scholarly journals ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICES REGARDING DENGUE FEVER AMONG ADULT POPULATION OF DISTRICT DIR LOWER, KHYBER PAKHTUNKHWA, PAKISTAN

2017 ◽  
Vol 7 (2) ◽  
pp. 71-74
Author(s):  
Aminullah ◽  
Soaib Ali Hassan ◽  
Ashfaq Ahmed Khawaja Khail ◽  
Abdul Waris ◽  
Gul Alam ◽  
...  

Background: Dengue is a major public-health concern throughout globe especially tropical and sub-tropical regions. Dengue fever is transmitted by bite of female mosquito caused by human viral pathogen that belongs to the genus Flavivirus of the family Flaviviridae. World Health Organization (WHO) estimates that 50-100 million dengue infections occur each year and that almost half the world's population lives in countries where dengue is endemic. The first confirmed dengue hemorrhagic fever outbreak in Pakistan occurred in 1994. Since then, epidemics of dengue fever have been reported in the region with increasing frequency and expanding geographic distribution.Objectives: To assess the knowledge, attitudes and preventive practices regarding dengue fever among adult population.Methods: This study was a Cross sectional descriptive survey conducted among adult population in Union council Ouch and Chakdarah district Dir Lower, KPK province Pakistan. The study was collected in the months of October to December 2015. Sample size was calculated through sample size formula calculation and total of 419 subjects including male and females were interviewed using a pre-tested structured questionnaire selected through simple random sampling technique.Results: Majority of study population were males (79.3%) and living in houses made of bricks (68.3%). Majority of population was unaware regarding dengue fever transmission, its sign and symptoms and treatment (58.9%). Respondents' main source of information was TV and radio. The study participants consider dengue as a fatal disease and the preventive practices from mosquito bite were recorded as, full clothing (24.4%) followed by use of repellents (10%). Around half of the respondents were using bed net for dengue prevention in which 36% got it from various NGOs working in the district.Conclusion: There is lack of knowledge about dengue fever among the communities. Preventive practices can be improved by increasing knowledge and its translation into sustainable practices.

2014 ◽  
Vol 8 (09) ◽  
pp. 1205-1209 ◽  
Author(s):  
Godwin R Constantine ◽  
Senaka Rajapakse ◽  
Priyanga Ranasinghe ◽  
Balasundaram Parththipan ◽  
Ananda Wijewickrama ◽  
...  

Introduction: Dengue hemorrhagic fever (DHF) is a major cause of morbidity and mortality in tropical regions. Serum free calcium (Ca2+) is known to be important in cardiac and circulatory function. We evaluated association between serum Ca2+ level and severity of dengue. Methodology:A cross-sectional study was carried out at a tertiary care private hospital in Sri Lanka. A probable case of dengue was diagnosed and classified according to World Health Organization criteria and confirmed by either IgM antibody, PCR, or NS1 antigen detection. Socio-demographic details were collected using an interviewer-administered questionnaire. Results: The sample size was 135. The mean age was 26.1 years, and the majority were males (n = 80, 59.3%). DHF was diagnosed in 71 patients (52.6%). Mean serum Ca2+ level of the study population was 1.05 mmol/L (range 0.77–1.24). Mean serum Ca2+ was significantly higher in patients with dengue fever (DF) (1.09 mmol/L) than in those with DHF (1.02 mmol/L) (p < 0.05). A significant difference was observed between mean serum calcium levels of DHF I and DHF II. Prevalence of hypocalcemia in DHF and DF patients was 86.9% (n = 60) and 29.7% (n = 11), respectively (p < 0.05). Conclusions: Serum Ca2+ levels significantly correlated with dengue severity. Serum Ca2+ levels were significantly lower and hypocalcemia was more prevalent in patients with DHF than in patients with DF. Further studies are required to determine whether hypocalcemia can be utilized as a prognostic indicator and to evaluate effectiveness of calcium therapy in prevention of dengue complications.


