scholarly journals Survey of COVID-19 associated symptoms and reported deaths in an urban community in Kano, Nigeria.

Author(s):  
Disha Shahani ◽  
Zayyad Sani Farouq ◽  
Hadiza Galadima ◽  
Ashna Khare ◽  
Nirmal Ravi

Background: Nigeria reported the first case of COVID-19 on February 27, 2020. By June of 2020, many people reported experiencing mild COVID-19 associated symptoms, yet did not get tested due to inaccessible testing and insufficient knowledge of the disease. There were media stories quoting grave diggers in Kano who reported high burial rates during this time. Methods: In order to draw more data on COVID-19 cases during this time period, we conducted a cross-sectional symptom survey in Kano, surveying 291 adults. Participants were asked to report demographic characteristics, past COVID-19 testing and symptoms, and community deaths. To assess associations between COVID-19 associated symptoms and socio-demographic characteristics, bivariate analyses using Chi-square tests were performed. A logistic regression assessing the association between any reported symptoms and the kind of work (indoor/outdoor) was done while adjusting for age, gender and education level. Results: Half of the respondents reported at least one symptom associated with COVID-19; the three most common symptoms were loss of appetite, cough, and fever. There was a statistically significant relationship between age group of the respondent and presence of COVID-19 associated symptoms. Gender or level of education did not have statistically significant association with COVID-19 associated symptoms among the respondents. People with outdoor occupations such as trading and hawking were more than twice as likely to report COVID-19 associated symptoms compared to those who were unemployed. Just under half of the respondents reported knowing someone who died in their community, with unexplained causes attributed to two-thirds of these cases. Our study found evidence of COVID-19 associated symptoms especially among the older population and unexplained deaths in Kano. Lack of confirmatory laboratory tests and absence of baseline vital statistics precluded us from finding definitive evidence for or against COVID-19 infection and associated mortality.

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S17-S17
Author(s):  
Taylor Landay ◽  
Julie A Clennon ◽  
José A Ferreira ◽  
Lucia A Fraga ◽  
Maria Aparecida F Grossi ◽  
...  

Abstract Background Leprosy in children under 15 years of age, and in particular, the presence of leprosy grade 2 disability (G2D) in children, signifies ongoing transmission and the need for improved surveillance. Our objective was to describe the epidemiology of pediatric leprosy in Minas Gerais, Brazil and to explore associations with access to medical facilities. Methods A cross-sectional study was conducted using data from the Brazilian Notifiable Diseases Surveillance System (SINAN) from 2002–2017. Incident cases were included if they resided in a municipality with both adult and pediatric cases. Municipalities were divided by the number of medical facilities per municipality: < 5, 5–17, and 18 or higher. Analyses compared pediatric cases across two time periods (2002–2009 and 2010–2017) and number of medical facilities / municipality using chi-square, t-tests, and logistic regression. Results A total of 27,725 cases were reported with 1,611 under 15 years of age. Overall incidence declined from 34.8 per 100,000 to 13.6 per 100,000 during the study period with pediatric incidence declining from 2.6 per 100,000 to 0.8 per 100,000. Time period 2 (TP2) showed an increase in the proportion of pediatric G2D (2.58% vs 1.91%, p < 0.0001) when compared to time period 1 (TP1). Mean age of diagnosis in children was younger in TP2 then in TP1 (10.06 vs 10.43, p=0.02). In 2017, the pediatric incidence in municipalities with the fewest medical facilities was 0.95 per 100,000 compared to 0.23 per 100,000 in municipalities with > 5 facilities (p=0.009). There was significantly higher odds of disability at diagnosis (grades 1 and 2) in pediatric cases residing in municipalities with < 5 medical facilities (aOR 1.88; 95% CI 1.37–2.59), adjusted for age and sex. See map (Fig 1). Figure 1. Cases of Pediatric Disability By Number of Municipality Medical Facilities from 2002–2017 (White areas without reported pediatric leprosy) Conclusion The increasing proportion of G2D in children in the second half of the study period despite declining incidence suggest occult infections among children and adults alike in Minas Gerais. Furthermore, the average age of diagnosis in children should increase, not decrease, if M. leprae transmission was truly declining. Lastly, the association between fewer municipality health facilities and increased disability suggest barriers to timely diagnosis and a critical area of focus for research into access to healthcare and leprosy risk. Disclosures All Authors: No reported disclosures


