Tegegne, Abebe Gelaw (2017) Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in field Epidemiology. Masters thesis, Addis Ababa University.
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Abstract
Background: Scabies is a neglected parasitic disease that is a major public health problem worldwide and particularly in resource-poor regions. It is endemic in many tropical and subtropical areas, such as Africa, Egypt, Central and South America, northern and central Australia, the Caribbean Islands, India, and Southeast Asia. Approximately 300 million cases are reported worldwide each year. Scabies affects people of all countries, particularly, children in developing countries are most susceptible, with an average prevalence of 5–10%. Objective: To investigate the contributing factors for the occurrence of the outbreak and provide appropriate control & prevention measures of the disease to stop the spread of outbreak. Method and materials: We conducted 1:2 unmatched case-control study from February 10-25, 2017. 120 samples (40 cases and 80 controls) was selected simple random sampling and interviewed with structured questionnaire and all cases were collected through line list. Statistical analysis was made using MS- Excel plus 2013, Epi infoTM 7, IBM SPSS statistics 20, and ArcMap 10.2.2. Then, Odds Ratio, 95% CI and P-value used to measure the significance of association in bivariate and multivariate analysis Result: Of 6760 reported cases, 3772 (56 %) were males while the rest 2988 (44 %) were females in the district. No death reported throughout the outbreak. Majority of 543 (AR 23%) scabies cases were occurred from Gashena town kebele and the younger age group 6-14 years was more affected by the disease with an age specific attack rate (ASAR) of 6%. The mean age of cases was 13 (range, 5-45 years), the SD was ± 8.47 years and the mean of age controls was 41.3(Range, 10-81 years), the SD was ±17.13 years. The overall attack rate (AR) was 5 % in the district. Sleeping with contracted scabies case(AOR: 25.3,95% CI: 8.7-73.4 ,P: 0.0001), without soap take shower(AOR: 8.3, 95% CI: 1.7-40.7 ,P: 0.009), sleeping with other(AOR: 9.6, 95% CI: 2.3-40.1, P: 0.002), more than a week wash clothes(AOR: 3.8, 95% CI: 1.3-11.2, P: 0.02), more than a week change clothes(AOR: 6.3, 95% CI: 2.3-17.3, P: 0.0001) were significantly associated with scabies disease. Conclusion: In this study, we found poor hygienic practices, overcrowding family member, sharing of clothing materials, sleeping with contracted scabies associated with higher frequency Abebe Gelaw 7th cohort EFETP abebegelaw80@gmail.com 2017 of scabies disease. Therefore, it seems that awareness creation about the signs, transmission, prevention and control methods of this disease to high risk groups help greatly to reduce the prevalence of scabies and prevent probably future epidemic.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 01 Oct 2018 12:52 |
| Last Modified: | 01 Oct 2018 12:52 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5796 |
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