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  1. Article ; Online: The COVID-19, tuberculosis and HIV/AIDS: Ménage à Trois.

    Udoakang, Aniefiok John / Djomkam Zune, Alexandra Lindsey / Tapela, Kesego / Nganyewo, Nora Nghochuzie / Olisaka, Frances Ngozi / Anyigba, Claudia Adzo / Tawiah-Eshun, Sylvia / Owusu, Irene Amoakoh / Paemka, Lily / Awandare, Gordon A / Quashie, Peter Kojo

    Frontiers in immunology

    2023  Volume 14, Page(s) 1104828

    Abstract: In December 2019, a novel pneumonic condition, Coronavirus disease 2019 (COVID- 19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), broke out in China and spread globally. The presentation of COVID-19 is more severe in persons ... ...

    Abstract In December 2019, a novel pneumonic condition, Coronavirus disease 2019 (COVID- 19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), broke out in China and spread globally. The presentation of COVID-19 is more severe in persons with underlying medical conditions such as Tuberculosis (TB), Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) and other pneumonic conditions. All three diseases are of global concern and can significantly affect the lungs with characteristic cytokine storm, immunosuppression, and respiratory failure. Co-infections of SARS-CoV-2 with HIV and
    MeSH term(s) Humans ; Acquired Immunodeficiency Syndrome/epidemiology ; COVID-19 ; HIV ; Coinfection/epidemiology ; Pandemics ; Post-Acute COVID-19 Syndrome ; SARS-CoV-2 ; Tuberculosis/diagnosis
    Language English
    Publishing date 2023-01-27
    Publishing country Switzerland
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2023.1104828
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Knowledge, attitude and perception towards COVID-19 among representative educated sub-Saharan Africans: A cross-sectional study during the exponential phase of the pandemic.

    Udoakang, Aniefiok John / Nganyewo, Nora Nghochuzie / Djomkam Zune, Alexandra Lindsey / Olwal, Charles Ochieng' / Etim, Nsikak-Abasi Aniefiok / Oboh, Mary Aigbiremo / Tapela, Kesego / Dzabeng, Francis / Adadey, Samuel Mawuli / Udoh, Agnes / Koné, Mazo / Mutungi, Joe Kimanthi / Quashie, Peter Kojo / Awandare, Gordon Akanzuwine / Paemka, Lily

    PloS one

    2024  Volume 19, Issue 2, Page(s) e0281342

    Abstract: Coronavirus disease 2019 (COVID-19) pandemic, caused by the Severe Acute Coronavirus 2 (SARS-CoV-2), is a global health threat with extensive misinformation and conspiracy theories. Therefore, this study investigated the knowledge, attitude and ... ...

