-
Mortality of Ebola Survivors in the Administrative Regions of Conakry, Kankan, Faranah and Kindia, 2016 to 2020
Sadou Sow,
Alpha Oumar Diallo,
Mamadou Oury Balde,
Jean Konan Kouame,
Dadja Essoya Landoh,
Boubacar Sow,
Kadiata Bah,
Mamadou Alpha Diallo,
Mamadou Mouctar Balde,
Mouctar Kande,
Ahmadou Barry,
Katende Ntumba Alain,
Mandian Camara,
Amadou Bailo Diallo,
Kevin Yohou Sylvestre,
Manengu Casimir Tshikolasoni,
Abdoulaye Sow
Issue:
Volume 7, Issue 4, December 2022
Pages:
141-147
Received:
21 August 2022
Accepted:
27 September 2022
Published:
21 October 2022
DOI:
10.11648/j.wjph.20220704.11
Downloads:
Views:
Abstract: Introduction: Ebola virus disease (EVD) is a highly contagious and fatal viral haemorrhagic disease. The average lethality rate is around 50%, this rate can reach 90%. In Guinea Survivors of the 2016-2020 Ebola virus disease (EVD) could face major medical, social and death issues after the acute phase of the disease. Our study aimed to determine the outcome of Ebola virus disease survivors in the administrative regions of Kindia, Kankan, Conakry and Faranah from 2016 to 2020. Methodology: It was a cross-sectional, descriptive and analytical study that focused on all survivors followed from the database of the National Agency for Health Security (ANSS). We collected data from all survivors on pre-established forms and used the “SPSS 2.1” software for logistic regression and univariate and multivariate analyses. Results: A total of 26 individuals died with a male predominance of 14 deaths, i.e. a sex ratio of 1.16. The most represented age group was that of 40 to 49 years with 8 people or 30.76% of cases. There is a statistically significant difference between prefectures (p=0.008) and age group (0.0009) in the occurrence of deaths among those cured of Ebola. Idiopathic causes, cerebrovascular accidents and arterial hypertension and road accidents are the main known causes of death among Ebola survivors, respectively 9 (35%) cases, 7 (23.52%) cases and 6 (27%) cases and 4 (15.3%) cases. Conclusion: Mortality is high among Ebola virus disease survivors. The most numerous causes would be idiopathic causes followed by cerebrovascular accidents, high blood pressure and road accidents. Regular monitoring and treatment of EVD survivors in case of illness or accident should be considered by EVD teams in Guinea.
Abstract: Introduction: Ebola virus disease (EVD) is a highly contagious and fatal viral haemorrhagic disease. The average lethality rate is around 50%, this rate can reach 90%. In Guinea Survivors of the 2016-2020 Ebola virus disease (EVD) could face major medical, social and death issues after the acute phase of the disease. Our study aimed to determine th...
Show More
-
Evaluation of Sequelae in Ebola Survivors After the Ebola Epidemic in the Kankan and Faranah Administrative Regions, 2016 – 2020
Sadou Sow,
Alpha Oumar Diallo,
Abdoulaye Sow,
Dadja Essoya Landoh,
Jean Konan Kouame,
Kevin Yohou Sylvestre,
Manengu Casimir Tshikolasoni,
Boubacar Sow,
Katende Ntumba Alain,
Mouctar Kande,
Mamadou Alpha Diallo,
Ahmadou Barry,
Kadiata Bah,
Mandian Camara,
Mamadou Mouctar Balde,
Amadou Bailo Diallo,
Mamadou Oury Balde
Issue:
Volume 7, Issue 4, December 2022
Pages:
148-152
Received:
21 August 2022
Accepted:
27 September 2022
Published:
21 October 2022
DOI:
10.11648/j.wjph.20220704.12
Downloads:
Views:
Abstract: Introduction: In December 2013, West Africa experienced an outbreak of the Ebola virus disease which originated in south eastern Guinea. Ebola virus disease (EVD) is a deadly and dreaded infectious disease, which can be responsible for debilitating physical and psychological sequelae in survivors. Unfortunately, there is little data on the sequelae of survivors in Guinea. This study therefore assessed sequelae in EVD survivors in the administrative regions of Conakry, Nzerekore, Kankan and Faranah. Methodology: It was a cross-sectional study, of descriptive and analytical type which focused on all the survivors followed from the database of the National Agency for Health Security (ANSS). We collected data from 91 survivors on pre-established forms and used the "SPSS 21" software for logistic regression and univariate and multivariate analyses. Result: A total of 91 individuals were surveyed out of a total of 135 survivors from the ANSS database. The average age was 37.60 years ±15.04, with extremes of 8 and 75 years; the sex ratio was 0.9. The types of sequelae observed in the survivors were predominantly urological (23%) and psychiatric (19%), followed by neurological (17%), musculoskeletal (17%) and gynecology – obstetrics (12%). Conclusion: The prevalence of urological and psychiatric sequelae was higher in EVD survivors. Facilitating access to specialized urological, psychiatric, neurological and gyneco-obstetric services to maintain the health of Ebola survivors in Guinea should be considered by EVD teams in Guinea.
