Cutaneous Leishmaniasis Outbreak Investigation in Hajjah Governorate, Yemen, in 2018: Case-Control Study
Autor: | Yousef Khader, Abdulkareem Ali Hussein Nassar, Ali Hamoud Almahaqri, Mohammed Abdullah Al-Amad, Abulwahed Abduljabbar Al Serouri, Mahmood Hasan Abdelrazzaq |
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Rok vydání: | 2021 |
Předmět: |
Male
medicine.medical_specialty Yemen Adolescent media_common.quotation_subject 030231 tropical medicine Attack rate Population Leishmaniasis Cutaneous Health Informatics Disease Outbreaks cutaneous leishmaniasis 03 medical and health sciences 0302 clinical medicine Hygiene Epidemiology medicine risk factors Animals Humans Child education media_common Original Paper 0303 health sciences education.field_of_study outbreak 030306 microbiology business.industry Incidence Public health Public Health Environmental and Occupational Health Outbreak Odds ratio medicine.disease Malnutrition Case-Control Studies Child Preschool Female Field Epidemiology Training Program Public aspects of medicine RA1-1270 business Demography |
Zdroj: | JMIR Public Health and Surveillance, Vol 7, Iss 5, p e27442 (2021) JMIR Public Health and Surveillance |
ISSN: | 2369-2960 |
Popis: | Background Cutaneous leishmaniasis (CL) is endemic in Yemen. About 4440 cases were reported in 2019. On July 23, 2018, a Hajjah governorate surveillance officer notified the Ministry of Public Health and Population about an increase in the number of CL cases in Bani-Oshb, Kuhlan district, Hajjah governorate. On July 24, 2018, Yemen Field Epidemiology Training Program sent a team to perform an investigation. Objective We aimed to describe a CL outbreak in Hajjah governorate and determine its risk factors. Methods A descriptive study and case-control study (1:1 ratio) were conducted. Cases included people who met the suspected or confirmed case definition of the World Health Organization and lived in Bani-Oshb subdistrict during the period from August 2017 to July 2018. Controls included people living for at least 1 year in Bani-Oshb without new or old skin lesions. Crude odds ratios (cORs) and adjusted odds ratios (aORs) with 95% CI were used to test the significance of associations. Results We identified 30 CL cases. Among the 30 patients, 7 (23%) were younger than 5 years, 17 (57%) were 5 to 14 years, 17 (57%) were females, and 23 (77%) had one lesion. The attack rate was 7 per 1000 population in the age group Conclusions CL was endemic in Hajjah governorate, and an increase in cases was confirmed. Many individual, housing, and animal related factors were shown to contribute to CL endemicity. Implementation of control measures directed toward altering the factors favoring contact among vectors, reservoirs, and susceptible humans is strongly recommended to control future outbreaks. |
Databáze: | OpenAIRE |
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