Author(s):  
Siti Sakinah ◽  
Jacob M Ratu ◽  
Pius Weraman

Introduction: Caring and treatment of hypertension is a long process that requires a strategy in managing the disease, one of which is self management. The purpose of This study was to determine the correlation between Demographic Characteristics and knowledge with Self Management of Hypertension in the Timor tribal community. Methods: This research was a descriptive analytic study with a coros sectional approach conducted on 70 the timor tribal community in the Province of East Nusa Tenggara. The study was conducted in February 2020. Demographic characteristics studied include gender, age, education level, employment and family income. Components of Self Management Hypertension measured include drug swallowing, diet and control of blood pressure. Demographic data, knowledge and Self Management of Hypertension were measured using a questionnaire and analyzed using chi square test using SPSS 21. Results: The demographic characteristics (age and education level) and knowledge correlated positively with self management of hypertension. Age with p value (0,001), while level of education and knowledge with p value (0,000). Conclusions and recommendations: increasing age reduces hypertension self management abilities, meanwhile higher education and good knowledge improve hypertension self management. The recommendations of this study are that early and ongoing education is needed to increase knowledge in the management of hypertension. Keywords: demographic characteristics; knowledge; self management; hypertension ABSTRAK Pendahuluan: Pengobatan dan perawatan hipertensi merupakan suatu proses panjang yang membutuhkan strategi dalam mengelola penyakit tersebut, salah satunya adalah menegemen diri (self management). Penelitian ini bertujuan untuk mengetahui Hubungn antara Karakteristik Demografi dan pengetahuan dengan Self Management Hipertensi Pada Masyarakat Suku Timor. Metode: Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan coros sectional yang dilakukan pada 70 masyarakat suku Timor di propinsi Nusa Tenggara Timur. Penelitian dilaksanakan pada bulan Februari 2020. Karakteristik demografi yang diteliti antara lain Jenis Kelamin, Usia, Tingkat Pendidikan, Pekerjaan dan Penghasilan Keluarga. Komponen Self Management Hipertensi yang diukur yaitu tindakan menelan obat, diet dan kontrol tekanan darah. Data demografi, pengetahuan dan Self Management Hipertensi diukur dengan menggunakan kuesioner dan dianalisis dengan menggunkan chi square Test dengan bantuan SPSS 21. Hasil: Karakteristik demografi (usia dan tingkat pendidikan) dan pengetahuan berkolerasi positif dengan self management hipertensi . Usia dengan pvalue (0,001), sedangkan tingkat pendidikan dan pengetahuan dengan p value (0,000). Kesimpulan dan rekomendasi : semakin bertambah usia mengurangi kemampuan self management hipertensi, sementara itu pendidikan tinggi dan pengetahuan yang baik meningkatkan self management hipertensi. Rekomendasi penelitian ini adalah diperlukan edukasi sejak dini dan berkelanjutan untuk meningkatan pengetahuan dalam penatalaksanaan penyakit hipertensi. Kata kunci: karakteristik demografi; pengetahuan; self management; hipertensi


2020 ◽  
Author(s):  
Balsam Qubais ◽  
Rula mudhafar Al-Shahrabi ◽  
Obasanjo Afolabi Bolarinwa

