introducing and retaining a mobile application. By doing that, this paper will contribute to filling the gap in research on functionality and usability issues and also introduces a user-friendly open source application to prevent dengue outbreak in Sri Lanka. The proposed development of the mobile platform for dengue prevention has considered the economic and social understanding of people as rational thinkers and collective actors and also has used the user-friendly guidelines of mobile application development.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"7 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70008538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2329-891X.19.7.316
Teklemariam Yarinbab, Abebe Demissie Darcha
Background: Soil-Transmitted Helminths (STH) infection is a major public health problem among school-aged children in developing countries. In Ethiopia, school-aged children have been identified as a high-risk group of population to be infected with Soil Transmitted Helminthes. Effective prevention and control of STH infection require the identification of risk factors among high-risk groups. Therefore, the aim of this study was to assess the prevalence of Soil Transmitted Helminthes infections and its determinants among primary school children in Gena Bossa Woreda, Ethiopia. Methods: Cross-sectional study was conducted in Gena Bossa Woreda, Ethiopia. The data were collected using pre-tested and structured questionnaires. Simple random sampling technique was used. Data analysis was done by SPSS for Windows Version 20.0. Bivariate and Multivariate logistic regressions analyses were conducted. p-value <0.05 was used to declare statistically significant variables. Result: About 303 (97.7%) of the study subjects participated in the study. Above one-third (38.3%) of the study, participants were tested positive for at least one of the STH species. lumbricoides (42.1%) was the predominant parasite followed by Hookworms (37.4%) and T. trichiura (11.2%). Lack of private latrines (AOR=4.12, 95% CI: 1.64 and 3.37), not wearing shoes always (AOR=1.80, 95% CI: 1.01, 3.23), age of children (5 to 10 years) (AOR=2.43, 95%, CI: 1.42 and 4.16) and not knowing causative agents of STH infection (AOR=2.60, 95% CI: 1.37 and 4.93) were found to be determinants of Soil Transmitted Helminthes Infections. Conclusion: Lack of private latrines, not wearing shoes always, age of children (5 to 10 years) and not knowing causative agents of STH infections were found to be major determinants of STH Infections. Therefore; public health policymakers and stakeholders working in the area should focus their intervention against STH infections on integrated control programs including regular health education on children ’ s shoes wearing habits, raising awareness of school children and their families on STH infections and promoting private latrines in every household.
背景:土壤传播蠕虫(STH)感染是发展中国家学龄儿童的一个主要公共卫生问题。在埃塞俄比亚,学龄儿童已被确定为感染土壤传播蠕虫的高危人群。有效预防和控制STH感染需要识别高危人群中的危险因素。因此,本研究的目的是评估埃塞俄比亚Gena Bossa wooreda小学生中土壤传播蠕虫感染的流行情况及其决定因素。方法:在埃塞俄比亚Gena Bossa wooreda进行横断面研究。数据是通过预先测试和结构化的问卷收集的。采用简单随机抽样技术。数据分析采用SPSS for Windows Version 20.0软件。进行了双变量和多变量logistic回归分析。以p值<0.05表示变量有统计学意义。结果:约303名(97.7%)研究对象参与研究。超过三分之一(38.3%)的研究参与者在至少一种STH物种的检测中呈阳性。寄生虫以蚓类为主(42.1%),其次为钩虫(37.4%)和毛螺旋体(11.2%)。缺乏私人厕所(AOR=4.12, 95% CI: 1.64和3.37)、不经常穿鞋(AOR=1.80, 95% CI: 1.01和3.23)、儿童年龄(5至10岁)(AOR=2.43, 95% CI: 1.42和4.16)和不知道STH感染的病原体(AOR=2.60, 95% CI: 1.37和4.93)是土壤传播性蠕虫感染的决定因素。结论:缺乏私人厕所、不常穿鞋、儿童年龄(5 ~ 10岁)和不了解STH感染病原体是STH感染的主要决定因素。因此;公共卫生政策制定者和利益相关方应将预防STH感染的干预措施重点放在综合控制计划上,包括定期对儿童穿鞋习惯进行健康教育,提高学童及其家庭对STH感染的认识,以及在每个家庭推广私人厕所。
{"title":"Prevalence of Soil Transmitted Helminthes Infections and its Determinants among Primary School Children in Gena Bossa Tiworeda, Ethiopia: Cross-Sectional Study","authors":"Teklemariam Yarinbab, Abebe Demissie Darcha","doi":"10.35248/2329-891X.19.7.316","DOIUrl":"https://doi.org/10.35248/2329-891X.19.7.316","url":null,"abstract":"Background: Soil-Transmitted Helminths (STH) infection is a major public health problem among school-aged children in developing countries. In Ethiopia, school-aged children have been identified as a high-risk group of population to be infected with Soil Transmitted Helminthes. Effective prevention and control of STH infection require the identification of risk factors among high-risk groups. Therefore, the aim of this study was to assess the prevalence of Soil Transmitted Helminthes infections and its determinants among primary school children in Gena Bossa Woreda, Ethiopia. Methods: Cross-sectional study was conducted in Gena Bossa Woreda, Ethiopia. The data were collected using pre-tested and structured questionnaires. Simple random sampling technique was used. Data analysis was done by SPSS for Windows Version 20.0. Bivariate and Multivariate logistic regressions analyses were conducted. p-value <0.05 was used to declare statistically significant variables. Result: About 303 (97.7%) of the study subjects participated in the study. Above one-third (38.3%) of the study, participants were tested positive for at least one of the STH species. lumbricoides (42.1%) was the predominant parasite followed by Hookworms (37.4%) and T. trichiura (11.2%). Lack of private latrines (AOR=4.12, 95% CI: 1.64 and 3.37), not wearing shoes always (AOR=1.80, 95% CI: 1.01, 3.23), age of children (5 to 10 years) (AOR=2.43, 95%, CI: 1.42 and 4.16) and not knowing causative agents of STH infection (AOR=2.60, 95% CI: 1.37 and 4.93) were found to be determinants of Soil Transmitted Helminthes Infections. Conclusion: Lack of private latrines, not wearing shoes always, age of children (5 to 10 years) and not knowing causative agents of STH infections were found to be major determinants of STH Infections. Therefore; public health policymakers and stakeholders working in the area should focus their intervention against STH infections on integrated control programs including regular health education on children ’ s shoes wearing habits, raising awareness of school children and their families on STH infections and promoting private latrines in every household.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"7 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70008775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2329-891x.19.7.325