    Abstract Coronavirus disease 2019 (COVID-19) pandemic, caused by the Severe Acute Coronavirus 2 (SARS-CoV-2), is a global health threat with extensive misinformation and conspiracy theories. Therefore, this study investigated the knowledge, attitude and perception of sub-Saharan Africans (SSA) on COVID-19 during the exponential phase of the pandemic. In this cross-sectional survey, self-administered web-based questionnaires were distributed through several online platforms. A total of 1046 respondents from 35 SSA countries completed the survey. The median age was 33 years (18-76 years) and about half (50.5%) of them were males. More than 40% across all socio-demographic categories except the Central African region (21.2%), vocational/secondary education (28.6%), student/unemployed (35.5%), had high COVID-19 knowledge score. Socio-demographic factors and access to information were associated with COVID-19 knowledge. Bivariate analysis revealed that independent variables, including the region of origin, age, gender, education and occupation, were significantly (p < 0.05) associated with COVID-19 knowledge. Multivariate analysis showed that residing in East (odds ratio [OR]: 7.9, 95% confidence interval (CI): 4.7-14, p<0.001), Southern (OR: 3.7, 95% CI: 2.1-6.5, p<0.001) and West (OR: 3.9, 95% CI: 2.9-5.2, p<0.001) Africa was associated with high COVID-19 knowledge level. Apart from East Africa (54.7%), willingness for vaccine acceptance across the other SSA regions was <40%. About 52%, across all socio-demographic categories, were undecided. Knowledge level, region of origin, age, gender, marital status and religion were significantly (p < 0.05) associated with COVID-19 vaccine acceptance. About 67.4% were worried about contracting SARS-CoV-2, while 65.9% indicated they would consult a health professional if exposed. More than one-third of the respondents reported that their governments had taken prompt measures to tackle the pandemic. Despite high COVID-19 knowledge in our study population, most participants were still undecided regarding vaccination, which is critical in eliminating the pandemic. Therefore, extensive, accurate, dynamic and timely education in this aspect is of ultimate priority.
    MeSH term(s) Male ; Humans ; Adult ; Female ; COVID-19/epidemiology ; Cross-Sectional Studies ; SARS-CoV-2 ; COVID-19 Vaccines ; Health Knowledge, Attitudes, Practice ; Pandemics ; Surveys and Questionnaires ; Perception ; Africa South of the Sahara/epidemiology
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0281342
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Suboptimal antimicrobial stewardship in the COVID-19 era: is humanity staring at a postantibiotic future?

    Owoicho, Oloche / Tapela, Kesego / Djomkam Zune, Alexandra Lindsey / Nghochuzie, Nora Nganyewo / Isawumi, Abiola / Mosi, Lydia

    Future microbiology

    2021  Volume 16, Page(s) 919–925

    Abstract: In the absence of potent antimicrobial agents, it is estimated that bacterial infections could cause millions of deaths. The emergence of COVID-19, its complex pathophysiology and the high propensity of patients to coinfections has resulted in ... ...

    Abstract In the absence of potent antimicrobial agents, it is estimated that bacterial infections could cause millions of deaths. The emergence of COVID-19, its complex pathophysiology and the high propensity of patients to coinfections has resulted in therapeutic regimes that use a cocktail of antibiotics for disease management. Suboptimal antimicrobial stewardship in this era and the slow pace of drug discovery could result in large-scale drug resistance, narrowing future antimicrobial therapeutics. Thus, judicious use of current antimicrobials is imperative to keep up with existing and emerging infectious pathogens. Here, we provide insights into the potential implications of suboptimal antimicrobial stewardship, resulting from the emergence of COVID-19, on the spread of antimicrobial resistance.
    MeSH term(s) Anti-Infective Agents/therapeutic use ; Antimicrobial Stewardship/methods ; Bacterial Infections/drug therapy ; Bacterial Infections/epidemiology ; COVID-19/epidemiology ; Coinfection/drug therapy ; Coinfection/epidemiology ; Hand Disinfection ; Humans ; Mycoses/drug therapy ; Mycoses/epidemiology
    Chemical Substances Anti-Infective Agents
    Language English
    Publishing date 2021-07-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1746-0921
    ISSN (online) 1746-0921
    DOI 10.2217/fmb-2021-0008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Recent increase in low complexity polygenomic infections and sialic acid-independent invasion pathways in Plasmodium falciparum from Western Gambia.

    Nganyewo, Nora Nghochuzie / Bojang, Fatoumata / Oriero, Eniyou Cheryll / Drammeh, Ndey Fatou / Ajibola, Olumide / Mbye, Haddijatou / Jawara, Aminata Seedy / Corea, Simon / Awandare, Gordon Akanzuwine / D'Alessandro, Umberto / Amenga-Etego, Lucas N / Amambua-Ngwa, Alfred

    Parasites & vectors

    2023  Volume 16, Issue 1, Page(s) 309

    Abstract: Background: The malaria parasite Plasmodium falciparum utilizes multiple alternative receptor-ligand interactions for the invasion of human erythrocytes. While some P. falciparum clones make use of sialic acid (SA) residues on the surface of the human ... ...

