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Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014.

Abstract As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90% of respondents indicated a fear of Ebola patients, >40% a fear of cured patients, and >50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission.
PMID
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Authors

Mayor MeshTerms

Health Knowledge, Attitudes, Practice

Hemorrhagic Fever, Ebola

Residence Characteristics

Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start
%A Kobayashi, Miwako; Beer, Karlyn D.; Bjork, Adam; Chatham-Stephens, Kevin; Cherry, Cara C.; Arzoaquoi, Sampson; Frank, Wilmot; Kumeh, Odell; Sieka, Joseph; Yeiah, Adolphus; Painter, Julia E.; Yoder, Jonathan S.; Flannery, Brendan; Mahoney, Frank; Nyenswah, Tolbert G.
%T Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014.
%J MMWR. Morbidity and mortality weekly report, vol. 64, no. 26, pp. 714-718
%D 07/2015
%V 64
%N 26
%M eng
%B As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90% of respondents indicated a fear of Ebola patients, >40% a fear of cured patients, and >50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission.
%K Adolescent, Adult, Aged, Aged, 80 and over, Child, Data Collection, Female, Health Knowledge, Attitudes, Practice, Hemorrhagic Fever, Ebola, Humans, Liberia, Male, Middle Aged, Residence Characteristics, Young Adult
%P 714
%L 718
%W PHY
%G AUTHOR
%R 2015.......64..714K

@Article{Kobayashi2015,
author="Kobayashi, Miwako
and Beer, Karlyn D.
and Bjork, Adam
and Chatham-Stephens, Kevin
and Cherry, Cara C.
and Arzoaquoi, Sampson
and Frank, Wilmot
and Kumeh, Odell
and Sieka, Joseph
and Yeiah, Adolphus
and Painter, Julia E.
and Yoder, Jonathan S.
and Flannery, Brendan
and Mahoney, Frank
and Nyenswah, Tolbert G.",
title="Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014.",
journal="MMWR. Morbidity and mortality weekly report",
year="2015",
month="Jul",
day="10",
volume="64",
number="26",
pages="714--718",
keywords="Adolescent",
keywords="Adult",
keywords="Aged",
keywords="Aged, 80 and over",
keywords="Child",
keywords="Data Collection",
keywords="Female",
keywords="Health Knowledge, Attitudes, Practice",
keywords="Hemorrhagic Fever, Ebola",
keywords="Humans",
keywords="Liberia",
keywords="Male",
keywords="Middle Aged",
keywords="Residence Characteristics",
keywords="Young Adult",
abstract="As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61\% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90\% of respondents indicated a fear of Ebola patients, >40\% a fear of cured patients, and >50\% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission.",
issn="1545-861X",
url="http://www.ncbi.nlm.nih.gov/pubmed/26158352",
language="eng"
}

%0 Journal Article
%T Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014.
%A Kobayashi, Miwako
%A Beer, Karlyn D.
%A Bjork, Adam
%A Chatham-Stephens, Kevin
%A Cherry, Cara C.
%A Arzoaquoi, Sampson
%A Frank, Wilmot
%A Kumeh, Odell
%A Sieka, Joseph
%A Yeiah, Adolphus
%A Painter, Julia E.
%A Yoder, Jonathan S.
%A Flannery, Brendan
%A Mahoney, Frank
%A Nyenswah, Tolbert G.
%J MMWR. Morbidity and mortality weekly report
%D 2015
%8 Jul 10
%V 64
%N 26
%@ 1545-861X
%G eng
%F Kobayashi2015
%X As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90% of respondents indicated a fear of Ebola patients, >40% a fear of cured patients, and >50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission.
%K Adolescent
%K Adult
%K Aged
%K Aged, 80 and over
%K Child
%K Data Collection
%K Female
%K Health Knowledge, Attitudes, Practice
%K Hemorrhagic Fever, Ebola
%K Humans
%K Liberia
%K Male
%K Middle Aged
%K Residence Characteristics
%K Young Adult
%U http://www.ncbi.nlm.nih.gov/pubmed/26158352
%P 714-718

PT Journal
AU Kobayashi, M
   Beer, KD
   Bjork, A
   Chatham-Stephens, K
   Cherry, CC
   Arzoaquoi, S
   Frank, W
   Kumeh, O
   Sieka, J
   Yeiah, A
   Painter, JE
   Yoder, JS
   Flannery, B
   Mahoney, F
   Nyenswah, TG
TI Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014.
SO MMWR. Morbidity and mortality weekly report
JI MMWR Morb. Mortal. Wkly. Rep.
PD Jul
PY 2015
BP 714
EP 718
VL 64
IS 26
LA eng
DE Adolescent; Adult; Aged; Aged, 80 and over; Child; Data Collection; Female; Health Knowledge, Attitudes, Practice; Hemorrhagic Fever, Ebola; Humans; Liberia; Male; Middle Aged; Residence Characteristics; Young Adult
AB As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90% of respondents indicated a fear of Ebola patients, >40% a fear of cured patients, and >50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission.
ER

