scholarly journals Perceived Risk and Knowledge of COVID-2019 Community Transmission among Local Council Leaders in Rural Districts of Eastern Uganda

2020 ◽  
Author(s):  
Abdul Walusansa ◽  
Jacob Stanley Iramiot ◽  
Ali Kudamba ◽  
Shaban Alemu Okurut ◽  
Joseph Mpagi ◽  
...  
Keyword(s):  
Control Measures ◽  
World Health ◽  
Effective Control ◽  
Convenience Sample ◽  
Local Council ◽  
Rural Districts ◽  
Rural Settings ◽  
The World ◽  
Knowledge Levels ◽  
Eastern Uganda

Abstract Background: Corona virus disease (COVID-19) is one of the topmost global hindrances to human existence. Rural settings have been reported to be more vulnerable in some parts of the world. In Uganda, local council (LC) leaders in rural districts are among the immediate personnel mandated to support compliance with preventive guidelines, and to identify and report/deliver COVID-19 cases to health units. We examined the potential risk of COVID-19 transmission, knowledge levels, perceptions & opinions of LC leaders in selected districts in Eastern Uganda, to support the design of risk-based COVID-19 control measures in rural settings, to protect lives better.Methods: A convenience sample was taken from village council leaders in the selected districts. Pretested questionnaires and in-depth interviews were used to assess the knowledge levels, perceptions, and opinions of respondents about COVID-19. An observational survey was also conducted to examine the barriers that might deter effective control of COVID-19, with reference to health guidelines set by the Ugandan government and the World Health Organization. Data was analyzed using HyperRESEARCH 2.8 software, and STATA version-15.0.Results and discussion: Eighty percent of local council leaders reported that they were formally engaged in the fight against COVID-19 in their communities, and the common means of engagement were; dissemination of COVID-19 information by word of mouth, regulation of public events, and monitoring of visitors that come from distant places. All clients reported having received some information about this pandemic, but there was generally low knowledge on some vital aspects: 70% of the respondents did not know the meaning of COVID-19; 100% were uninformed on these common symptoms; headache, sore throat, nausea, and loss of taste & smell; 10% did not know if willingness to conform to health guidelines may affect COVID-19 prevention, and they believed that domestic animals are viable vectors. Radio was the commonest source of COVID-19 information, but it was confounded by poor quality of radio-signals. Most respondents were of the view that in the communities they lead; inaccessibility to authentic health information, financial constraints, and belief that COVID-19 is a fallacy, were some of the leading obstacles to the fight against the pandemic. Low awareness and misconceptions on COVID-19 could be explained by; technological challenges, low literacy levels, and dissemination of wrong information about this pandemic. From the observational survey, the major factors which might intensify the risk of COVID-19 spread were: scarcity of requirements for hand hygiene, face protection, violation of health guidelines & directives, porous borders, terrain, and use of potentially polluted open water sources.Conclusion and recommendations: Rural communities in Eastern Uganda are vulnerable to the drastic spread of COVID-19, due to challenges related to: low awareness of COVID-19, reluctance in complying with preventive guidelines, finance, technology, terrain, porous borders, illiteracy and scarcity of protective wear and hygiene resources. Awareness creation, material aid, execution of preventive rules, and more research on COVID-19 are warranted.

scholarly journals COVID-19 in the Eyes of Community Leaders in Selected Rural Districts in Eastern Uganda

2021 ◽  
pp. 20-37
Author(s):  
Abdul Walusansa ◽  
Jacob S. Iramiot ◽  
Joseph L. Mpagi ◽  
Ali Kudamba ◽  
Shaban A. Okurut ◽  
...  
Keyword(s):  
Virus Disease ◽  
Control Measures ◽  
World Health ◽  
Community Leaders ◽  
Effective Control ◽  
Convenience Sample ◽  
Rural Settings ◽  
The World ◽  
Knowledge Levels ◽  
Eastern Uganda

