Öz
Human cystic echinococcosis (CE) is the most prevalent disease in Europe, and probably accounts for more than 95% of the estimated 2-3 million global cases. CE is a fatal and serious disease. Turkey is among the countries where this problem still poses a public threat. This study was a pilot study to create the awareness of CE among 10 different districts of Izmir province, Turkey. Awareness raising seminars are essential component of this study for students and schoolteachers. Questionnaire forms were created and applied before and after the presentations. Printed materials, posters and brochures were disseminated and posters put on the walls or boards where students can see continuously. Even 4090 students attended to the trainings, questionnaires were filled by 3793 of the students. Out of 3793 students, 1978 (52.1%) were female and 1815 (47.9%) were male. The majority of students (94.2%) did not know anything about this disease. 93.1% students were stated that there were stray dogs in their environment. More than half of the students were playing with stray dogs. Nearly 90% of the students answered correctly the questions which were asked after presentation.The total number of administrators and teachers who attended to the seminars were 242. This is the first pilot study regarding creating awareness on CE in the Izmir Province, Turkey that covers the big sample-size of children including schoolteachers. This study helped them understand the importance of the problem and how it can be solved by protecting themselves while respecting human and animal rights. It will be used for establishing nationwide control programme.
Anahtar Kelimeler
Cystic echinococcosis awareness Echinococcus granulosus Turkey
Kaynakça
- Altintas N, Topluoglu S, Yildirim, Uslu H, Eksi F, Ok UZ, Arslan MO, Kayaalp C, Secer M, Kilic S, Karaman U, Beyhan YE, Oncel T, Okumus B, Erol U, Sertkaya B, Gulyaz V, Keskinkilic B, Kara F, Doganay M, Alp Mese E. (2020). Current Situation Report of Cystic Echinococcosıis in Turkey. Turkish Bulletin of Hygiene And Experimental Biology. 77 (3): 1-51.
- Altintas N. Control / Elimination Programme of Cystic Echinococcosis in Turkey. 28th World Congress of Echinococcosis “Toward the Control and Elimination of Echinococcosis”, 29-31 October 2019, Lima, Peru.
- Altintas N, Yazar S, Yolasigmaz A, Akisu C, Sakru N, Karacasu F. (1999). A sero-epidemiological study of Cystic Echinococcosis in Izmir and surrounding area. Helminthologia, 36: 1: 19-23.
- Altintas N. (2003). Past to present: Echinococcosis in Turkey, Acta Tropica, 85:105-112. Babaoğlu A. (2015). Investigation the molecular characterization of Echinococcus granulosus sequencing of the mitochondrial cytochrome c oxidase subunit 1 gene in Aydin / Turkey. Mikrobiyoloji Bulteni, 52(2): 198-205.
- EFSA Scientific Report. 2010. https://www.efsa.europa.eu/en/corporate/pub/ar10
- Ertabaklar H, Pektaş B, Turgay N, Yolasığmaz A, Dayangaç M, Özdamar A, et al. (2003). Cases of CE detected in hospitals in Izmir and it’s surroundings between January 1997-May 2001. Acta Parasitologica Tursica, 27(2); 125–128.
- Galeh TM, Spotin A, Mahami-Oskoueic M, Carmena D, Rahimie MT, Barac A, Ghoyounchia R, Berahmata R, Ahmadpour. (2018). The seroprevalence rate and population genetic structure of human cystic echinococcosis in the Middle East: A systematic review and meta-analysis. International Journal of Surgery, 51: 39-48.
- Han X-M, Cai Q-G, Wang W, Wang H, Zhang Q and Wang Y-S. (2018). Childhood suffering: hyper endemic echinococcosis in Qinghai-Tibetan primary school students, China. Infectious Diseases of Poverty, Jul 12;7(1):71.
- Ito A, Urbani C, Jiamin Q, Vuitton DA, Dongchuan Q, Heath DD, Ito A, Urbani C, Jiamin Q, et al. (2003). Control of echinococcosis and cysticercosis: a public health challenge to international cooperation in China. Acta Trop. 86:3–17
- McManus DP, Gray DJ, Zhang W, Yang Y. (2012). Diagnosis, treatment, and management of echinococcosis. BMJ, 344: e3866.
- McManus DP, Zhang W, Li J, Bartley PB. (2003). Echinococcosis. Lancet. 362(9392):1295-1304.
- Orsten S, Boufana B, Ciftci T, Akinci D, Karaagaoglu E, Ozkuyumcu C, Akhan O. (2018). Human cystic echinococcosis in Turkey: a preliminary study on DNA polymorphisms of hydatid cysts removed from confirmed patients. Parasitology Research. 117(4):1257-1263.
