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Impact social et économique de la dracunculose : une étude longitudinale effectuée dans deux villages du Bénin
| Content Provider | Semantic Scholar |
|---|---|
| Author | Chippaux, Jean-Philippe Banzou, A. Agbede, K. |
| Copyright Year | 1992 |
| Abstract | Dracunculiasis (Guinea worm) is a severely debilitating parasitic disease transmitted through drinking water. Burrowing under the skin by adult worms sometimes measuring up to 80 cm causes severe inflammatory reactions infection arthritis and occasionally general complications such as tetanus. A prospective study on dracunculiasis transmission in the province of Zou in central Benin included an assessment of the duration of disability caused by dracunculiasis and resulting loss of productivity and school attendance. 2 villages in the province of Zou were studied over 21 months corresponding to 2 consecutive seasons of dracunculiasis transmission. The villages were chosen for their geographic location accessibility and high incidence of dracunculiasis. The 2 villages utilized water sources typical of the traditional modes of water supply based on collection and storage of surface water in ponds or reservoirs. Water sources are the essential points of dracunculiasis transmission in the dry season. Weekly visits by a medical team to each village allowed cases to be detected and treated and the duration and degree of disability of each patient to be assessed. A case study of 14 households in 1 village and 16 in the other was conducted 10 days each month in each village. A standardized questionnaire was used to assess tools used the household division of labor agricultural production other activities income and expenditures. The average incidence of dracunculiasis during the study period (1987-89) was 36% in 1 village and 30% in the other. The average durations of incapacity were 39 and 59 days. The average annual number of days lost were 1860 and 2565 in the 2 villages amounting to 6.2% of the total working days in 1 village and 8.6% in the other. The seasonality of contamination explained the distribution of lost days. Incapacities appeared at the beginning and end of the period of agricultural activity. Up to 19% of working days are lost at some parts of the year. Women were more affected in 1 village and men in the other. SChool absenteeism related to physical incapacity of students amounted to a total of 165 days for 11 registered students in 1 village and 200 days for 14 registered students in the other. 20% of the students were absent more than 30 school days. The villagers responded to the loss of working days by redistribution of tasks and less commonly by the use of replacement workers. The annual cost of dracunculiasis has been estimated to amount to 15% of a workers income. |
| Starting Page | 73 |
| Ending Page | 78 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Volume Number | 70 |
| Alternate Webpage(s) | http://apps.who.int/iris/bitstream/handle/10665/72074/bulletin_1992_70(1)_73-78.pdf;jsessionid=CFBD8BE7245D96BD32B8310C267BA632?sequence=1 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