2011 ◽  
Vol 6 (07) ◽  
pp. 551-554 ◽  
Author(s):  
Ritu Karoli ◽  
Jalees Fatima ◽  
Zeba Siddiqi ◽  
Khursheed I Kazmi ◽  
Amit R Sultania

Introduction: Dengue viral infections are among the most important mosquito-borne diseases of the Indian subcontinent and have become a major global public health concern. Spread of disease has led to increased recognition of atypical manifestations apart from the classical clinical features of dengue infection. Methodology: A cross-sectional study of admitted patients suspected to have dengue infection was conducted during the monsoon and post-monsoon seasons in the year 2010. Patients who had serological confirmation of dengue infection were classified according to World Health Organization definitions of dengue fever and dengue hemorrhagic fever. Clinical and biochemical parameters were compared between the two groups. Results: Out of 356 patients with suspected dengue fever enrolled in the study, 138 (39%) had serologically confirmed dengue infection. Eighty (58%) patients were males and 58 (42%) were females. Ninety-six (70%) patients had classical dengue fever while 42 (30%) had dengue hemorrhagic fever. The most common symptoms were headache (105, 76%), abdominal pain (87, 63%), vomiting (80, 58%), rash (36, 26%), and cutaneous hypersensitivity (22, 16%). Hemorrhagic manifestations were present in 55 (40%) patients. Atypical manifestations were recorded. Notably, 14% of patients had neurological involvement and 4% had acute hepatic failure. Overall mortality was 6% and all fatal cases were due to multi-organ failure. Conclusion: Dengue infection poses a huge burden to the health-care system; its spectrum ranges from mild self-limiting illness to severe fatal disease. It can have varied and multi-systemic manifestations which can go unrecognized. Clinicians should have a high index of suspicion for atypical manifestations.


2020 ◽  
Vol 11 (3) ◽  
pp. 3729-3735
Author(s):  
Komal Meshram ◽  
Ajay Meshram ◽  
Shubham Chopra ◽  
Ujwal Gajbe

Dengue a major international public health concern is a vector-borne viral infection caused due to bite of Aedes aegypti mosquito. To reduce humanmosquito contact or eliminate vector population efforts should be made. The knowledge gained through this investigation would help rural population to take certain preventive and control measures against dengue fever. It would also be helpful to guide policy makers and health authorities to plan, design and initiate initiatives, various programs and policies regarding prevention of dengue. To find out the impact of community-based awareness education about dengue by assessing knowledge and preventive practices in rural population. A Cross-sectional questionnaire-based study was done in rural population residing near the Datta Meghe Medical College, Wanadongri, Nagpur over a period of three months. Sample size of 166 participants; age more than 18 years residing in rural area were included in the study. Positive correlation in knowledge regarding dengue fever was found at post test among participants and information imparted; significant improvement was observed with respect to pretest taken. Questionnaire helped individuals to gain more knowledge regarding the disease and its prevention. This study concludes that the knowledge score of participants regarding dengue fever and invigilator increases at post test. Hence a better and healthy community can be achieved just by imparting simple doorstep knowledge.


2016 ◽  
Vol 9 (6) ◽  
pp. 22 ◽  
Author(s):  
Abdullah M. Al-Shahrani ◽  
Mohammed A. Al-Saleem ◽  
Mohamed O’haj ◽  
Faleh Th. Mohammed ◽  
Mutasim E. Ibrahim

OBJECTIVES: To determine the prevalence and associated risk factors of diabetes mellitus (DM) among the adult population in Bisha province, Saudi Arabia.METHODS: A cross sectional study was conducted during December, 2015 using the World Health Organization STEPS wise approach for data collection. Blood glucose level and anthropometric measurements of blood pressure, height, weight, and waist circumference were performed per standard methods.  Logistic regression analysis was used to assess the prevalence and risk of diabetes.RESULTS: Of 542 adult individuals included in the study, 13.3% (72) had diabetes, of which 8.1% were previously diagnosed and 5.2% represented new cases. The proportions of DM were 14.7% for men and 10.8% for women. Diabetes was significantly higher among married compared to unmarried individuals (19.3% vs 5.5 %; p<0.001) and among individuals aged ≥40 years old compared to those <40 years (31.3% vs 9.3%; p<0.001). The risk of diabetes was significantly increased with older age (Odds Ratio=4.470; 95% CI 2.264-7.614), married individuals (OR=4.097; 95% CI 2.188-7.672), weight/obesity (OR=2.827; 95% CI 1.567-5.072), hypertension (OR=4.383; 95% CI 2.085-9.214) and having a job (OR=2.327; 95% CI 1.347-4.02). The independent risk factors predicted diabetes were hypertension (Adjusted OR=2.897; 95% CI 1.269-66.13) and job patterns (Adjusted OR=2.793; 95% CI 1.064-7.329).CONCLUSION: Different risk factors alarming diabetes among adult population in Bisha province were detected.  Strategies aimed to improving a healthy lifestyle are necessary to reduce the burden of the disease. 