Introduction: Corona virus disease (COVID-19) is one of the topmost global hindrances to human existence. Rural settings have been reported to be more vulnerable in some parts of the world. In Uganda, community leaders in rural villages are among the immediate personnel mandated to support compliance with preventive guidelines, and to identify and report/deliver COVID-19 cases to health units. We examined the potential risks of COVID-19 transmission, knowledge levels, perceptions and opinions of Village Council Leaders (VCLs) in selected districts in Eastern Uganda, to support the design of risk-based COVID-19 control measures in rural settings, to protect lives better. Methodology: A convenience sample of ten VLCs were purposively selected in three districts in Eastern Uganda. Pretested questionnaires and in-depth interviews were used to assess the knowledge levels, perceptions, and opinions of respondents about COVID-19. An observational survey was also conducted to examine the barriers to effective control of COVID-19, with reference to health guidelines set by the Ugandan government and the World Health Organization. Data was analyzed using HyperRESEARCH 2.8 software, and STATA version-15.0. Results: Eighty percent of VCLs reported that they were formally engaged in the fight against COVID-19, and the common means of engagement were; dissemination of COVID-19 information by word of mouth, regulation of public events, and monitoring of visitors that come from distant places. All clients reported having received some information about this pandemic, but there was generally low knowledge on some vital aspects: 70% of the respondents did not know the meaning of COVID-19; 100% were uninformed on these common symptoms; headache, sore throat, nausea, and loss of taste & smell; 10% did not know if willingness to conform to health guidelines may affect COVID-19 prevention, and they believed that domestic animals are viable vectors. Radio was the commonest source of COVID-19 information, but it was confounded by poor quality of radio-signals. Most respondents were of the view that in the communities they lead; inaccessibility to authentic health information, financial constraints, and belief that COVID-19 is a fallacy, were some of the leading obstacles to the fight against the pandemic. Low awareness and misconceptions on COVID-19 could be explained by; technological challenges, low literacy levels, and dissemination of wrong information about this pandemic. From the observational survey, the major factors which might intensify the risk of COVID-19 spread were: scarcity of requirements for hand hygiene, face protection, violation of health guidelines and directives, porous borders, terrain, and use of potentially polluted open water sources. Conclusion: Communities in Eastern Uganda are vulnerable to the drastic spread of COVID-19 due to challenges related to: low awareness, poor compliance with preventive guidelines, finances, technology, terrain, illiteracy, scarcity of protective wear and hygiene resources. Awareness creation, material aid, execution of preventive rules, and more research on COVID-19 are warranted.

Characterizing the effectiveness of COVID-19 mitigation measures: A data-centric approach (Preprint)

2020 ◽  
Author(s):  
Lukman Olagoke ◽  
Ahmet E. Topcu
Keyword(s):  
Control Measure ◽  
Control Measures ◽  
World Health ◽  
Mitigation Measures ◽  
Effective Control ◽  
The World ◽  
Decision Making Processes ◽  
And Performance ◽  
Health Organization ◽  
The Impact

BACKGROUND COVID-19 represents a serious threat to both national health and economic systems. To curb this pandemic, the World Health Organization (WHO) issued a series of COVID-19 public safety guidelines. Different countries around the world initiated different measures in line with the WHO guidelines to mitigate and investigate the spread of COVID-19 in their territories. OBJECTIVE The aim of this paper is to quantitatively evaluate the effectiveness of these control measures using a data-centric approach. METHODS We begin with a simple text analysis of coronavirus-related articles and show that reports on similar outbreaks in the past strongly proposed similar control measures. This reaffirms the fact that these control measures are in order. Subsequently, we propose a simple performance statistic that quantifies general performance and performance under the different measures that were initiated. A density based clustering of based on performance statistic was carried out to group countries based on performance. RESULTS The performance statistic helps evaluate quantitatively the impact of COVID-19 control measures. Countries tend show variability in performance under different control measures. The performance statistic has negative correlation with cases of death which is a useful characteristics for COVID-19 control measure performance analysis. A web-based time-line visualization that enables comparison of performances and cases across continents and subregions is presented. CONCLUSIONS The performance metric is relevant for the analysis of the impact of COVID-19 control measures. This can help caregivers and policymakers identify effective control measures and reduce cases of death due to COVID-19. The interactive web visualizer provides easily digested and quick feedback to augment decision-making processes in the COVID-19 response measures evaluation. CLINICALTRIAL Not Applicable

