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1. Malaria, HIV and Malnutrition among Internally Displaced People in Mozambique During COVID-19 Pandemic: Results from a Community-Based Intervention

Author

Gennaro, F, Occa, E, Ramirez, L, Marotta, C, Segala, F, Santana, J, Cotugno, S, Papagni, R, De Meneghi, G, De Vivo, E, Braque, C, Guelfi, G, Manhica, S, Nunzio, I, Foquisso, N, Opocher, G, Tognon, F, Saracino, A, Putoto, G, Gennaro F. D., Occa E., Ramirez L., Marotta C., Segala F. V., Santana J., Cotugno S., Papagni R., De Meneghi G., De Vivo E., Braque C., Guelfi G., Manhica S., Nunzio I. D., Foquisso N., Opocher G., Tognon F., Saracino A., Putoto G., Gennaro, F, Occa, E, Ramirez, L, Marotta, C, Segala, F, Santana, J, Cotugno, S, Papagni, R, De Meneghi, G, De Vivo, E, Braque, C, Guelfi, G, Manhica, S, Nunzio, I, Foquisso, N, Opocher, G, Tognon, F, Saracino, A, Putoto, G, Gennaro F. D., Occa E., Ramirez L., Marotta C., Segala F. V., Santana J., Cotugno S., Papagni R., De Meneghi G., De Vivo E., Braque C., Guelfi G., Manhica S., Nunzio I. D., Foquisso N., Opocher G., Tognon F., Saracino A., and Putoto G.

Abstract

Background: The spread of COVID-19 poses an unprecedented challenge to care delivery in post-disaster and conflict situations. In Mozambique, the 2019 cyclone Idai and the violence by Non-State-Armed-Groups devastated the province of Sofala and Cabo Delgado respectively and led to the displacement of thousands of people living in poor and overcrowded conditions. The pandemic has further aggravated the situation. Doctors with Africa CUAMM (University college for aspiring missionary doctors) implemented surveillance activities in these regions between October 2020 and September 2021. The aim of this study is to give an overview of the prevalence of malaria, malnutrition, COVID-19 related symptoms and access to HIV testing. Methods: Data were collected in targeted internally displaced people (IDP) sites in Sofala and Cabo Delgado province between 31st January and 25th September 2021. The tool used enabled to assess COVID-19 symptoms, risk of HIV infection, malaria cases and malnutrition in children under five. Results: The project reached 93 503 people. During the study period, 13.6% people reported at least one symptom suggestive of COVID-19 infection. Malaria Rapid Diagnostic Tests (RDT) were administered to 86% of the recruited people (n =?), with a positive diagnosis in the 4.5% of them (n =?). Among the recruited Internally Displaced Persons (IDP), 23.1% were considered eligible for HIV screening, but only 1.4% were referred for testing. Acute malnutrition was found in 6.3% of children screened and, among these, a higher prevalence of concurrent COVID-19 symptoms was reported. Discussion: Our study highlights the importance of mass clinical screening for COVID-19 infection in this target population to enact prevention behavior, although this may not be enough, due to the pivotal role played by asymptomatic transmissions. Considering the overlap of the symptoms of COVID-19 and malaria, a combined diagnostic algorithm is urgently needed to avoid underdiagnosing mala

Published
2022

2. Malaria, HIV and Malnutrition among Internally Displaced People in Mozambique During COVID-19 Pandemic: Results from a Community-Based Intervention

Author

Francesco Di Gennaro, Edocardo Occa, Lucy Ramirez, Claudia Marotta, Francesco Vladimiro Segala, Jaime Santana, Sergio Cotugno, Roberta Papagni, Giovanna De Meneghi, Emanuela De Vivo, Cati Braque, Giorgia Guelfi, Samo Manhica, Ilaria Di Nunzio, Nelson Foquisso, Giacomo Opocher, Francesca Tognon, Annalisa Saracino, Giovanni Putoto, Gennaro, F, Occa, E, Ramirez, L, Marotta, C, Segala, F, Santana, J, Cotugno, S, Papagni, R, De Meneghi, G, De Vivo, E, Braque, C, Guelfi, G, Manhica, S, Nunzio, I, Foquisso, N, Opocher, G, Tognon, F, Saracino, A, and Putoto, G

Subjects
BIO/08 - ANTROPOLOGIA, Delayed Diagnosis, Community surveillance, internally displaced people, Malnutrition, Humans, COVID-19, HIV Infections, General Medicine, Child, Pandemics, Mozambique, Malaria
Abstract

