AIM:To estimate post-war burdens of trachomatous trichiasis(TT)and multi-level risk factors among displaced population in Raya Kobo districts,implication for urgent action.METHODS:A community-based cross-sectional stu...AIM:To estimate post-war burdens of trachomatous trichiasis(TT)and multi-level risk factors among displaced population in Raya Kobo districts,implication for urgent action.METHODS:A community-based cross-sectional study was conducted among 603 participants from randomly selected 14 displaced slums in the Raya Kobo district.The data was collected from February 16th to March 30th,2023.Study participants were selected using the multistage sampling technique.A structured questionnaire and ophthalmic loupe with×2.5 magnificence were used to collect from participants.Multi-level binary logistic regression was used to determine associated factors with TT infection.Adjusted odds ratio(AOR)with 95%confidence interval(CI)were claimed for the strength of association at P<0.05.RESULTS:We recruited 602(99.9%)participants for the final analysis.From the total,126(20.9%)and 98(16.3%,95%CI:13.5%-19.4%)participants were diagnosed with active trachoma&TT infection,respectively.Being age≥45y(AOR=7.9,95%CI:2.4-25.3),having multiple eye infections(AOR=2.73,95%CI:1.47-5.29),poor wealth index(AOR=9.2;95%CI:2.7-23.7)and twice face washing per day(AOR=0.082,95%CI:0.03-0.21)has identified as individual as factors for TT infection.Whereas,distance between clean water source≥10 km(AOR=6.5,95%CI:3.9-31.3),and latrine availability(AOR=0.35,95%CI:0.21-0.58)were the two community-level factors associated with TT infections.CONCLUSION:The high prevalence of TT infection post-war throughout the study districts indicates a need for urgent clinical intervention in addition to rapid scaling up surgery,antibiotics,facial cleanliness,and environmental improvement(SAFE)strategies,strategy for high-risk population.Age≥45y,distance from the clean water source,poor wealth indexes,and eye infection are identified to be risk factors for TT infection.Furthermore,community-level preventative factors for TT infection are found as latrine availability and face washing practice.展开更多
Oil and gas exploration in the Niger Delta region of Nigeria began some fifty four （54） years ago. Since the early sixties till now, oil from this region of the Nigeria has been the major foreign exchange earner for...Oil and gas exploration in the Niger Delta region of Nigeria began some fifty four （54） years ago. Since the early sixties till now, oil from this region of the Nigeria has been the major foreign exchange earner for the sustenance of the economy. Unfortunate to note is the fact that since oil exploration and exploitation began in the country in the Niger Delta, the region had not been at peace. The region had suffered all forms of environmental degradation resulting from crude oil spillage and gas flares. The peoples＇ source of livelihood has been destabilized thereby leading to high rate of poverty, social crises/conflict and involuntary migration of people for both security and succour. The people of the region are thus in severe pains and risk of extermination should the present trend of environmental degradation and negligence persist. Thus, this paper addresses the plight of the Niger Delta as a case study of the effect of environmental degradation on human vulnerability. It is believed that continuous existence of the Niger Delta people as a social sect is dependent on how prompt efforts are made to combat the environment nuisance in the region.展开更多
文摘AIM:To estimate post-war burdens of trachomatous trichiasis(TT)and multi-level risk factors among displaced population in Raya Kobo districts,implication for urgent action.METHODS:A community-based cross-sectional study was conducted among 603 participants from randomly selected 14 displaced slums in the Raya Kobo district.The data was collected from February 16th to March 30th,2023.Study participants were selected using the multistage sampling technique.A structured questionnaire and ophthalmic loupe with×2.5 magnificence were used to collect from participants.Multi-level binary logistic regression was used to determine associated factors with TT infection.Adjusted odds ratio(AOR)with 95%confidence interval(CI)were claimed for the strength of association at P<0.05.RESULTS:We recruited 602(99.9%)participants for the final analysis.From the total,126(20.9%)and 98(16.3%,95%CI:13.5%-19.4%)participants were diagnosed with active trachoma&TT infection,respectively.Being age≥45y(AOR=7.9,95%CI:2.4-25.3),having multiple eye infections(AOR=2.73,95%CI:1.47-5.29),poor wealth index(AOR=9.2;95%CI:2.7-23.7)and twice face washing per day(AOR=0.082,95%CI:0.03-0.21)has identified as individual as factors for TT infection.Whereas,distance between clean water source≥10 km(AOR=6.5,95%CI:3.9-31.3),and latrine availability(AOR=0.35,95%CI:0.21-0.58)were the two community-level factors associated with TT infections.CONCLUSION:The high prevalence of TT infection post-war throughout the study districts indicates a need for urgent clinical intervention in addition to rapid scaling up surgery,antibiotics,facial cleanliness,and environmental improvement(SAFE)strategies,strategy for high-risk population.Age≥45y,distance from the clean water source,poor wealth indexes,and eye infection are identified to be risk factors for TT infection.Furthermore,community-level preventative factors for TT infection are found as latrine availability and face washing practice.
文摘Oil and gas exploration in the Niger Delta region of Nigeria began some fifty four （54） years ago. Since the early sixties till now, oil from this region of the Nigeria has been the major foreign exchange earner for the sustenance of the economy. Unfortunate to note is the fact that since oil exploration and exploitation began in the country in the Niger Delta, the region had not been at peace. The region had suffered all forms of environmental degradation resulting from crude oil spillage and gas flares. The peoples＇ source of livelihood has been destabilized thereby leading to high rate of poverty, social crises/conflict and involuntary migration of people for both security and succour. The people of the region are thus in severe pains and risk of extermination should the present trend of environmental degradation and negligence persist. Thus, this paper addresses the plight of the Niger Delta as a case study of the effect of environmental degradation on human vulnerability. It is believed that continuous existence of the Niger Delta people as a social sect is dependent on how prompt efforts are made to combat the environment nuisance in the region.
