Epilepsy, Neurocysticercosis And, Poverty At Mphumaze And Marhambeni Locations, In South Africa

H. Foyaca-Sibat; RIA Del Rio

摘要

Objective To determine the prevalence of epilepsy and to screening knowledge about neurocysiticercosis (NCC) in adult population of two South Africa rural community. Setting: Mphumaze is 2.4 k, away from Qumbu along the N2 road on the way to Kokstad. Qumbu is 56km away from Mthatha, the capital of the former Transkei.Design: A two-stage design study was used. The first stage involved screening of the general population on door-to-door basis by interviewing peoples living in 100 household selected by block-randomisation procedure using an internationally validated questionnaire for detecting epilepsy and knowledge about some associated diseases. The second stage consisted of a neurological assessment of the peoples who screened positive. Results: The prevalence of active epilepsy among adult population was 9.7/1000, and 14.7/1000 in children. Most of epileptic patients were not under regular anti-epileptic treatment, 91 % of the total population had not idea about NCC. Conclusions: The prevalence of epilepsy is high compared with a similar community but a poor utilization of anti-epileptic treatment is cause for concern. Traditional belief's roots on this community are considerably deep. community diagnosis on epilepsy and neurocysticercosis at Mphumaze and Marhambeni was aimed at evaluating the health status of these two villages and to give an insight into the prevalence of epilepsy and neurocysticercosis (NCC) that the Qumbu Community at large was subjected to.The prevalence of epilepsy and NCC were identified, accompanied by the risk factors that may have the cause of dominance of those diseases e.g. Sanitation, shelter, dietary habits etc. On the evaluation it became apparent that this community is of very low socio-economic status, the majority of the people is unemployed and the people depend on pension, thus the community as a whole is poverty stricken. A considerably large number of inhabitants were illiterate. The community lacked the fundamental necessities to ensure a better living e.g. water supply.In conclusion the community was found to be susceptible to NCC and therefore prompt to epilepsy. Introduction Neurocysticercosis (NCC) is the most common cause of acquired epilepsy worldwide and most of the patients taking phenytoin or carbamazepine for a proper control of their seizures, respond very well. 1 2 3 4 5 Other aspects related to NCC from our region are also available on line 6 7 this study was designed for Mphumaze and Marhambeni location which are situated at the former Transkei. This region was one of the three administrative authorities of the so-called independent homelands (Ciskei, Transkei and the Cape Provincial Administration under different apartheid governments) it is currently region D and E of Eastern Cape Province of South Africa; Mthatha is the capital for the former Transkei which is one of the poorest region countrywide, and serves as a labor reservoir for other wealthier provinces, with men leaving behind women and children whilst they seek and find employment elsewhere.8 The main objective of this study is to determine the prevalence of epilepsy, and the knowledge about NCC and other epidemiological aspect from two of our rural locations at Qumbu municipality. This area is plagued by a high rate of unemployment, low socio –economic level and poverty. It was the first time that these communities had been exposed to a study of this nature; a realistic approach was maintained while ensuring the highest level of privacy and confidentiality. A mutual relationship based on honesty and transparency was first established, so as to make the community open up and give truthful information that would give a true reflection of the Qumbu community. Backround South Africa is both first and third world country with a population of about 40 million of which 76% is black. Before 1994 Health services were fragmented along the racial lines, with the white population receiving First World Health care, while bl

机译：目的确定两个南非农村社区成年人中癫痫的患病率，并筛选有关神经囊尾osis病（NCC）的知识。设置：Mphumaze为2.4 k，在通往科克斯塔德（Kokstad）的N2公路上，距昆布（Quumbu）较远。昆布（Qumbu）距前特兰斯凯（Transkei）的首府姆塔哈（Mthatha）56公里。设计：采用了两阶段设计研究。第一阶段涉及通过逐个门对普通人群进行筛查，方法是使用国际公认的调查表，通过抽样调查程序对100个家庭的居民进行抽样调查，该调查是通过随机分组选择的，以检测癫痫病和一些相关疾病的知识。第二阶段包括对筛查阳性人群的神经学评估。结果：成年人中活动性癫痫的患病率为9.7 / 1000，儿童为14.7 / 1000。大多数癫痫患者未接受常规抗癫痫治疗，占总人口的91％不了解NCC。结论：与类似的社区相比，癫痫的患病率很高，但是抗癫痫治疗的不良利用引起了人们的关注。传统信仰在这个社区的根基很深。 Mphumaze和Marhambeni的癫痫和神经囊尾rc病社区诊断旨在评估这两个村庄的健康状况，并深入了解整个Qumbu社区遭受的癫痫和神经囊尾ice病（NCC）的患病率。确定了NCC和NCC，并伴有可能主导这些疾病的危险因素，例如在评估中，很明显该社区的社会经济地位很低，大多数人失业，人们依靠养老金，因此整个社区陷入贫困。相当多的居民是文盲。社区缺乏确保更好生活的基本必需品，例如最后，该社区被发现易患NCC，因此容易患上癫痫病。简介神经囊尾osis病（NCC）是世界范围内获得性癫痫的最常见原因，大多数服用苯妥英钠或卡马西平以适当控制癫痫发作的患者反应良好。 1 2 3 4 5我们地区的NCC的其他方面也可以在第6 7行找到。该研究是针对Mphumaze和Marhambeni的位置而设计的，这些位置位于前Transkei。该地区是所谓独立家园的三个行政当局之一（西斯凯，特兰斯凯和不同种族隔离政府下的开普省行政当局），目前是南非东开普省的D和E地区。姆马莎（Mthatha）是前特兰斯凯（Transkei）的首都，特兰斯凯（Transkei）是全国最贫穷的地区之一，是其他较富裕省份的劳动力储备，男人在寻找其他工作的地方留下了妇女和儿童。8本研究的主要目标目的是确定我们昆布市的两个农村地区的癫痫患病率，以及有关NCC和其他流行病学方面的知识。高失业率，低社会经济水平和贫困困扰着这一地区。这是这些社区第一次接受这种性质的研究。在确保最高级别的隐私和机密性的同时，维护了现实的方法。首先建立了基于诚实和透明的相互关系，以使社区开放并提供真实的信息，从而真实地反映了昆布社区。南非是世界第一和第三世界国家，人口约4000万，其中76％是黑人。 1994年之前，医疗服务沿种族界限分散，白人人口获得第一世界卫生保健，而白人

Epilepsy, Neurocysticercosis And, Poverty At Mphumaze And Marhambeni Locations, In South Africa

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