Mass Psychogenic Illness in Haraza Elementary School, Tigray, Northern Ethiopia: Investigation to the nature of an Episode.

2020 ◽  
Author(s):  
Kiros Fenta ◽  
Tewolde Wubayehu ◽  
Nega Mamo Bezabih ◽  
Yrgalem Meles ◽  
Goitom Mehari ◽  
...  

Abstract Background Mass psychogenic illness has been documented for more than 600 years in a variety of culture, ethnic, and religious settings. The aim of this study was to assess the nature and characteristics of mass psychogenic illness in Tigray, Northern Ethiopia, Methods School based cross-sectional study was conducted in haraza elementary school from January –February, 2020. Students who were victims of an episode were subjects of the study. A total of twelve students were investigated using semi-structured questionnaire for quantitative study. Seven key informant interviews were conducted using guiding questionnaires. Quantitative data was analyzed using XL sheet while qualitative data was analyzed manually. Result the mean age of study participants was 14 years (SD±1.3). Majority (87%) were teenage female students. The incident was unspecified disease with psychiatric disorder, migraine and syncope with no plausible organic causes. An important feature of migraine and syncope was their co-morbidity with mass psychogenic illness. The community perceived that Evil-devil force and blaming as being an evil-eye were common causes for the occurrence of an episode. Conclusion lack of empirical knowledge and awareness about its management and prevention among community members and health professionals resulted exaggerated rumor that would perceived as newly emerging disease that affected school activities. Integrating MPI in PHEM package at health facility level, advocacy workshops for media and other relevant stakeholders will minimize its impact for the future.

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Kiros Fenta Ajemu ◽  
Tewolde Wubayehu Weldearegay ◽  
Nega Mamo Bezabih ◽  
Yrgalem Meles ◽  
Goytom Mehari ◽  
...  

Background. Mass psychogenic illness has been documented for more than 600 years in a variety of cultural, ethnic, and religious settings. We aimed to assess the nature and characteristics of mass psychogenic illness and to evaluate community awareness and perception about the treatment they practiced in Haraza Elementary School, Erop district, Tigray, Northern Ethiopia. Methods. A school-based cross-sectional study was conducted in Haraza Elementary School from January to February, 2020. Students who were victims of an episode were subjects of the study. A total of twelve students were investigated using a semistructured questionnaire for a quantitative study. Seven key informant interviews were conducted using a guiding questionnaire. Quantitative data was analyzed using XL sheet while qualitative data were analyzed manually. Results. The mean age of study participants was 14 years (SD±1.3). The majority (87%) were teenage female students. The incident was an unspecified disease with psychiatric disorder, migraine, and syncope with no plausible organic causes. An important feature of migraine and syncope was their comorbidity with mass psychogenic illness. The community perceived that evil devil force and blaming the being as an evil eye were common causes of the occurrence of an episode. Conclusion. Lack of empirical knowledge and awareness about its management and prevention among community members and health professionals resulted exaggerated rumor that would perceive as newly emerging disease that affected school activities. Integrating MPI in PHEM package at health facility level, advocacy workshops for media, and other relevant stakeholders will minimize its impact for the future.


Author(s):  
Dhanasekar Gurupatham ◽  
Jeevithan Shanmugam

Background: Alcohol use is associated with serious public health problems thereby raising the global morbidity and mortality. The main aim of this study is to estimate the prevalence of alcoholism and its co morbidity pattern among urban adult population in Salem district, Tamil Nadu.Methods: A community based cross-sectional study was carried out among urban adult population in Salem district involving 493 participants. Convenient sampling method was used. Informed consent was obtained from each participant and information was collected by using a predesigned structured questionnaire. Microsoft Excel 2007 was used for data entry and SPSS version 24 was used for data analysis.Results: It was found from the study that the prevalence of alcoholism was high. Alcohol use in any form was found in 38% of the study participants. 8% of the participants confessed that alcohol is an eye opener to them. 6% of the participants lost their job and 15% of the participants were hospitalised due to alcohol.Conclusions: The study showed higher prevalence of alcohol use among urban adult population in Salem district. Awareness about the ill effects of alcoholism among the population and necessary rehabilitation will help to reduce alcoholism consumption and its related disorders.


2021 ◽  
Author(s):  
Yadessa Tegene Woldie ◽  
Selamawit Mengesha Bilal ◽  
Rianne Tanis ◽  
Babette Spaargaren ◽  
Alemayehu Toma ◽  
...  

