Burden of podoconiosis in poor rural communities in Gulliso woreda, West Ethiopia.
Burden of podoconiosis in poor rural communities in Gulliso woreda, West Ethiopia.
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DOI：
10.1371/journal.pntd.0001184
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发表时间：
2011-06
影响因子：
3.8
通讯作者：
Davey G
中科院分区：
文献类型：
--
作者：
Alemu G;Tekola Ayele F;Daniel T;Ahrens C;Davey G
足癣是一种环境淋巴水肿，影响人们赤脚在刺激性红色粘土上生活和工作。足癣在埃塞俄比亚南部被描述得相对较好，但在埃塞俄比亚高地的其他地区仍然被忽视。这项研究旨在评估埃塞俄比亚西部农村社区的足癣负担。在埃塞俄比亚西部的Gulliso Woreda(区)进行了一项横断面研究。在该地区26个农村Kebeles(村)进行了一次家庭调查，以确定足癣患者并衡量疾病患病率。一项更详细的研究是在随机选择的六个Kebeles中进行的，以描述该疾病的临床特征、患者的足部卫生经验和穿鞋实践。共登记足癣1,935例，患病率为2.8%。15~年龄组患病率较高(5.2%)，女性高于男性(患病率比2.6：1)。90.3%的患者集中在15岁-年龄组。在详细的研究中，采访了335名患者，并对他们的脚进行了评估。大多数患者是农民，没有受过教育，而且很穷。三分之二的患者在30岁之前患上了这种疾病。几乎所有患者(97.0%)在前一年中至少经历过一次腺淋巴管炎(红肿、腿热、腹股沟肿胀和疼痛)。患者平均每年经历5.5次ALA发作，平均4.4天，每年损失24个工作日。足癣患者ALA的发病率高于其他国家报道的丝虫病发病率。穿鞋受到限制，主要是因为经济问题。我们记录了埃塞俄比亚西部高患病率、频繁的腺淋巴管炎和与疾病相关的高发病率。必须制定干预措施来预防、治疗和控制足癣，这是埃塞俄比亚被忽视的核心热带病之一。足癣是一种慢性非传染性疾病，在生活在红粘土地区的赤脚人中会导致膝盖以下的腿部肿胀。在热带非洲、中南美洲和印度北部，这是一个重要但被忽视的问题。足癣可以通过经常穿鞋和洗脚来预防。我们的目标是评估疾病的负担，描述疾病的特征，并描述埃塞俄比亚西部患者的足部卫生和穿鞋习惯。首先，我们对26个农村进行了调查。我们确定了1,935名足癣患者，患病率为2.8%。足癣在女性中的发病率是男性的两倍。其次，我们对随机选择的六个村庄的335名患者进行了更详细的研究。我们发现，大多数患者是农民，没有受过教育，而且很穷。这种疾病是在生命的第四个十年之前发展起来的，大多数患者因为腿红、热和腹股沟肿胀疼痛的频繁发作而卧床不起。穿鞋受到限制，主要是因为缺钱。我们的结论是，足癣在埃塞俄比亚西部造成了巨大的负担，并建议制定干预措施来预防、治疗和控制这种疾病。
Podoconiosis is an environmental lymphoedema affecting people living and working barefoot on irritant red clay soil. Podoconiosis is relatively well described in southern Ethiopia, but remains neglected in other parts of the Ethiopian highlands. This study aimed to assess the burden of podoconiosis in rural communities in western Ethiopia. A cross-sectional study was conducted in Gulliso woreda (district), west Ethiopia. A household survey in the 26 rural kebeles (villages) of this district was conducted to identify podoconiosis patients and to measure disease prevalence. A more detailed study was done in six randomly selected kebeles to describe clinical features of the disease, patients' experiences of foot hygiene, and shoe wearing practice. 1,935 cases of podoconiosis were registered, giving a prevalence of 2.8%. The prevalence was higher in those aged 15–64 years (5.2%) and in females than males (prevalence ratio 2.6∶1). 90.3% of patients were in the 15–64 year age group. In the detailed study, 335 cases were interviewed and their feet assessed. The majority of patients were farmers, uneducated, and poor. Two-third of patients developed the disease before the age of thirty. Almost all patients (97.0%) had experienced adenolymphangitis (ALA - red, hot legs, swollen and painful groin) at least once during the previous year. Patients experienced an average of 5.5 ALA episodes annually, each of average 4.4 days, thus 24 working days were lost annually. The incidence of ALA in podoconiosis patients was higher than that reported for filariasis in other countries. Shoe wearing was limited mainly due to financial problems. We have documented high podoconiosis prevalence, frequent adenolymphangitis and high disease-related morbidity in west Ethiopia. Interventions must be developed to prevent, treat and control podoconiosis, one of the core neglected tropical diseases in Ethiopia. Podoconiosis is a chronic non-infectious disease resulting in below-knee swelling of the legs in bare-footed people living in red clay soil areas. It is an important and yet neglected problem in tropical Africa, central and south America, and north India. Podoconiosis can be prevented by consistently wearing shoes and washing feet. We aimed to assess the burden of the disease, to characterize features of the disease, and to describe foot hygiene and shoe wearing practice of patients in west Ethiopia. First, we did a survey of the 26 rural villages. We identified 1,935 podoconiosis patients, giving a prevalence of 2.8%. Podoconiosis was twice as prevalent in females as males. Second, we did a more detailed study among 335 patients in six randomly selected villages. We found that the majority of patients were farmers, uneducated, and poor. The disease developed before the fourth decade of life and the majority of patients became bed-ridden because of frequent attacks of red, hot legs and swollen and painful groin. Shoe wearing was limited mainly due to lack of money. We conclude that podoconiosis imposes a huge burden in west Ethiopia, and recommend that interventions be developed to prevent, treat and control the disease.
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影响因子：
2.7
作者：
Gasarasi, DB;Premji, ZG;Mpembeni, R
通讯作者：
Mpembeni, R
DOI：
10.1016/0035-9203(88)90032-6
发表时间：
1988-11-01
影响因子：
2.2
作者：
DELALLA, F;ZANONI, P;MOLTRASIO, G
通讯作者：
MOLTRASIO, G
DOI：
10.4269/ajtmh.1999.61.319
发表时间：
1999-08-01
影响因子：
3.3
作者：
Alexander, NDE;Perry, RT;Kazura, JW
通讯作者：
Kazura, JW
影响因子：
10.3
作者：
Henok, L.;Davey, G.
通讯作者：
Davey, G.
影响因子：
0.6
作者：
Destas, K;Ashine, M;Davey, G
通讯作者：
Davey, G