Cartography and Epidemiological Study of Leishmaniasis Disease in Sefrou Province (2007–2010), Central North of Morocco

Talbi, Fatima Zahra; Khayyat, Fatiha El; Omari, Hajar El; Maniar, S.; Fadil, Mohamed El; Taroq, Amal; Idrissi, Abdellatif Janati; Lalami, Abdelhakim El Ouali

doi:10.1155/2020/1867651

Cited by 5 publications

(6 citation statements)

References 34 publications

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“…Despite efforts to control and eliminate CL at the national level, Morocco still suffers from the spread of these parasitoses. Most of the work that was carried out at the national level on CL focuses on the eco-epidemiological and parasitological aspects of the disease [6][7][8][11][12][13]. To date, no research was carried out to study the sociocultural aspects of these parasitic dermatoses.…”

Section: Resultsmentioning

confidence: 99%

“…Economically and agroindustrially, the province of El Hajeb is celebrated nationally for its onion production (62% of national production), it is an important area for the central region of the country and offers employment opportunities throughout the year, and it is a meeting place for seasonal workers to participate in the cultivation and harvesting of onions (62% of national production) [18]. ese workers come in particular from neighbouring provinces such as Fez, Séfrou, and Moulay Yacoub, which have recently declared as endemic foci of cutaneous leishmaniasis in central Morocco [13,19,20].…”

Section: Study Areamentioning

confidence: 99%

“…At present, most of the work that was done on CL in Morocco focuses on the eco-epidemiological and parasitological aspects of the disease [7,9,[11][12][13]. However, no studies were made to describe the sociocultural aspects of the disease.…”

Section: Introductionmentioning

confidence: 99%

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The Cutaneous Leishmaniasis and the Sand Fly: Knowledge and Beliefs of the Population in Central Morocco (El Hajeb)

El-Mouhdi

Chahlaoui²,

Fekhaoui

2020

Dermatology Research and Practice

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Background. Cutaneous leishmaniasis is a neglected parasitic dermal disease transmitted to humans through the bite of an infected female sand fly. Morocco hopes to eliminate all forms of leishmaniasis by 2030. These dermatoses pose a real public health problem in the country. Although the information is available on the disease, individual knowledge of cutaneous leishmaniasis and sand fly is not yet developed. Exploring people’s beliefs and popular behaviours about cutaneous leishmaniasis and its vector allows health officials to know the sociocultural aspects of the disease and to improve prevention and control actions. Objectives. To identify the knowledge of cutaneous leishmaniasis and its vector in the population in central Morocco. Methods. Based on the epidemiological data of leishmaniases in the province of El Hajeb, we conducted a field survey and personal interviews in April and May 2019, among 281 persons belonging to the localities where leishmaniases were registered. Results. Our results show that the participants use the concept of “Chniwla” (61.6%) for sand fly and the concept of “Hboub Chniwla” (50.8%) for cutaneous leishmaniasis; 24.6% of the respondents do not know how the disease is transmitted to humans and 43.7% use traditional treatments and home remedies to cure themselves. 44% of participants believe that sand fly does not transmit the disease to humans and only 6.4% were aware of their responsibility in vector control. Conclusions. The study concluded that there is a need to simplify the scientific terminology in the health education of citizens regarding these dermatoses and their vector by integrating the popular concepts obtained in this study to raise public awareness and facilitate their involvement as active actors in the prevention of cutaneous leishmaniasis.

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Section: Resultsmentioning

confidence: 99%

Section: Study Areamentioning

confidence: 99%

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The Cutaneous Leishmaniasis and the Sand Fly: Knowledge and Beliefs of the Population in Central Morocco (El Hajeb)

El-Mouhdi

Chahlaoui²,

Fekhaoui

2020

Dermatology Research and Practice

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“…This is a cross-sectional exploratory study carried out between April and May 2019 among all medical and paramedical health professionals working in public health institutions in the province of El Hajeb which is located in central Morocco in the Fez-Meknes region where several leishmaniases outbreaks have recently been declared and other former ones have been reactivated [ 7 , 8 ]. Also, a very recent study was carried out describing the epidemiological situation of leishmaniases in the ELHajeb province revealed that 75% of the newly reported cases of leishmaniases were indigenous people of rural origin, the coexistence of both cutaneous and visceral forms, the early age of human infestation which is 13 months for VL and 24 months for CL [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

Knowledge and Experiences of Health Professionals in the Peripheral Management of Leishmaniasis in Morocco (ELHajeb)