    Abstract Background: The malaria parasite Plasmodium falciparum utilizes multiple alternative receptor-ligand interactions for the invasion of human erythrocytes. While some P. falciparum clones make use of sialic acid (SA) residues on the surface of the human glycophorin receptors to invade the erythrocyte, others use alternative receptors independent of sialic acid residues. We hypothesized that over the years, intensified malaria control interventions and declining prevalence in The Gambia have resulted in a selection of parasites with a dominant invasion pathways and ligand expression profiles.
    Methods: Blood samples were collected from 65 malaria-infected participants with uncomplicated malaria across 3 years (2015, 2016, and 2021). Genetic diversity was determined by genotyping the merozoite surface protein 2 (msp2) polymorphic gene of P. falciparum. Erythrocyte invasion phenotypes were determined using neuraminidase, trypsin, and chymotrypsin enzymes, known to cleave different receptors from the surface of the erythrocyte. Schizont-stage transcript levels were obtained for a panel of 6 P. falciparum invasion ligand genes (eba175, eba181, Rh2b, Rh4, Rh5, and clag2) using 48 successfully cultured isolates.
    Results: Though the allelic heterozygosity of msp2 repeat region decreased as expected with reduced transmission, there was an increase in infections with more than a single msp2 allelotype from 2015 to 2021. The invasion phenotypes of these isolates were mostly SA independent with a continuous increase from 2015 to 2021. Isolates from 2021 were highly inhibited by chymotrypsin treatment compared to isolates from 2015 and 2016. Higher invasion inhibition for 2021 isolates was further obtained following erythrocyte treatment with a combination of chymotrypsin and trypsin. The transcript levels of invasion ligand genes varied across years. However, levels of clag2, a rhoptry-associated protein, were higher in 2015 and 2016 isolates than in 2021 isolates, while Rh5 levels were higher in 2021 compared to other years.
    Conclusions: Overall, these findings suggest increasing mixed infections with an increase in the use of sialic-acid independent invasion pathways by P. falciparum clinical isolates in the Western part of Gambia.
    MeSH term(s) Humans ; Plasmodium falciparum/genetics ; Gambia/epidemiology ; N-Acetylneuraminic Acid ; Chymotrypsin ; Ligands ; Trypsin ; Malaria, Falciparum/epidemiology
    Chemical Substances N-Acetylneuraminic Acid (GZP2782OP0) ; Chymotrypsin (EC 3.4.21.1) ; Ligands ; Trypsin (EC 3.4.21.4)
    Language English
    Publishing date 2023-08-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 2409480-8
    ISSN 1756-3305 ; 1756-3305
    ISSN (online) 1756-3305
    ISSN 1756-3305
    DOI 10.1186/s13071-023-05929-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Pathogen-Induced Epigenetic Modifications in Cancers: Implications for Prevention, Detection and Treatment of Cancers in Africa.

    Djomkam Zune, Alexandra Lindsey / Olwal, Charles Ochieng' / Tapela, Kesego / Owoicho, Oloche / Nganyewo, Nora Nghochuzie / Lyko, Frank / Paemka, Lily

    Cancers

    2021  Volume 13, Issue 23

    Abstract: Cancer is a major public health burden worldwide. Tumor formation is caused by multiple intrinsic and extrinsic factors. Many reports have demonstrated a positive correlation between the burden of infectious pathogens and the occurrence of cancers. ... ...