Background: The spread of COVID-19 poses an unprecedented challenge to care delivery in post-disaster and conflict situations. In Mozambique, the 2019 cyclone Idai and the violence by Non-State-Armed-Groups devastated the province of Sofala and Cabo Delgado respectively and led to the displacement of thousands of people living in poor and overcrowded conditions. The pandemic has further aggravated the situation. Doctors with Africa CUAMM (University college for aspiring missionary doctors) implemented surveillance activities in these regions between October 2020 and September 2021. The aim of this study is to give an overview of the prevalence of malaria, malnutrition, COVID-19 related symptoms and access to HIV testing. Methods: Data were collected in targeted internally displaced people (IDP) sites in Sofala and Cabo Delgado province between 31st January and 25th September 2021. The tool used enabled to assess COVID-19 symptoms, risk of HIV infection, malaria cases and malnutrition in children under five. Results: The project reached 93 503 people. During the study period, 13.6% people reported at least one symptom suggestive of COVID-19 infection. Malaria Rapid Diagnostic Tests (RDT) were administered to 86% of the recruited people (n =?), with a positive diagnosis in the 4.5% of them (n =?). Among the recruited Internally Displaced Persons (IDP), 23.1% were considered eligible for HIV screening, but only 1.4% were referred for testing. Acute malnutrition was found in 6.3% of children screened and, among these, a higher prevalence of concurrent COVID-19 symptoms was reported. Discussion: Our study highlights the importance of mass clinical screening for COVID-19 infection in this target population to enact prevention behavior, although this may not be enough, due to the pivotal role played by asymptomatic transmissions. Considering the overlap of the symptoms of COVID-19 and malaria, a combined diagnostic algorithm is urgently needed to avoid underdiagnosing malaria. Moreover, the high prevalence of respiratory symptoms in malnourished children confirmed the known correlation between malnutrition and respiratory infection. Finally, access to HIV screening needs to be implemented, given the high prevalence of people with HIV risk factors to avoid diagnostic delay. Conclusions: Population-specific needs make necessary to develop new screening methods that respond to the specific characteristics of the target population.

Published
2022

3. Malaria, HIV and Malnutrition among Internally Displaced People in Mozambique During COVID-19 Pandemic: Results from a Community-Based Intervention.

Author

Di Gennaro F, Occa E, Ramirez L, Marotta C, Segala FV, Santana J, Cotugno S, Papagni R, De Meneghi G, De Vivo E, Braque C, Guelfi G, Manhica S, Di Nunzio I, Foquisso N, Opocher G, Tognon F, Saracino A, and Putoto G

Subjects
Child, Humans, Pandemics, Mozambique epidemiology, Delayed Diagnosis, HIV Infections epidemiology, COVID-19 diagnosis, COVID-19 epidemiology, Malnutrition epidemiology, Malaria epidemiology
Abstract

Background: The spread of COVID-19 poses an unprecedented challenge to care delivery in post-disaster and conflict situations. In Mozambique, the 2019 cyclone Idai and the violence by Non-State-Armed-Groups devastated the province of Sofala and Cabo Delgado respectively and led to the displacement of thousands of people living in poor and overcrowded conditions. The pandemic has further aggravated the situation. Doctors with Africa CUAMM (University college for aspiring missionary doctors) implemented surveillance activities in these regions between October 2020 and September 2021. The aim of this study is to give an overview of the prevalence of malaria, malnutrition, COVID-19 related symptoms and access to HIV testing., Methods: Data were collected in targeted internally displaced people (IDP) sites in Sofala and Cabo Delgado province between 31st January and 25th September 2021. The tool used enabled to assess COVID-19 symptoms, risk of HIV infection, malaria cases and malnutrition in children under five., Results: The project reached 93 503 people. During the study period, 13.6% people reported at least one symptom suggestive of COVID-19 infection. Malaria Rapid Diagnostic Tests (RDT) were administered to 86% of the recruited people (n = ?), with a positive diagnosis in the 4.5% of them (n = ?). Among the recruited Internally Displaced Persons (IDP), 23.1% were considered eligible for HIV screening, but only 1.4% were referred for testing. Acute malnutrition was found in 6.3% of children screened and, among these, a higher prevalence of concurrent COVID-19 symptoms was reported., Discussion: Our study highlights the importance of mass clinical screening for COVID-19 infection in this target population to enact prevention behavior, although this may not be enough, due to the pivotal role played by asymptomatic transmissions. Considering the overlap of the symptoms of COVID-19 and malaria, a combined diagnostic algorithm is urgently needed to avoid underdiagnosing malaria. Moreover, the high prevalence of respiratory symptoms in malnourished children confirmed the known correlation between malnutrition and respiratory infection. Finally, access to HIV screening needs to be implemented, given the high prevalence of people with HIV risk factors to avoid diagnostic delay., Conclusions: Population-specific needs make necessary to develop new screening methods that respond to the specific characteristics of the target population., Competing Interests: The authors have no competing interests to declare., (Copyright: © 2022 The Author(s).)

Published
2022
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