Sanchez-Garza J.J, G. B.M., M. G.A, Cepeda Hortensia, Vázquez A.J, F. J.M., Guerrero Gg
Detection, identification, and differentiation of members of the MTB complex rely on specificity, sensitivity, and accuracy of the methods that have been developed since the decades of the ’90s. Despite this, still, in endemic areas of developing countries tuberculin field test as well as conventional techniques (histopathology and bacteriology) are performed due primarily to the costs and availability. Therefore, it is an urgent need to have a routine assay to boost field test (false positive and negative tests) in live cows while avoiding the unnecessary sacrifice of animals. To this end, in the present work, we designed a dual experimental strategy that can be used as a routine assay for the M. bovis or M. tuberculosis detection through PCR mediated amplification of RD’s. DNA can be prepared from fast-growing colonies (7 to 8 days) or from homogenized tissue, nasal exudate and purification mediated cetyl-trimethylammonium bromide (CTAB) cationic buffer. The method was extraplated to positive TB positive nasal/oral human exudate.with similar results. Collectively these findings indicate that this strategy represent a valuable tool for TBb epidemiological survey and research.
{"title":"Direct DNA Modified CTAB Preparation from Nasal Exudate in Live M. bovis Infected Cattle in Mexico Provide with a Valuable Assay Extrapolated to Humans TB Diagnostic Test","authors":"Sanchez-Garza J.J, G. B.M., M. G.A, Cepeda Hortensia, Vázquez A.J, F. J.M., Guerrero Gg","doi":"10.35248/2329-891x.19.7.325","DOIUrl":"https://doi.org/10.35248/2329-891x.19.7.325","url":null,"abstract":"Detection, identification, and differentiation of members of the MTB complex rely on specificity, sensitivity, and accuracy of the methods that have been developed since the decades of the ’90s. Despite this, still, in endemic areas of developing countries tuberculin field test as well as conventional techniques (histopathology and bacteriology) are performed due primarily to the costs and availability. Therefore, it is an urgent need to have a routine assay to boost field test (false positive and negative tests) in live cows while avoiding the unnecessary sacrifice of animals. To this end, in the present work, we designed a dual experimental strategy that can be used as a routine assay for the M. bovis or M. tuberculosis detection through PCR mediated amplification of RD’s. DNA can be prepared from fast-growing colonies (7 to 8 days) or from homogenized tissue, nasal exudate and purification mediated cetyl-trimethylammonium bromide (CTAB) cationic buffer. The method was extraplated to positive TB positive nasal/oral human exudate.with similar results. Collectively these findings indicate that this strategy represent a valuable tool for TBb epidemiological survey and research.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70009707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2329-891X.19.7.315
Edoama Edet Gbodo, Christian Kosisochukwu Anumudu
Typhoid fever caused by Salmonella enterica serovar Typhi is an endemic acute febrile illness which causes a high disease mortality and morbidity rate in developing countries. The disease can be transmitted through contaminated food and water and has gained an endemic status as the bacterium can be carried and shed by some individuals who have recovered from the disease. This study investigates the carriership of the bacteria by food handlers who may shed the bacteria into street vended foods they serve, thus spreading the disease and correlating this data to sex, age and source of drinking water. 420 blood and stool samples were collected from volunteers working in the food retail sector (cafeterias) around Imo State University Owerri and its environs using stratified random sampling methods. Widal test (rapid slide agglutination) was utilized as a presumptive screening test with titer values of 1:80 and above considered as positive. Stool culture served as confirmatory assay and resultant bacterial colonies were subjected to a series of biochemical tests to confirm the presence of S. typhi. The overall prevalence rate recorded in this study is 66.2%, with females having a prevalence rate of 67.4% while males had a prevalence of 64.2%. Older adults in the age group of 41-55 had the highest prevalence of 82.9% followed by children within the ages of 8 to 18 (80%). With respect to the source of drinking water, the highest prevalence of Salmonella carriership was recorded for individuals consuming untreated water from boreholes and sachet water at 82.4% and 83.2% respectively while individuals that drank treated water recorded a percentage prevalence of Salmonella carriership of 29.8%. The results obtained from this study highlights the high carriership rate of Salmonella amongst food handlers and the possibility of these individuals introducing the bacteria into foods, posing a public health risk. It also identifies the consumption of untreated water as the possible source of infection of these individuals, thus indicating the need for public health interventions in the provision of portable water to reduce the morbidity and mortality rates of typhoid fever.
