The Role of Community Beliefs and Practices on the Spread of Ebola in Uganda, September 2022.

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Helen Nelly Naiga, Jane Frances Zalwango, Brian Agaba, Saudah N Kizito, Brenda N Simbwa, Maria Goretti Zalwango, Rebecca Akunzirwe, Zainah Kabami, Peter Chris Kawugenzi, Robert Zavuga, Mackline Ninsiima, Patrick King, Mercy Wendy Wanyana, Thomas Kiggundu, Richard Migisha, Doreen Gonahasa, Irene Kyamwine, Benon Kwesiga, Daniel Kadobera, Lilian Bulage, Alex Ario Riolexus, Sarah B Paige, Julie R Harris
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引用次数: 0

Abstract

Background: On September 20, 2022, Uganda declared an Sudan Virus Disease (SVD) outbreak in Mubende District. Another eight districts were infected September-November 2022. We examined how Ugandan community beliefs and practices spread Sudan Ebola Virus (SUDV) in 2022.

Methods: A qualitative study was conducted in Mubende, Kassanda, and Kyegegwa districts in February 2023. Nine focus group discussions and six key informant interviews were held. We investigated whether community beliefs and practices contributed to spreading Sudan Ebola Virus (SUDV). Interviews were recorded, translated, transcribed, and thematically analyzed.

Results: The community deaths, later found to be due to Sudan Virus Disease(SVD), were often attributed to witchcraft or poisoning. Key informants reported that SVD patients often sought traditional healers or spiritual leaders before or after formal healthcare failed. They also found that traditional healers treated SVD patients without precautions. Religious leaders praying for SVD patients and their symptomatic contacts, SVD patients hiding in friends' homes, and exhuming SVD patients from safe and dignified burials to allow traditional burials were other themes.

Conclusion: Diversity in community beliefs and culture likely contributed to spreading the 2022 Ugandan SVD outbreak. Public health systems, traditional healers, and religious leaders can help Uganda control ebolavirus outbreaks by identifying socially acceptable and scientifically supported infection control methods.

社区信仰和习俗对埃博拉病毒在乌干达传播的作用》,2022 年 9 月。
背景:2022 年 9 月 20 日,乌干达宣布穆本德区爆发苏丹病毒病(SVD)疫情。2022年9月至11月,另有8个地区受到感染。我们研究了 2022 年乌干达社区的信仰和习俗是如何传播苏丹埃博拉病毒(SUDV)的:2023 年 2 月,我们在穆本德、卡桑达和凯格瓜地区开展了一项定性研究。共进行了九次焦点小组讨论和六次关键信息提供者访谈。我们调查了社区信仰和习俗是否助长了苏丹埃博拉病毒(SUDV)的传播。我们对访谈进行了录音、翻译、转录和主题分析:结果:后来发现是苏丹病毒病(SVD)导致的社区死亡通常被归因于巫术或中毒。主要信息提供者报告说,苏丹病毒感染性疾病患者往往在正规医疗服务失败之前或之后寻求传统医士或精神领袖的帮助。他们还发现,传统医士在治疗 SVD 患者时没有采取预防措施。宗教领袖为SVD患者及其有症状的接触者祈祷,SVD患者躲在朋友家中,以及将SVD患者从安全、有尊严的葬礼中挖出以进行传统葬礼等也是其他主题:社区信仰和文化的多样性很可能导致了 2022 年乌干达 SVD 疫情的传播。公共卫生系统、传统治疗师和宗教领袖可以通过确定社会可接受的、有科学依据的感染控制方法,帮助乌干达控制埃博拉病毒的爆发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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