Knowledge, Attitudes, and Practices Relating to Leptospirosis among the Rural Communities in Bungoma County, Kenya

David Wanyonyi Nanyende; Ferdinand Nabiswa Makhanu; Nicholas Ombachi; Joseph Ganda Ogola; Peter Wekhuyi

doi:10.51867/ajernet.5.3.40

Authors

David Wanyonyi Nanyende
davnanyende@yahoo.com
Masinde Muliro University of Science and Technology, Kenya
Ferdinand Nabiswa Makhanu Masinde Muliro University of Science and Technology, Kenya https://orcid.org/0000-0002-0671-7825
Nicholas Ombachi Masinde Muliro University of Science and Technology, Kenya https://orcid.org/0000-0002-6684-4754
Joseph Ganda Ogola Department of Agriculture, Livestock, Fisheries and Irrigation and Cooperative Development, County Government of Bungoma, Kenya
Peter Wekhuyi Directorate of Veterinary Services-Kabete; Ministry of Agriculture and Livestock Development, Kenya

Keywords:

Attitude, Bungoma County, Knowledge, Leptospirosis, Practices

Abstract

Leptospirosis is a bacterial zoonosis of worldwide public health importance but is endemic in the tropics. Leptospirosis is enzootic in Kenya, and there was an outbreak in Bungoma County in 2004 with serious public health consequences. A cross-sectional study was conducted in Bungoma County to assess the knowledge, attitude, and practices of the rural community in relation to leptospirosis. A validated questionnaire encompassing demographics, knowledge, attitude, and practice in relation to leptospirosis was administered to 388 respondents. The study shows that 85.5% of the residents are aware of the disease, while 54.1% have basic knowledge about leptospirosis. The majority of the respondents lack comprehensive knowledge about leptospirosis, especially with regard to its cause, mode of transmission, and the fact that it is zoonotic in nature. This study shows that there are knowledge gaps, beliefs, and practices that exacerbate the spread of leptospirosis in the rural communities of Bungoma County. It is therefore recommended that community health education for leptospirosis be initiated to enhance knowledge, foster a positive attitude, and discourage risky practices in Bungoma County.

Dimensions

REFERENCES

Allan, K. J., Biggs, H. M., Halliday, J. E. B., Kazwala, R. R., Maro, V. P., Cleaveland, S., & Crump, J. A. (2015). Epidemiology of leptospirosis in Africa: A systematic review of a neglected zoonosis and a paradigm shift for 'One Health' in Africa. PLOS Neglected Tropical Diseases, 9(9), 67-78. DOI: https://doi.org/10.1371/journal.pntd.0003899

https://doi.org/10.1371/journal.pntd.0003899

Allwood, P., Muñoz-Zanzi, C., Chang, M., & Brown, P. D. (2014). Knowledge, perceptions, and environmental risk factors among Jamaican households with a history of leptospirosis. Journal of Infection and Public Health, 7(3), 314-322. https://doi.org/10.1016/j.jiph.2014.03.004 DOI: https://doi.org/10.1016/j.jiph.2014.03.004

Amilasan, A. T., Ujiie, M., Suzuki, M., Salva, E., Belo, M. C. P., Koizumi, N., Yoshimatsu, K., Schmidt, W., Marte, S., Dimaano, E. M., Villarama, J. B., & Ariyoshi, K. (2012). Outbreak of leptospirosis after flood, the Philippines. Emerging Infectious Diseases, 18(3), 91-94. https://doi.org/10.3201/eid1801.101892 DOI: https://doi.org/10.3201/eid1801.101892

Baharom, M., Ahmad, N., Hod, R., Ja'afar, M. H., Arsad, F. S., Tangang, F., Ismail, R., Mohamed, N., Mohd Radi, M. F., & Osman, Y. (2023). Environmental and occupational factors associated with leptospirosis: A systematic review. Heliyon, 10(1), 23-47. https://doi.org/10.1016/j.heliyon.2023.e23473 DOI: https://doi.org/10.1016/j.heliyon.2023.e23473

Brown, P. D., McKenzie, M., Pinnock, M., & McGrowder, D. (2011). Environmental risk factors associated with leptospirosis among butchers and their associates in Jamaica. International Journal of Occupational and Environmental Medicine, 2(1), 47-57. https://pmid.org/23022818

Bungoma County Government. (2012). CIDP 2013-2027: Bungoma County Integrated Development Plan 2013-2017, Bungoma County background information, p2.