{"title":"Prevalence of Salmonella typhi Infection among Food Handlers in Imo State University Owerri Nigeria and its Environs","authors":"Edoama Edet Gbodo, Christian Kosisochukwu Anumudu","doi":"10.35248/2329-891X.19.7.315","DOIUrl":"https://doi.org/10.35248/2329-891X.19.7.315","url":null,"abstract":"Typhoid fever caused by Salmonella enterica serovar Typhi is an endemic acute febrile illness which causes a high disease mortality and morbidity rate in developing countries. The disease can be transmitted through contaminated food and water and has gained an endemic status as the bacterium can be carried and shed by some individuals who have recovered from the disease. This study investigates the carriership of the bacteria by food handlers who may shed the bacteria into street vended foods they serve, thus spreading the disease and correlating this data to sex, age and source of drinking water. 420 blood and stool samples were collected from volunteers working in the food retail sector (cafeterias) around Imo State University Owerri and its environs using stratified random sampling methods. Widal test (rapid slide agglutination) was utilized as a presumptive screening test with titer values of 1:80 and above considered as positive. Stool culture served as confirmatory assay and resultant bacterial colonies were subjected to a series of biochemical tests to confirm the presence of S. typhi. The overall prevalence rate recorded in this study is 66.2%, with females having a prevalence rate of 67.4% while males had a prevalence of 64.2%. Older adults in the age group of 41-55 had the highest prevalence of 82.9% followed by children within the ages of 8 to 18 (80%). With respect to the source of drinking water, the highest prevalence of Salmonella carriership was recorded for individuals consuming untreated water from boreholes and sachet water at 82.4% and 83.2% respectively while individuals that drank treated water recorded a percentage prevalence of Salmonella carriership of 29.8%. The results obtained from this study highlights the high carriership rate of Salmonella amongst food handlers and the possibility of these individuals introducing the bacteria into foods, posing a public health risk. It also identifies the consumption of untreated water as the possible source of infection of these individuals, thus indicating the need for public health interventions in the provision of portable water to reduce the morbidity and mortality rates of typhoid fever.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"7 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70009165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2329-891x.19.7.324
K. Taye, Diriba Alemayehu, Esayas Tadesse, T. Tiki
Background: Nutrition and HIV are strongly related to each other, any immune impairment as a result of HIV/ AIDS leads to malnutrition, and malnutrition leads to immune impairment. HIV infected patients are at nutritional risk at any time of their illness. In developing countries HIV/AIDS, food insecurity and malnutrition are common. Dietary diversity scores have been positively correlated with increased micronutrient adequacy of diet in adults. Thus this study aims to assess level dietary diversity and associated factors among Adults on HAART at Public Health facilities of Ambo town. Methods and Materials: The study was conducted at Ambo Town, West Shoa Zone Ethiopia. A facility-based crosssectional study was conducted from January 26-February 26, 2019. A total of 313 study participants were included in the study. Systematic random sampling technique was applied to reach the study subjects. A structured questionnaire which included socio-demographic and health-related factors were prepared based on objectives of the study after reviewing different kinds of literature. Questionnaires on Dietary diversity were adopted from FAO 2010. Data were coded and entered to Epi-data version 3.1 and exported to SPSS version 21 for analyses. Frequency, mean and standard deviations from descriptive statistics and analytic statistics such as bivariate and multivariable logistic regression analysis were computed to determine the effect of various factors on the outcome variable. Result: In this study, 310 HIV positive adults on HAART follow up at Public health facilities of Ambo town were participated in the study making a response rate of 99%. This study shows 71% of adults had low individual dietary diversity score. It was noticed that HIV positive Males were 57% less likely to have low dietary diversity than females (AOR at 95% CI=0.43 (0.21-0.87). Adult patients those who were separated from their husband/wife were about 68% less likely to have low dietary diversity than widowed HIV positive adults (AOR at 95% CI=0.32 (0.11-0.88). Monthly income was also seen to be the factors significantly associated with dietary diversity. Conclusion and Recommendation: This study revealed that about 71% of adult patients on HAART had low dietary diversity score which indicates severe nutrient inadequacy among the study participants. Therefore the town administration, NGO’s working on HIV and other stakeholders should work on empowering females and sustainable income generating projects for HIV patients.