Abstract: Introduction: In December 2013, West Africa experienced an outbreak of the Ebola virus disease which originated in south eastern Guinea. Ebola virus disease (EVD) is a deadly and dreaded infectious disease, which can be responsible for debilitating physical and psychological sequelae in survivors. Unfortunately, there is little data on the sequelae...
Show More
-
Ultrasonographic Evaluation of Renal Parenchyma in Bangladesh: A Comparative Study
Taibatul Kubba,
Tanvir Ahmad,
Md. Murshed Ali,
Md. Abdul Awal,
Narayan Roy
Issue:
Volume 7, Issue 4, December 2022
Pages:
153-159
Received:
27 October 2022
Accepted:
10 November 2022
Published:
29 November 2022
DOI:
10.11648/j.wjph.20220704.14
Downloads:
Views:
Abstract: Background: Renal ultrasonography is often the most applicable and beneficial radiologic technique for evaluating hypertensive patients. For the evaluation of the effects of hypertension on the kidneys and their function, it is necessary to develop a method that is both safe and reasonable. Objective: The objective of this study was to compare renal sonographic parameter in hypertensives and normotensive patients. Methods: This case control study was carried out to find out the renal sonographic parameters in hypertensive and normotensive patients. The sample size was 135 in each group (Hypertensive and normotensive) which was selected purposively. Results: Most (37.04%) of the respondents were in 41-50 years age among them 52.0% were female in case group and 49.63% were <40 years among them 60.0% were female in control group. Incase group 52.6% were from urban area, 33.3% were graduates, 40.7% were housewives, 51.11% had >26 BMI. In control group 50.4% were from urban area, 33.3% had secondary level of education, 48.9% were housewives and 84.44% had 22-26 BMI. Regarding serum creatinine level in case group it was found that 87.41% had 0.74-1.35 mg/dL creatinine, in control group it was found that 63.70% had 0.74-1.35 mg/dL. Renal bipolar length, renal anterior posterior diameter, renal cortical thickness, renal cortical ecogenecity, corticomedullary differentiation were significantly associated with their TC and TAG in both hypertensive and non-hypertensive group. Conclusion: So this study aimed to identify the parameters that indicate increase risk of possible renal damage in individuals with essential hypertension.
Abstract: Background: Renal ultrasonography is often the most applicable and beneficial radiologic technique for evaluating hypertensive patients. For the evaluation of the effects of hypertension on the kidneys and their function, it is necessary to develop a method that is both safe and reasonable. Objective: The objective of this study was to compare rena...
