Cutaneous Leishmaniasis A Neglected Tropical Disease: Community Knowledge, Attitude And Practices In An Endemic Area, Northwest Ethiopia

Tamiru, Helina Fikre; Mashalla, Yohana; Mohammed, Rezika; Tshweneagae, Gloria Thupayagale

doi:10.21203/rs.2.9645/v1

Cited by 5 publications

(6 citation statements)

References 3 publications

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“…The increasing number of suspected cases might be related to an increase in health-seeking behavior of the people. A few studies in this study area indicated that people believe that the disease is caused by bats, and others related the disease to lack of hygiene and punishment from God [28]. Previously, due to the limited availability of antileishmanial drugs, there was a trend to prioritize VL.…”

Section: Discussionmentioning

confidence: 91%

“…This may indicate that the existing prevention and control measures are not effective enough in reducing the cases of the disease. In Ethiopia, CL diagnosis and treatment services are given only in a few health care facilities, and most are available in areas far from places where the actual patients are residing [28]. This could have complicated the prevention and control of the disease.…”

Section: Discussionmentioning

confidence: 99%

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A Ten-Year Trend of Cutaneous Leishmaniasis at University of Gondar Hospital, Northwest Ethiopia: 2009-2018

Zeleke

Derso

Yeshanew

et al. 2021

Journal of Parasitology Research

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Background. Cutaneous leishmaniasis (CL), which is one form of leishmaniasis, may show variations over years across regions, and epidemiological studies are crucial to estimate the cases of the disease status over a long time. This study is aimed at determining the trend of CL among patients at the University of Gondar Leishmaniasis Research and Treatment Center, northwest Ethiopia between 2009 and 2018 years. Methods. A ten-year data were extracted retrospectively. We included all patients who were visiting the center for CL diagnosis during the last ten years. Giemsa-stained skin slit microscopy was used to diagnose the disease. A chi-square test was used to compare the proportions of patients infected across years, seasons, months, sex, and age groups. Result. During the 10 years, a total of 1079 samples were requested for the diagnosis of CL. The cumulative average annual prevalence was found to be 55.4% (598/1079). The highest and lowest proportions of CL cases were recorded in 2014 (69.5%) and 2018 (35.4%), respectively. However, the percentage of CL cases did not show any significant differences over the study period. The number of suspected patients was significantly increased over the years (being lowest in 2009 and highest in 2017). The proportion of CL cases showed a remarkable difference across months but not seasons. CL was the highest within 15-49 years of age and males. Conclusion. The prevalence of CL did not show any significant differences over the last ten years. However, a remarkable increase of CL suspected cases was observed across the years. The disease showed significant association with age, sex, and months, but not seasons.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

A Ten-Year Trend of Cutaneous Leishmaniasis at University of Gondar Hospital, Northwest Ethiopia: 2009-2018

Zeleke

Derso

Yeshanew

et al. 2021

Journal of Parasitology Research

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“…Emphasizing the need for controlling this disease Ministry of health, Sri Lanka declared it as a noti able disease in 2008 (15). As expected, doctors were more knowledgable about the clinical features, causative organism, disease transmission and the vector of Leishmaniasis compared to the studies done in general public (16,17). But only 17% of respondents were aware that cutaneous leishmaniasis can be cured even without treatment.…”

