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Infectious Disorders - Drug Targets

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ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Research Article

Knowledge, Attitudes, and Practice towards Rabies in Gharbia Gover-norate, Egypt: A Cross-Sectional Study

In Press, (this is not the final "Version of Record"). Available online 23 May, 2024
Author(s): Iman Abdelhady Elshnoudy, Abdallah Eldamaty, Ehsan Aboelfetoh, Nirmeen Elhosseny, Zeynep El Khonezy, Reem Mahjoub, Reem Elkady, Sherief Abd-Elsalam* and Aya Bakhait
Published on: 23 May, 2024

Article ID: e230524230270

DOI: 10.2174/0118715265289905240503060341

Price: $95

Abstract

Background: Rabies is a fatal infectious viral disease that affects all warm-blooded mammals, including humans. Rabid dogs are commonly found in Egypt.

Aims: By assessing the knowledge, attitudes, and practices towards Rabies in Gharbia Governorate, Egypt, this KAP study aimed to improve knowledge of the populations dealing with infected wounds and rabid animals. It also aimed to generate baseline data that would be a reference for evaluating community awareness and aid in developing and administering appropriate rabies prevention strategies.

Methods: This is a cross-sectional study that was carried out from June 2020 to October 2022 to assess the knowledge, attitudes, and practices of six different towns and villages from the El Gharbia government, Egypt, regarding rabies. A self-administered closed-ended questionnaire was used to collect the data from 326 participants by convenient sampling. The data were analyzed by SPSS statistical software version 21 using descriptive analysis and the Chi-square test.

Results: Most of the respondents (73.6%) had heard about rabies mainly from mixed sources (formal and informal sources). The bite was considered to be the only mode of transmission of rabies by 49.4% of respondents, and only 10.7% and 14.4% of respondents answered that it could be transmitted by scratching and saliva contact, respectively. Nearly half of the participants (52.1%) believed that biting and sudden changes in behavior are the clinical signs and symptoms of rabies in humans. Most of the participants (70.9 %) knew that rabies could be prevented by vaccination, but (57.1%) of them did not know about the almost 100% fatal nature of rabies once the clinical signs developed. Residency, educational status, and age were found to be significantly associated with KAP of rabies (P<0.05).

Conclusion: There is a need for educational campaigns and mass media programs in the El Ghar-bia government, Egypt to increase the awareness of the community about rabies.