    Abstract Cancer is a major public health burden worldwide. Tumor formation is caused by multiple intrinsic and extrinsic factors. Many reports have demonstrated a positive correlation between the burden of infectious pathogens and the occurrence of cancers. However, the mechanistic link between pathogens and cancer development remains largely unclear and is subject to active investigations. Apart from somatic mutations that have been widely linked with various cancers, an appreciable body of knowledge points to alterations of host epigenetic patterns as key triggers for cancer development. Several studies have associated various infectious pathogens with epigenetic modifications. It is therefore plausible to assume that pathogens induce carcinogenesis via alteration of normal host epigenetic patterns. Thus, Africa with its disproportionate burden of infectious pathogens is threatened by a dramatic increase in pathogen-mediated cancers. To curb the potential upsurge of such cancers, a better understanding of the role of tropical pathogens in cancer epigenetics could substantially provide resources to improve cancer management among Africans. Therefore, this review discusses cancer epigenetic studies in Africa and the link between tropical pathogens and cancer burden. In addition, we discuss the potential mechanisms by which pathogens induce cancers and the opportunities and challenges of tropical pathogen-induced epigenetic changes for cancer prevention, detection and management.
    Language English
    Publishing date 2021-12-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13236051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Knowledge, attitude and perception of West Africans towards COVID-19: a survey to inform public health intervention.

    Udoakang, Aniefiok John / Djomkam Zune, Alexandra Lindsey / Tapela, Kesego / Owoicho, Oloche / Fagbohun, Ifeoluwa Kayode / Anyigba, Claudia Adzo / Lowe, Mat / Nganyewo, Nora Nghochuzie / Keneme, Bineta / Olisaka, Frances Ngozi / Henry-Ajala, Agatha Nkem / Oboh, Mary Aigbiremo / Paemka, Lily / Amenga-Etego, Lucas N

    BMC public health

    2022  Volume 22, Issue 1, Page(s) 445

    Abstract: Background: The first case of the novel coronavirus disease-2019 (COVID-19) in West Africa was first confirmed in Nigeria in February 2020. Since then, several public health interventions and preventive measures have been implemented to curtail ... ...

    Abstract Background: The first case of the novel coronavirus disease-2019 (COVID-19) in West Africa was first confirmed in Nigeria in February 2020. Since then, several public health interventions and preventive measures have been implemented to curtail transmission of the causative agent, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Therefore, this study was performed to assess the knowledge, attitudes, and perceptions of West Africans towards COVID-19.
    Methods: An online survey was conducted between 29 September to 29 October 2020 among West Africans. Thirty-three survey questions were designed to collect sociodemographic data and participants' knowledge, attitude and perception towards COVID-19. The study targeted all West African nationals who were 18 years and above, and willing to participate in the study. Participants were either in-country or abroad.
    Results: Overall, 1106 respondents (≥18 years) from 16 West African countries, with about 12.1% of them residing outside the West African subregion, participated in the survey. The respondents had an average COVID-19 knowledge score of 67.82 ± 8.31, with knowledge of the disease significantly associated with the country of residence (p = 0.00) and marginally (p = 0.05) so with settlement types (i.e., urban, suburban and rural areas). Most respondents (93.4%) could identify the main COVID-19 symptoms, and 73.20% would consult a healthcare professional if infected with SARS-CoV-2. Also, 75.2% of the respondents are willing to receive the COVID-19 vaccine, whereas 10.40% and 14.40% are unwilling and undecided, respectively. Perceptions of what constitute COVID-19 preventive measures were highly variable. Approximately, 8% of the respondents felt that their government responded excellently in managing the pandemic while a third felt that the response was just good. Also, more than half (54%) opined that isolation and treatment of COVID-19 patients is a way of curbing SARS-CoV-2 spread.
    Conclusions: Most West Africans have basic knowledge of COVID-19 and showed a positive attitude, with likely proactive practice towards the disease. However, results showed that these varied across countries and are influenced by the types of settlements. Therefore, the health and education authorities in various countries should develop focused measures capturing people in different settlements to improve their preventative measures when designing public health interventions for COVID-19 and any future epidemics or pandemics.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines ; Health Knowledge, Attitudes, Practice ; Humans ; Perception ; Public Health ; SARS-CoV-2 ; Surveys and Questionnaires
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2022-03-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-022-12814-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?

