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埃塞俄比亚西南部甘贝拉地区部分地区卫生工作者对蚊媒病毒病的社区认知与经验

Community awareness and experiences of health workers concerning mosquito-borne viral diseases in selected districts of Gambella Region, Southwestern Ethiopia.

作者信息

Asebe Getahun, Mamo Gezahegne, Wieland Barbara, Medhin Girmay, Tilahun Getachew, Abegaz Woldaregay Erku, Legesse Mengistu

机构信息

Addis Ababa University College of Veterinary Medicine, Department of Veterinary Microbiology, Immunology and Public Health, Bishoftu, Ethiopia.

College of Agriculture and Natural Resources, Gambella University, Gambella, Ethiopia.

出版信息

Infect Ecol Epidemiol. 2021 Nov 1;11(1):1988453. doi: 10.1080/20008686.2021.1988453. eCollection 2021.

DOI:10.1080/20008686.2021.1988453
PMID:34745448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8567928/
Abstract

In this study, we assessed community awareness and experiences of health workers about mosquito-borne viral diseases in selected districts of the Gambella Region, South Western Ethiopia. A community and health facility-based qualitative study involving 11 focus group discussions (FGDs) with community dmembers and two FGDs with health workers was conducted between November 2017 to January 2018. A total of 122 community members and 16 health workers participated in the study. All the discussants mentioned malaria, typhoid fever, unknown causes of diarrhea and skin diseases as the major public health problems in the area. Using pictures of and mosquitoes, participants confirmed that both mosquitoes are present in the area. They identified as the vector of malaria. However, community discussants could not mention the name of a disease that can be transmitted by mosquito though mentioned that Aedes mosquito bites both humans and animals during the day time in forest areas and causes skin itching to humans. Meanwhile, community participants from Pakag, a village bordering South Sudan, expressed concern that mosquito can cause a malaria-like disease which can kill within a few days. Health workers from Itang health center described that in 2016, an outbreak of an unknown disease that causes fever and jaundice occurred and killed seven individuals in a village called Akula, which is closer to a South Sudan refugee camp. Overall, the findings showed that community members and health workers in the area do not have adequate information on mosquito-borne viral diseases. Creating awareness, improving laboratory services and further epidemiological studies would be important for early warning and preparedness for outbreaks in the area.

摘要

在本研究中,我们评估了埃塞俄比亚西南部甘贝拉地区选定 districts 社区对蚊媒病毒性疾病的认知以及卫生工作者的相关经历。2017年11月至2018年1月期间,开展了一项基于社区和卫生机构的定性研究,包括与社区成员进行11次焦点小组讨论(FGDs)以及与卫生工作者进行2次FGDs。共有122名社区成员和16名卫生工作者参与了该研究。所有讨论者都提到疟疾、伤寒热、腹泻病因不明以及皮肤病是该地区的主要公共卫生问题。通过展示 和 蚊子的图片,参与者确认这两种蚊子在该地区都有。他们确定 是疟疾的传播媒介。然而,社区讨论者无法说出一种可由 蚊子传播的疾病名称,尽管 提到伊蚊在白天会在森林地区叮咬人类和动物并导致人类皮肤瘙痒。与此同时,来自与南苏丹接壤的帕卡格村的社区参与者表示担心 蚊子会引发一种类似疟疾的疾病,这种疾病可能在几天内致人死亡。伊坦卫生中心的卫生工作者描述说,2016年,在靠近一个南苏丹难民营的名为阿库拉的村庄发生了一场导致发热和黄疸的不明疾病疫情,造成7人死亡。总体而言,研究结果表明该地区的社区成员和卫生工作者对蚊媒病毒性疾病没有足够的了解。提高认识、改善实验室服务以及进一步开展流行病学研究对于该地区疫情的早期预警和防范至关重要。

注

原文中“districts”未明确中文释义,可根据实际情况替换为准确地名等;“ 和 ”处原文信息缺失,无法准确翻译。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b298/8567928/00ce56d6b1fa/ZIEE_A_1988453_F0001b_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b298/8567928/08e60715fb3d/ZIEE_A_1988453_F0001a_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b298/8567928/00ce56d6b1fa/ZIEE_A_1988453_F0001b_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b298/8567928/08e60715fb3d/ZIEE_A_1988453_F0001a_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b298/8567928/00ce56d6b1fa/ZIEE_A_1988453_F0001b_OC.jpg

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