El-Mouhdi

Fekhaoui

Elhamdaoui³

et al. 2020

Journal of Parasitology Research

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Background. Morocco hopes to eliminate leishmaniases by 2030. These diseases exist in cutaneous and visceral forms and constitute a serious public health problem. The fight against these parasitoses is carried out within the framework of a national program to control leishmaniases, which offers free treatment. However, the screening rate in public health structures does not exceed 35%. Objective. To determine the knowledge and experience of the social actors directly involved in the fight against leishmaniasis to contribute to analyse and understand the factors of this underreporting and to draw scientific recommendations to improve screening and control activities. Methods. Using a self-administered questionnaire, we conducted an exploratory survey during April and May 2019 among all health professionals working in public health structures in the province of ELHajeb in central Morocco. Results. We found that most of the health professionals had good knowledge about the clinical signs of each form of leishmaniasis, but they had erroneous information about the true vector of the disease, the reservoirs, and the mode of transmission. 76% recognized the national leishmaniases control program and only 17% received continuing education. 85% of these professionals focused on the curative aspects of the program. 47% stated that patients do not adhere to the antileishmaniasis treatment, and 25% stated that the population uses the concept of “Hboub of Chniwla” to refer to cutaneous leishmaniasis. Conclusion. The study concluded that the operationalization of the activities of the leishmaniases control program recognizes some weaknesses which explain the underscreening of cases. Improvement of this situation requires the implementation of continuous training programs for caregivers and awareness-raising programs for citizens which should focus on the mode of transmission, preventive measures against reservoirs, sand flies bites, and recognition of lesions using the popular names of the disease as a starting point.

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“…CL patients with clinical lesions of CL were passively received during the study period at the local laboratory of the health center of Sefrou Province. [ 24 ]. The period of the study was four years, from 2007 to 2011.…”

Section: Methodsmentioning

confidence: 99%

Thematic Maps of the Impact of Urbanization and Socioeconomic Factors on the Distribution of the Incidence of Cutaneous Leishmaniasis Cases in Sefrou Province, Central North of Morocco (2007–2011)

Talbi

Nouayti

Omari³

et al. 2020

Interdisciplinary Perspectives on Infectious Diseases

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Background. Leishmaniases are vector-borne diseases with health risks. They cause a big health problem. These parasitic diseases are transmitted by the parasite of the genus Leishmania through sandflies. Objective. The aim of this work is to study the distribution of the incidence of cutaneous leishmaniasis (CL) cases and the impact of urbanization and socioeconomic factors and their effects as leishmaniasis risk factors. Methods. We conducted a retrospective study of CL cases collected at the level of Sefrou Province during the period from 2007 to 2011. The data was collected from registers of the Medical Delegation of Sefrou Province. The socioeconomic data, namely, the poverty rate, the popular density, and the type of environment (urban/rural) of Sefrou Province, were obtained from the High Commission for Planning. Statistical analysis was performed by SPSS software (version 20). The data were registered in a Microsoft Excel 2010 file. Statistical analysis was based on one-way analysis of variance (ANOVA), and then a correlation study was carried out (Pearson correlation). The results were considered significant when p was less than 0.05. The database was analyzed by QGIS 2.18, which is open source software. Results. A total of 349 cases of CL were collected at Sefrou Province from 2007 to 2011. A percentage of 49% of the cases come from urban areas, while 51% of the cases come from rural areas. In the statistical analysis, the division of the incidence of CL cases was found to be significantly associated only with urbanization. For the other factors, the number of people or the poverty rate is not taken into account in the incidence dynamics. Conclusion. This study may be useful for the implementation of future adequate measures and controls. Getting rid of leishmaniasis requires a comprehensive approach by acting on the sources of contamination through good continuous surveillance, appropriate management, effective vector control, and awareness-raising strategies.

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Cartography and Epidemiological Study of Leishmaniasis Disease in Sefrou Province (2007–2010), Central North of Morocco

Cited by 5 publications

References 34 publications

The Cutaneous Leishmaniasis and the Sand Fly: Knowledge and Beliefs of the Population in Central Morocco (El Hajeb)

The Cutaneous Leishmaniasis and the Sand Fly: Knowledge and Beliefs of the Population in Central Morocco (El Hajeb)

Knowledge and Experiences of Health Professionals in the Peripheral Management of Leishmaniasis in Morocco (ELHajeb)

Thematic Maps of the Impact of Urbanization and Socioeconomic Factors on the Distribution of the Incidence of Cutaneous Leishmaniasis Cases in Sefrou Province, Central North of Morocco (2007–2011)

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