{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,12,13]],"date-time":"2022-12-13T05:56:45Z","timestamp":1670911005911},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2022,6]]},"abstract":"Abstract<\/jats:title>Background:<\/jats:title>Chengannur, a town in the south Indian state of Kerala, was 1 of the worst affected towns during the floods of 2018. Post-flood, Kerala state was under the threat of many infectious diseases including leptospirosis, but did not report any leptospirosis infections.<\/jats:p><\/jats:sec>Objectives:<\/jats:title>This study was conducted with the following objectives: (1) Assess the knowledge, attitude and practices regarding the prevention of leptospirosis among the flood affected population and Accredited Social Health Activists (ASHAs) of Chengannur; and (2) Analyze the factors responsible for and contributing to leptospirosis control in the area post flood.<\/jats:p><\/jats:sec>Methodology:<\/jats:title>A cross-sectional questionnaire based observational study was conducted among 2 groups: the flood affected population, and ASHA. The questionnaire was divided into 3 parts. Part A contained the socio-demographic information. Part B contained questions on assessment of knowledge, attitude, and practices regarding the prevention, and control of leptospirosis. Part C was only for the ASHA involved.<\/jats:p><\/jats:sec>Results:<\/jats:title>The final sample size was 331 (244 from the general population and 87 ASHAs). With respect to knowledge, attitude, and practice, the responses were dichotomized into correct and wrong responses. The mean knowledge score was 9.01 \u00b1 1.08 (maximum score of 10), mean attitude score was of 3.61 \u00b1 0.55 (maximum score of 4) and the mean practice score was 4.12 \u00b1 1.05 (maximum score of 5).<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>Knowledge and attitude scores did not significantly differ between the general population and ASHA, but the practice score showed a higher score among the ASHA, all of which could have probably contributed to the prevention of a leptospirosis outbreak in the region.<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2021.71","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T04:40:44Z","timestamp":1623213644000},"page":"1123-1127","source":"Crossref","is-referenced-by-count":1,"title":["An Analysis of Leptospirosis Control in a Flood-Affected Region of Kerala and the Role of Accredited Social Health Activists \u2013 A Questionnaire Study"],"prefix":"10.1017","volume":"16","author":[{"given":"M.K.","family":"Sreelakshmi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suneesh","family":"Kuruvilla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramanarayanan","family":"Subramaniam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Latti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramanarayanan","family":"Venkitachalam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,6,9]]},"reference":[{"key":"S1935789321000719_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.inhe.2011.03.002"},{"key":"S1935789321000719_ref14","doi-asserted-by":"publisher","DOI":"10.3390\/agriculture6020018"},{"key":"S1935789321000719_ref13","first-page":"246","article-title":"Attitude and Practice towards Leptospirosis among municipal workers in Tiruchirapalli, India","volume":"2","author":"Prabhu","year":"2014","journal-title":"Int J Pharm."},{"key":"S1935789321000719_ref16","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph10127229"},{"key":"S1935789321000719_ref3","unstructured":"3. World Health Organization (WHO). Leptospirosis situation in the WHO South-East Asia Region. WHO SEA-CD-216; 1-7. http:\/\/www.searo.who.int\/entity\/emerging_diseases\/topics\/Communicable_Diseases_Surveillance_and_response_SEA-CD-216.pdf. Accessed July 23, 2019."},{"key":"S1935789321000719_ref15","unstructured":"15. National Centre for Disease Control, Government of India. Diagnosis, Case Management Prevention and Control of Leptospirosis. National Guidelines. Program for Prevention and Control of Leptospirosis. https:\/\/ncdc.gov.in\/showfile.php?lid=273.0 Accessed May 7, 2020."},{"key":"S1935789321000719_ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006470"},{"key":"S1935789321000719_ref6","unstructured":"6. Ministry of Statistics and Program Implementation, Government of India. Press releases. http:\/\/www.mospi.nic.in\/."},{"key":"S1935789321000719_ref7","unstructured":"7. Office of the Registrar General and Census Commissioner, India. Census of India 2011. https:\/\/censusindia.gov.in\/. Accessed April 29, 2020."},{"key":"S1935789321000719_ref1","first-page":"205","article-title":"Prevention and control of human leptospirosis","volume":"51","author":"John","year":"2005","journal-title":"J Postgrad Med."},{"key":"S1935789321000719_ref2","first-page":"307","article-title":"Leptospirosis in a midland rural area of Kerala State","volume":"128","author":"Kuriakose","year":"2008","journal-title":"Indian J Med Res."},{"key":"S1935789321000719_ref4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217643"},{"key":"S1935789321000719_ref10","doi-asserted-by":"crossref","first-page":"183","DOI":"10.22192\/ijarbs.2017.04.02.022","article-title":"Knowledge, Attitude and Practices Related to Leptospirosis among Risk population in periphery of South Chennai in India","volume":"4","author":"Arulmozhi","year":"2017","journal-title":"Int J Adv Res Biol Sci."},{"key":"S1935789321000719_ref8","unstructured":"8. Government of India, Ministry of Finance. Economic survey 2017-18. Vol. 1. http:\/\/www.indiaenvironmentportal.org.in\/files\/file\/economic%20survey%202017-18%20-%20vol.1.pdf. Accessed May 5, 2020."},{"key":"S1935789321000719_ref12","first-page":"E92","article-title":"Knowledge, attitude and practice about leptospirosis prevention among town service workers in northeastern Malaysia: a cross sectional study","volume":"59","author":"Azfar","year":"2018","journal-title":"J Prev Med Hyg."},{"key":"S1935789321000719_ref5","unstructured":"5. The United Nations, the ADB, Government of India, The World Bank, European Union \u2013 Civil Protection and Humanitarian Aid. Kerala Post Disaster Needs Assessment Floods and Landslides; August 2018. https:\/\/reliefweb.int\/sites\/reliefweb.int\/files\/resources\/PDNA_Kerala_India_0.pdf. Accessed August 3, 2019."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789321000719","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T04:51:30Z","timestamp":1670820690000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789321000719\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,9]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["S1935789321000719"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2021.71","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,9]]}}}