scholarly journals Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine

2020 ◽  
Vol 99 (5) ◽  
pp. 481-487 ◽  
Author(s):  
L. Meng ◽  
F. Hua ◽  
Z. Bian
Keyword(s):  
Public Health ◽  
Infection Control ◽  
Control Measures ◽  
World Health ◽  
Infection Control Measures ◽  
Dental Practitioners ◽  
The World ◽  
Essential Knowledge ◽  
Novel Coronavirus ◽  
Health Organization

The epidemic of coronavirus disease 2019 (COVID-19), originating in Wuhan, China, has become a major public health challenge for not only China but also countries around the world. The World Health Organization announced that the outbreaks of the novel coronavirus have constituted a public health emergency of international concern. As of February 26, 2020, COVID-19 has been recognized in 34 countries, with a total of 80,239 laboratory-confirmed cases and 2,700 deaths. Infection control measures are necessary to prevent the virus from further spreading and to help control the epidemic situation. Due to the characteristics of dental settings, the risk of cross infection can be high between patients and dental practitioners. For dental practices and hospitals in areas that are (potentially) affected with COVID-19, strict and effective infection control protocols are urgently needed. This article, based on our experience and relevant guidelines and research, introduces essential knowledge about COVID-19 and nosocomial infection in dental settings and provides recommended management protocols for dental practitioners and students in (potentially) affected areas.

scholarly journals Epidemiological perspectives of COVID-19 in Telangana and India: a descriptive study design

2021 ◽  
Vol 8 (4) ◽  
pp. 1817
Author(s):  
Amruta Barhate ◽  
Prakash Bhatia
Keyword(s):  
Data Analysis ◽  
Study Design ◽  
Descriptive Study ◽  
Control Measures ◽  
Data Sources ◽  
Effective Control ◽  
Steady Increase ◽  
The World ◽  
To Come ◽  
Second Wave

Background: The COVID-19 pandemic has made the world to come to a standstill. What started as on 16th March 2020, as 114 confirmed cases of COVID‑19 in the country has now reached worrisome figures. The latest world scenario as per WHO as on 30th November, 2020 is as under-World data: 62,509,444 cases, deaths: 1,458,782; USA: 13,082,877 cases, deaths: 263,946; India: 9,431,691 cases, deaths 137, 139. It is evident that worldwide India is number two in case load and there’s no reason to prevent India from becoming number one unless appropriate corrective steps are taken.Methods: The present study has looked into various data sources available in public domain. The study covered a period of almost nine months i.e., from March 2020 to November 2020. The study revealed a steady increase in the number of COVID-19 cases from March 2020 with peak of pandemic occurring in the mid of September and then a steady decline of cases from October.Results: The data analysis shows that after peaking of cases in September, the epidemic will decline in a phased manner by the end of March 2021. Even though there is a decline seen from the month of October, spike of COVID-19 cases was seen in November in some of the states of India. Therefore, we can’t deny the possibility of a second wave of pandemic to occur in the month of December 2020 and January 2021.Conclusions: Hence appropriate and strict control measures have to be put in place for effective control of the Pandemic and its resurgence.