2017 ◽  
Vol 9 (2) ◽  
pp. 23-28
Author(s):  
Krishna Bahadur Thapa ◽  
Namrata KC ◽  
T Koirala ◽  
A Bhatttarai

Background: Dengue virus is now classified as a major global health threat by the World Health Organization. Bleeding is a common complication and is one of the most feared. There is an increase incidence in the adult population, hence, the focus of this study.Objectives: To determine the incidence of bleeding and the factors that influence its development among patients admitted with dengue fever at Fatima Medical Center, Phillipines from January 2009 to December 2011.Methods: This is a case control study using chart review. The incidence of bleeding is calculated using risk ratio. Factors affecting bleeding are determined using chi square for qualitative variables and T-test or ANOVA for quantitative variables. Simultaneous determination of factors association with bleeding will be analyzed using multiple logistic regression. Level of significance will be set at alpha = 0.05.Results: The female sex is significantly more prone to develop bleeding (p=0.044). There is no significant increase in bleeding in patients who have co-morbidities (p=0.447). In every one unit increase in WBC (1 x 109) the odds of bleeding decrease by 15%. For every one unit increase in hematocrit the odds of bleeding decreases by 6.8%. For every one unit increase in platelet count the odds of bleeding decreases by 3% that is every 10 unit increase in platelet count the odds of bleeding decrease by 22.9%.Conclusions: Female sex, a low initial WBC and platelet count will increase a patient’s propensity to develop bleeding.Journal of Gandaki Medical College Volume, 09, Number 2, July December  2016, page: 23-28


2018 ◽  
Vol 14 (1) ◽  
pp. 39-43
Author(s):  
Bijay Kumar Thapa ◽  
Kapil Kumar Pokharel ◽  
Nitendra Chaurasia ◽  
Alok Acharya ◽  
Rimu Mishra ◽  
...  

Background & Objectives:The use of insecticide treated nets has been advocated for the prevention of the vector borne transmitted disease (malaria) by the World Health Organization and UNICEF for more than a decade. In spite of this, there is no significant reduction in the transmission of the disease. Main objectives of study were to find out the real pattern of using it, to find out the physical integrity of the bed nets being used, and to prove the correlation in between the physical integrity of bed nets and the disease outcome. Torn bed nets with holes size more than 1.2 mm were considered as “holes” in this study.Materials & Methods:A community based cross- sectional study was carried out in Lakhantari VDC within the duration of two weeks. This VDC has been named recently as Gramthan Gaupalika one of State one.  Sample size of 384 was determined by the WHO sample size calculator. Face to face interview technique was used after taking consent from individual. Confidentiality was maintained. It was ethically approved by the IRC (Institutional Review Committee) of Nobel Medical College.Results:A total of 384 household were studied. Total household had bed nets but the physical integrity of bed nets was not intact. Almost 73% of the bed nets were torn having more than four holes in them. Nearly 94% of household used bed nets only for three to four days a week. Nearly half of the   Malaria was found among 22% and encephalitis in 17% of household. Conclusion:Use of bed nets do not prevent and provide guarantee from vector borne disease unless it is properly used. Torn bed nets are of almost no use unless people are using other preventive measures.


Mediscope ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. 21-29
Author(s):  
A Farhana ◽  
M Shakil ◽  
BU Khan ◽  
MS Laskar ◽  
M Alam

