scholarly journals Community-Engaged Modeling of Geographic and Demographic Patterns of Multiple Public Health Risk Factors

Author(s):  
Komal Basra ◽  
M. Fabian ◽  
Raymond Holberger ◽  
Robert French ◽  
Jonathan Levy
2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Elfadil Mohammed Mahmoud ◽  
Indraijt Pal ◽  
Mokbul Morshed Ahmad

PurposeThe purpose of this paper is to assess the public health risk factors of internally displaced households and suggest appropriate measures and strategies for health risk reduction in the context of IDPs.Design/methodology/approachThe composite Index (CI) method was used to compare the public health risk factors at the household level in three IDP camps. A set of 22 indicators were studied in 326 households. Households were selected by using a two-stage cluster sampling technique.FindingsThe findings indicate that the Shangil Tobaya camp is at the highest risk for communicable diseases (63.6%) followed by Zamzam (52.4%) and Abu Shouk (42.7%) at the household level. Eight indicators appeared to have made differential impacts between Abu Shouk and Shangil Tobaya, these include: level of education, walking time to health facilities, water source, latrines type, safe disposal of child feces, frequency of visit by pregnant women to antenatal care services, place of delivery and women delivering their children with the help of skilled birth attendants.Research limitations/implicationsSince the selection criteria of the camps were predefined; there are variations in the number of samples between the camps. Therefore, the generalizability may be compromised.Social implicationsIncreased access to healthcare services particularly reproductive health services to the most vulnerable groups (women). Community involvement in services management to promote ownership.Originality/valueThe methods used in this study is original and flexible and can be replicated for other emergency areas and risks.


2018 ◽  
Vol 50 (5) ◽  
pp. 937-945 ◽  
Author(s):  
Peter O. Lamuka ◽  
Francis M. Njeruh ◽  
George C. Gitao ◽  
Joseph Matofari ◽  
Richard Bowen ◽  
...  

Author(s):  
Ratna Desinta Mega Kumala

Corona Virus Disease 2019 (COVID-19) has been declared by the World Health Organization (WHO) as a pandemic so prevention efforts need to be made to avoid an increase in cases. In the context of prevention efforts carried out the implementation of health quarantine as regulated in Act Number 6 of 2018 concerning Health Quarantine. The implementation of health quarantine is a joint responsibility of the Central Government and Regional Governments as a form of protection of public health from diseases and / or public health risk factors that have the potential to cause public health emergencies. Health quarantine is carried out through disease observation activities and public health risk factors for transportation, people, goods, and  or the environment, as well as responses to public health emergencies in the form of Health quarantine measures. One of the acts of health quarantine is in the form of large-scale social restrictions. The spread of Corona Virus Disease 2019 (COVID-19) in Indonesia is now increasing and expanding across regions and across countries accompanied by the number of cases and / or the number of deaths. The increase has an impact on political, economic, social, cultural, defense and security aspects, as well as the welfare of the people in Indonesia, so it is necessary to accelerate the handling of Corona Virus Disease 2019 (COVID-19) in the form of large-scale social restrictions in order to reduce the spread of Corona Virus Disease 2019 (COVID-19) is expanding. 


Author(s):  
Melissa Matlock ◽  
Suellen Hopfer ◽  
Oladele A. Ogunseitan

Valley Fever, or Coccidioidomycosis, a fungal respiratory disease, is prevalent with increasing incidence in the Southwestern United States, especially in the central region of California. Public health agencies in the region do not have a consistent strategy for communication and health promotion targeting vulnerable communities about this climate-sensitive disease. We used the behavior adaptation communication model to design and conduct semi-structured interviews with representatives of public health agencies in five California counties: Fresno, Kern, Kings, San Luis Obispo, and Tulare County. While none of the agencies currently include climate change information into their Valley Fever risk messaging, the agencies discuss future communication methods similar to other health risk factors such as poor air quality days and influenza virus season. For political reasons, some public health agencies deliberately avoided the use of climate change language in communicating health risk factors to farmers who are particularly vulnerable to soil and dust-borne fungal spores. The effectiveness of health communication activities of the public health agencies has not been measured in reducing the prevalence of Valley Fever in impacted communities. Given the transboundary nature of climate influence on Valley Fever risk, a concerted and consistent health communication strategy is expected to be more effective than current practices.


2020 ◽  
Author(s):  
Pie Ntampaka ◽  
François Niragire ◽  
Philip Njeru Nyaga ◽  
Gervais Habarugira

Abstract Background Despite that canine helminthiases pose a public health risk to humans and livestock, the prevalence of canine helminthiases in Rwanda is unknown. This study aimed to determine the prevalence of canine helminthiases and to identify the risk factors of such infections in Kigali, the capital city of Rwanda. A cross-sectional study involved 93 dogs selected across Kigali city. Faecal samples were collected from clinically healthy dogs and eggs worms were identified using McMaster technique. Risk factors for canine helminthiases were analysed by multivariable binary logistic regression analysis. Results The overall prevalence of intestinal helminthiases in dogs was 39.8%. The most prevalent species was Ancylostoma spp (32.3%, n = 93). About 41.9% (n = 31) of dogs suffering from ancylostomosis and/or toxocarosis had high egg counts per gram (EPG) of faeces (≥ 550). Approximately 97.3% (n = 37) of dogs infected with helminths had mono-infection. Logistic regression analysis showed that dog's age and location were significantly associated with the prevalence of canine helminthiases. The adjusted odds ratio (AOR) of dogs suffering from helminthiases was more than 61% lower in dogs dewormed once to twice a year compared to those who were never dewormed. The AOR was more than 42% lower for restricted dogs compared to non-restricted ones. Conclusions All the identified helminths are zoonotic and they pose a public health risk to humans. There is urgent need of awareness among dog owners on the role of dogs in transmitting zoonotic helminthiases to other animals and humans as well as effective control measures.