The Role of Trust in Covid Tracing Apps: Estonian Case Study (Preprint)

2021 ◽  
Author(s):  
Sonia Sousa ◽  
Tiina Kalju
Keyword(s):  
Minority Groups ◽  
Mobile Apps ◽  
Control Measures ◽  
Security And Privacy ◽  
Contact Tracing ◽  
P Value ◽  
Sensitive Data ◽  
Convenience Sample ◽  
The World ◽  
Wide Availability

BACKGROUND The COVID-19 pandemic has caused changes on how we use technology across the world, both socially and economically. Due to the urgency and severity of the crisis different virus control measures were explored. One of the means how technology could help in this situation was by helping trace the contacts of people to prevent the spread of the disease. Many governments and public health authorities across the world have launched a number of contact tracing mobile apps (CTA). By the end of 2020, there are more than 50 contact tracing apps in both Google Play and iOS App Store [1]. Despite the wide availability, the download rates are low and usage rates are even lower [2][3]. There could be many reasons why the adoption is so low, but most certainly one variable that has been overlooked is the level of trust that potential users need to feel comfortable using an app. In Estonia, the CTA named HOIA has been developed as a means of digital contact tracing. By the middle of January 2021, there have been approximately 250 000 downloads but only 1763 (around 4,7% of all COVID-19 positive in Estonia by that time) people have registered as being tested COVID-19 positive [4]. It shows that HOIA has not proved to be efficient means to reduce the spread of the pandemic. Modeling evidence suggests that in order to be effective, the use of contact tracing apps would need to be very high, at least 80% of smartphone users to stop the pandemic [5]. 40% of Estonian people who don’t have HOIA do not believe that HOIA is effective and does what is promised. The concern about security and privacy was in the second place [6]. OBJECTIVE The goal of this study was to assess Estonian's trust towards the HOIA app and what has caused the shortage in trust. Namely, assess how much Estonians trust Covid-19 contact tracing app HOIA and what aspects are perceived as distrust by them. The study contributes to designers' understanding and awareness of designing trustworthy technology. METHODS The study comprised of measuring trust in HOIA CTA application using human-computer Trust psychometric scale [22]. A convenience sample was used in data collection, this includes all potential HOIA among the Estonian population. RESULTS Results indicate significant positive correlations between participants' trust towards the Estonian COVID tracing application (HOIA) and their perceptions of risk (p-value 0.000), competency (P-value 0.000), Benevolence (P-value=0.025), and reciprocity (P-value 0.015). CONCLUSIONS With the COVID-19 crisis, the new phenomenon of contact tracing apps was introduced to fight against the pandemic. CTAs were hoped to be a technological breakthrough to decrease the spread of the virus. However, this has not happened around the world. The same has happened in Estonia and evidence shows, that one of the reasons could be the low level of trust. The results of the study confirm, that trust in HOIA among Estonian habitants does affect their predisposition to use and indicated that participants do not believe HOIA is able to fulfill the main goal and decrease the spread of the virus. The result of this work is not only limited to HOIA but can be implemented by other CTAs as well. The results of this study contribute to designers' understanding and awareness of designing trustworthy technology. Eventually helps to provide design recommendations that ensure trustworthiness in the CTAs AI ability to use highly sensitive data and serve society. Regarding the limitations of this study, the survey was able to gather insight about the perceptions of HOIA, was enough to make a statistical generalization about the users’ perception and usage habits but more data needs to be collected if the intention is to generalize the results to the whole population of Estonia. Also, we should pay attention to the different minority groups to reach a valid conclusion. CLINICALTRIAL no trial registration.

scholarly journals Antiplasmodial natural products: an update

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Nasir Tajuddeen ◽  
Fanie R. Van Heerden
Keyword(s):  
Natural Products ◽  
Relevant Literature ◽  
World Health ◽  
Effective Control ◽  
Insecticide Treated Nets ◽  
Scientific Databases ◽  
The World ◽  
Significant Public Health ◽  
Public Health Challenge ◽  
Health Organization

