Evaluating Lassa fever knowledge and preventive practices in a rural community in Gboko, Benue State Nigeria: Stemming the spread of Lassa in rural communities
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Abstract
Background
Lassa fever is a highly infectious viral illness transmitted through fluids and secretions infected rodent, Mastomys natalensis. The study aimed to explore the awareness, knowledge, and preventive practices related to Lassa fever in order to improve prevention efforts for this infectious disease.
Methods
The study was a cross-sectional study of 414 participants, selected by consecutive non-probability sampling with an interviewer-administered questionnaire used during a medical outreach in Mbasur, a rural community in Gboko, Benue State. The data was analyzed using SPSS version 23 and statistical significance was set at P <0.05.
Results
Most of the participants, 215(52%) were aged between 20-39 years and female, 242(58.5%). Most, 280(67.6%) were married, attained secondary education, 256(61.8%) and were farmers 346(83.6%). Only 106(25.6%) were aware of the disease and out of these, 72(67.9%) had their sources of information from mass media. Among the 106 individuals aware of Lassa fever, 100 (94.3%) consumed rats as a delicacy, 57 (53.8%) exhibited poor knowledge, and 63 (59.4%) demonstrated good preventive practices. Good knowledge of the disease was significantly associated with being single (p=0.019) and not consuming rodents as a delicacy (p<0.001). There was also a statistically significant association between poor knowledge of Lassa fever and poor preventive practices (p<0.001).
Conclusion
Lassa fever awareness, knowledge and preventive practices was poor in the rural community. The main source of information about the disease was mass media. It is recommended that awareness campaigns should be scaled up by using direct health talks in rural communities and not depend only on mass media.
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References
1. Grace JUA, Egoh IJ, Udensi N. Epidemiological trends of Lassa fever in Nigeria from 2015-2021: A review. Therapeutic Advances in Infection [Internet]. 2021 Jan 1 [cited 2024 Apr 17];8:20499361211058252. Available from: https://doi.org/10.1177/20499361211058252
2. Dalhat MM, Olayinka A, Meremikwu MM, Dan-Nwafor C, Iniobong A, Ntoimo LF, et al. Epidemiological trends of Lassa fever in Nigeria, 2018–2021. PLoS ONE [Internet]. 2022;17(12):e0279467. Available from: https:// doi.org/10.1371/journal.pone.0279467
3. Garry RF. Lassa fever — the road ahead. Nature Reviews Microbiology [Internet]. 2023 Feb 1;21(2):87–96. Available from: https://doi.org/10.1038/s41579-022-00789-8
4. Dwalu E, Jetoh RW, Shobayo BI, Pewu I, Taweh F, Wilson-Sesay HW, et al. Trend of Lassa fever cases and factors associated with mortality in Liberia, 2016 - 2021: a secondary data analysis. PAMJ [Internet]. 2024 Jan 19 [cited 2024 Apr 19];47(22). Available from: https://www.panafrican-med-journal.com/content/article/47/22/full
5. Wada YH, Ogunyinka IA, Yusuff KB, Ochu CL, Yahaya M, Khalid GM, et al. Knowledge of Lassa fever, its prevention and control practices and their predictors among healthcare workers during an outbreak in Northern Nigeria: A multi-centre cross-sectional assessment. PLOS Neglected Tropical Diseases [Internet]. 2022 Mar 14;16(3):e0010259. Available from: https://doi.org/10.1371/journal.pntd.0010259
6. World Health Organisation(14 February 2022). Disease Outbreak News; Lassa Fever-Nigeria [Internet]. Available from: https://www.who.int/emergencies/disease-outbreak-news/item/lassa-fever---nigeria
7. Kaboré L, Pecenka C, Hausdorff WP. Lassa fever vaccine use cases and demand: Perspectives from select West African experts. Vaccine [Internet]. 2024 Mar 19;42(8):1873–7. Available from: https://www.sciencedirect.com/science/article/pii/S0264410X24002032
8. Mudenda S, Chizimu J, Chabalenge B, Kasanga M, Matafwali SK, Daka V, et al. Knowledge, attitude, and practices toward infection prevention and control among undergraduate pharmacy students in Zambia: findings and implications. Antimicrob Steward Healthc Epidemiol. 2023;3(1):e154.
