Knowledge, attitudes and practices related to Taenia solium cysticercosis and taeniasis in Tanzania.
Attitude
Cross-sectional study
Cysticercosis
Epilepsy
Knowledge
Neurocysticercosis
Practices
Smallholder pig farming
Taenia solium
Taeniasis
Journal
BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551
Informations de publication
Date de publication:
13 Jun 2022
13 Jun 2022
Historique:
received:
14
07
2021
accepted:
24
04
2022
entrez:
12
6
2022
pubmed:
13
6
2022
medline:
15
6
2022
Statut:
epublish
Résumé
Taenia solium cysticercosis/taeniasis (TSCT) is reported to be endemic in pig producing areas around the world, causing significant disease burden and economic losses. This cross-sectional study aimed at assessing Knowledge, Attitudes and Practices (KAP) regarding TSCT in four districts, namely Mbulu, Mpwapwa, Mbinga, and Rungwe in Tanzania. Data on KAP were collected through questionnaire-based interviews and household infrastructure observations. Knowledge about porcine cysticercosis was good, particularly among pig keepers across the districts. Many participants had heard about the pork tapeworm (T. solium taeniasis), and the knowledge about signs/symptoms and treatment was fair, but the means of transmission and prevention measures were often unknown. Whilst most participants were familiar with epilepsy, no one knew anything about human cysticercosis and the link between cysticercosis and epileptic seizures. A similar trend is reflected through the attitudes toward the low risk perception of cysticercosis infection. Not surprisingly, the risk perception of the infection with the pork tapeworm was low too. Many participants reported not washing their hands before eating or after using the toilet which highlights potential risks for the development of human cysticercosis. Albeit nearly every participant reported using the toilet always, household observations revealed that toilets were either lacking or had no complete walls. Generally, household observations revealed a discrepancy between questionnaire answers on the one hand and the availability of toilet and handwashing facilities and the confinement of pigs on the other hand. This study demonstrates knowledge gaps and adverse practices which may hinder and/or slow down the control/elimination of T. solium in endemic countries. The study results are also useful for appropriate designing of TSCT health interventions that need to be planned carefully, taking into account the local context and designing TSCT in partnership with the local communities from the beginning to the end applying a One Health approach to allow the possible sustained and best impacts.
Sections du résumé
BACKGROUND
BACKGROUND
Taenia solium cysticercosis/taeniasis (TSCT) is reported to be endemic in pig producing areas around the world, causing significant disease burden and economic losses.
METHODS
METHODS
This cross-sectional study aimed at assessing Knowledge, Attitudes and Practices (KAP) regarding TSCT in four districts, namely Mbulu, Mpwapwa, Mbinga, and Rungwe in Tanzania. Data on KAP were collected through questionnaire-based interviews and household infrastructure observations.
RESULTS
RESULTS
Knowledge about porcine cysticercosis was good, particularly among pig keepers across the districts. Many participants had heard about the pork tapeworm (T. solium taeniasis), and the knowledge about signs/symptoms and treatment was fair, but the means of transmission and prevention measures were often unknown. Whilst most participants were familiar with epilepsy, no one knew anything about human cysticercosis and the link between cysticercosis and epileptic seizures. A similar trend is reflected through the attitudes toward the low risk perception of cysticercosis infection. Not surprisingly, the risk perception of the infection with the pork tapeworm was low too. Many participants reported not washing their hands before eating or after using the toilet which highlights potential risks for the development of human cysticercosis. Albeit nearly every participant reported using the toilet always, household observations revealed that toilets were either lacking or had no complete walls. Generally, household observations revealed a discrepancy between questionnaire answers on the one hand and the availability of toilet and handwashing facilities and the confinement of pigs on the other hand.
CONCLUSION
CONCLUSIONS
This study demonstrates knowledge gaps and adverse practices which may hinder and/or slow down the control/elimination of T. solium in endemic countries. The study results are also useful for appropriate designing of TSCT health interventions that need to be planned carefully, taking into account the local context and designing TSCT in partnership with the local communities from the beginning to the end applying a One Health approach to allow the possible sustained and best impacts.
Identifiants
pubmed: 35692033
doi: 10.1186/s12879-022-07408-0
pii: 10.1186/s12879-022-07408-0
pmc: PMC9190087
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
534Subventions
Organisme : Bundesministerium für Bildung und Forschung
ID : 01KA1618
Informations de copyright
© 2022. The Author(s).
Références
PLoS Negl Trop Dis. 2013;7(3):e2102
pubmed: 23516650
Parasit Vectors. 2015 Jun 12;8:323
pubmed: 26065414
Int Health. 2012 Sep;4(3):164-9
pubmed: 24029395
BMC Res Notes. 2018 Dec 13;11(1):890
pubmed: 30545404
PLoS One. 2015 Feb 26;10(2):e0118541
pubmed: 25719902
Epilepsia. 2009 May;50(5):987-93
pubmed: 19054402
Onderstepoort J Vet Res. 2014 Apr 23;81(2):E1-5
pubmed: 25005750
Acta Trop. 2017 Jan;165:240-245
pubmed: 26536396
Lancet Glob Health. 2018 Apr;6(4):e411-e425
pubmed: 29530423
Acta Trop. 2017 Jan;165:141-154
pubmed: 26756713
Vet Parasitol. 2013 Dec 6;198(3-4):284-91
pubmed: 24139481
Pathog Glob Health. 2012 Sep;106(5):261-74
pubmed: 23265550
Wien Klin Wochenschr. 2009 Oct;121 Suppl 3:3-12
pubmed: 19915809
Prev Vet Med. 2008 Jun 15;85(1-2):52-67
pubmed: 18243375
Am J Trop Med Hyg. 1997 Feb;56(2):127-32
pubmed: 9080868
Vet Parasitol. 2004 Apr 15;120(4):275-83
pubmed: 15063938
PLoS Negl Trop Dis. 2010 Nov 02;4(11):e870
pubmed: 21072231
Parasite Epidemiol Control. 2017 Nov;2(4):35-41
pubmed: 29167825
N Engl J Med. 2020 Jul 23;383(4):396-397
pubmed: 32699455
Vet Parasitol. 2006 Jun 30;139(1-3):249-55
pubmed: 16647211
Acta Trop. 2017 Jan;165:252-260
pubmed: 27140860
Risk Manag Healthc Policy. 2017 Jun 01;10:107-116
pubmed: 28615981
Trop Med Int Health. 2015 Sep;20(9):1171-1179
pubmed: 25940786