[1]
Natural History of Rabies Baer. Chapter 1. 1991.
[2]
Liu W, Liu Y, Liu J, Zhai J, Xie Y. Evidence for inter- and intra-clade recombinations in rabies virus. Infect Genet Evol 2011; 11(8): 1906-12.
[http://dx.doi.org/10.1016/j.meegid.2011.08.031] [PMID: 22041506]
[3]
World Health Organization. Available from: https://www.who.int/health-topics/rabies#tab=tab_1 (Accessed on: 13 Mar 2023).
[4]
World Health Organization. Available from: https://www.who.int/health-topics/rabies#tab=tab_1
[5]
World Health Organization. WHO EMRO | WHO, in collaboration with the Ministry of Health and Population of Egypt, celebrates World Rabies Day | Egypt-news | Egypt. Available from: https://www.emro.who.int/egy/egypt-news/world-rabies-day.html (Accessed on: 13 Mar 2023).
[6]
World Rabies Day 2021 Celebration - Egypt presents the Strategic Framework for Elimination Rabies by 2030. foods and architecture organization at the united nations. 2021. Available from: https://www.fao.org/egypt/news/detail-events/en/c/1441644/(Accessed on: 10 Mar 2024).
[7]
Dietzschold B, Li J, Faber M, Schnell M. Concepts in the pathogenesis of rabies. Future Virol 2008; 3(5): 481-90.
[http://dx.doi.org/10.2217/17460794.3.5.481] [PMID: 19578477]
[8]
Dutta JK, Dutta TK, Das AK. Human rabies: modes of transmission. J Assoc Physicians India 1992; 40(5): 322-4.
[PMID: 1483992]
[9]
World Health Organization. WHO expert consultation on rabies. Second report. World Health Organ Tech Rep Ser 2013; (982): 1-139.
[PMID: 24069724]
[10]
Ghosh S, Chowdhury S, Haider N, et al. Awareness of rabies and response to dog bites in a Bangladesh community. Vet Med Sci 2016; 2(3): 161-9.
[http://dx.doi.org/10.1002/vms3.30] [PMID: 29067191]
[11]
Grill AK. Approach to management of suspected rabies exposures: what primary care physicians need to know. Can Fam Physician 2009; 55(3): 247-51.
[PMID: 19282530]
[12]
Liu C, Cahill JD. Epidemiology of rabies and current US vaccine guidelines. RI Med J 2020; 103(6): 51-3.
[PMID: 32752569]
[13]
Huppatz C, Durrheim DN. Control of neglected tropical diseases. N Engl J Med 2007; 357(23): 2407-8.
[http://dx.doi.org/10.1056/NEJMc072881] [PMID: 18057348]
[14]
Kessels JA, Recuenco S, Navarro-Vela AM, et al. Pre-exposure rabies prophylaxis: a systematic review. Bull World Health Organ 2017; 95(3): 210-219C.
[http://dx.doi.org/10.2471/BLT.16.173039] [PMID: 28250534]
[15]
Ali A, Ahmed EY, Sifer D. A study on knowledge, attitude and practice of rabies among residents in Addis Ababa, Ethiopia. Ethiop Vet J 2014; 17(2): 19.
[http://dx.doi.org/10.4314/evj.v17i2.2]
[16]
Bihon A, Meresa D, Tesfaw A. Rabies: Knowledge, attitude and practices in and around South Gondar, North West Ethiopia. Diseases 2020; 8(1): 5.
[http://dx.doi.org/10.3390/diseases8010005] [PMID: 32102458]
[17]
Mucheru GM, Kikuvi GM, Amwayi SA. Knowledge and practices towards rabies and determinants of dog rabies vaccination in households: a cross sectional study in an area with high dog bite incidents in Kakamega County, Kenya, 2013. Pan Afr Med J 2014; 19: 255.
[http://dx.doi.org/10.11604/pamj.2014.19.255.4745] [PMID: 25852798]
[18]
Khalaf FR, Khalaf SA. Health education program regarding rabies knowledge for households in rural areas, assiut governorate, Egypt. Int J Nurs Res 2018; 4: 13-22.
[19]
Nejash A, Boru M, Jemal J, Wezir A. Knowledge, attitudes and practices towards rabies in Dedo district of Jimma zone, southwestern Ethiopia: A community based cross-sectional study. International Journal of Medicine and Medical Sciences 2017; 9(5): 61-71.
[http://dx.doi.org/10.5897/IJMMS2017.1302]
[20]
Corp IBM. IBM SPSS Statistics for Windows Armonk, NY: IBM Corp 2017. Available from: https://hadoop.apache.org
[21]
Sambo M, Lembo T, Cleaveland S, et al. Knowledge, attitudes and practices (KAP) about rabies prevention and control: a community survey in Tanzania. PLoS Negl Trop Dis 2014; 8(12): e3310.
[http://dx.doi.org/10.1371/journal.pntd.0003310] [PMID: 25473834]
[22]
Moran D, Juliao P, Alvarez D, et al. Knowledge, attitudes and practices regarding rabies and exposure to bats in two rural communities in Guatemala. BMC Res Notes 2015; 8(1): 955.
[http://dx.doi.org/10.1186/s13104-014-0955-1] [PMID: 25576098]
[23]
Nilsson M. Effect of rabies education programs on rabies awareness, attitudes towards dogs and animal welfare among children in Lilongwe, Malawi. sveriges lantbruksuniversitet 2014.
[24]
Digafe RT, Kifelew LG, Mechesso AF. Knowledge, attitudes and practices towards rabies: questionnaire survey in rural household heads of Gondar Zuria District, Ethiopia. BMC Res Notes 2015; 8(1): 400.
[http://dx.doi.org/10.1186/s13104-015-1357-8] [PMID: 26328612]
[25]
Jemberu WT, Molla W, Almaw G, Alemu S. Incidence of rabies in humans and domestic animals and people’s awareness in North Gondar Zone, Ethiopia. PLoS Negl Trop Dis 2013; 7(5): e2216.
[http://dx.doi.org/10.1371/journal.pntd.0002216] [PMID: 23675547]
[26]
Guadu T, Shite A, Chanie M, Bogale B, Fentahun T. Assessment of knowledge, attitude and practices about rabies and associated factors: In the case of Bahir Dar Town. Glob Vet 2014; 13: 348-54.
[27]
Abdelmoemen G, Khodeir SA. Abou- Saif S, Kobtan A, Abd-Elsalam S. Prevalence of occult hepatitis C virus among hemodialysis patients in Tanta university hospitals: a single-center study. Environ Sci Pollut Res Int 2018; 25(6): 5459-64.
[http://dx.doi.org/10.1007/s11356-017-0897-y] [PMID: 29214477]
[28]
Mohamed AA, Mohamed N, Mohamoud S, et al. SARS-CoV-2: The path of prevention and control. Infect Disord Drug Targets 2021; 21(3): 358-62.
[http://dx.doi.org/10.2174/22123989MTA2gODAe1] [PMID: 32433010]
[29]
Ahmed OA, Kaisar HH, Hawash N, et al. Efficacy of sofosbuvir plus ribavirin with or without peginterferon- alfa in treatment of a cohort of egyptian patients with hepatitis C virus infection. Infect Disord Drug Targets 2017; 17(2): 95-100.
[PMID: 28413993]
[30]
Ahmed OA, Kaisar HH, Badawi R, et al. Efficacy and safety of sofosbuvir–ledipasvir for treatment of a cohort of Egyptian patients with chronic hepatitis C genotype 4 infection. Infect Drug Resist 2018; 11: 295-8.
[http://dx.doi.org/10.2147/IDR.S153060] [PMID: 29535545]

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