Background: Since the World Health Organization (WHO) announced that the 2019 novel coronavirus (2019-nCoV) is a worldwide pandemic, as the Iraqi authorities have started responding and taking action to control the spread of the pandemic. The knowledge and practices of the public play an important role in curbing the spreading of the virus by following the health guidelines. This study aimed to assess the socio-demographic correlate of knowledge and practices of Iraqi living in Mosul-Iraq towards novel coronavirus during its rapid rise. Methods: A cross-sectional online survey of 909 participants was conducted among Mosul-Iraq between 20th June to 1st July 2020. The survey included three parts: 1) socio-demographic characteristics, 2) participants' knowledge, 3) participants' practices. T-test, ANOVA, chi-square, and binary logistic regression were used. A p-value less than 0.05 (p < 0.05) was considered statistically significant. Results: The results showed knowledge and practice mean score of (12.91\1.67) and (21.56\2.92) with cumulative knowledge and practice of 86% and 76% respectively towards 2019-nCoV. Socio-demographic characteristics such as age, marital status, gender, level of education and employment were statistically related with a higher mean score of knowledge and practice towards the virus as P<0.05. Conclusions: We concluded that the majority of the respondents demonstrate a high level of knowledge and practices towards 2019-nCoV except respondents with socio-demographic characteristics such as those who were younger, male respondents, those with lower education and those unemployed as such campaigns that will increase the knowledge and encourage adequate preventive practice towards 2019-nCoV should be targeted towards this group.


2016 ◽  
Vol 50 (3) ◽  
pp. 390-398 ◽  
Author(s):  
Elieni Paula dos Santos ◽  
Rosângela Aparecida Pimenta Ferrari ◽  
Maria Rita Bertolozzi ◽  
Alexandrina Aparecida Maciel Cardelli ◽  
Christine Bacarat de Godoy ◽  
...  

Abstract OBJECTIVE To analyze infant death after discharge from maternity in the time period between 2000 and 2013. METHOD A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p <0.05. RESULTS Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p =0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p =0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. CONCLUSION Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.


Author(s):  
Sukhmeet Minhas ◽  
Maninder Pal Singh Pardal

Background: Dengue is a rapidly spreading mosquito borne disease. Dengue is now endemic in 100 countries worldwide.Methods: Cross sectional descriptive study design was used by the workers. We The workers obtained detailed information from each reported case. Active case finding by surveys during the period of the outbreak, besides a detailed environmental survey was also carried out. Standard statistical tools like calculating relative risk and Chi square were utilised for data analysis.Results: In all 17 cases who fulfilled the case definition criteria were admitted in the month of September 2019. Out of these 16 (94.11%) were confirmed by NS 1 Antigen ELISA, while 01 (05.88%) was probable case. The first case reported on 08 Sep 2019, followed by a sudden spurt in the number of cases. The weekly epidemic curve is depicted in (Figure 1). There were no complications or fatalities. Detailed environmental assessment of the area revealed Aedes mosquito breeding in artificial containers of water. The house index of 7.06%, while the container index was 6.06%.Conclusions: The above study thus highlights the necessity of strict environmental monitoring by all authorities concerned in the country to prevent morbidity and mortality due to Dengue fever and other mosquito borne diseases. The menace of Dengue fever will continue till we learn to manage our solid waste properly, as Dengue is after all a man-made disease due to improper solid waste disposal.


Author(s):  
Mohammad Reza Mirjalili ◽  
Seyedeh Mahdieh Namayandeh ◽  
Mohammad Hasan Lotfi ◽  
Mohammad Reza Dehghani ◽  
Mohsen Mirzaei ◽  
...  

Introduction: SARS-COV 19 is a new coronavirus that was reported first time in 30 December 2019 in Wuhan, China. The first case of coronary heart disease in Iran was reported with a definitive test on February 18 in Qom province and the first case in Yazd province on 24 February. The World Health Organization (WHO) declared a Covid infection on March 11 a pandemic. The aim of this study was to investigate the seroepidemiology of COVID 19 in Yazd province. Methods: The present study was a cross-sectional population-based study of seroepidemiological type that was conducted to investigate the serological prevalence of Covid-19 in the period of 3 to 20 May 2020 in Yazd Province. Sampling was clustered and it was without age and sex restrictions. Information was collected including demographic information, adherence to health protocols, and history of clinical symptoms of COVID 19."Pishtaz ELISA Kit" was used to evaluate the IgG and IgM antibody titers against Covid 19. Chi-square, analysis of variance and T tests were used via SPSS.version.16 software Results: Mean age of the participants was 34.3± 17.5. Among the study participants, 507 (54.5%) were women. The serological prevalence of definite cases was 14.91% (95% CI: 12.91-16.91%) and suspicious cases were 2.85% (95% CI:1.85-3.85%). Ardakan City with 32% had the highest and Taft, Mehriz, Khatam with 7% had the lowest prevalence of COVID 19 (P <0.05). Conclusion: By June 2020, nearly 18% of the population of the province was definitively or suspiciously infected with COVID 19. Unfortunately, up to 25% of the population does not follow the early prevention protocols of COVID 19.


