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 |
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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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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.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0012109</identifier><identifier>PMID: 38781277</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PLoS neglected tropical diseases, 2024-05, Vol.18 (5), p.e0012109</ispartof><rights>Copyright: © 2024 Hildebrandt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Hildebrandt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Hildebrandt et al 2024 Hildebrandt et al</rights><rights>2024 Hildebrandt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c504t-59063dfe3847fafd6f9458785f67b8eec0b8d871b56a2e464a501405315e3c13</cites><orcidid>0000-0002-9259-1885</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265652/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265652/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38781277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Clark, Eva</contributor><creatorcontrib>Hildebrandt, Teite Rebecca</creatorcontrib><creatorcontrib>Davi, Saskia Dede</creatorcontrib><creatorcontrib>Kabwende, Anita Lumeka</creatorcontrib><creatorcontrib>Endamne, Lilian Rene</creatorcontrib><creatorcontrib>Mehmel, Esther</creatorcontrib><creatorcontrib>Rakotonirinalalao, Maximilian</creatorcontrib><creatorcontrib>Alabi, Ayodele</creatorcontrib><creatorcontrib>Manego, Rella Zoleko</creatorcontrib><creatorcontrib>Kremsner, Peter G</creatorcontrib><creatorcontrib>Lell, Bertrand</creatorcontrib><creatorcontrib>Adegnika, Ayôla Akim</creatorcontrib><creatorcontrib>Mombo-Ngoma, Ghyslain</creatorcontrib><creatorcontrib>Mischlinger, Johannes</creatorcontrib><creatorcontrib>Agnandji, Selidji Todagbe</creatorcontrib><creatorcontrib>Ramharter, Michael</creatorcontrib><title>Evaluation of knowledge, attitude and practices towards loiasis in the rural community of Sindara, in central African Gabon</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Animals</subject><subject>Attitudes</subject><subject>Beliefs, opinions and attitudes</subject><subject>Biology and Life Sciences</subject><subject>Community</subject><subject>Conjunctivitis</subject><subject>Consent</subject><subject>Cross-Sectional Studies</subject><subject>Education</subject><subject>Ethylenediaminetetraacetic acid</subject><subject>Female</subject><subject>Gabon - epidemiology</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health services</subject><subject>Health surveillance</subject><subject>Herbal medicine</subject><subject>Households</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Interviews</subject><subject>Itching</subject><subject>Knowledge</subject><subject>Loa - 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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> |
fulltext | fulltext |
identifier | ISSN: 1935-2735 |
ispartof | PLoS neglected tropical diseases, 2024-05, Vol.18 (5), p.e0012109 |
issn | 1935-2735 1935-2727 1935-2735 |
language | eng |
recordid | cdi_plos_journals_3069186367 |
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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T21%3A08%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20of%20knowledge,%20attitude%20and%20practices%20towards%20loiasis%20in%20the%20rural%20community%20of%20Sindara,%20in%20central%20African%20Gabon&rft.jtitle=PLoS%20neglected%20tropical%20diseases&rft.au=Hildebrandt,%20Teite%20Rebecca&rft.date=2024-05-01&rft.volume=18&rft.issue=5&rft.spage=e0012109&rft.pages=e0012109-&rft.issn=1935-2735&rft.eissn=1935-2735&rft_id=info:doi/10.1371/journal.pntd.0012109&rft_dat=%3Cgale_plos_%3EA796130179%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3069186367&rft_id=info:pmid/38781277&rft_galeid=A796130179&rft_doaj_id=oai_doaj_org_article_ab1db3adb5ab479ca4f14a75238c2a6c&rfr_iscdi=true |