PMID- 26158352
OWN - NLM
STAT- MEDLINE
DA  - 20150710
DCOM- 20150921
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 64
IP  - 26
DP  - 2015 Jul 10
TI  - Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease -
      Five Counties, Liberia, September-October, 2014.
PG  - 714-8
AB  - As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of
      27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and
      11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of
      Ebola virus. In January, 2016, Liberia successfully achieved Ebola
      transmission-free status, with no new Ebola cases occurring during a 42-day
      period; however, new Ebola cases were reported beginning June 29, 2015. Local
      cultural practices and beliefs have posed challenges to disease control, and
      therefore, targeted, timely health messages are needed to address practices and
      misperceptions that might hinder efforts to stop the spread of Ebola. As early as
      September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related
      knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists
      who were deployed to the counties (field team), carried out a survey conducted by
      local trained interviewers. The survey was conducted in September and October
      2014 in five counties in Liberia with varying cumulative incidence of Ebola
      cases. Survey results indicated several findings. First, basic awareness of Ebola
      was high across all surveyed populations (median correct responses = 16 of 17
      questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge
      and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents
      said they would know if they had Ebola symptoms). Finally, certain fears about
      the disease were present: >90% of respondents indicated a fear of Ebola patients,
      >40% a fear of cured patients, and >50% a fear of treatment units (expressions of
      this last fear were greater in counties with lower Ebola incidence). This survey,
      which was conducted at a time when case counts were rapidly increasing in
      Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of
      Ebola treatment units despite awareness of communication messages. Continued
      efforts are needed to address cultural practices and beliefs to interrupt Ebola
      transmission.
FAU - Kobayashi, Miwako
AU  - Kobayashi M
FAU - Beer, Karlyn D
AU  - Beer KD
FAU - Bjork, Adam
AU  - Bjork A
FAU - Chatham-Stephens, Kevin
AU  - Chatham-Stephens K
FAU - Cherry, Cara C
AU  - Cherry CC
FAU - Arzoaquoi, Sampson
AU  - Arzoaquoi S
FAU - Frank, Wilmot
AU  - Frank W
FAU - Kumeh, Odell
AU  - Kumeh O
FAU - Sieka, Joseph
AU  - Sieka J
FAU - Yeiah, Adolphus
AU  - Yeiah A
FAU - Painter, Julia E
AU  - Painter JE
FAU - Yoder, Jonathan S
AU  - Yoder JS
FAU - Flannery, Brendan
AU  - Flannery B
FAU - Mahoney, Frank
AU  - Mahoney F
FAU - Nyenswah, Tolbert G
AU  - Nyenswah TG
LA  - eng
PT  - Journal Article
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Data Collection
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - *Hemorrhagic Fever, Ebola/epidemiology/psychology/therapy
MH  - Humans
MH  - Liberia/epidemiology
MH  - Male
MH  - Middle Aged
MH  - *Residence Characteristics
MH  - Young Adult
EDAT- 2015/07/15 06:00
MHDA- 2015/09/22 06:00
CRDT- 2015/07/10 06:00
AID - mm6426a2 [pii]
PST - ppublish
SO  - MMWR Morb Mortal Wkly Rep. 2015 Jul 10;64(26):714-8.
TY  - JOUR
AU  - Kobayashi, Miwako
AU  - Beer, Karlyn D.
AU  - Bjork, Adam
AU  - Chatham-Stephens, Kevin
AU  - Cherry, Cara C.
AU  - Arzoaquoi, Sampson
AU  - Frank, Wilmot
AU  - Kumeh, Odell
AU  - Sieka, Joseph
AU  - Yeiah, Adolphus
AU  - Painter, Julia E.
AU  - Yoder, Jonathan S.
AU  - Flannery, Brendan
AU  - Mahoney, Frank
AU  - Nyenswah, Tolbert G.
PY  - 2015/Jul/10
TI  - Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014.
T2  - MMWR Morb. Mortal. Wkly. Rep.
JO  - MMWR. Morbidity and mortality weekly report
SP  - 714
EP  - 718
VL  - 64
IS  - 26
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Child
KW  - Data Collection
KW  - Female
KW  - Health Knowledge, Attitudes, Practice
KW  - Hemorrhagic Fever, Ebola
KW  - Humans
KW  - Liberia
KW  - Male
KW  - Middle Aged
KW  - Residence Characteristics
KW  - Young Adult
N2  - As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90% of respondents indicated a fear of Ebola patients, >40% a fear of cured patients, and >50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission.
SN  - 1545-861X
UR  - http://www.ncbi.nlm.nih.gov/pubmed/26158352
ID  - Kobayashi2015
ER  - 
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<b:Title>Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014.</b:Title>
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<b:Comments>As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: &gt;90% of respondents indicated a fear of Ebola patients, &gt;40% a fear of cured patients, and &gt;50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission.</b:Comments>
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