2020 ◽  
Author(s):  
Pie Ntampaka ◽  
François Niragire ◽  
Philip Njeru Nyaga ◽  
Gervais Habarugira

Abstract Background: Canine helminthiases pose a public health risk to humans and livestock. However, the prevalence of canine helminthiases in Rwanda is unknown. This study aimed to determine the prevalence of canine helminthiases and to identify the associated risk factors in Kigali city. A cross-sectional study involved 93 dogs selected across Kigali city. Faecal samples were collected from apparently healthy dogs and helminth eggs were identified and quantified under microscope using McMaster technique. Risk factors for canine helminthiases were analysed by multivariable binary logistic regression analysis.Results: The overall prevalence of intestinal helminthiases in dogs was 39.8%, 95% CI: 29.84- 49.73. The most prevalent species was Ancylostoma spp with 32.3%, 95% CI: 22.76-41.76. About 38.7% and 3.4% (n= 31) of dogs having ancylostomosis and toxocarosis had high egg counts per gram of faeces (≥ 550) each. Logistic regression analysis showed that dog's age, dog feeding practices and location were significantly associated with the prevalence of canine helminthiases. Compared to dogs aged < 1 year, the adjusted odds ratio (AOR) of developing helminthiases was more than 10 times higher for dogs aged between 1- 2.5 years (AOR=10.310; 95% CI: 1.557- 68.288), more than 5 times greater for dogs aged between 2.5-5 years, and more than 7 times greater for dogs that were at least 5 years old (AOR=7.543; 95% CI: 1.1360.101). Furthermore, the AOR was more than 5 times higher (AOR=5.41; 95% CI: 1.28- 22.87) for dogs fed on raw animal origin supplements, leftovers from family food and restaurants and more than 13 times higher (AOR=13.581; 95% CI: 2.194-84.050) for dogs that ate leftovers from household food and scavenged compared to those that ate food prepared for them, respectively. Conclusions: All the identified helminths including Ancylostoma spp, Toxocara canis, and tapeworms are zoonotic, and they pose a public health risk to humans. There is an urgent need of increasing the awareness among pet owners on the role of dogs in transmitting zoonotic helminthiases to other animals and to humans. The control of zoonotic helminthiases in dog population should focus on taking appropriate measures to promote hygienic dog feeding practices at all ages.


2020 ◽  
Author(s):  
Pie Ntampaka ◽  
François Niragire ◽  
Philip Njeru Nyaga ◽  
Gervais Habarugira

Abstract Background: Canine helminthiases pose a public health risk to humans and livestock. However, the prevalence of canine helminthiases in Rwanda is unknown. This study aimed to determine the prevalence of canine helminthiases and to identify the associated risk factors in Kigali city. A cross-sectional study involved 93 dogs selected across Kigali city. Faecal samples were collected from apparently healthy dogs and helminth eggs were identified and quantified under microscope using McMaster technique. Risk factors for canine helminthiases were analysed by multivariable binary logistic regression analysis.Results: The overall prevalence of intestinal helminthiases in dogs was 39.8%, 95% CI: 29.84- 49.73. The most prevalent species was Ancylostoma spp with 32.3%, 95% CI: 22.76-41.76. About 38.7% and 3.4% (n= 31) of dogs having ancylostomosis and toxocarosis had high egg counts per gram of faeces (≥ 550) each. Logistic regression analysis showed that dog's age, dog feeding practices and location were significantly associated with the prevalence of canine helminthiases. Compared to dogs aged < 1 year, the adjusted odds ratio (AOR) of developing helminthiases was more than 10 times higher for dogs aged between 1- 2.5 years (AOR=10.310; 95% CI: 1.557- 68.288), more than 5 times greater for dogs aged between 2.5-5 years, and more than 7 times greater for dogs that were at least 5 years old (AOR=7.543; 95% CI: 1.1360.101). Furthermore, the AOR was more than 5 times higher (AOR=5.41; 95% CI: 1.28- 22.87) for dogs fed on raw animal origin supplements, leftovers from family food and restaurants and more than 13 times higher (AOR=13.581; 95% CI: 2.194-84.050) for dogs that ate leftovers from household food and scavenged compared to those that ate food prepared for them, respectively. Conclusions: All the identified helminths including Ancylostoma spp, Toxocara canis, and tapeworms are zoonotic, and they pose a public health risk to humans. There is an urgent need of increasing the awareness among pet owners on the role of dogs in transmitting zoonotic helminthiases to other animals and to humans. The control of zoonotic helminthiases in dog population should focus on taking appropriate measures to promote hygienic dog feeding practices at all ages.


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