Knowledge, perception and safety practices of monkeypox infection among healthcare workers in a tertiary health facility in southwest Nigeria
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20232661Keywords:
Healthcare, Knowledge, Monkey pox, Perception, WorkersAbstract
Background: Monkeypox is a self-limiting disease first reported in 1970 in Zaire. It is characterised with small pox like eruptions and presently there is no approved anti–viral drug yet, clinical management of human monkey pox cases is mainly by supportive treatment and symptomatic treatment. This study assessed the knowledge, perception and safety practices of monkey pox disease among healthcare workers in a tertiary facility in Southwest state, Nigeria.
Methods: The study was a descriptive cross-sectional study, web-based conducted among 402 healthcare workers in a tertiary health centre in Southwestern Nigeria. The 38-item survey instrument for the quantitative study was adapted from a similar study on COVID-19 among healthcare workers. Data was analysed using SPSS software version 20.0. Level of significance was pre-determined at p value <0.05 at a confidence level of 95%.
Results: Female respondents constituted 241 (60%) while 161 (40%) were males. Mean age was 35.4±6.5 years with age group 26-35 years (49.0%) being the majority. Majority, 311 (77.4%) had poor knowledge of monkeypox while 69.9% had good perception. There was statistically significant association between age (α- 0.001), work experience (α- 0.001), tribe (α- 0.001), and average monthly income (α- 0.001) with perception about monkey pox infection among the respondents.
Conclusions: Monkeypox is endemic in Nigeria and the knowledge and perceptions of healthcare workers towards the disease is a critical epidemiological determinant of its transmission rate, it is therefore imperative that intensive training be targeted among all cadres of healthcare professional including non-medical workers in healthcare setting.
References
Parker S, Buller RM. A review of experimental and natural infections of animals with monkeypox virus between 1958 and 2012. Future Virol. 2013;8(2):129–57.
Magnus P, Andersen EK, Petersen KB, Andersen AB. A pox-like disease in cynomolgus monkeys. Acta Pathol Microbiol Scand. 1959;46(2):156-76.
Foster SO, Brink EW, Hutchins DL, Pifer JM, Lourie B, Moser CR et al. Human monkeypox. Bull World Health Organ. 1972;46(5):569-76.
Arita I, Henderson DA. Monkeypox and whitepox viruses in West and Central Africa. Bull World Health Organ. 1976;53(4):347-53.
Chikwe I, Adesola Y, Swaib L, Abubakar I. Importance of epidemiological research of monkeypox: is incidence increasing? Expert Revi Anti-infective Therapy. 2020;18:5:389-92.
Durski KN, McCollum AM, Nakazawa Y, Peterson BW, Reynolds MG, Briand S, et al. Emergence of monkeypox-west and Central Africa, 1970–2017 morbidity and mortality weekly report. 2018;67(10):306-10.
Ogoina D, Izibewule JH, Ogunleye A,Ederiane E, Anebonam U, Neni A, et al. The 2017 human monkeypox outbreak in Nigeria-Report of outbreak experience and response in the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. PLoS ONE. 2019;14(4):e0214229.
WHO. Key facts about Monkeypox. Available at: https://www.who.int/news-room/fact sheets/detail/monkeypox. Accessed on 27 June 2022
Nigerian centre for disease control-Federal ministry of health. National monkeypox public health response guidelines. Available at: https://www.ncdc.gov.ng. Accessed on 29 June 2022.
CDC. 2022 global map and case count. Available at: Cdc.gov/poxvirus/monkeypox/response/2022/world-map.html. Accessed on 29 June 2022.
WHO. WHO Informal Consultation on Monkeypox 2017. Geneva, Switzerland: World Health Organization; 2017:18
Durski KN, McCollum AM, Nakazawa Y, Petersen BW, Reynolds MG, Briand S, et al. Emergence of monkeypox - West and Central Africa, 1970–2017. Morbidity Mortality Weekly Rep. 2018;67(10):306-10.
Ugorji CV, Nworuh B, Ibe SNO, Iwuoha G, Abanobi OC. Factors associated with the practice of monkey pox preventive behaviours among health workers in Yenagoa LGA, Bayelsa state, Nigeria. IOSR-JNHS. 2019;8(6):75-85.
Jekel JF, Katz DL, Elmor JG, Wild DMG. Sample Size, Randomization, and Probability Theory. In: Epidemiology, Biostatistics and Preventive Medicine. 3rd ed. Philadelphia: Saunders Elsevier; 20013:197-202.
Ahmed AK, Ojo OY, Imhonopi GB, Oladeji FO, Oyesola OA, Alausa OK. Knowledge, perceptions and safety practices of COVID-19 infection among healthcare workers in a tertiary health institution, Southwest, Nigeria. Int J Community Med Public Health. 2020;7(12):4697-705.
Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MA, Bandari DK. Novel coronavirus (covid-19) knowledge and perceptions: a survey on healthcare workers. MedRxiv. 2020.
World Health Organization. Emerging Respiratory Viruses, including COVID-19: methods for detection, prevention, response, and control, 2020. Available at: https://openwho.org/courses/introduction-to-ncov. Accessed 1 February 2020.
Awoyomi OJ, Njoga EO, Jaja IF, Oyeleye FA, Awoyomi PO, Ibrahim MA, et al. Mpox in Nigeria: Perceptions and knowledge of the disease among critical stakeholders-global public health consequences. PLoS ONE. 2023;18(3):e0283571.
World Health Organisation. Multi-country outbreak of mpox, External situation report#15–2 February 2023, 2023. Available at: https://www.who.int/publications/m/item/multi-country-outbreak-of-mpox–external-situation-report-15–2-february-2023. Accessed 2 April, 2023.
Rodriguez-Morales AJ, Lopardo G, Verbanaz S, Orduna T, Lloveras S, Azeñas-Burgoa JM, et al. Latin America: Situation and preparedness facing the multi-country human monkeypox outbreak. The Lancet Regional Health–Americas. 2022;13:1-4.
Miraglia del Giudice G, Della Polla G, Folcarelli L, Napoli A, Angelillo IF and The Collaborative Working Group. Knowledge and attitudes of health care workers about monkeypox virus infection in Southern Italy. Front Pub Heal. 2023;11:1091267.
Bridgman A, Merkley E, Zhilin O, Loewen PJ, Owen T, Ruths D. Infodemic pathways: evaluating the role that traditional and social media play in cross-national information transfer. Front Polit Sci. 2021;3:648646.
Alshahrani NZ, Algethami MR, Alarifi AM, Alzahrani F, Alshehri EA, Alshehri AM, et al. Knowledge and Attitude Regarding Monkeypox Virus among Physicians in Saudi Arabia: A Cross-Sectional Study. Vacc. 2022;10(12):2099.
The Organization for Economic Cooperation and Development (OECD). A Skilled Workforce for Strong, Sustainable and Balanced Growth: A G20 Training Strategy International Labour Office-Geneva, 2010. Available at: https://www.oecd.org/g20/summits/toronto/G20-Skills-Strategy.pdf. Accessed 29 December, 2022.
Harapan H, Setiawan AM, Yufika A, Anwar S, Wahyuni S, Asrizal FW, et al. Knowledge of human monkeypox viral infection among general practitioners: a cross-sectional study in Indonesia. Pathog Glob Heal. 2020;114(2):68-75.
Nakazawa Y, Mauldin MR, Emerson GL, Reynolds MG, Lash RR, Gao J, et al. A phylogeographic investigation of African monkeypox. Viruses. 2015;7(4):2168-84.
Mauldin MR, McCollum AM, Nakazawa YJ, Mandra A, Whitehouse ER, Davidson W, et al. Exportation of monkeypox virus from the African Continent. J Infect Dis. 2022;225(8):1367-76.
Vaughan A, Aarons E, Astbury J, Balasegaram S, Beadsworth M, Beck CR, et al. Two cases of monkeypox imported to the United Kingdom, September 2018. Eurosurveil. 2018;23(38):1800509.
WHO. Monkeypox. Available at: https://www.who.int/news-room/fact-sheets/detail/monkeypox. Accessed 15 March, 2023.
Ghazy RM, Okeh DU, Sallam M, Hussein M, Ismail HM, Yazbek S, et al. Psychological antecedents of healthcare workers towards monkeypox Vaccination in Nigeria. Vacc. 2022;10(12):2151.
Riad A, Drobov A, Rozmarinová J, Drapáˇcová P, Klugarová J, Dušek L, et al. Monkeypox knowledge and vaccine hesitancy of Czech healthcare workers: a health belief model (hbm)-based study. Vaccines. 2022;10(12):2022.
Temsah MH, Aljamaan F, Alenezi S, Abouammoh N, Alhasan K, Dasuqi SA, et al. Monkeypox disease (MPOX) perceptions among healthcare workers vs. general population during the first month of the WHO alert: cross-sectional survey in Saudi Arabia. Vaccines. 2022;10(12):2071.
Geng Y, Wang Y. Stability and transmissibility of SARS‐CoV‐2 in the environment. J Med Virol. 2023;95(1):e28103.
Khatib MN, Sinha A, Mishra G, Quazi SZ, Gaidhane S, Saxena D, et al. WASH to control COVID-19: A rapid review. Front Pub Heal. 2022;10:976423.
Ogoina D, Izibewule JH, Ogunleye A, Ederiane E, Anebonam U, Neni A, et al. The 2017 human monkeypox outbreak in Nigeria-report of outbreak experience and response in the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. PloS one. 2019;14(4):e0214229.