Abstract Background Malaria remains a significant public health challenge in regions of the world where it is endemic. An unprecedented decline in malaria incidences was recorded during the last decade due to the availability of effective control interventions, such as the deployment of artemisinin-based combination therapy and insecticide-treated nets. However, according to the World Health Organization, malaria is staging a comeback, in part due to the development of drug resistance. Therefore, there is an urgent need to discover new anti-malarial drugs. This article reviews the literature on natural products with antiplasmodial activity that was reported between 2010 and 2017. Methods Relevant literature was sourced by searching the major scientific databases, including Web of Science, ScienceDirect, Scopus, SciFinder, Pubmed, and Google Scholar, using appropriate keyword combinations. Results and Discussion A total of 1524 compounds from 397 relevant references, assayed against at least one strain of Plasmodium, were reported in the period under review. Out of these, 39% were described as new natural products, and 29% of the compounds had IC50 ≤ 3.0 µM against at least one strain of Plasmodium. Several of these compounds have the potential to be developed into viable anti-malarial drugs. Also, some of these compounds could play a role in malaria eradication by targeting gametocytes. However, the research into natural products with potential for blocking the transmission of malaria is still in its infancy stage and needs to be vigorously pursued.

scholarly journals Symptomatic Early Congenital Syphilis: A Common but Forgotten Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Machiraju Vasudeva Murali ◽  
Cherukuri Nirmala ◽  
Jampana Venkateswara Rao
Keyword(s):  
Pregnant Women ◽  
Congenital Syphilis ◽  
Late Pregnancy ◽  
First Trimester ◽  
Control Measures ◽  
World Health ◽  
Antenatal Visit ◽  
Perinatal Morbidity ◽  
Infected Mother ◽  
The World

Congenital syphilis is a severe, disabling infection often with grave consequences seen in infants. It occurs due to the transmission of the disease from an infected mother to the unborn infant through the placenta. This long forgotten disease continues to affect pregnant women resulting in perinatal morbidity and mortality. The continuing prevalence of this disease reveals the failure of control measures established for its prevention. We put forth a case of symptomatic congenital syphilis presenting with skeletal manifestations at birth, a rare finding in literature. The report stresses upon the importance of implementing the World Health Organization's recommendation that all pregnant women should be screened for syphilis in the first antenatal visit in the first trimester and again in the late pregnancy.

scholarly journals Visual Data Analysis and Simulation Prediction for COVID-19 in Saudi Arabia Using SEIR Prediction Model

2021 ◽  
Vol 17 (08) ◽  
pp. 154
Author(s):  
Shakir Khan
Keyword(s):  
Machine Learning ◽  
Saudi Arabia ◽  
Prediction Models ◽  
Preventive Measures ◽  
Future Trend ◽  
Control Measures ◽  
World Health ◽  
Seir Model ◽  
The World ◽  
Health Organization

<p>The World Health Organization (WHO) reported the COVID-19 epidemic a global health emergency on January 30 and confirmed its transformation into a pandemic on March 11. China has been the hardest hit since the virus's outbreak, which may date back to late November. Saudi Arabia realized the danger of the Coronavirus in March 2020, took the initiative to take a set of pre-emptive decisions that preceded many countries of the world, and worked to harness all capabilities to confront the outbreak of the epidemic. Several researchers are currently using various mathematical and machine learning-based prediction models to estimate this pandemic's future trend. In this work, the SEIR model was applied to predict the epidemic situation in Saudi Arabia and evaluate the effectiveness of some epidemic control measures, and finally, providing some advice on preventive measures.</p>

scholarly journals A review of the health implications of heavy metals and pesticide residues on khat users

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Albert M. Oyugi ◽  
Joshua K. Kibet ◽  
John O. Adongo
Keyword(s):  
Heavy Metals ◽  
Food Chain ◽  
The Body ◽  
Control Measures ◽  
World Health ◽  
Health Concern ◽  
Main Body ◽  
Farming Practices ◽  
Health Implications ◽  
The World