- Schantz PM, Chai JJ, Craig PS, Eckert J, Jenkins DJ, Macpherson CNL, Thakur A. (1995). Epidemiology and control of hydatid disease. In: Thompson RCA, Lymbery AJ, editors. Echinococcus and hydatid disease. CAB International; Wallingford, Oxford: p. 233–331.
- Tamarozzi F, Akhan O, Cretu CM, Vutova K, Akinci D, Chipeva R, Ciftci T, Constantin CM, Fabiani M, Golemanov B, Janta D, Mihailescu P, Muhtarov M, Orsten S, Petrutescu M, Pezzotti P, Popa AC, Popa LG, Popa MI, Velev V, Siles-Lucas M, Brunetti E, Casulli A. (2018). Prevalence of abdominal cystic echinococcosis in rural Bulgaria, Romania, and Turkey: a cross-sectional, ultrasound-based, population study from the HERACLES project. Lancet Infect Dis. Jul;18 (7):769-778.
- Veena K, Devendra M, Kiran A. (2012). School-based health education intervention for prevention of taeniasis and neurocysticercosis: a pilot study. J Commun Dis. 2012 Dec;44(4):223-30. Yazar S, Taylan AO, Hokelek M, Polat H, Yılmaz H, Ozbilge H et al. (2008). Cystic echinococcosis in Turkey between 2001-2005 years. Acta Parasitologica Tursica, 32 (3): 208-20.
- Yolasigmaz A, Reiterová K, Turk M, Reyhan E, Bozdag AD, Karababa AO, Altintas, N. (2006). Comparison of serological and clinical findings in Turkish patients with cystic echinococcosis. Helminthologia, 43(4), 220–225.
Öz
Kistik ekinokokkozis (KE), Avrupa'da çok yaygın bir hastalıktır ve dünyada yaklaşık 2-3 milyon olgunun % 95'inden fazlasını oluşturmaktadır. KE, ölümcül ve ciddi bir hastalıktır. Türkiye de bu sorunun halen halk sağlığı tehdidi oluşturduğu ülkeler arasındadır. Bu çalışma, İzmir ilinin 10 farklı ilçesinde KE farkındalığını yaratmak için yapılmış bir pilot çalışmadır. Farkındalık artırma seminerleri, öğrenciler ve okul öğretmenleri için bu çalışmanın temel bileşenidir. Ayrıca anket formları oluşturularak sunum öncesi ve sonrasında öğrencilere uygulanmıştır. Basılı materyaller, posterler ve broşürler dağıtılmış ve posterler öğrencilerin sürekli görebileceği duvar veya panolara asılmıştır. Eğitimlere 4090 öğrenci katılmış, ancak anketler öğrencilerin 3793'ü tarafından doldurulmuştur. 3793 öğrencinin 1978'i (% 52.1) kız, 1815'i (% 47.9) erkektir. Öğrencilerin çoğunluğu (% 94,2) bu hastalık hakkında hiçbir şey bilmiyordu. Öğrencilerin % 93,1'i çevrelerinde başıboş köpek olduğunu ve yarısından fazlası da sokak köpekleriyle oynadıklarını bildirmiştir. Sunum sonrasında sorulan soruları öğrencilerin yaklaşık % 90'ı doğru yanıtlamıştır. Seminerlere katılan yönetici ve öğretmenlerin toplam sayısı 242'dir. Bu çalışma, İzmir ilinde okul öğretmenleri de dahil olmak üzere çocukların büyük örneklemini kapsayan KE konusunda farkındalık yaratmaya yönelik ilk pilot çalışmadır. Bu çalışma, sorunun önemini, insan ve hayvan haklarına saygı göstererek kendilerini korumayı nasıl yapabileceklerini anlamalarına yardımcı olmuştur. Ülke çapında uygulanması planlanan kontrol programı oluşturmak için kullanılacaktır.
Anahtar Kelimeler
Kistik ekinokokkozis farkındalık Echinococcus granulosus Türkiye
Kaynakça
- Altintas N, Topluoglu S, Yildirim, Uslu H, Eksi F, Ok UZ, Arslan MO, Kayaalp C, Secer M, Kilic S, Karaman U, Beyhan YE, Oncel T, Okumus B, Erol U, Sertkaya B, Gulyaz V, Keskinkilic B, Kara F, Doganay M, Alp Mese E. (2020). Current Situation Report of Cystic Echinococcosıis in Turkey. Turkish Bulletin of Hygiene And Experimental Biology. 77 (3): 1-51.