CDMS. (2016). Annual Report. County Director of Meteorological Services.

CDVS. (2017). Annual Report. County Director of Veterinary Services

Cook, E. A., de Glanville, W. A., Thomas, L. F., Kariuki, S., Bronsvoort, B. M., & Fèvre, E. M. (2017). Risk factors for leptospirosis seropositivity in slaughterhouse workers in Western Kenya. Occupational and Environmental Medicine, 74(5), 357-365. https://doi.org/10.1136/oemed-2016-103895 DOI: https://doi.org/10.1136/oemed-2016-103895

Costa, F., Hagan, J. E., Calcagno, J., Kane, M., Torgerson, P., Martinez-Silveira, M. S., Stein, C., Abela-Ridder, B., & Ko, A. I. (2015). Global morbidity and mortality of leptospirosis: A systematic review. PLOS Neglected Tropical Diseases, 9(9), 67-78. https://doi.org/10.1371/journal.pntd.0003898 DOI: https://doi.org/10.1371/journal.pntd.0003898

Crump, J. A., Morrissey, A. B., Nicholson, W. L., Massung, R. F., Stoddard, R. A., Galloway, R. L., Ooi, E. E., Maro, V. P., Saganda, W., Kinabo, G. D., Muiruri, C., & Bartlett, J. A. (2013). Etiology of severe non-malaria febrile illness in northern Tanzania: A prospective cohort study. PLOS Neglected Tropical Diseases, 7, e2324. https://doi.org/10.1371/journal.pntd.0002324 DOI: https://doi.org/10.1371/journal.pntd.0002324

De Vries, S. G., Visser, B. J., Nagel, I. M., Goris, R. A., & Grobusch, M. P. (2014). Leptospirosis in Sub-Saharan Africa: A systematic review. International Journal of Infectious Diseases, 28(6), 47-64. https://doi.org/10.1016/j.ijid.2014.06.013 DOI: https://doi.org/10.1016/j.ijid.2014.06.013

Dhimal, M., Aryal, K. K., Dhimal, M. L., Gautam, I., Singh, S. P., & Bhusal, C. L. (2014). Knowledge, attitude and practice regarding dengue fever among the healthy population of highland and lowland communities in central Nepal. PLOS One, 9(10), 79-87. https://doi.org/10.1371/journal.pone.0110605 DOI: https://doi.org/10.1371/journal.pone.0110605

Dias, J. P., Teixeira, M. G., Costa, M. C., Mendes, C. M., Guimarães, P., & Reis, M. G. (2007). Factors associated with Leptospira sp infection in a large urban center in northeastern Brazil. Revista da Sociedade Brasileira de Medicina Tropical, 40(5), 499-504. https://doi.org/10.1590/S0037-86822007000500002 DOI: https://doi.org/10.1590/S0037-86822007000500002

Felzemburgh, R. D., Ribeiro, G. S., Costa, F., Reis, R. B., Hagan, J. E., Melendez, A. X. (2014). Prospective study of leptospirosis transmission in an urban slum community: Role of poor environment in repeated exposures to the Leptospira agent. PLOS Neglected Tropical Diseases, 8, e2927. https://doi.org/10.1371/journal.pntd.0002927 DOI: https://doi.org/10.1371/journal.pntd.0002927

GOK. (2018). National Policy for Disaster Risk Management in Kenya. Nairobi: Government Printer.

Hartskeerl, R. A. (2006). Leptospirosis: Current status and future trends. Indian Journal of Medical Microbiology, 2(4), 309-311. DOI: https://doi.org/10.1016/S0255-0857(21)02306-9

https://doi.org/10.1016/S0255-0857(21)02306-9

Heuer, C., Dreyfus, A., Wilson, P. R., Benschop, J., Subharat, S., Ayanegui-Alcerreca, A. M., Fang, F., Collins-Emerson, J. M., & Midwinter, A. C. (2010). Epidemiology and control of leptospirosis in New Zealand. In L. Alban & L. A. Kelly (Eds.), Conference proceedings of society for veterinary epidemiology and preventive medicine (pp. 174-185). Society for Veterinary Epidemiology and Preventive Medicine, 2(6), 174-185.