Show More
-
Knowledge of Diabetes Mellitus in the Population of Upscale Neighbourhoods of Abidjan and Their Lifestyle in a Context of Epidemiological Transition, Côte d'Ivoire, 2019
Soumahoro Sory Ibrahim,
Kouassi Damus Paquin,
Kouame Arsene Deby,
Sokodogo Awa Madaho,
Kone Famoussa,
Kouadio N’Guessan Christian,
Coulibaly M’Begnan,
Yeo Salifou,
Tuo Wako-Tianwa Alice,
Ouattara Awa,
Soumahoro Namory Junior,
Konan Koffi Jacques Fabrice,
Yao Gnissan Henri Auguste,
Irika Opri,
Ebouat Marc-Eric,
Dagnan N’Cho Simplice
Issue:
Volume 7, Issue 4, December 2022
Pages:
160-165
Received:
30 October 2022
Accepted:
16 November 2022
Published:
29 November 2022
DOI:
10.11648/j.wjph.20220704.16
Downloads:
Views:
Abstract: As in other parts of the world, the frequency of diabetes in tropical areas is steadily increasing, and primarily concerns type 2 diabetes. The prevalence is expected to increase from 1.1% in 1995 for the sub-Saharan African population to 1.3% in 2025. It seemed appropriate to us to carry out this study to assess the level of knowledge of diabetes by the heads of household living in the posh cities of the commune of Cocody. We conducted a cross-sectional study that took place in 5 posh cities of the commune of Cocody in Abidjan from December 2018 to March 2019, i.e. a period of 04 months. During the 4 months of data collection, 145 person agreed to participate in the study. The 28-35 age group was the most represented (33,8%) with a male predominance (sex ratio = 1.3), a predominantly higher level of education (82.8%). They had three or fewer children (84,0%). The subjects regularly consumed alcohol (45.5%) or soda (76.6%) and were not physically active (58%), observed no dietary restriction (77.2%), and had tested their blood sugar at least once (44.4%). A correct definition of diabetes was reported (95,1%). They knew of diabetes: at least one sign in 34.7% of cases, at least one complication in 23.6% of cases and at least one risk factor in 31.3% of cases. Adults were the most at risk (49.4%). The respondents' good knowledge of signs, complications and risk factors contrasted with their risky lifestyle habits.
Abstract: As in other parts of the world, the frequency of diabetes in tropical areas is steadily increasing, and primarily concerns type 2 diabetes. The prevalence is expected to increase from 1.1% in 1995 for the sub-Saharan African population to 1.3% in 2025. It seemed appropriate to us to carry out this study to assess the level of knowledge of diabetes ...
Show More
-
Prevalence, Associated Factors and Psychosocial Consequences of Infertility Among Women of Reproductive Age in Conakry, Guinea
Niouma Nestor Leno,
Kadio Jean-Jacques Olivier Kadio,
Alioune Camara,
Zeze Charles Romuald Bley,
Djaky Armande Olivia Ehora,
Adoum Aganaye,
Alexandre Delamou
Issue:
Volume 7, Issue 4, December 2022
Pages:
166-176
Received:
24 November 2022
Accepted:
7 December 2022
Published:
15 December 2022
DOI:
10.11648/j.wjph.20220704.17
Downloads:
Views:
Abstract: Introduction: This study aimed to determine the prevalence of infertility among women of reproductive age in Conakry, to identify its explanatory factors and to assess its psychosocial consequences among victims. Methods: This was a 6-month cross-sectional study from 18 June to 18 November 2021 involving 4,910 women of childbearing age (15-49 years) in the five municipalities of Conakry. Medians were used to summarise quantitative variables, and proportions were used to summarise categorical variables. Multivariate logistic regression was used to investigate factors associated with infertility (p-value ≤ 0.05). GHQ-28 questionnaire items were used to assess the psychosocial impact of infertility in female victims. Results: The overall prevalence of infertility was 17.8% (5.40% primary and 12.4% secondary infertility). Risk factors associated with infertility were non-education (AOR: 6.146; CI: [4.961 - 7.614]), sexually transmitted infections (AOR: 2.461; CI: [1.997 - 3.033]), (AOR: 3.141; CI: [2.291 - 4.307]), salpingitis (AOR: 4.766; AOR: [3.165 - 7.177]), ovarian cystectomies (AOR: 3.286; CI: [2.008 - 5.376]), uterine myomas (AOR: 3.141; CI: [2.291 - 4.307]) and induced abortions (AOR: 3.372; CI: [2.556 - 4.448]). Social stress, feelings of spousal rejection, anxiety, insomnia, somatic injury, depression and psychosocial dysfunction were the main psychosocial consequences of infertility in the women who experienced it. Conclusion: This study showed the importance of the problem of infertility among women of childbearing age in Conakry. It also helped to understand the need to set up and/or strengthen prevention and care interventions (medical and psychosocial) for victims of infertility. Another study taking into account the clinical and Para clinical explorations of women and men improved the understanding of the phenomenon of infertility in Guinea.