- Altintas N. Control / Elimination Programme of Cystic Echinococcosis in Turkey. 28th World Congress of Echinococcosis “Toward the Control and Elimination of Echinococcosis”, 29-31 October 2019, Lima, Peru.
- Altintas N, Yazar S, Yolasigmaz A, Akisu C, Sakru N, Karacasu F. (1999). A sero-epidemiological study of Cystic Echinococcosis in Izmir and surrounding area. Helminthologia, 36: 1: 19-23.
- Altintas N. (2003). Past to present: Echinococcosis in Turkey, Acta Tropica, 85:105-112. Babaoğlu A. (2015). Investigation the molecular characterization of Echinococcus granulosus sequencing of the mitochondrial cytochrome c oxidase subunit 1 gene in Aydin / Turkey. Mikrobiyoloji Bulteni, 52(2): 198-205.
- EFSA Scientific Report. 2010. https://www.efsa.europa.eu/en/corporate/pub/ar10
- Ertabaklar H, Pektaş B, Turgay N, Yolasığmaz A, Dayangaç M, Özdamar A, et al. (2003). Cases of CE detected in hospitals in Izmir and it’s surroundings between January 1997-May 2001. Acta Parasitologica Tursica, 27(2); 125–128.
- Galeh TM, Spotin A, Mahami-Oskoueic M, Carmena D, Rahimie MT, Barac A, Ghoyounchia R, Berahmata R, Ahmadpour. (2018). The seroprevalence rate and population genetic structure of human cystic echinococcosis in the Middle East: A systematic review and meta-analysis. International Journal of Surgery, 51: 39-48.
- Han X-M, Cai Q-G, Wang W, Wang H, Zhang Q and Wang Y-S. (2018). Childhood suffering: hyper endemic echinococcosis in Qinghai-Tibetan primary school students, China. Infectious Diseases of Poverty, Jul 12;7(1):71.
- Ito A, Urbani C, Jiamin Q, Vuitton DA, Dongchuan Q, Heath DD, Ito A, Urbani C, Jiamin Q, et al. (2003). Control of echinococcosis and cysticercosis: a public health challenge to international cooperation in China. Acta Trop. 86:3–17
- McManus DP, Gray DJ, Zhang W, Yang Y. (2012). Diagnosis, treatment, and management of echinococcosis. BMJ, 344: e3866.
- McManus DP, Zhang W, Li J, Bartley PB. (2003). Echinococcosis. Lancet. 362(9392):1295-1304.
- Orsten S, Boufana B, Ciftci T, Akinci D, Karaagaoglu E, Ozkuyumcu C, Akhan O. (2018). Human cystic echinococcosis in Turkey: a preliminary study on DNA polymorphisms of hydatid cysts removed from confirmed patients. Parasitology Research. 117(4):1257-1263.
- Schantz PM, Chai JJ, Craig PS, Eckert J, Jenkins DJ, Macpherson CNL, Thakur A. (1995). Epidemiology and control of hydatid disease. In: Thompson RCA, Lymbery AJ, editors. Echinococcus and hydatid disease. CAB International; Wallingford, Oxford: p. 233–331.
- Tamarozzi F, Akhan O, Cretu CM, Vutova K, Akinci D, Chipeva R, Ciftci T, Constantin CM, Fabiani M, Golemanov B, Janta D, Mihailescu P, Muhtarov M, Orsten S, Petrutescu M, Pezzotti P, Popa AC, Popa LG, Popa MI, Velev V, Siles-Lucas M, Brunetti E, Casulli A. (2018). Prevalence of abdominal cystic echinococcosis in rural Bulgaria, Romania, and Turkey: a cross-sectional, ultrasound-based, population study from the HERACLES project. Lancet Infect Dis. Jul;18 (7):769-778.
- Veena K, Devendra M, Kiran A. (2012). School-based health education intervention for prevention of taeniasis and neurocysticercosis: a pilot study. J Commun Dis. 2012 Dec;44(4):223-30. Yazar S, Taylan AO, Hokelek M, Polat H, Yılmaz H, Ozbilge H et al. (2008). Cystic echinococcosis in Turkey between 2001-2005 years. Acta Parasitologica Tursica, 32 (3): 208-20.
- Yolasigmaz A, Reiterová K, Turk M, Reyhan E, Bozdag AD, Karababa AO, Altintas, N. (2006). Comparison of serological and clinical findings in Turkish patients with cystic echinococcosis. Helminthologia, 43(4), 220–225.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 26 Nisan 2021 |
| Yayımlandığı Sayı | Yıl 2021 |
