Evaluation of knowledge, attitude and practices towards loiasis in the rural community of Sindara, in central African Gabon

More than 20 million people are infected with L. loa, and around 40 million live in high or intermediate-risk areas in West- and Central Africa. Although loiasis is associated with significant morbidity and excess mortality, little is known about the perception of loiasis by affected communities. Th...

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Veröffentlicht in:PLoS neglected tropical diseases 2024-05, Vol.18 (5), p.e0012109
Hauptverfasser: Hildebrandt, Teite Rebecca, Davi, Saskia Dede, Kabwende, Anita Lumeka, Endamne, Lilian Rene, Mehmel, Esther, Rakotonirinalalao, Maximilian, Alabi, Ayodele, Manego, Rella Zoleko, Kremsner, Peter G, Lell, Bertrand, Adegnika, Ayôla Akim, Mombo-Ngoma, Ghyslain, Mischlinger, Johannes, Agnandji, Selidji Todagbe, Ramharter, Michael
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container_issue 5
container_start_page e0012109
container_title PLoS neglected tropical diseases
container_volume 18
creator Hildebrandt, Teite Rebecca
Davi, Saskia Dede
Kabwende, Anita Lumeka
Endamne, Lilian Rene
Mehmel, Esther
Rakotonirinalalao, Maximilian
Alabi, Ayodele
Manego, Rella Zoleko
Kremsner, Peter G
Lell, Bertrand
Adegnika, Ayôla Akim
Mombo-Ngoma, Ghyslain
Mischlinger, Johannes
Agnandji, Selidji Todagbe
Ramharter, Michael
description More than 20 million people are infected with L. loa, and around 40 million live in high or intermediate-risk areas in West- and Central Africa. Although loiasis is associated with significant morbidity and excess mortality, little is known about the perception of loiasis by affected communities. This study assessed the knowledge, attitudes, and practices in the rural population of Sindara, Gabon, a region characterized by high loiasis prevalence. A community-based cross-sectional survey was conducted in Gabon between January and June 2022. During systematic door-to-door visits, randomly selected inhabitants were invited to participate in this questionnaire based survey. Venous blood was collected at midday from all participants for microscopic detection of filarial infection and clinical signs of loiasis were assessed. A total of 150 participants were recruited, of which 66% were infected by L. loa. While almost everyone had some knowledge about L. loa, 72% of the participants understood that L. loa is a parasitic worm. The transmission of L. loa via the deer fly was known to only 21% of participants. The most frequently mentioned clinical symptoms attributed to loiasis were itching (84%), eye worm migration (59%), and conjunctivitis-like symptoms (53%). Participants who experienced migratory loiasis had better knowledge of loiasis and considered it as more serious. Traditional and herbal medicine was reported most often as an available treatment option (72%). While the formal healthcare sector was mentioned as the preferred treatment provider, 60% of the reported infections were treated by traditional medical practitioners. Loiasis is in general well known by this community residing in a region of high L. loa transmission. Important gaps in knowledge were discovered foremost regarding the mode of transmission. The available healthcare system does not seem to provide adequate management for loiasis.
doi_str_mv 10.1371/journal.pntd.0012109
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Fisheries Abstracts (ASFA) 1: Biological Sciences &amp; Living Resources</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 3: Aquatic Pollution &amp; Environmental Quality</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) Professional</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PLoS neglected tropical diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hildebrandt, Teite Rebecca</au><au>Davi, Saskia Dede</au><au>Kabwende, Anita Lumeka</au><au>Endamne, Lilian Rene</au><au>Mehmel, Esther</au><au>Rakotonirinalalao, Maximilian</au><au>Alabi, Ayodele</au><au>Manego, Rella Zoleko</au><au>Kremsner, Peter G</au><au>Lell, Bertrand</au><au>Adegnika, Ayôla Akim</au><au>Mombo-Ngoma, Ghyslain</au><au>Mischlinger, Johannes</au><au>Agnandji, Selidji Todagbe</au><au>Ramharter, Michael</au><au>Clark, Eva</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of knowledge, attitude and practices towards loiasis in the rural community of Sindara, in central African Gabon</atitle><jtitle>PLoS neglected tropical diseases</jtitle><addtitle>PLoS Negl Trop Dis</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>18</volume><issue>5</issue><spage>e0012109</spage><pages>e0012109-</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>More than 20 million people are infected with L. loa, and around 40 million live in high or intermediate-risk areas in West- and Central Africa. Although loiasis is associated with significant morbidity and excess mortality, little is known about the perception of loiasis by affected communities. This study assessed the knowledge, attitudes, and practices in the rural population of Sindara, Gabon, a region characterized by high loiasis prevalence. A community-based cross-sectional survey was conducted in Gabon between January and June 2022. During systematic door-to-door visits, randomly selected inhabitants were invited to participate in this questionnaire based survey. Venous blood was collected at midday from all participants for microscopic detection of filarial infection and clinical signs of loiasis were assessed. A total of 150 participants were recruited, of which 66% were infected by L. loa. While almost everyone had some knowledge about L. loa, 72% of the participants understood that L. loa is a parasitic worm. The transmission of L. loa via the deer fly was known to only 21% of participants. The most frequently mentioned clinical symptoms attributed to loiasis were itching (84%), eye worm migration (59%), and conjunctivitis-like symptoms (53%). Participants who experienced migratory loiasis had better knowledge of loiasis and considered it as more serious. Traditional and herbal medicine was reported most often as an available treatment option (72%). While the formal healthcare sector was mentioned as the preferred treatment provider, 60% of the reported infections were treated by traditional medical practitioners. Loiasis is in general well known by this community residing in a region of high L. loa transmission. Important gaps in knowledge were discovered foremost regarding the mode of transmission. The available healthcare system does not seem to provide adequate management for loiasis.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>38781277</pmid><doi>10.1371/journal.pntd.0012109</doi><orcidid>https://orcid.org/0000-0002-9259-1885</orcidid><oa>free_for_read</oa></addata></record>
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1935-2735
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source MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adolescent
Adult
Aged
Analysis
Animals
Attitudes
Beliefs, opinions and attitudes
Biology and Life Sciences
Community
Conjunctivitis
Consent
Cross-Sectional Studies
Education
Ethylenediaminetetraacetic acid
Female
Gabon - epidemiology
Health care
Health Knowledge, Attitudes, Practice
Health services
Health surveillance
Herbal medicine
Households
Humans
Infections
Infectious diseases
Interviews
Itching
Knowledge
Loa - isolation & purification
Loiasis - drug therapy
Loiasis - epidemiology
Malaria
Male
Medicine and Health Sciences
Medicine, Botanic
Medicine, Herbal
Middle Aged
Morbidity
Mortality
People and Places
Population
Prevalence
Public health
Questionnaires
Rainforests
Roundworm infections
Rural areas
Rural communities
Rural Population
Rural populations
Social Sciences
Surveys
Surveys and Questionnaires
Tropical diseases
Young Adult
title Evaluation of knowledge, attitude and practices towards loiasis in the rural community of Sindara, in central African Gabon
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