Abstract: Introduction: This study aimed to determine the prevalence of infertility among women of reproductive age in Conakry, to identify its explanatory factors and to assess its psychosocial consequences among victims. Methods: This was a 6-month cross-sectional study from 18 June to 18 November 2021 involving 4,910 women of childbearing age (15-49 years...
Show More
-
The Role of Political Trust in the Uptake of COVID-19 Vaccine Among Three Geopolitical Zones in Nigeria: A Cross-Sectional Survey
Nwoke Emmanuel Chukwuebuka,
Ebenezer Obi Daniel,
Oladapo Michael Olagbegi,
Paul Olaiya Abiodun,
Ahmed Mamuda Bello,
Israel Olukayode Popoola,
Michael Avwerhota,
Michael Olabode Tomori,
Friday Iyobosa Igbinovia,
Adebanke Adetutu Ogun,
Folake Abiola Abiodun,
Stellamaris Moronkeji
Issue:
Volume 7, Issue 4, December 2022
Pages:
177-188
Received:
28 November 2022
Accepted:
16 December 2022
Published:
29 December 2022
DOI:
10.11648/j.wjph.20220704.18
Downloads:
Views:
Abstract: There is growing evidence of vaccine delays or refusals due to a lack of trust in the importance, safety, or effectiveness of vaccines, alongside persisting access issues. Although immunization coverage is reported administratively across the world, no similarly robust monitoring system exists for vaccine confidence and acceptance. In this study, COVID-19 vaccine uptake will be mapped across 3 geopolitical zones in Nigeria. This study is aimed at determining and comparing the relationship between political trust and vaccine uptake in 3 geo-political zones in Nigeria in addition to establishing the factors leading to the current COVID-19 uptake and acceptability in the 3 geo-political areas under review. A cross-sectional study design was utilized, to quantify the prevalence of different views on COVID-19 vaccine acceptability, access, and political trust. The data was gathered utilizing a self-administered and online questionnaire, which were analyzed utilizing IBM SPSS version 23 software. Descriptive statistical tools were adequately employed to make sense of the data in addition to the grouping of responses from the interviews. The research found that there is little trust in COVID-19 vaccine in the southeastern part of Nigeria with 55.2% of the respondents from Southeast not accepting its safety as it is provided by the Nigerian Government. The Southwestern part had majority of trust in the vaccine (85.9%) while the Northern part of Nigeria seem to be marginally trusting in the safety of the vaccine with 56.4% agreeing to its safety. From the results, 83.3% of Southwestern respondents obliged to receiving a vaccine produced in Nigeria while 51.1% of Northeastern respondents agreed too, unlike the 36.4% of the Southeastern respondents. There is a significant statistical relationship between political trust and COVID-19 vaccine uptake. It was also discovered that there is a statistically significant relationship in the uptake of the COVID-19 vaccine in the 3 geopolitical zones in Nigeria.
Abstract: There is growing evidence of vaccine delays or refusals due to a lack of trust in the importance, safety, or effectiveness of vaccines, alongside persisting access issues. Although immunization coverage is reported administratively across the world, no similarly robust monitoring system exists for vaccine confidence and acceptance. In this study, C...