Islam, S. S., Sarker, M. S., Akhter, A. H. M. T., Shanta, I. S., Rahman, A. K. M. A., & Sufian, M. A. (2024). Animal, human, and environmental perspectives on anthrax in Bangladesh. Heliyon, 10(1), 78-86. https://doi.org/10.1016/j.heliyon.e23481 DOI: https://doi.org/10.1016/j.heliyon.2023.e23481

Johnson, M. A., Smith, H., Joseph, P., Gilman, R. H., Bautista, C. T., Campos, K. J., Cespedes, M., Klatsky, P., Vidal, C., Terry, H., Calderon, M. M., Coral, C., Parmar, P. S., & Vinetz, J. S. (2004). Environmental exposure and leptospirosis, Peru. Emerging Infectious Diseases, 10(6), 1016-1022. https://doi.org/10.3201/eid1006.030660 DOI: https://doi.org/10.3201/eid1006.030660

Karande, S., Bhatt, M., Kelkar, A., Kulkarni, M., De, A., & Varaiya, A. (2003). An observational study to detect leptospirosis in Mumbai, India. Archives of Disease in Childhood, 88(7), 1070-1075. https://doi.org/10.1136/adc.88.12.1070 DOI: https://doi.org/10.1136/adc.88.12.1070

Ko, A. I., Galvão Reis, M., Ribeiro Dourado, C. M., Johnson, W. D., & Riley, L. W. (1999). Urban epidemic of severe leptospirosis in Brazil. The Lancet, 354(5), 820-825. https://doi.org/10.1016/S0140-6736(99)80012-9 DOI: https://doi.org/10.1016/S0140-6736(99)80012-9

Kulpiisova, A., Aitpayeva, Z., Maimatayeva, A., Ussenova, L., Paritova, A., Zhanabayev, A., Bakishev, T., Tursunkulov, S., Kitapbay, T., Abutalip, A., Mussayeva, A., Ospanov, Y., Omarbekova, U., Turalin, B., Sapa, V., Aisin, M., Bizhanov, A., & Baikadamova, G. (2024). Anthrax among livestock farmers and their animals in Kazakhstan: A cross-sectional study. Heliyon, 10(1), 12-31. https://doi.org/10.1002/vms3.1553 DOI: https://doi.org/10.1002/vms3.1553

LaRocque, R. C., Breiman, R. F., Ari, M. D., Morey, R. E., Janan, F. A., Hayes, J. M., Hossain, M. A., Brooks, W. A., Klein, A. D., & Acheson, D. W. (2005). Leptospirosis during dengue outbreak, Bangladesh. Emerging Infectious Diseases, 11(11), 1987-1989. https://doi.org/10.3201/eid1105.041212 DOI: https://doi.org/10.3201/eid1105.041212

Lau, C., Clements, A., Skelly, C., Dobson, A., Smythe, L. and Weinstein P. (2012). Leptospirosis in American Samoa-Estimating and mapping risk using environmental data. PLoS Negl. Trop. Dis., 6(2), 16-20. doi: 10.1371/journal.pntd.0001669 DOI: https://doi.org/10.1371/journal.pntd.0001669

Maciel, E.A.P., de Carvalho, A.L.F., Nascimento, S.F., de Matos, R.B., Gouveia, E.L., Reis, M.G. and Ko, A.I. (2008). Household transmission of leptospira infection in urban slum communities. PLoS Negl. Trop. Dis.2(6), 15-19. https://doi.org/10.1371/journal.pntd.0000154 DOI: https://doi.org/10.1371/journal.pntd.0000154

McBride, A.J.A., Athanazio, D. A., Reis, M.G., Ko, A.I.(2005). Leptospirosis. Current Opinion in Infectious Diseases. 18(5):pp 376-386. https://doi.org/10.1097/01.qco.0000178824.05715.2c DOI: https://doi.org/10.1097/01.qco.0000178824.05715.2c