9. Aromolaran O, Samson TK, Falodun OI. Knowledge and practices associated with Lassa fever in rural Nigeria: Implications for prevention and control. J Public Health Afr. 2023;14(9).
10. Zhuang M, Zhai L, Zhang H, Chen Q, Xiong R, Liu Y, et al. Rural residents’ Knowledge, Attitude, and Practice in relation to infection risk during the late stage of an epidemic: a cross-sectional study of COVID-19. Frontiers in Public Health [Internet]. 2024;12. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1450744
11. Onayemi O, Oyekola I, Adebisi T. Knowledge and Compliance with Infectious Disease Preventive Measures among Market-Involved Individuals: A Case of COVID-19. In: Eniola AA, editor. Entrepreneurship and Post-Pandemic Future [Internet]. Emerald Publishing Limited; 2022 [cited 2025 Feb 15]. p. 183–201. Available from: https://doi.org/10.1108/978-1-80117-902-720221011
12. Ogboghodo E, Adam V, Omuemu V, Okojie O. Knowledge, Attitude and Preventive Practices Against Lassa Fever Among Residents in a Rural Community in Southern Nigeria. West African journal of medicine. 2019 May 1;36:165–71.
13. Rahi M, Le Pluart D, Beaudet A, Ismaël S, Parisey M, Poey N, et al. Sociodemographic characteristics and transmission risk factors in patients hospitalized for COVID-19 before and during the lockdown in France. BMC Infect Dis. 2021;12(1):812. doi: 10.1186/s12879-021-06419-7. PMID: 34388990; PMCID: PMC8361240.
14. Gobir AA, Ejembi CL, Alhaji AA, Garba MB, Igboanusi CJC, Usman B, et al. Knowledge of Lassa Fever Disease and Its Risk Factors Among Rural People in a Nigerian Community. Proceedings. 2020;45(1).
15. Fatiregun AA, Isere E, Dosumu M, Agunbiade O, Onyibe R. Lassa fever awareness and knowledge among community residents in Ondo State, Nigeria. JCMPHC. 2019;31(2):26–35.
16. Ossai EN, Onwe OE, Okeagu NP, Ugwuoru AL, Eze TK, Nwede AS. Knowledge and preventive practices against Lassa fever among heads of households in Abakaliki metropolis, Southeast Nigeria: A cross-sectional study. Proceedings of Singapore Healthcare. 2020;29(2):73–80.
17. Dolopei D, Amo-Addae M, Adewuyi P, Wilson H, Shannon F, Lawubah J et al. Knowledge, attitudes and practices (KAP) regarding Lassa fever disease among adults in endemic and non-endemic Counties of Liberia, 2018: A Cross-sectional study. JAIPH. 2021;4(1):9. [doi: 10.11604/JIEPH.supp.2021.4.1.1081].
18. Usuwa IS, Akpa CO, Umeokonkwo CD, Umoke M, Oguanuo CS, Olorukooba AA, et al. Knowledge and risk perception towards Lassa fever infection among residents of affected communities in Ebonyi State, Nigeria: implications for risk communication. BMC Public Health [Internet]. 2020 Feb 12;20(1):217. Available from: https://doi.org/10.1186/s12889-020-8299-3
19. Elvis E Isere, Akinola A Fatiregun, Nosa E Omorogbe, Matthew T Oluwole. Preventive practices by households against Lassa fever transmission in Ondo State, Southwest, Nigeria. PAMJ [Internet]. 2022 Dec 5 [cited 2024 Apr 24];43(176). Available from: https://www.panafrican-med-journal.com/content/article/43/176/full
20. Douno M, Asampong E, Magassouba N,, Fichet-Calvet E, Mari SA. Hunting and consumption of rodents by children in the Lassa fever endemic area of Faranah, Guinea. PLoS Negl Trop Dis. 2021;15(3):e0009212. https://doi.org/10.1371/ journal.pntd.0009212.