Hypertension or high blood pressure is a growing public health concern among the Bangladeshi adult population. The objective of this cross-sectional descriptive type of study was to estimate the proportion of hypertension in an adult population of Keraniganj Upazila, Dhaka. The sample size was 199 selected purposively. Among them, 53.8% were female, 82.4% Muslims. Of the total respondents, 15.6% were hypertensive and highest proportion (29.0%) of hypertensive patients was found in the age group of ≥50-<60 years. The study revealed that people who took extra fatty food for 3-5 days per week, people who took extra salt in their food, respondents had a positive family history of hypertension or diabetes mellitus were more prone to develop hypertension. The study also revealed that smokers were in higher risk of development of hypertension than the non-smokers were and the rate of hypertension was 36.8% among those having higher waist circumference within 100 cm - 109 cm than those having lower waist circumference within 60 cm - 69 cm. Newly identified hypertensive cases were 7.0% of the study population. Results of this study have profound implications for hypertension prevention programs in the rural community, pointing out the need for increased focus in addressing hypertension along with its all background causes.Mediscope Vol. 5, No. 2: Jul 2018, Page 21-29


2020 ◽  
Vol 16 (2) ◽  
pp. 103-106
Author(s):  
Sameer Timilsina ◽  
Ram Lochan Yadav ◽  
Pujan Bhusal ◽  
Niraj Khatri ◽  
Md Nazrul Islam

Background: Anemia is a public health concern with adverse health consequences. The vast nature of medical curriculum demands rigorous efforts and stress putting health science students at risk of anemia. In the present study, we aim to estimate the hemoglobin level of undergraduate health science students at Chitwan Medical College. Methods: This cross-sectional study included all 386 year I and II undergraduate health science students enrolled at Chitwan Medical College. An informed consent was obtained from all the participants and hemoglobin values were obtained using Sahli’s hemoglobinometry at Physiology laboratory of basic science complex during March to August 2019. Ethical approval was obtained from CMC-IRC (Ref: CMC-IRC/075/076-125). Chi-squared test was done to seek the association of various demographic factors with hemoglobin values. Results: Anemia was found among 37.8% undergraduate health science students as per World Health Organization (WHO) criteria. A total of 44.7% males and 32.3% females were found to have anemia. Statistical significant association was observed between body mass index (BMI) and hemoglobin level with higher BMI contributing to higher hemoglobin values. There was no association of hemoglobin level with sex, place of origin and stream of study.   Conclusions: Almost 4 out of 10 undergraduate medical students enrolled at Chitwan Medical College had lower hemoglobin values for age and sex as suggested by WHO.  Keywords: anemia, health science, hemoglobin, students, undergraduate  


2022 ◽  
Vol 8 (4) ◽  
pp. 243-247
Author(s):  
Narinder Singh ◽  
Ajeet Pal Singh ◽  
Amar Pal Singh

Dengue fever is a mosquito-borne viral illness that is quickly spreading over the globe, with significant death and morbidity rates. Dengue fever is an acute viral infection transmitted by Aedes mosquitos and caused by an RNA virus from the Flaviviridae family. The symptoms might vary from asymptomatic fever to life-threatening complications including hemorrhagic fever and shock. Although dengue virus infections are normally self-limiting, the disease has become a public health concern in tropical and subtropical countries. Dengue fever is a major public health concern owing to its rapid worldwide spread, and its burdens are now unmet due to a lack of accurate therapy and a simple diagnostic approach for the early stages of illness.


2020 ◽  
Vol 6 (2) ◽  
pp. 1-8
Author(s):  
Gambo I M

The use and misuse of drugs in Sub Saharan region are of public health concern. Exposures to un-prescribed drugs and traditional medications are frequent and create a great danger in pregnant women. The use of herbal medicines has been on the increase in many developing and industrialized countries. The study examined the use of traditional medications and un-prescribed orthodox medicines for gestational mothers. A descriptive cross-sectional design & inferential statistic were employed for the study and a total sample of one hundred and ninety-six was used. A standardized data collection form was employed based on the World Health Organization criteria and the obtained data were analyzed using SPSS Version 22.The result showed that most of the respondents were between the age of 22- 27 years with the mean age of 24 years and majority of the respondents (63.3%) used both un-prescribed drugs and traditional medicines during pregnancy, while 27.0% used only un-prescribed drugs and 9.7% use only traditional medications. More so, the results revealed that pain killers’ drug were the leading cause for misused. Also, the results demonstrated a significant relationship between respondent’s awareness of harm associated with use of un-prescribed medications and educational status, (P < 0.01). The study concluded a wide spread use of un-prescribed drugs and traditional medications among pregnant women and therefore, recommend the need for health education and massive campaign with community involvement against the wrong practices by both the healthcare practioners and the government.


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