Mohan, A.R., & Chadee, D.D. (2011). Knowledge, attitudes and practices of Trinidadian households regarding leptospirosis and related matters. Int. Health, 3(8), 131-137. https://doi.org/10.1016/j.inhe.2011.03.002 DOI: https://doi.org/10.1016/j.inhe.2011.03.002

Munyua, P., Bitek, A., Osoro, E., Pieracci, E.G., Muema, J., & Mwatondo A. (2016) Prioritization of Zoonotic Diseases in Kenya. PLoS ONE 11(8), 89-98: e0161576. https://doi.org/10.1371/journal.pone.0161576 DOI: https://doi.org/10.1371/journal.pone.0161576

Navegantes de Araújo, W., Finkmoore, B., Ribeiro, G. S., Reis, R. B., Felzemburgh, R. D., Hagan, J. E., Reis, M. G., Ko, A. I., and Costa, F. (2013). Knowledge, attitudes, and practices related to Leptospirosis among urban slum residents in Brazil. The American journal of tropical medicine and hygiene, 88(2), 359-363. https://doi.org/10.4269/ajtmh.2012.12-0245 DOI: https://doi.org/10.4269/ajtmh.2012.12-0245

Ogundipe, R. (2020). Cultural Practices and Health Consequences: Health or Habits, the Choice Is Ours. IntechOpen.8(3), 24-29. https://doi.org/10.5772/intechopen.89778 DOI: https://doi.org/10.5772/intechopen.89778

Pappas, G., Papadimitriou, P., Siozopoulou, V., Christou L., & Akritidis, N. (2008). The globalization of leptospirosis: Worldwide incidence trends. Int. J. Infect. Dis., 12(7), 351-357. https://doi.org/10.1016/j.ijid.2007.09.011 DOI: https://doi.org/10.1016/j.ijid.2007.09.011

Reis, R. B., Ribeiro, G. S., Felzemburgh, R. D. M., Santana, F. S., Mohr, S., & Melendez, A. X. T. (2008). Impact of environment and social gradient on Leptospira infection in urban slums. PLoS Neglected Tropical Diseases, 2(4), e228. https://doi.org/10.1371/journal.pntd.0000228 DOI: https://doi.org/10.1371/journal.pntd.0000228

Samsudin, S., Saudi, S. N. S., Masri, N. S., Ithini, N., Jamaluddin, T. Z. M. T., Hamat, R. K., Mohd, Z. W. M., Nazri, M. S., Surianti, S., Daud, A. B., Abdullah, M. N., Noramira, N., & Osman, M. (2020). Awareness, knowledge, attitude and preventive practice of leptospirosis among healthy Malaysian wet market workers in selected urban areas in Selangor, Malaysia. International Journal of Environmental Research and Public Health, 17(4), 1346-1354. https://doi.org/10.3390/ijerph17041346 DOI: https://doi.org/10.3390/ijerph17041346

Saputra, R. K., Rahardjo, S. S., & Murti, B. (2021). The effect of personal protective equipment uptake on the risk of leprosy in adults: Meta-analysis. Journal of Health Promotion and Behavior, 6(1), 21-31. https://doi.org/10.26911/thejhpb.2021.06.01.03 DOI: https://doi.org/10.26911/thejhpb.2021.06.01.03

Schneider, M. C., Jancloes, M., Buss, D. F., Aldighieri, S., Bertherat, E., Najera, P., Galan, D. I., Durski, K., & Espinal, M. A. (2013). Leptospirosis: A silent epidemic disease. International Journal of Environmental Research and Public Health, 10(12), 7229-7234. https://doi.org/10.3390/ijerph10127229 DOI: https://doi.org/10.3390/ijerph10127229

Schneider, M. C., Nájera, P., Aldighieri, S., Bacallao, J., Soto, A., Marquino, W., Altamirano, L., Saenz, C., Marin, J., Jimenez, E., Moynihan, M., & Espinal, M. (2012). Leptospirosis outbreaks in Nicaragua: Identifying critical areas and exploring drivers for evidence-based planning. International Journal of Environmental Research and Public Health, 9(4), 3883-3910. https://doi.org/10.3390/ijerph9113883 DOI: https://doi.org/10.3390/ijerph9113883

Sehgal, S. C., Sugunan, A. P., & Vijayachari, P. (2002). Outbreak of leptospirosis after the cyclone in Orissa. National Medical Journal of India, 15(6), 22-23.