    Nghochuzie, Nora Nganyewo / Olwal, Charles Ochieng' / Udoakang, Aniefiok John / Amenga-Etego, Lucas Naam-Kayagre / Amambua-Ngwa, Alfred

    Frontiers in microbiology

    2020  Volume 11, Page(s) 1476

    Abstract: Malaria remains a major global health burden, killing hundreds of thousands annually, especially in sub-Saharan Africa. In 2019, a Phase IV Expanded Programme on Immunization (EPI)-linked malaria vaccine implementation was underway. However, in December ... ...

    Abstract Malaria remains a major global health burden, killing hundreds of thousands annually, especially in sub-Saharan Africa. In 2019, a Phase IV Expanded Programme on Immunization (EPI)-linked malaria vaccine implementation was underway. However, in December 2019, a novel pneumonia condition termed coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with many clinical, epidemiological, and biological parallels to malaria, was reported in Wuhan, China. COVID-19 is spreading rapidly, and, as of the 3rd of June, 2020, more than 382,507 persons had died from COVID-19. Children under 5 years who suffer high malaria-attributable mortalities are largely asymptomatic for COVID-19. Considering that the malaria burden is highest in low-income tropical countries with little capacity to fund malaria control and eradication programs, the fight against malaria in these regions is likely to be hampered. Access to healthcare has generally been limited, while malaria interventions, such as seasonal malaria chemotherapy and distribution of insecticide-treated bed nets, have been suspended due to lockdowns. Likewise, the repurposing of antimalarials for treatment of COVID-19 shared symptoms and the shift in focus from the production of malaria rapid diagnostic tests (RDTs) to COVID-19 RDTs is a cause for concern in malaria-endemic regions. Children are less affected by the COVID-19 pandemic compared to the elderly. However, due to the fears of contracting SARS-CoV-2, the elderly who are worst affected by COVID-19 may not take children for malaria medication, resulting in high malaria-related mortalities among children. COVID-19 has disproportionately affected developed countries, threatening their donation capacity. These are likely to thwart malaria control efforts in low-income regions. Here, we present perspectives on the collateral impact of COVID-19 on malaria, especially in Africa.
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2020.01476
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa

    Nghochuzie, Nora Nganyewo / Olwal, Charles Ochieng' / Udoakang, Aniefiok John / Amenga-Etego, Lucas Naam-Kayagre / Amambua-Ngwa, Alfred

    Frontiers in Microbiology

    Is the Future of Malaria Bleak?

    2020  Volume 11

    Keywords Microbiology (medical) ; Microbiology ; covid19
    Publisher Frontiers Media SA
    Publishing country ch
    Document type Article ; Online
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2020.01476
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa

    Nora Nganyewo Nghochuzie / Charles Ochieng' Olwal / Aniefiok John Udoakang / Lucas Naam-Kayagre Amenga-Etego / Alfred Amambua-Ngwa

    Frontiers in Microbiology, Vol

    Is the Future of Malaria Bleak?

    2020  Volume 11

    Abstract: Malaria remains a major global health burden, killing hundreds of thousands annually, especially in sub-Saharan Africa. In 2019, a Phase IV Expanded Programme on Immunization (EPI)-linked malaria vaccine implementation was underway. However, in December ... ...