Author(s):  
Juliana Widyastuti Wahyuningsih Juliana Widyastuti Wahyuningsih

ABSTRACT             Menarche is the time period/menstruation that came first to a woman who is being stepped up and as a sign that he was able to get pregnant. Based on data Riskesdas 2010, the average age of menarche in Indonesia is 13 years old and in South Sumatra average age of menarche was 13-14 years. The purpose of this study was to determine the relationship between age and knowledge of young women with the incidence of menarche in RT 19 and 20 RW 06 Sub Gutters Safely Kemuning District of Palembang in 2014. The sample in this study was 71 respondents, by census sampling through a door to door survey using cross sectional analytic approach. Data were collected by means of interviews and questionnaires. The research variables include the dependent variable and the independent variable occurrence of menarche age girls and young women knowledge.  The result of this study found that young women have experienced menarche as much as 73.2% and had not suffered as much as 26.8% of menarche, age of young women with high risk as much as 59.2% and as much as 40.8% while the risk of teenage girls who have good knowledge 66.2% as well as much less knowledgeable and 33.8%. The result of chi-square statistical test showed no significant relationship between age of menarche girls with events obtained p value (0.020) and knowledge of young women have a significant relationship with the occurrence of menarche obtained p value (0.000). Through this research is expected to further improve the education of helth workers on the incidence of menarche.     ABSTRAK Menarche adalah saat haid/menstruasi yang datang pertama kali pada seorang wanita yang sedang menginjak dewasa dan sebagai tanda bahwa ia sudah mampu hamil. Berdasarkan data Riskesdas 2010, rata-rata usia menarche di Indonesia adalah 13 tahun dan di Sumatera Selatan rata-rata usia menarche berumur 13-14 tahun. Tujuan penelitian ini untuk mengetahui hubungan antara umur dan pengetahuan remaja putri dengan kejadian menarche di RT 19 dan 20 RW 06 Kelurahan Talang Aman Kecamatan Kemuning Kota Palembang Tahun 2014. Sampel pada penelitian ini sebesar 71 responden, pengambilan sampel dengan cara sensus melalui door to door menggunakan metode survey analitik pendekatan cross sectional. Data dikumpulkan dengan cara wawancara dan kuesioner. Variabel penelitian meliputi variabel dependen kejadian menarche dan variabel independen umur remaja putri dan pengetahuan remaja putri. Hasil penelitian ini didapatkan remaja putri yang sudah mengalami menarche sebanyak 73,2% dan belum mengalami menarche sebanyak 26,8%, remaja putri dengan umur resiko tinggi sebanyak 59,2% dan tidak resiko sebanyak 40,8% sedangkan remaja putri yang berpengetahuan baik sebanyak 66,2% dan berpengetahuan kurang baik sebanyak 33,8%. Hasil uji statistik chi-square menunjukkan ada hubungan bermakna antara umur remaja putri dengan kejadian menarche didapat p value (0,020) dan pengetahuan remaja putri mempunyai hubungan bermakna dengan kejadian menarche didapat p value (0,000). Melalui penelitian ini diharapkan petugas kesehatan lebih meningkatkan penyuluhan tentang kejadian menarche.  


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shadrack Muma ◽  
Stephen Obonyo