Abstract Background: HIV requires life-long adherence to treatment and diet, also to avoid chronic co-morbidity. Self-management is widely recognized as an essential part of care for people with chronic disease. We aimed to quantify the prevalence of co-morbidity among adult HIV patients and their self-management skills.Methods: An institutional based cross sectional study was conducted from May to June 2019. We selected a total of 520 adult HIV patients, attending antiretroviral therapy clinics in three Hospitals in Southern Ethiopia. Data were collected at routine care consultations by nine trained nurses using a pre-tested structured questionnaire. Result: The mean age of the study participants was 38.7±9 years. Prevalence of diabetes and Hypertension was 1.5% and 9.4%, respectively. Being older, overweight, and obese was significantly associated with chronic comorbidity. The total score of HIV Self-management was 42±3.92 out of 60. The least mean score (1.69±0.9) was seen in the social support domain of HIV self-management.Conclusion: The prevalence of diabetes and hypertension was relatively low in our population. Self-management skills seem to be low, but many aspects of self-management are poorly understood in Ethiopia (low-income) setting.


2018 ◽  
Vol 4 (2) ◽  
pp. 103
Author(s):  
Desi Desi ◽  
Suaebah Suaebah ◽  
Winda Dwi Astuti

Abstract: Relations With Breakfast And Allowance Hawker Immanuel Christian Elementary School II Kubu Raya. Factors that influence the selection of snack foods in school children include school lunch, breakfast, school activities, advertising on television and the availability of snack foods in schools. The purpose research is to determine the relationship of breakfast and pocket money for snacks consumption in primary school children Christian Immanuel II Kubu Raya. Observational with cross sectional study design. The number of samples in this study were 68 children were taken by random sampling. Nutritional status data obtained by anthropometric measurements (BB and TB) and categorized by the WHO Anthro. Data breakfast, pocket money, and street food is obtained by using a questionnaire. In this study, 61.8% was found among elementary school children Christian Immanuel II Kubu Raya do breakfast. 58.8% of students bring more pocket money than average and as much as 86.8% of students bring pocket money and buy food snacks in schools.Abstrak: Hubungan Sarapan, Uang Saku  dengan Jajanan Di SD Kristen Immanuel II Kubu Raya.  Faktor yang mempengaruhi pemilihan makanan jajanan pada anak sekolah antara lain bekal sekolah, makan pagi, aktifitas sekolah, iklan di televisi dan ketersediaan makanan jajanan di sekolah. Penelitian ini bertujuan untuk mengetahui hubungan sarapan dan uang saku dengan konsumsi jajanan pada anak Sekolah Dasar Kristen Immanuel II Kubu Raya. Jenis Penelitian ini adalah Observasional dengan rancangan penelitian cross sectional. Jumlah sampel dalam penelitian ini sebanyak 68 anak yang diambil secara random sampling. Data status gizi diperoleh dengan pengukuran antropometri (BB dan TB) dan dikategorikan berdasarkan WHO Anthro. Data sarapan pagi, uang saku, dan makanan jajanan diperoleh dengan menggunakan uji chi-square. Pada penelitian ini ditemukan sebanyak 61,8% anak Sekolah Dasar Kristen Immanuel II Kubu Raya melakukan sarapan pagi. 58,8% siswa/i membawa uang saku lebih dari rata-rata dan sebanyak 86,8% siswa/I membawa uang saku dan membeli makanan jajanan di sekolah. ada hubungan yang bermakna antara uang saku dengan konsumsi jajanan pada anak Sekolah Dasar Kristen Immanuel II Kubu Raya sedangkan antara sarapan dengan konsumsi jajanan pada anak di Sekolah Dasar Kristen Immanuel II Kubu Raya tidak ada hubungan yang bermakna.


2019 ◽  
Author(s):  
Birhan Alemnew ◽  
Yalemzewud Belay ◽  
Asmamaw Demis

Abstract Objectives: the main of this study was to assess the Magnitude of intestinal parasitic infections and associated factors among food handlers working at Woldia University Student’s cafeteria, Northeastern Ethiopia. Institutional based cross-sectional study was conducted among 256 study participants in Woldia university student’s cafeteria, Northern Ethiopia. Systematic random sampling method was used to select the study participants. Data was collected using a standardized questionnaire by direct interviewing of study participants. Logistic regression was carried out to identify factors associated with intestinal parasitic infections. Results: A total of 256 food handlers were enrolled making the overall magnitude of the intestinal parasite which was stool specimens positive for different diagnostic stages of parasites was found to be 43(16.8%). Entamoeba histolytica/dispar was the most prevalent parasites 14(5.5%), followed by Giardia lamblia 10(3.9%). Lack of food safety training [AOR = 6.58; 95%CI: 2.46–17.62], no regular medical checkup [AOR=2.41; 95 %CI: 1.47-4.24], no handwashing practice after toilet by soap[AOR =3.24; 95%CI: 1.28-8.19], no handwashing practice before eating by soap [AOR =4.03; 95%CI:1.64-9.91] and haven’t food preparation license [AOR= 6.13; 95 % CI: 2.18-17.22] were significantly associated with parasitic infection among food handlers. Keywords: Intestinal parasites, Food handlers, Student cafeteria, Woldia University