    Abstract Malaria remains a major global health burden, killing hundreds of thousands annually, especially in sub-Saharan Africa. In 2019, a Phase IV Expanded Programme on Immunization (EPI)-linked malaria vaccine implementation was underway. However, in December 2019, a novel pneumonia condition termed coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with many clinical, epidemiological, and biological parallels to malaria, was reported in Wuhan, China. COVID-19 is spreading rapidly, and, as of the 3rd of June, 2020, more than 382,507 persons had died from COVID-19. Children under 5 years who suffer high malaria-attributable mortalities are largely asymptomatic for COVID-19. Considering that the malaria burden is highest in low-income tropical countries with little capacity to fund malaria control and eradication programs, the fight against malaria in these regions is likely to be hampered. Access to healthcare has generally been limited, while malaria interventions, such as seasonal malaria chemotherapy and distribution of insecticide-treated bed nets, have been suspended due to lockdowns. Likewise, the repurposing of antimalarials for treatment of COVID-19 shared symptoms and the shift in focus from the production of malaria rapid diagnostic tests (RDTs) to COVID-19 RDTs is a cause for concern in malaria-endemic regions. Children are less affected by the COVID-19 pandemic compared to the elderly. However, due to the fears of contracting SARS-CoV-2, the elderly who are worst affected by COVID-19 may not take children for malaria medication, resulting in high malaria-related mortalities among children. COVID-19 has disproportionately affected developed countries, threatening their donation capacity. These are likely to thwart malaria control efforts in low-income regions. Here, we present perspectives on the collateral impact of COVID-19 on malaria, especially in Africa.
    Keywords malaria ; plasmodium ; COVID-19 ; SARS-CoV-2 ; ACE2 ; coronaviruses ; Microbiology ; QR1-502 ; covid19
    Subject code 616
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Knowledge, attitude and perception of West Africans towards COVID-19

    Aniefiok John Udoakang / Alexandra Lindsey Djomkam Zune / Kesego Tapela / Oloche Owoicho / Ifeoluwa Kayode Fagbohun / Claudia Adzo Anyigba / Mat Lowe / Nora Nghochuzie Nganyewo / Bineta Keneme / Frances Ngozi Olisaka / Agatha Nkem Henry-Ajala / Mary Aigbiremo Oboh / Lily Paemka / Lucas N Amenga-Etego

    BMC Public Health, Vol 22, Iss 1, Pp 1-

    a survey to inform public health intervention

    2022  Volume 12

    Abstract: Abstract Background The first case of the novel coronavirus disease-2019 (COVID-19) in West Africa was first confirmed in Nigeria in February 2020. Since then, several public health interventions and preventive measures have been implemented to curtail ... ...

    Abstract Abstract Background The first case of the novel coronavirus disease-2019 (COVID-19) in West Africa was first confirmed in Nigeria in February 2020. Since then, several public health interventions and preventive measures have been implemented to curtail transmission of the causative agent, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Therefore, this study was performed to assess the knowledge, attitudes, and perceptions of West Africans towards COVID-19. Methods An online survey was conducted between 29 September to 29 October 2020 among West Africans. Thirty-three survey questions were designed to collect sociodemographic data and participants’ knowledge, attitude and perception towards COVID-19. The study targeted all West African nationals who were 18 years and above, and willing to participate in the study. Participants were either in-country or abroad. Results Overall, 1106 respondents (≥18 years) from 16 West African countries, with about 12.1% of them residing outside the West African subregion, participated in the survey. The respondents had an average COVID-19 knowledge score of 67.82 ± 8.31, with knowledge of the disease significantly associated with the country of residence (p = 0.00) and marginally (p = 0.05) so with settlement types (i.e., urban, suburban and rural areas). Most respondents (93.4%) could identify the main COVID-19 symptoms, and 73.20% would consult a healthcare professional if infected with SARS-CoV-2. Also, 75.2% of the respondents are willing to receive the COVID-19 vaccine, whereas 10.40% and 14.40% are unwilling and undecided, respectively. Perceptions of what constitute COVID-19 preventive measures were highly variable. Approximately, 8% of the respondents felt that their government responded excellently in managing the pandemic while a third felt that the response was just good. Also, more than half (54%) opined that isolation and treatment of COVID-19 patients is a way of curbing SARS-CoV-2 spread. Conclusions Most West Africans have basic knowledge of ...
    Keywords COVID-19 ; West Africa ; Knowledge ; attitude and perception ; Vaccine acceptance ; Public aspects of medicine ; RA1-1270
    Subject code 300
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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