Knowledge, Attitudes, and Practices Relating to Leptospirosis among the Rural Communities in Bungoma County, Kenya
DOI :
https://doi.org/10.51867/ajernet.5.3.40Mots-clés :
Attitude, Bungoma County, Knowledge, Leptospirosis, PracticesRésumé
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.
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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.
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
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
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
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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(c) Copyright David Wanyonyi Nanyende, Ferdinand Nabiswa Makhanu, Nicholas Ombachi, Joseph Ganda Ogola, Peter Wekhuyi 2024

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