Abstract Background There is an exponential rise in the use of farming chemicals in agricultural practices ostensibly to increase food production. The chewing of fresh khat leaves and shoots has spread across the world from ancient khat producing regions in East Africa and the Arabian Peninsula. Khat is a well-established socialization substance with stimulating characteristics. In this work, we have reviewed the deleterious impacts of several heavy metals such as lead, cadmium, iron in the khat plant and their health impacts. Survey on the health complications of farming chemicals used in khat production is also presented. Main body of the abstract The toxic effects of heavy metals and farming chemicals in plant matter such as khat leaves are a serious health concern. Heavy metals including cadmium (Cd) and lead (Pb), for instance, bio-accumulate in the body and the food chain as precursors for disease. It has been established that blood that has lead levels of 40–60 ug/dL is a precursor for serious health illnesses such as cardiac arrest and cancer. On the other hand, cadmium is reported to bind itself onto metallothioneins hence forming cadmium–metallothionein complex that is transported to all body organs causing deleterious cell damage. The entry of farming chemical into the food chain especially via the chewing of contaminated khat has been known to contribute to health problems such as cancer, hypertension and liver cirrhosis. khat is branded a ‘substance of abuse’ by the World Health Organization (WHO) because of the adverse health risks it causes to humans. Relevant articles published between 2010 and 2021, and archived in PubMed, Google Scholar, Medley, Cochrane, and Web of Science were used in this review. Short conclusion The health implications of heavy metals and farming chemicals arising from the consumption of contaminated khat shoots are a serious concern to the khat chewing community. Consequently, there is need to develop better farming practices that may minimize the absorption of heavy metals and farming chemicals by the khat plant. Information presented in this review is also important in sensitizing policy makers to advance control measures towards safer khat farming practices.

scholarly journals CONTROL OF INFECTION FROM NOSOCOMIAL TRANSMISSION OF TUBERCULOSIS

2018 ◽  
Vol 28 (2) ◽  
pp. 495-500
Author(s):  
Ljiljana Simonovska ◽  
Iva Paneva ◽  
Gordana Panova
Keyword(s):  
Health Care Professionals ◽  
Environmental Control ◽  
Health Workers ◽  
Control Measures ◽  
World Health ◽  
Nosocomial Transmission ◽  
Personal Protection ◽  
Short Term ◽  
Short Term Treatment ◽  
The World

Tuberculosis (TB) is still a huge health problem in the world. According to the World Health Organization (WHO), in 2015, 10.4 million new tuberculosis cases were registered. Most of the newly reported cases of TB are concentrated in 6 countries in the world: India, Indonesia, China, Nigeria, Pakistan and South Africa. In 2015, 1.8 million people died of TB. Among deaths 140,000 were children (1) By implementing the WHO strategy, known as Short Term Treatment Procedures under Direct Surveillance (DOT), almost all patients with tuberculosis can be treated. At the base of the DOT, the strategy is applied to short-term regimens under the direct control of health workers .Transmission of infection in tuberculosis is usually an aerobic pathway.Recent research in developing countries has shown that health care professionals (CARs) who take care of infectious TB patients have significantly higher isk of getting infected and getting sick from TB Therefore, WHO makes recommendations and guidelines to provide effective measures to prevent TB infection between the care professionals.These recommendations are based on a three-level control of the infection, consisting of administrative control, environmental control and personal protection of the respiratory organs. According to the basic healthcare activity provided by the Institute for Lung Disease and Tuberculosis (TB) in terms of diagnosing, treating and preventing tuberculosis, the working staff and / or patients coming to the Institute for various services are at risk of infection with tuberculosis bacteria. Therefore, consistent implementation of the measures recommended by the WHO and set out in the Control Program the infection of the nosocomial transmission of tuberculosis.The program for control of nosocomial infection with tuberculosis bacteria (MT) in the Institute should be realized with activities, hierarchically divided into three, оr four levels: managerial (organizational) activities at the level of a health institution, administrative measures, which reduce the risk of exposure to infection, environmental control measures, which prevents the risk of drooping way of spreading respiratory infections with MT and measures of personal protection against infection, which reduces the risk of inhalation of infectious particles.

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