Sridevi, B., Soundariya, S., & Yogalakshmi, S. (2022). Knowledge, attitude and practice regarding leptospirosis prevention among the non-paramedical students. EPRA International Journal of Research and Development (IJRD), 8(6), 76-79. https://doi.org/10.36713/epra11278 DOI: https://doi.org/10.36713/epra11278

Sulong, M. R., Shafei, M. N., Yaacob, N. A., Hassan, H., Daud, A., Mohamad, W. M. Z. W., & Abdullah, M. R. (2011). Risk factors associated with leptospirosis among town service workers. International Medical Journal, 18(5), 83-88.

Thursfield, M. (2005). Veterinary epidemiology: Epidemiologic methods (3rd ed.). Ames, Iowa: Blackwell Science.

Trevejo, R. T., Rigau-Pérez, J. G., Ashford, D. A., McClure, E. M., Jarquin-Gonzales, C., Amador, J. J., de los Reyes, J. O., Gonzalez, A., Zaki, S. R., Shieh, W. J., & McLean, R. A. (1998). Epidemic leptospirosis associated with pulmonary hemorrhage-Nicaragua. Journal of Infectious Diseases, 177(8), 1457-1463. https://doi.org/10.1086/314424 DOI: https://doi.org/10.1086/314424

Ul Haq, N., Hassali, M. A., Shafie, A. A., Saleem, F., Farooqui, M., & Aljadhey, H. (2012). A cross-sectional assessment of knowledge, attitude, and practice towards hepatitis B among the healthy population of Quetta, Pakistan. BMC Public Health, 12, 692. https://doi.org/10.1186/1471-2458-12-692 DOI: https://doi.org/10.1186/1471-2458-12-692

Victoriano, A. F., Smythe, L. D., Gloriani-Barzaga, N., Cavinta, L. L., Kasai, T., Limpakarnjanarat, K., Ong, B. L., Gongal, G., Hall, J., Coulombe, C. A., Yanagihara, Y., Yoshida, S., & Adler, B. (2009). Leptospirosis in the Asia Pacific region. BMC Infectious Diseases, 9(1), 147. https://doi.org/10.1186/1471-2334-9-147 DOI: https://doi.org/10.1186/1471-2334-9-147

Wanyama, M., & Egesah, O. (2015). Ethnography and ethno-music of Babukusu traditional male circumcision: Messaging, symbolism, and rationale. Sociology and Anthropology, 3(1), 6-18. https://doi.org/10.13189/sa.2015.030102 DOI: https://doi.org/10.13189/sa.2015.030102

WHO. (2003). Human leptospirosis: Guidance for diagnosis, surveillance and control. Geneva, Switzerland.

WHO. (2011). Report of the second meeting of the leptospirosis burden epidemiology reference group. Geneva, Switzerland. pp. 1-37.

WHO. (2017). Human leptospirosis: Guidance for diagnosis, surveillance, and control. World Health Organization, 1-109. https://www.who.int/publications/i/item/human-leptospirosis

Wiwanitkit, V. (2006). A note from a survey of some knowledge aspects of leptospirosis among a sample of rural villagers in the highly endemic area, Thailand. Rural and Remote Health, 6(1), 526-530. PMID: 16509773, https://doi.org/10.22605/RRH526 DOI: https://doi.org/10.22605/RRH526

Zorigt, T., Ito, S., Isoda, N., Furuta, Y., Shawa, M., Norov, N., Lkham, B., Enkhtuya, J., & Higashi, H. (2021). Risk factors and spatio-temporal patterns of livestock anthrax in Khuvsgul Province, Mongolia. PLoS ONE, 16(11), 98-102. https://doi.org/10.1371/journal.pone.0260299 DOI: https://doi.org/10.1371/journal.pone.0260299