Knowledge, Attitude, and Practice in a Sample of the Lebanese Population Regarding Cholera

Malaeb, Diana; Sallam, Malik; Younes, Samar; Mourad, Nisreen; Dine, Abir Sarray El; Obeïd, Sahar; Hallit, Souheil; Hallit, Rabih

doi:10.3390/ijerph192316243

Cited by 9 publications

(13 citation statements)

References 67 publications

(85 reference statements)

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“…Compared to previous studies, a study revealed that 35.2% of health workers had good knowledge of cholera [ 30 ]. In Lebanon, 32.5% of the general population had good knowledge about cholera [ 20 ]. The low level of knowledge among medical students could be explained by regional variations in prevalence, as cholera is somehow limited to poor areas with limited access to clean water.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge of Communicable Diseases Among Medical Students at Al-Balqa Applied University

Alkhalili,

Bani Hani,

Al-Hmaid

et al. 2024

Cureus

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Introduction: Medical education is the foundation of knowledge among medical students. This study aims to investigate the knowledge of medical students at Al-Balqa Applied University, exploring their awareness of five communicable diseases, namely, leishmaniasis, hepatitis B, tuberculosis, measles, and cholera. Methods: This cross-sectional survey included 271 participants who answered a structured validated questionnaire with varying questions on causes, symptoms, complications, transmission routes, and preventive measures for each disease. Results: Knowledge of all five communicable diseases was low. Leishmaniasis knowledge was notably low (mean=6.07, SD=1.43), with participants grappling with misconceptions about transmission modes, symptoms, and preventability. Hepatitis B knowledge was also low (mean=10.46, SD=1.67), especially regarding transmission modes, revealing that 76% of students were unaware of how the virus spreads. Tuberculosis knowledge unveiled gaps (mean=7.007, SD=1.90), particularly in recognizing the causes, symptoms, and transmission routes. Measles knowledge (mean=9.56, SD=1.92) indicated a robust understanding of symptoms but unveiled misconceptions about complications and transmission routes. For cholera (mean=14.50, SD=1.98), a knowledge of symptoms was demonstrated, but confusion about causative agents, transmission routes, and preventive measures was highlighted. Conclusion: The findings of the study emphasize the critical need for enhanced educational strategies including curriculum revisions, increased practical exposure, engaging awareness campaigns, and the integration of interactive learning methods to increase knowledge about communicable diseases.

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Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge of Communicable Diseases Among Medical Students at Al-Balqa Applied University

Alkhalili,

Bani Hani,

Al-Hmaid

et al. 2024

Cureus

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“…The data were collected using a selfadministered questionnaire distributed online using a snowball sampling approach starting with the contacts of the authors in Jordan. The survey structure was based on a previous KAP survey which was conducted in Lebanon by the end of 2022 by Malaeb et al [52]. Additionally, the assessment of psychological determinants of attitude towards cholera vaccination was based on four items adopted from the 5C scale and its validated version in Arabic [27,28,53].…”

Section: Methodsmentioning

confidence: 99%

“…For example, a study from 2021 among the general public in Jazan, Saudi Arabi showed poor level of cholera knowledge manifested in less than 44% who knew that the causative agent is a bacterium [45]. A higher level of knowledge regarding cholera transmission, treatment, and prevention was reported by Malaeb et al in a sample of 553 participants surveyed in late 2022 amid the outbreak in Lebanon [52]. An earlier study that was conducted in 2017 in the Yemeni Southern city of Aden identi ed poor level of knowledge regarding cholera transmission and prevention [60].…”

Section: Attitude To Cholera Vaccinationmentioning

confidence: 96%

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Attitude towards Cholera Vaccination and its Related Factors in Jordan amid the 2022 Middle East Outbreak

