METHODS: A population-based cross-sectional survey was conducted in seven districts with suspected or reported cases of podoconiosis or an altitude of 1200 m above sea level. Conducted from 30 January to 19 March 2023, the survey employed multilevel stratified sampling to reach eligible household members.
RESULTS: Of the 10 023 participants sampled, 187 (confidence interval 1.25 to 2.78) had clinical features of podoconiosis. The highest prevalence was recorded in Nakapiripirit (7.2% [58/809]) and Sironko (2.8 [44/1564]) and the lowest in Kasese (0.3% [5/1537]), but ranged from 1.1 to 1.8% in Zombo, Rukungiri, Gomba and Hoima districts. The duration of podoconiosis was reported to range from 1 to 57 y. Factors associated with podoconiosis occurrence included advanced age, tungiasis, household cleanliness and personal hygiene. Sleeping on a bed, bathing daily, use of soap and use of footwear in at least moderate condition were protective against podoconiosis.
CONCLUSIONS: Podoconiosis occurred in all the sampled districts and was linked to personal hygiene. Long-standing cases suggest an absence of treatment. There is potential for early intervention using a holistic care model in managing this condition. Urgent action and stakeholder engagement are essential for effective podoconiosis management.
方法:在7个地区进行了以人群为基础的横断面调查,这些地区怀疑或报告了足节病或海拔1200m的病例。该调查于2023年1月30日至3月19日进行,采用多级分层抽样来覆盖符合条件的家庭成员。
结果:在抽样的10.023名参与者中,187(置信区间1.25至2.78)具有足孢子虫病的临床特征。发病率最高的是Nakapirit(7.2%[58/809])和Sironko(2.8[44/1564]),最低的是Kasese(0.3%[5/1537])。但在Zombo,从1.1%到1.8%不等,Rukungiri,Gomba和Hoima区。据报道,足孢子虫病的持续时间为1至57岁。与足孢子虫病发生相关的因素包括高龄,tungiasis,家庭清洁和个人卫生。睡在床上,每天洗澡,在至少中度的情况下使用肥皂和使用鞋类可以预防足虫病。
结论:Podoconiosis发生在所有采样地区,并与个人卫生有关。长期病例表明缺乏治疗。在管理这种情况时,有可能使用整体护理模式进行早期干预。紧急行动和利益相关者的参与对于有效的足孔病管理至关重要。