Venomous snakebites: Rapid action saves lives-A multifaceted community education programme increases awareness about snakes and snakebites among the rural population of Tamil Nadu, India.
Venomous snakebites: Rapid action saves lives-A multifaceted community education programme increases awareness about snakes and snakebites among the rural population of Tamil Nadu, India.
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DOI：
10.1371/journal.pntd.0008911
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发表时间：
2020-12
影响因子：
3.8
通讯作者：
Vaiyapuri S
中科院分区：
文献类型：
--
作者：
Samuel SP;Chinnaraju S;Williams HF;Pichamuthu E;Subharao M;Vaiyapuri M;Arumugam S;Vaiyapuri R;Baksh MF;Patel K;Trim SA;Duncombe TE;Vaiyapuri S
公众对蛇咬中毒（SBE）的危险缺乏认识是导致SBE引起的并发症的最关键因素之一，并随后加剧了由SBE引起的死亡和残疾人数。在这项研究中，我们部署了一项多方面的社区教育计划，向印度泰米尔纳德邦农村地区的学生、医疗保健专业人员和公众宣传SBE的危险、适当的急救措施以及蛇咬伤后的“该做和不该做”。对这些社区的先验知识的评估发现了一些关于蛇和SBE的误解。在一年的时间里（2019年1月至12月），我们通过直接参与（估计覆盖了20多万人）、信息传单（分发了20万人）、海报、视频纪录片、媒体和社交媒体（280万次参与）的组合，在泰米尔纳德邦农村地区覆盖了300多万人（约占人口的8%）。对社区集会的评估表明，至少90%的与会者能够在活动结束时回忆起关键信息，至少85%的与会者能够在12个月后回忆起关键信息。由于需求很大，我们举办了为期一天的研讨会，为泰米尔纳德邦农村地区的250名医疗专业人员提供关于SBE的临床知识和培训。值得注意的是，对同一12个月期间（2019年）从蛇咬伤转诊医院收集的患者数据（291名受害者）进行的评估表明，蛇咬伤后到达医院的时间明显快于不知道我们活动的患者，并且对意识到我们活动的患者采取了有效的急救措施。总的来说，我们的方法提供了一个框架，如何教育农村社区关于SBE的危险，从而减轻延迟的SBE治疗，从而全面降低SBE引起的死亡率、发病率、治疗费用和其他社会经济后果。蛇咬伤中毒是一种被忽视的主要热带病，主要影响生活在发展中国家农村地区的贫困社区。缺乏关于蛇和SBE的知识是增加SBE引起的残疾和死亡的一个主要因素。本研究报告了多维社区教育方法在印度南部泰米尔纳德邦传播关于SBE的公共卫生信息的重要性。我们还强调了泰米尔纳德邦农村社区的人们对蛇和SBE治疗的误解程度，并表明通过有针对性的参与活动和使用大众媒体可以有效地传达关键信息和适当的行动。为期一天的研讨会向农村地区的保健专业人员提供了有关SBE的临床知识和培训。通过各种方法提高农村人口对蛇和SBE的适当认识，我们应该能够减少SBE引起的并发症以及由此导致的残疾和死亡。本研究中使用的方法可以作为概念的证明，用于教育印度其他地区以及世界上其他国家的农村社区，其中SBE是一个重要问题。
The lack of public awareness surrounding the dangers of snakebite envenomation (SBE) is one of the most critical factors contributing to SBE-induced complications, and subsequently exacerbating the number of deaths and disabilities resulting from SBE. In this study, we deployed a multifaceted community education programme to educate students, healthcare professionals and members of the public in rural areas of Tamil Nadu, India about the dangers of SBE, appropriate first aid measures and the ‘do’s and don’ts’ following a snakebite. An assessment of prior knowledge within these communities identified several misconceptions concerning snakes and SBE. Using a combination of direct engagement (estimated to reach over 200,000 people), information leaflets (200,000 distributed), posters, video documentaries, media and social media (>2.8 million engagements), over the course of one year (January to December 2019) we reached over 3 million people in rural Tamil Nadu (around 8% of population). Evaluation of community-based assemblies indicated that at least 90% of attendees were able to recall the key messages at the end of the events, and at least 85% were able to recall the key messages even after 12 months. Due to high demand, a one-day symposium was organised to provide clinical knowledge and training on SBE to 250 healthcare professionals in rural Tamil Nadu. Notably, an assessment of patient data (291 victims) collected from a snakebite referral hospital over the same 12-month period (2019) indicated that arrival time at hospital following a snakebite was significantly faster and the effective first aid measures were administered to patients who were aware of our activities compared to those that were not. Overall, our approach provides a framework on how to educate rural communities about the dangers of SBE and thereby, mitigate delayed SBE treatment leading to an overall reduction in SBE-induced mortality, morbidity, treatment costs and other socio-economic ramifications. Snakebite envenomation (SBE) is a major neglected tropical disease that primarily affects poor communities living in rural areas of developing countries. The lack of knowledge about snakes and SBE is a major factor in augmenting SBE-induced disabilities and deaths. This study reports the significance of a multidimensional community education approach for the dissemination of public health information on SBE across the state of Tamil Nadu in Southern India. We also highlight the extent to which misconceptions about snakes and SBE treatment are held by people in rural communities of Tamil Nadu and demonstrate that key messages and appropriate actions can be effectively communicated through targeted engagement activities and use of the mass media. A one-day symposium provided clinical knowledge and training to healthcare professionals in rural areas about SBE. By providing appropriate awareness about snakes and SBE among the rural population through a variety of approaches, we should be able to reduce SBE-induced complications and the resulting disabilities and deaths. The approaches used in this study can be used as a proof of concept to educate rural communities in other parts of India and also other countries in the world where SBE is a significant issue.
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影响因子：
15.8
作者：
Kasturiratne A;Wickremasinghe AR;de Silva N;Gunawardena NK;Pathmeswaran A;Premaratna R;Savioli L;Lalloo DG;de Silva HJ
通讯作者：
de Silva HJ
DOI：
10.1016/j.jstrokecerebrovasdis.2020.104757
发表时间：
2020-05-01
影响因子：
2.5
作者：
Komolafe, Morenikeji A.;Olorunmoteni, Oluwatosin E.;Fehintola, Funmito O.
通讯作者：
Fehintola, Funmito O.
影响因子：
81.5
作者：
Gutierrez, Jose Maria;Calvete, Juan J.;Warrell, David A.
通讯作者：
Warrell, David A.
影响因子：
3
作者：
Silva, Anjana;Marikar, Faiz;Agampodi, Suneth
通讯作者：
Agampodi, Suneth
影响因子：
3.8
作者：
Mohapatra, Bijayeeni;Warrell, David A.;Jha, Prabhat
通讯作者：
Jha, Prabhat