Sallam,

Athamneh,

Alkhazaleh

et al. 2024

Preprint

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Background: An outbreak of cholera was reported in the Middle East by the second half of 2022. Raising public awareness and vaccination against cholera represent critical factors in the preventive efforts. The current study aimed to assess the knowledge of cholera and attitude towards its vaccination among a sample of the general public residing in Jordan. Methods: An online self-administered questionnaire was distributed to the residents in Jordan using a snowball convenience-based sampling approach. The questionnaire based on previously published studies included items to evaluate sociodemographic variables, knowledge about cholera symptoms, transmission, and prevention and the willingness to accept cholera vaccination. Additionally, four items based on the validated 5C scale in Arabic were included to assess the psychological factors influencing attitude to cholera vaccination. Results: The final study sample comprised 1339 respondents, of whom 1216 (90.8%) heard of cholera before the study. Among those who heard of cholera, and on a scale from 0 to 20, the overall mean cholera Knowledge score (K-score) was 12.9±3.8. In multivariate analysis, being over 30 years old and occupation as healthcare workers or students in healthcare-related colleges were significantly associated with a higher K-score compared to younger individuals and students in non-healthcare-related colleges. Overall, the acceptance of cholera vaccination if cases are recorded in Jordan, and if the vaccine is safe, effective, and provided freely was reported among 842 participants (69.2%), while 253 participants were hesitant (20.8%) and 121 participants were resistant (10.0%). In linear regression, the significant predictors of cholera vaccine acceptance were solely the three psychological factors namely high confidence, low constraints, and high collective responsibility. Conclusions: In this study, the identified gaps in cholera knowledge emphasize the need to enhance educational initiatives. Although cholera vaccine acceptance was relatively high, a significant minority of the respondents exhibited vaccination hesitancy or resistance. The evident correlation between the psychological determinants and attitudes toward cholera vaccination emphasizes the need to consider these factors upon designing public health campaigns aimed at cholera prevention. The insights of the current study highlight the importance of addressing both knowledge gaps and psychological barriers to optimize cholera control strategies.

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“… 42 , 43 In early October 2022, there was a rapid spread of cholera caused by Serotype O1 El‐Tor Ogawa in Syria and Lebanon. 44 , 45…”

Section: Cholera Serologymentioning

confidence: 99%

Cholera rages in Africa and the Middle East: A narrative review on challenges and solutions

Ahmed,

Sijercic,

Akhtar

et al. 2024

Health Science Reports

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Background and AimCholera is a life‐threatening infectious disease that is still one of the most common acute watery diarrheal diseases in the world today. Acute diarrhea and severe dehydration brought on by cholera can cause hypovolemic shock, which can be fatal in minutes. Without competent clinical therapy, the rate of case fatality surpasses 50%. The purpose of this review was to highlight cholera challenges in Africa and the Middle East and explain the reasons for why this region is currently a fertile environment for cholera. We investigated cholera serology, epidemiology, and the geographical distribution of cholera in Africa and the Middle East in 2022 and 2023. We reviewed detection methods, such as rapid diagnostic tests (RDTs), and treatments, such as antibiotics and phage therapy. Finally, this review explored oral cholera vaccines (OCVs), and the vaccine shortage crisis.MethodsWe carried out a systematic search in multiple databases, including PubMed, Web of Science, Google Scholar, Scopus, MEDLINE, and Embase, for studies on cholera using the following keywords: ((Cholera) OR (Vibrio cholera) and (Coronavirus) OR (COVID‐19) OR (SARS‐CoV2) OR (The Middle East) OR (Africa)).Results and ConclusionsCholera outbreaks have increased dramatically, mainly in Africa and many Middle Eastern countries. The COVID‐19 pandemic has reduced the attention devoted to cholera and disrupted diagnosis and treatment services, as well as vaccination initiatives. Most of the cholera cases in Africa and the Middle East were reported in Malawi and Syria, respectively, in 2022. RDTs are effective in the early detection of cholera epidemics, especially with limited advanced resources, which is the case in much of Africa. By offering both direct and indirect protection, expanding the use of OCV will significantly reduce the burden of current cholera outbreaks in Africa and the Middle East.

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Knowledge, Attitude, and Practice in a Sample of the Lebanese Population Regarding Cholera

Cited by 9 publications

References 67 publications

Assessment of Knowledge of Communicable Diseases Among Medical Students at Al-Balqa Applied University

Assessment of Knowledge of Communicable Diseases Among Medical Students at Al-Balqa Applied University

Attitude towards Cholera Vaccination and its Related Factors in Jordan amid the 2022 Middle East Outbreak

Cholera rages in Africa and the Middle East: A narrative review on challenges and solutions

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