Section: Discussionmentioning

confidence: 87%

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Hewawasam

Weerakoon

Thilakan

et al. 2020

Preprint

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Background: Leishmaniasis is a notifiable disease in Sri Lanka since 2008. Previous studies show a gap in the notification of leishmaniasis. Purpose of the present study was to determine the Knowledge, attitudes and practice of medical officers regarding leishmaniasis.Methods: A cross-sectional study was conducted in the Anuradhapura district which reported the highest case load of leishmaniasis. Medical officers from public and private health care institutes in the area filled a self-administered questionnaire in the presence of the investigators.Results: One hundred and eighty-eight (188) medical officers completed the questionnaire. Of them, 95.7% were aware of leishmaniasis as a parasitic infection and 84.7% correctly identified Leishmania donovani as the causative organism in Sri Lanka. From the respondents, 181 (96.8%) knew that the vector of leishmaniasis is sand fly. Cutaneous leishmaniasis was reported as the most prevalent form of leishmaniasis in the country by 176 (94.1%). Nearly half of the respondents (98, 54.1%) were aware of the fact that the Anuradhapura district has the highest disease burden. Many of them had the idea that leishmaniasis is an emerging disease (155, 84.3%,) and early diagnosis is important in controlling the disease (163, 89.1%). Although about three fourth (123, 73.7 %,) of the participants mentioned that leishmaniasis should be notified at first clinical suspicion, only 74 (42.5%) were aware that it is a legal requirement. Some medical officers (39, 22%) believed that the current notification system in the country is not effective. Unavailability of notification forms (60, 36.8%) heavy workload (85, 50.3%) and inadequate supportive staff (55, 35.1%) were reported as barriers for timely notification. Even though 105 (58.0%) of medical officers had suspected leishmaniasis during last eight years period only 35 (19.4%) had notified.Conclusions: Even though more than 90% of the participants had good theoretical knowledge about leishmaniasis; notification of leishmaniasis is considerably inadequate. This study emphasizes the need for greater efforts to improve the notification of leishmaniasis in Sri Lanka.

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“…Emphasizing the need for controlling this disease Ministry of health, Sri Lanka declared it as a notifiable disease in 2008 [11]. As expected, doctors were more knowledgable about the clinical features, causative organism, disease transmission and the vector of Leishmaniasis compared to the studies done in the general public [15,16]. But only 17% of respondents were aware that cutaneous leishmaniasis can be cured even without treatment.…”

Section: Discussionmentioning

confidence: 88%

Is leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka

Hewawasam

Weerakoon²,

Thilakan

et al. 2020

BMC Public Health

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Background: Leishmaniasis is a notifiable disease in Sri Lanka since 2008. Previous studies show a gap in the notification of leishmaniasis. The purpose of the present study was to determine the Knowledge, attitudes and practice of medical officers regarding leishmaniasis. Methods: A cross-sectional study was conducted in the Anuradhapura district which reported the highest case load of leishmaniasis. Medical officers from public and private health care institutes in the area filled a selfadministered questionnaire in the presence of the investigators. Results: One hundred and eighty-eight (188) medical officers completed the questionnaire. Of them, 95.7% were aware of leishmaniasis as a parasitic infection and 84.7% correctly identified Leishmania donovani as the causative organism in Sri Lanka. From the respondents, 181 (96.8%) knew that the vector of leishmaniasis is sand fly. Cutaneous leishmaniasis was reported as the most prevalent form of leishmaniasis in the country by 176 (94.1%). Nearly half of the respondents (98, 54.1%) were aware of the fact that the Anuradhapura district has the highest disease burden. Many of them had the idea that leishmaniasis is an emerging disease (155, 84.3%,) and early diagnosis is important in controlling the disease (163, 89.1%). Although about three fourth (123, 73.7%,) of the participants mentioned that leishmaniasis should be notified at first clinical suspicion, only 74 (42.5%) were aware that it is a legal requirement. Some medical officers (39, 22%) believed that the current notification system in the country is not effective. Unavailability of notification forms (60, 36.8%) heavy workload (85, 50.3%) and inadequate supportive staff (55, 35.1%) were reported as barriers for timely notification. Even though 105 (58.0%) of medical officers had suspected leishmaniasis during the last 8 years period only 35 (19.4%) had notified. Conclusions: Even though more than 90% of the participants had good theoretical knowledge about leishmaniasis; notification of leishmaniasis is considerably inadequate. This study emphasizes the need for greater efforts to improve the notification of leishmaniasis in Sri Lanka.

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Cutaneous Leishmaniasis A Neglected Tropical Disease: Community Knowledge, Attitude And Practices In An Endemic Area, Northwest Ethiopia

Cited by 5 publications

References 3 publications

A Ten-Year Trend of Cutaneous Leishmaniasis at University of Gondar Hospital, Northwest Ethiopia: 2009-2018

A Ten-Year Trend of Cutaneous Leishmaniasis at University of Gondar Hospital, Northwest Ethiopia: 2009-2018

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Is leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka

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