“DENGUE KNOWLEDGE IN INDOOR DENGUE PATIENTS FROM LOW SOCIOECONOMIC CLASS; ETIOLOGY, SYMPTOMS, MODE OF TRANSMISSION AND PREVENTION”
AbstractBackground: Dengue fever has emerged as an emerging public health issue during last decade bearing significant morbidity and economic burden particularly in third world countries. Current study aims to assess various domains of knowledge of indoor dengue patients. Methods: This descriptive cross-sectional study was conducted at Medicine dept. Rawal Institute of Health Sciences Islamabad and BBH Rawalpindi over 6 months. One hundred & twenty-five adult indoor confirmed cases of dengue from lower socioeconomic class were included after ethical approval. The 25-item dengue knowledge questionnaire including aetiology, symptoms, modes of transmission and prevention of dengue was filled. Results: Among 125 cases (77% males and 23% females), mean age was 30±13 years. Mean knowledge score was 11±5 points; with excellent knowledge in 6%, good knowledge (22%), moderate knowledge (23%), fair knowledge (34%) and poor knowledge (17%). Mosquito being a vector of dengue was identified by 78%, with peak time in afternoon (48%). Symptoms identified include fever (95%), headache (55%), muscle pain (44%), rash (33%), retro-orbital pain (32%), joint pains (28%) and abdominal pain (18%). Flies and ticks aren’t the vectors of dengue according to 61% and 74% respectively, special mosquito is vector (54%), i.e., Aedes Aegypti (18%) that breeds in standing water (53%). Preventive measures identified were netting (56%), insecticide sprays (54%), covering water containers (38%), removing standing water (36%), mosquito repellents (17%), cutting down bushes (22%) and pouring chemicals in standing water (18%). Conclusion: Our patients from lower socioeconomic class, though aware of vector and mode of transmission, have insufficient knowledge of prevention and vector control measures. There is need to strengthen dengue awareness through community based programs, social media, schools and health care centres for high risk people well before the expected epidemic season about mode of transmission, vector control, screening and early approach to health care facility.Keywords: Dengue fever; Dengue Knowledge; Dengue Prevention
WHO. Dengue and severe dengue [Internet]. WHO. [cited 2017 Jan 2]. Available from: http://www.who.int/mediacentre/ factsheets/fs117/en/
Simmons CP, Farrar JJ, Nguyen vV, Wills B. Dengue. N Engl J Med 2012;366(15):1423–32.
Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition [Internet]. Geneva: World Health Organization; 2009 [cited 2017 Jan 2]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK143157/
Chan YC, Salahuddin NI, Khan J, Tan HC, Seah CL, Li J, et al. Dengue haemorrhagic fever outbreak in Karachi, Pakistan, 1994. Trans R Soc Trop Med Hyg 1995;89(6):619–20.
WHO. Regional Office for South East Asia: Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Hemorrhagic Fever: Revised and expanded edition. New Delhi India. 2011;14:16.
CDC. Dengue fever. Colorado: 2005. [Internet]. Centers for Disease Control and Prevention. [cited 2008 Oct 18]. Available from: http://www.cdc.gov/ncidod/dvbid/dengue/dengue-qa.htm
Itrat A, Khan A, Javaid S, Kamal M, Khan H, Javed S, et al. Knowledge, awareness and practices regarding dengue fever among the adult population of dengue hit cosmopolitan. PLoS One 2008;9(7):e2620.
Shuaib F, Todd D, Campbell-Stennett D, Ehiri J, Jolly PE. Knowledge, attitudes and practices regarding dengue infection in Westmoreland, Jamaica. West Ind Med J 2010;59(2):139–46.
Khan E, Siddiqui J, Shakoor S, Mehraj V, Jamil B, Hasan R. Dengue outbreak in Karachi, Pakistan, 2006: experience at a tertiary care center. Trans R Soc Trop Med Hyg 2007;101(11):1114–9.
Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, et al. The global distribution and burden of dengue. Nature 2013;496(7446):504–7.
Dickin SK, Schuster-Wallace CJ, Elliott SJ. Developing a vulnerability mapping methodology: applying the water-associated disease index to dengue in Malaysia. PLoS One 2013;8(5):e63584.
Shaikh K, Memon KN, Sarah B, Akhtar R, Memon M, Memon S. Dengue fever; an audit of risk factors among patients reporting at a tertiary care hospital in Hyderabad. Professional Med J 2014;21(3):455–9.
Bandyopadhyay B, Bhattacharyya I, Adhikary S, Konar J, Dawar N, Sarkar J, et al. A Comprehensive Study on the 2012 Dengue Fever Outbreak in Kolkata, India. ISRN Virol 2013;2013:1–5.
Yboa BC, Labrague LJ. Dengue Knowledge and Preventive Practices among Rural Residents in Samar Province, Philippines. Am J Public Health Res 2013;1(2):47–52.
Syed M, Saleem T, Syeda UR, Habib M, Zahid R, Bashir A, et al. Knowledge, attitudes and practices regarding dengue fever among adults of high and low socioeconomic groups. J Pak Med Assoc 2010;60(3):243–7.
Dhimal M, Aryal KK, Dhimal ML, Gautam I, Singh SP, Bhusal CL, et al. Knowledge, Attitude and Practice Regarding Dengue Fever among the Healthy Population of Highland and Lowland Communities in Central Nepal. PLoS One 2014;9(7):e102028.
Raghuveer P, Sherkhane MS, Chowti JV. Comparative Study of Dengue Knowledge among Adults of Urban and Rural Population in India. Int J Health Rehabil Sci 2013;2(4):222–9.
Handel AS, Ayala EB, Borbor-Cordova MJ, Fessler AG, Finkelstein JL, Espinoza RXR, et al. Knowledge, attitudes, and practices regarding dengue infection among public sector healthcare providers in Machala, Ecuador. Trop Dis Travel Med Vaccines 2016;2:8.
Doblecki-Lewis S, Chang A, Jiddou-Yaldoo R, Tomashek KM, Stanek D, Anil L, et al. Knowledge, attitudes, and practices of Florida physicians regarding dengue before and after an educational intervention. BMC Med Educ 2016;16(1):124.
WHO. Dengue and dengue haemorrhagic fever. Factsheet No 117, revised May 2008. Geneva, World Health Organization; 2008.
Wiwanitkit V. Non Vector-borne transmission modes of dengue. J Infect Dev Ctries 2010;4(1):51–4.
WHO. WHO position statement on integrated vector management. Wkly Epidemiol Rec 2008;83(20):177–81.
Arunachalam N, Tana S, Espino F, Kittayapong P, Abeyewickreme W, Wai KT, et al. Eco-bio-social determinants of dengue vector breeding: a multi-country study in urban and periurban Asia. Bull World Health Organ 2010;88(3):173–84.
Horstick O, Runge-Ranzinger S, Nathan MB, Kroeger A. Dengue vector control services: how do they work? A systematic literature review and country case studies. Trans R Soc Trop Med Hyg 2010;104(6):379–86.
Santamaria R, Martinez E, Kratochwill S, Soria C, Tan LH, Nunez A, et al. Comparison and critical appraisal of dengue clinical guidelines and their use in Asia and Latin America. Int Health 2009;1(2):133–40.
Hagenlocher M, Delmelle E, Casas I, Kienberger S. Assessing socioeconomic vulnerability to dengue fever in Cali, Colombia: statistical vs expert-based modeling. Int J Health Geo 2013;12:36.