Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, Pakistan

BackgroundHuman alveolar echinococcosis (AE) is a neglected zoonotic disease. Prevalence of AE in humans is reported in Pakistan as a result of poor economic and sanitary conditions, close proximity to wildlife and limited knowledge of AE. Studies on the prevalence and transmission of AE have been l...

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Main Authors: Naila Jamill, Haroon Ahmed, Muhammad Sohail Afzal, Sami Simsek, Abid Ali, Muhammad Arshad, Chenghang Yu, Jianping Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1015475/full
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author Naila Jamill
Haroon Ahmed
Muhammad Sohail Afzal
Sami Simsek
Abid Ali
Muhammad Arshad
Chenghang Yu
Chenghang Yu
Chenghang Yu
Jianping Cao
Jianping Cao
Jianping Cao
Jianping Cao
author_facet Naila Jamill
Haroon Ahmed
Muhammad Sohail Afzal
Sami Simsek
Abid Ali
Muhammad Arshad
Chenghang Yu
Chenghang Yu
Chenghang Yu
Jianping Cao
Jianping Cao
Jianping Cao
Jianping Cao
author_sort Naila Jamill
collection DOAJ
description BackgroundHuman alveolar echinococcosis (AE) is a neglected zoonotic disease. Prevalence of AE in humans is reported in Pakistan as a result of poor economic and sanitary conditions, close proximity to wildlife and limited knowledge of AE. Studies on the prevalence and transmission of AE have been limited, especially for rural Pakistan. The study objectives were to identify knowledge, attitudes and practices relating to AE, to determine awareness of the disease, and to identify knowledge about possible risk factors of infections involving the landscape epidemiological attributes of rural villages in Hunza, one of the districts of Gilgit-Baltistan, a region of Pakistan that borders China.MethodsA community-based cross-sectional study was conducted among the general population of Hunza to establish the level of awareness, knowledge, attitudes, practices, landscape epidemiology, and disease management and control relating to AE in rural areas of Hunza. Data were collected by questionnaire.ResultsA total of 387 questionnaires was received. Statistical analysis showed that the population's knowledge about the disease was poor. The attitudes and practices of the participants indicated that their risk of infection was low. Knowledge of landscape epidemiology of the disease was poor but knowledge about AE disease management was good. The attitudes of residents toward disease treatment and control strategies were positive, although the overall knowledge of participants about prevention of infection was poor.ConclusionKnowledge of AE is poor among the residents of Hunza, Pakistan. Our study demands continued and strengthened awareness of the changes to lifestyle and practices associated with AE, not only in the study locality but throughout other areas of Pakistan.
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spelling doaj.art-060b5edea5874f2b9bffa272203717aa2022-12-22T04:18:25ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.10154751015475Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, PakistanNaila Jamill0Haroon Ahmed1Muhammad Sohail Afzal2Sami Simsek3Abid Ali4Muhammad Arshad5Chenghang Yu6Chenghang Yu7Chenghang Yu8Jianping Cao9Jianping Cao10Jianping Cao11Jianping Cao12Department of Biosciences, COMSATS University Islamabad, Islamabad, PakistanDepartment of Biosciences, COMSATS University Islamabad, Islamabad, PakistanDepartment of Life Sciences, School of Science, University of Management and Technology, Lahore, PakistanDepartment of Parasitology, Faculty of Veterinary Medicine, Firat University, Elazig, TurkeyDepartment of Zoology, Abdul Wali Khan University Mardan, Mardan, PakistanDepartment of Life Sciences, School of Science, University of Management and Technology, Lahore, PakistanNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, ChinaKey Laboratory of Parasite and Vector Biology, National Health Commission of the People's Republic of China, Shanghai, ChinaWHO Collaborating Center for Tropical Diseases, Shanghai, ChinaNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, ChinaKey Laboratory of Parasite and Vector Biology, National Health Commission of the People's Republic of China, Shanghai, ChinaWHO Collaborating Center for Tropical Diseases, Shanghai, ChinaThe School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaBackgroundHuman alveolar echinococcosis (AE) is a neglected zoonotic disease. Prevalence of AE in humans is reported in Pakistan as a result of poor economic and sanitary conditions, close proximity to wildlife and limited knowledge of AE. Studies on the prevalence and transmission of AE have been limited, especially for rural Pakistan. The study objectives were to identify knowledge, attitudes and practices relating to AE, to determine awareness of the disease, and to identify knowledge about possible risk factors of infections involving the landscape epidemiological attributes of rural villages in Hunza, one of the districts of Gilgit-Baltistan, a region of Pakistan that borders China.MethodsA community-based cross-sectional study was conducted among the general population of Hunza to establish the level of awareness, knowledge, attitudes, practices, landscape epidemiology, and disease management and control relating to AE in rural areas of Hunza. Data were collected by questionnaire.ResultsA total of 387 questionnaires was received. Statistical analysis showed that the population's knowledge about the disease was poor. The attitudes and practices of the participants indicated that their risk of infection was low. Knowledge of landscape epidemiology of the disease was poor but knowledge about AE disease management was good. The attitudes of residents toward disease treatment and control strategies were positive, although the overall knowledge of participants about prevention of infection was poor.ConclusionKnowledge of AE is poor among the residents of Hunza, Pakistan. Our study demands continued and strengthened awareness of the changes to lifestyle and practices associated with AE, not only in the study locality but throughout other areas of Pakistan.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1015475/fullalveolar echinococcosisawarenessrisk factorsdisease managementHunzaPakistan
spellingShingle Naila Jamill
Haroon Ahmed
Muhammad Sohail Afzal
Sami Simsek
Abid Ali
Muhammad Arshad
Chenghang Yu
Chenghang Yu
Chenghang Yu
Jianping Cao
Jianping Cao
Jianping Cao
Jianping Cao
Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, Pakistan
Frontiers in Public Health
alveolar echinococcosis
awareness
risk factors
disease management
Hunza
Pakistan
title Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, Pakistan
title_full Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, Pakistan
title_fullStr Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, Pakistan
title_full_unstemmed Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, Pakistan
title_short Assessment of risk, landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of Hunza, Pakistan
title_sort assessment of risk landscape epidemiology and management strategies to combat alveolar echinococcosis in the rural communities of hunza pakistan
topic alveolar echinococcosis
awareness
risk factors
disease management
Hunza
Pakistan
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1015475/full
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