{"title":"Level of Dietary Diversity and Associated Factors among Adult Patients on HAART at Public Health Facilities of Ambo town, West Shoa Zone Ethiopia","authors":"K. Taye, Diriba Alemayehu, Esayas Tadesse, T. Tiki","doi":"10.35248/2329-891x.19.7.324","DOIUrl":"https://doi.org/10.35248/2329-891x.19.7.324","url":null,"abstract":"Background: Nutrition and HIV are strongly related to each other, any immune impairment as a result of HIV/ AIDS leads to malnutrition, and malnutrition leads to immune impairment. HIV infected patients are at nutritional risk at any time of their illness. In developing countries HIV/AIDS, food insecurity and malnutrition are common. Dietary diversity scores have been positively correlated with increased micronutrient adequacy of diet in adults. Thus this study aims to assess level dietary diversity and associated factors among Adults on HAART at Public Health facilities of Ambo town. Methods and Materials: The study was conducted at Ambo Town, West Shoa Zone Ethiopia. A facility-based crosssectional study was conducted from January 26-February 26, 2019. A total of 313 study participants were included in the study. Systematic random sampling technique was applied to reach the study subjects. A structured questionnaire which included socio-demographic and health-related factors were prepared based on objectives of the study after reviewing different kinds of literature. Questionnaires on Dietary diversity were adopted from FAO 2010. Data were coded and entered to Epi-data version 3.1 and exported to SPSS version 21 for analyses. Frequency, mean and standard deviations from descriptive statistics and analytic statistics such as bivariate and multivariable logistic regression analysis were computed to determine the effect of various factors on the outcome variable. Result: In this study, 310 HIV positive adults on HAART follow up at Public health facilities of Ambo town were participated in the study making a response rate of 99%. This study shows 71% of adults had low individual dietary diversity score. It was noticed that HIV positive Males were 57% less likely to have low dietary diversity than females (AOR at 95% CI=0.43 (0.21-0.87). Adult patients those who were separated from their husband/wife were about 68% less likely to have low dietary diversity than widowed HIV positive adults (AOR at 95% CI=0.32 (0.11-0.88). Monthly income was also seen to be the factors significantly associated with dietary diversity. Conclusion and Recommendation: This study revealed that about 71% of adult patients on HAART had low dietary diversity score which indicates severe nutrient inadequacy among the study participants. Therefore the town administration, NGO’s working on HIV and other stakeholders should work on empowering females and sustainable income generating projects for HIV patients.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70009649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.4172/2329-891X.1000299
Ezzan Kunna
Since the eruption of the ongoing conflict in the Darfur region of western Sudan, systematic physical and sexual violence against women is being used as a weapon. This heinous act has proven to be a very destructive weapon in the conflict, as it has been very effective in terrorizing people, demoralizing them and breaking their will. Gender-Based Violence (GBV) has devastating effects on the lives of the victims, as they suffer lifelong stigma and discrimination leading to their rejection by their communities. This paper describes the problem and the factors contributing to its escalation and the health, social-cultural and psychological impacts of GBV on the victims. It also discusses possible measurements that can be carried out by different concerned parties to stop all human rights violations especially GBV.
{"title":"Shaming the Enemy? The Use of Gender Based Violence as a Weapon in Darfur Conflict","authors":"Ezzan Kunna","doi":"10.4172/2329-891X.1000299","DOIUrl":"https://doi.org/10.4172/2329-891X.1000299","url":null,"abstract":"Since the eruption of the ongoing conflict in the Darfur region of western Sudan, systematic physical and sexual violence against women is being used as a weapon. This heinous act has proven to be a very destructive weapon in the conflict, as it has been very effective in terrorizing people, demoralizing them and breaking their will. Gender-Based Violence (GBV) has devastating effects on the lives of the victims, as they suffer lifelong stigma and discrimination leading to their rejection by their communities. This paper describes the problem and the factors contributing to its escalation and the health, social-cultural and psychological impacts of GBV on the victims. It also discusses possible measurements that can be carried out by different concerned parties to stop all human rights violations especially GBV.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"7 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70276462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}