Show More
-
Early Effect of the COVID-19 Pandemic on Maternal Health Services in a Country with Ebola Experience
Niouma Nestor Leno,
Mabinty Toure,
Christine Timbo Songbono,
Mathias Dore,
Appolinaire Souwla Thea,
Jean Baptiste Dey Loua,
Lucie Haba,
Bienvenu Salim Camara,
Alexandre Delamou
Issue:
Volume 7, Issue 4, December 2022
Pages:
189-195
Received:
29 November 2022
Accepted:
19 December 2022
Published:
29 December 2022
DOI:
10.11648/j.wjph.20220704.19
Downloads:
Views:
Abstract: Introduction: In Guinea, little is known about the influence of the COVID-19 pandemic on maternal health indicators. Indeed, Guinea presents a particular context in that it experienced from 2014 to 2016 the Ebola epidemic that negatively affected its health system and bereaved its population. The objective of this study is to assess the effect of the COVID-19 pandemic on maternal and reproductive health services in the health district of Forécariah. Methods: This was an analytical cross-sectional study of routine data from 01 March to 30 April 2019 and 01 March to 30 April 2020, including women of childbearing age (15-49 years) residing in the Forécariah health district over the study period. Results: Overall coverage of ANC1 did not statistically change from pre-COVID-19 (58%) to COVID-19 (57%). A significant decrease was observed in ANC4+ coverage from 42% before COVID-19 to 29% during COVID-19. Overall pre-pandemic coverage of SP4+ (33%) was significantly higher than during the pandemic (27%; p-value <0.001). Pre-pandemic coverage in ITNs dropped statistically significantly from 34% before the pandemic to 28% during the first two months of the pandemic. Overall coverage of HIV counseling decreased significantly from 72% before the pandemic to 61% during the pandemic (p-value <0.001). General coverage of HIV testing dropped significantly from 43% before the pandemic to 8% during the pandemic (p-value <0.001). Coverage of health center-based deliveries during the pre-COVID-19 study period dropped significantly from 27% to 22% during COVID-19 (p-value <0.001). Conclusion: To ensure the resilience of maternal health services in the face of epidemics, this study recommends actions to strengthen the health system by improving community confidence in the health system, even during an epidemic crisis.
Abstract: Introduction: In Guinea, little is known about the influence of the COVID-19 pandemic on maternal health indicators. Indeed, Guinea presents a particular context in that it experienced from 2014 to 2016 the Ebola epidemic that negatively affected its health system and bereaved its population. The objective of this study is to assess the effect of t...
Show More
-
Hygienodietetic Measures Applied by Diabetics Followed in Bouake, 2019
Tuo Wako-Tianwa Alice,
Soumahoro Sory Ibrahim,
Kouassi Damus Paquin,
Kouame Arsene Deby,
Sokodogo Awa Madaho,
Kone Famoussa,
Coulibaly M’Begnan,
Yeo Salifou,
Yao Gnissan Henri Auguste,
Ebouat Marc-Eric,
Dagnan N’Cho Simplice
Issue:
Volume 7, Issue 4, December 2022
Pages:
196-200
Received:
23 November 2022
Accepted:
21 December 2022
Published:
29 December 2022
DOI:
10.11648/j.wjph.20220704.20
Downloads:
Views:
Abstract: Introduction: The management of diabetes is essential as it can lead to serious complications. This management involves the use of hygienic and dietary rules which are an integral part of the treatment. The aim of this work is to improve the management of these patients by better promotion of hygienic and dietary measures. Methods: We conducted a cross-sectional study over a period of two months from 27 September to 30 November 2019 in the two public health structures for the care of diabetic patients in the commune of Bouaké. These structures are the University Hospital Centre and the Sokoura Maternal and Child Protection Centre. Results: Patients between 51 and 60 years of age represented 36.9% of the population. They were predominantly female (65.57%), had no formal education and had a monthly income in 53.3% and 58.3% of cases respectively. Almost all diabetics did not have health insurance (92.7%). They reported physical activity in 68.6% of cases. They kept the same eating habits as the other family members in 49.9% of cases. The most common equipment used for foot care was nail clippers (46.90%) and blades (39.20%). Conclusion: Effective management of diabetes requires the fight against poverty and illiteracy.
Abstract: Introduction: The management of diabetes is essential as it can lead to serious complications. This management involves the use of hygienic and dietary rules which are an integral part of the treatment. The aim of this work is to improve the management of these patients by better promotion of hygienic and dietary measures. Methods: We conducted a c...
Show More