Abstract Background The quality of life can be impacted negatively by blindness arising from cataract. The total prevalence of blindness in Kenya is estimated at 0.7%, however cataract contributes almost half (43%) of the total blindness in Kenya. Optometrists are well placed to assess and refer cataract patients. However, little is known on optometrists’ skills, practice and knowledge. Therefore, this study was designed to assess optometrists’ knowledge, skill and practice on cataract in Kisumu, Kenya. Methods A cross-sectional study design was used. The study was conducted from June 2019 to August 219 using self-administered questionnaire. Basic socio-demographic characteristics were collected and participants’ knowledge, skills and practice on cataract were investigated. The primary outcome measure was the proportions of participants who identified the questions related to knowledge, skills and practice on cataract. Chi-square analysis was performed to assess the association between demographic characteristics of participants with practice, knowledge and skills. Results A total of 49 optometrists with a mean age of 30.4 years and mean duration of practice of 1–10 years were interviewed. Most optometrists had good knowledge on various aspects of cataract. For example (98%) had a good knowledge on the types of cataract. Almost three quarter (75.5%) of the optometrists reported that they could diagnose cataract correctly based on skills. However, half (57.1%) of the optometrists could not identify nuclear cataract. Being a self reported practice and not an observed practice, most optometrists (61.2%) reported that they did not screen patients aged 40 years and above for cataract. Almost half (52.6%) of the optometrists reported that they did a routine eye examination however, they could not justify the significance of examining the crystalline lens for patient above 40 years. Conclusion The study established that despite the good level of knowledge among optometrist on cataract, there exist a gap on skills and practice. The results of this study calls for more clinical based activities among optometrists. This will eases diagnosis of cataract and its management with an aim to reduce the burden in Kenya.


Author(s):  
Ferruh Semir Smail ◽  
Mehmet Muzaffer Ate

Introduction: SARS-CoV-2, also known as Coronavirus (COVID-19), is a zoonotic virus, which can spread from animals to humans, such as SARS-CoV and the Middle East Respiratory Syndrome (MERS-CoV) virus. The first case was reported on 31 December 2019 by the WHO Country Office in China. Aim: This study aimed to assess the knowledge and apprehension of the Turkish population about dental treatments during SARS-CoV-2. Materials and Methods: A cross-sectional questionnaire-based survey was conducted which consisted of 8 self-prepared questions with two parts. A total of 560 participants, participated in this study. Participants was selected randomly and chi-square analysis was used to analyse statistical significance difference in the response between different groups. Results: Most of the participants (80.9%) thought that their level of knowledge about coronavirus (COVID-19) was sufficient. More than half of the participants (57.2%) evaluated themselves in the risk group in the COVID-19 pandemic. A few of the participants (16.4%) had dental problems during pandemic and 83.6% did not have any dental problem. Apart from this, 53.3% of the participants think that it is not risky to have treatment with vibrating tools used in dentistry; 47.6% of the participants do not prefer to go to dentist even if they had an abscess. Conclusion: The majority of the participants thought that they were knowledgeable enough about the risks of dental treatments in the pandemic period. However, the results have shown us that further steps need to be taken to educate people about the risks of dental treatments and the necessary situations that they have to go to the dentist during this period.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249310
Author(s):  
Balsam Qubais Saeed ◽  
Rula Al-Shahrabi ◽  
Obasanjo Afolabi Bolarinwa

Since the World Health Organization (WHO) announced that the coronavirus disease (COVID-19) is a worldwide pandemic, many countries’ authorities, including the Iraqi authorities, started responding and taking action to control the spread of the pandemic. The public’s knowledge and practices play an important role in curbing the spreading of the virus by following the health guidelines. This study aimed to assess the socio-demographic correlate of knowledge and practices of Iraqi living in Mosul-Iraq towards COVID-19 during its rapid rise. A cross-sectional online survey of 909 participants was conducted among a sample of the Mosul-Iraq population between 20th June to 1st July 2020. The survey included three parts: 1) socio-demographic characteristics, 2) participants’ knowledge, 3) participants’ practices. T-test, ANOVA, chi-square, and binary logistic regression were used. A p-value less than 0.05 (p < 0.05) was considered statistically significant. The results showed a knowledge and practice mean score of (12.91±1.67) and (21.56± 2.92) with cumulative knowledge and practice of 86% and 76% respectively towards COVID-19. Socio-demographic characteristics such as age, marital status, gender, level of education and employment were statistically related with a higher mean score of knowledge and practice towards the virus as P<0.05. We concluded that the majority of the respondents demonstrate a high level of knowledge and practices towards COVID-19 except for respondents with socio-demographic characteristics such as those who were younger, male respondents, those with lower education and those unemployed as such campaigns that will increase the knowledge and encourage adequate preventive practice towards COVID-19 should be targeted towards this group.


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