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Birhan Alemnew ◽  
Yalemzewud Belay ◽  
Asmamaw Demis

Abstract Objectives The main aim of this study was to assess the Magnitude of intestinal parasitic infections and associated factors among food handlers working at Woldia University Student’s cafeteria, Northeastern Ethiopia. Institutional based cross-sectional study was conducted among 256 study participants in Woldia university student’s cafeteria, Northern Ethiopia. Systematic random sampling method was used to select the study participants. Data was collected using a standardized questionnaire by direct interviewing of study participants. Logistic regression was carried out to identify factors associated with intestinal parasitic infections. Results A total of 256 food handlers were enrolled making the overall magnitude of the intestinal parasite which was stool specimens positive for different diagnostic stages of parasites was found to be 43 (16.8%). Entamoeba histolytica/dispar was the most prevalent parasites 14 (5.5%), followed by Giardia lamblia 10 (3.9%). Lack of food safety training (AOR = 6.58; 95% CI 2.46–17.62), no regular medical checkup (AOR = 2.41; 95% CI 1.47–4.24), no handwashing practice after toilet by soap (AOR = 3.24; 95% CI 1.28–8.19), no handwashing practice before eating by soap (AOR = 4.03; 95% CI 1.64–9.91) and haven’t food preparation license (AOR = 6.13; 95% CI 2.18–17.22) were significantly associated with parasitic infection among food handlers.


2019 ◽  
Author(s):  
Birhan Alemnew ◽  
Yalemzewud Belay ◽  
Asmamaw Demis

Abstract Abstract Objectives: the main of this study was to assess the Magnitude of intestinal parasitic infections and associated factors among food handlers working at Woldia University Student’s cafeteria, Northeastern Ethiopia. Institutional based cross-sectional study was conducted among 256 study participants in Woldia university student’s cafeteria, Northern Ethiopia. Systematic random sampling method was used to select the study participants. Data was collected using a standardized questionnaire by direct interviewing of study participants. Logistic regression was carried out to identify factors associated with intestinal parasitic infections. Results: A total of 256 food handlers were enrolled making the overall magnitude of the intestinal parasite which was stool specimens positive for different diagnostic stages of parasites was found to be 43(16.8%). Entamoeba histolytica/dispar was the most prevalent parasites 14(5.5%), followed by Giardia lamblia 10(3.9%). Lack of food safety training [AOR = 6.58; 95%CI: 2.46–17.62], no regular medical checkup [AOR=2.41; 95 %CI: 1.47-4.24], no handwashing practice after toilet by soap[AOR =3.24; 95%CI: 1.28-8.19], no handwashing practice before eating by soap [AOR =4.03; 95%CI:1.64-9.91] and haven’t food preparation license [AOR= 6.13; 95 % CI: 2.18-17.22] were significantly associated with parasitic infection among food handlers. Keywords: Intestinal parasites, Food handlers, Student cafeteria, Woldia University


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045892
Author(s):  
Solomon Feleke ◽  
Gudina Egata ◽  
Firehiwot Mesfin ◽  
Gizachew Yilak ◽  
Abebaw Molla

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Jusuk Lee ◽  
Taehong Kim

Abstract Background Understanding the relationship between breastfeeding (BF) and metabolic syndrome (Mets) is important for maternal long-term health benefits and disease prevention. This study aimed to examine the association between BF and Mets and its components among postmenopausal parous Korean women. Methods This cross-sectional study on 10,356 Korean women used nationally representative data from the KNHANES from 2010 to 2016. Anthropometric, laboratory data and manual BP were measured. A multivariate logistic regression analysis was conducted to examine the association of BF with Mets and its components after adjusting for potential confounding variables. A p-value < 0.05 was to be considered statistically significant. Results Mets was present in 42% of the study participants. The BF group had low household income and education level. The prevalence of Mets in the BF group was higher than that in the non-BF group (42.69% vs. 34.76%, p <  0.001). BF was associated with increased risk of Mets (odds ratio [OR]: 1.4, 95% confidence interval [CI]: 1.18–1.65, p <  0.001). The BF group was at higher risks for diabetes (OR: 1.5, 95%CI: 1.14–1.98), hypertension (OR: 1.32, 95%CI: 1.03–1.68), hypertriglyceridemia (OR: 1.42, 95%CI: 1.02–1.99) and low high-density lipoprotein cholesterol (OR: 1.32, 95%CI: 1.06–1.65). Conclusion In this study, BF did not affect decreasing the prevalence of Mets and its components.


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