Prevalence Of Epilepsy In An Endemic Area For Neurocysticercosis In South Africa

H. Foyaca-Sibat; IA Del Rio- Romero

摘要

Introduction: Eighty two people were interviewed in the Mngceleni area. The survey involved about neurocysticercosis and epilepsy. Objective to determine the prevalence of epilepsy and to screening knowledge about neurocysiticercosis (NCC) in adult population of one South Africa rural community where NCC is an endemic disease. Setting: Mngceleni community, at 30 km away from Umtata (Capital of the former Transkei). Methodology: A group of 14 students conducted a descriptive study of the community, using a random sample survey (Appendix 1) of 100 households.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 those house 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 and 10 percent of those screened as negative for epilepsy. Results: A total 2 978 of adults were screened. The prevalence of active epilepsy among adult population was 13.6/1000, and 14.7/1000 in children. Most of epileptic patients were not under regular anti-epileptic treatment, 87% of the total population had not idea about NCC, but only 10% did not know the cause of AIDS. Conclusions: The prevalence of epilepsy is high compared with a similar community (Sidwadweni) but a poor utilization of anti-epileptic treatment is cause for concern. Traditional belief's roots on this community are considerably deep. HIV/AIDS awareness campaign for Mngceleni is functional, and a similar campaign for prevention of NCC should be performed while permanent solutions are implemented. The high prevalence's of both the diseases were attributed to poor sanitation and living standards, as well as a lack of education. The research revealed a need to build toilets, to educate the people about these diseases and about the major risk factors present. Introduction 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 Sidwadweni location which is 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; Umtata 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 Following the Community Based Education and Service (COBES) system of the Walter Sisulu University, the students set out on a research of the Mngceleni area, which is located in Sidwadweni. This community consists of approximately 3000 people, whom are served by Mhlakulo Health Centre for their medical attention.The COBES system has been created in order to introduce to students to the community and to motivate them into helping the people of these communities. Based on the community and the people of the community, students are able to get a unique insight on the living conditions and health status, which opens gateways to offer help and find solutions to their difficulties.The research that took place involved finding out general information about the community, such as their housing, occupation, health status, financial status, hygiene and demographics. The specific task at hand was to find out about the communities knowledge and health status on epilepsy and neurocysticercosis (NCC). Neurocysticercosis is a parasitic infection of the CNS caused by the larval stage

机译：简介：蒙塞利尼地区有82人接受了采访。该调查涉及神经囊虫病和癫痫。目的确定癫痫的患病率，并筛查NCC为地方病的一个南非农村社区的成年人中的神经囊虫病（NCC）。地点：蒙塞利尼社区，距Umtata（前特兰斯凯的首都）30公里。方法：一组14名学生使用100个家庭的随机抽样调查（附录1）对社区进行了描述性研究。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，通过探查癫痫病和有关一些相关疾病的知识，访谈通过块随机化程序选择的房屋中的居民。第二阶段包括对癫痫筛查阳性人群和筛查阴性人群的神经学评估。结果：总共筛选了2978名成年人。成年人中活动性癫痫的患病率为13.6 / 1000，儿童为14.7 / 1000。大多数癫痫患者未接受常规抗癫痫治疗，总人口中有87％的人不了解NCC，但只有10％的人不知道艾滋病的病因。结论：与类似的社区（Sidwadweni）相比，癫痫的患病率高，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。为蒙塞尼（Mngceleni）开展的艾滋病毒/艾滋病宣传运动已经开始，在实施永久性解决方案的同时，应开展类似的预防NCC的运动。两种疾病的高流行归因于卫生条件和生活水平差以及缺乏教育。研究表明，有必要建造厕所，对人们进行有关这些疾病和主要危险因素的教育。简介NCC是全世界后天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。该研究是为Sidwadweni的位置而设计的，该位置位于前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。乌姆塔塔（Umtata）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，并为其他较富裕的省份提供了劳动力储备，男子在妇女和儿童在其他地方寻找工作时留下了妇女和儿童。8沃尔特·西苏鲁大学（Walter Sisulu University）的服务（COBES）系统着手研究位于Sidwadweni的Mngceleni地区的情况。该社区由大约3000人组成，Mhlakulo保健中心为他们提供医疗服务。创建了COBES系统是为了向学生介绍社区并激发他们帮助这些社区的人们。在社区和社区人民的基础上，学生们能够获得有关生活条件和健康状况的独特见解，这为寻求帮助和找到解决他们的困难的途径打开了门户。有关社区的信息，例如其住房，职业，健康状况，财务状况，卫生状况和人口统计信息。当前的具体任务是了解社区对癫痫和神经囊虫病（NCC）的知识和健康状况。神经囊尾osis病是由幼虫期引起的中枢神经系统的寄生虫感染

Prevalence Of Epilepsy In An Endemic Area For Neurocysticercosis In South Africa

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