Assessing the Effectiveness of a Community Intervention for Monkeypox Prevention in the Congo Basin 英文参考文献.docVIP

AssessingtheEffectivenessofaCommunityIntervention forMonkeypoxPreventionintheCongoBasin AmiraA.Roess1.,BenjaminP.Monroe2.,EricA.Kinzoni3,SeamusGallagher3,SaturninR.Ibata3, NkendaBadinga4,TrolienneM.Molouania3,FredyS.Mabola3,JeanV.Mombouli5,DarinS.Carroll2, AdamMacNeil2,NoelleA.Benzekri2,CynthiaMoses3,IngerK.Damon2,MaryG.Reynolds2* 1EpidemicIntelligenceService,CentersforDiseaseControlandPrevention,Atlanta,Georgia,UnitedStatesofAmerica,2PoxvirusandRabiesBranch,CentersforDisease Control and Prevention, Atlanta, Georgia, United States of America, 3International Conservation and Education Fund, Washington, D.C., United States of America, 4MedicinsD’Afrique,Brazzaville,RepublicoftheCongo,5LaboratoireNationaldeSante′ Publique,Brazzaville,RepublicoftheCongo Abstract Background: In areas where health resources are limited, community participation in the recognition and reporting of disease hazards is critical for the identification of outbreaks. This is particularly true for zoonotic diseases such as monkeypoxthatprincipallyaffectpeoplelivinginremoteareaswithfewhealthservices.Herewereportthefindingsofan evaluation measuring the effectiveness of a film-based community outreach program designed to improve the understanding of monkeypox symptoms, transmission and prevention, by residents of the Republic of the Congo (ROC) whoareatriskfordiseaseacquisition. Methodology/Principal Findings: During 90 days, monkeypox outreach was conducted for ,23,860 people in northern ROC. Two hundred seventy-one attendees (selected via a structured sample) were interviewed before and after participating in a small-group outreach session. The proportion of interviewees demonstrating monkeypox-specific knowledgebeforeandafterwascompared.Significantgainsweremeasuredinareasofdiseaserecognition,transmission, andmitigationofrisk.Theabilitytorecognizeatleastonediseasesymptomandawillingnesstotakeafamilymemberwith monkeypoxtothehospitalincreasedfrom49and45%to95and87%,respectively(p,0.001,both).