Zoology

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Comprehensive evaluation of demographic,socio-economic and other associated risk factors affecting the occurrence of dengue incidence among Colombo and Kandy Districts of Sri Lanka: a cross-sectional study
(Parasites & Vectors (2018) 11:478, 2018) Udayanga, L.; Gunathilaka, N.; Iqbal, M.C.M.; Lakmal, K.; Amarasinghe, U.S.; Abeyewickreme, W.
Background: Comprehensive understanding of risk factors related to socio-economic and demographic status and knowledge, attitudes and practices (KAP) of local communities play a key role in the design and implementation of community-based vector management programmes, along with the identification of gaps in existing control activities. Methods: A total of 10 Medical Officers of Health (MOH) areas recording high dengue incidence over the last five years were selected from Colombo (n = 5) and Kandy (n = 5) Districts, Sri Lanka. From each MOH area, 200 houses reporting past dengue incidence were selected randomly as test group (n = 1000 for each district) based on the dengue case records available at relevant MOH offices. Information on socio-economic and demographic status and knowledge, attitudes and practices were gathered using an interviewer administered questionnaire. The control group contained 200 households from each MOH area that had not reported any dengue case and the same questionnaire was used for the assessment (n = 1000 for each district). Statistical comparisons between the test and control groups were carried out using the Chi-square test of independence, cluster analysis, analysis of similarities (ANOSIM) and multidimensional scaling (MDS) analysis. Results: Significant differences among the test and control groups in terms of basic demographic and socio-economic factors, living standards, knowledge, attitude and practices, were recognized (P < 0.05 at 95% level of confidence). The test group indicated similar risk factors, while the control group also shared more or less similar characteristics as depicted by the findings of cluster analysis and ANOSIM. Findings of the present study highlight the importance of further improvement in community education, motivation and communication gaps, proper coordination and integration of control programmes with relevant entities. Key infrastructural risk factors such as urbanization and waste collection, should be further improved, while vector controlling entities should focus more on the actual conditions represented by the public on knowledge, attitudes and personal protective practices. Conclusions: The design of flexible and community friendly intervention programmes to ensure the efficacy and sustainability of controlling dengue vectors through community based integrated vector management strategies, is recommended.
Demographical characterization of dengue infected patients in Akurana medial officer of health area
(central Province of Sri Lanka, University of Sri Jayawardnapura, Sri Lanka., 2015) Udayanga, N.W.B.A.L.; Gunathilaka, P.A.D.H.N.; Iqbal, M.C.M.; Kusumawathie, P.H.D.; Najim, M.M.M.; Amarasingha, U.S.; Abeyewickreme, W.
Dengue has been recognized to be one of the major threats on the public health of many tropical countries including Sri Lanka. Controlling of the high rate of mortality caused by dengue, which remains without being altered regardless of the immense efforts and control strategies of the relevant authorities, has remained as a major challenge for the Sri Lankan health sector. Vulnerability assessment of communities to dengue infection is of higher importance in drafting and implementation of management plans to ensure effective management and controlling of dengue epidemics at the regional scale. Therefore, a statistic based analysis of the dengue patient characteristics was carried out to determine the susceptibility of population to dengue infection in Akurana Medical Officer of Health (MOH) area. Monthly records of reported dengue cases from 2010 to 2014 of the Akurana MOH division were collected. Normal Chi square test coupled with Paired-Chi square test was devised to investigate the impact of sex and age on the infection. MINITAB (version 14.12.0) software package was used for statistical analysis. In accordance with the results of the normal Chi square test, the Percentage Infected Male: Female Ratio (PIMFR) remains significantly altered throughout the period of study (p=0.001 61 (1.84%). However, according to the Paired-Chi square test, the vulnerability of age groups tend to shift significantly throughout the study period [>Χ2 (7, 0.95) = 14.067]. In conclusion males tend to indicate relatively high susceptibility to dengue. Age groups of 6 - 10, 11 - 20 and 21 - 30 could be recognized as highly vulnerable age groups in the community for dengue, while age group of >61 emerge as the least vulnerable age group for the infection of dengue in the Akurana MOH.
Knowledge, Attitude and Practices (KAPs) based risk factors for dengue in the Gampola Medical Officer Health area, Kandy District, Sri Lanka
(Sri Lanka Association for the Advancement of Science, 2016) Udayanga, N.W.B.A.L.; Gunathilaka, P.A.D.H.N.; Iqbal, M.C.M.; Kusumawathie, P.H.D.; Najim, M.M.M.; Amarasinghe, U.S.; Abeyewickreme, W.