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Dermatology in southwestern Ethiopia: rationale for a community approach
Abstract
Background Skin diseases represent one of the most frequent causes of morbidity in developing countries; however, little is known about the dermatologic needs of the population. The prevalence of skin disease in two different rural communities in southwestern Ethiopia was determined using descriptive epidemiologic techniques. Methods A household survey, designed to ascertain demographic information and dermatologic needs, was given to all households in both communities 827 . The point prevalence of skin diseases was determined after examination by dermatologists of 768 self‐selected individuals (40% of individuals were invited to attend dermatologic examination, either those self‐reporting skin disease or identified as positive cases during the household survey); an individual survey form was given to all of these patients. Results Although 47% (S/UO) and 59% (Kishe) of the households in the two communities reported skin symptoms, the true dermatologic needs of these settlements were far greater than the expressed values, as examination by dermatologists of randomly selected households revealed that 67% of householders not reporting dermatoses had significant skin disease. During the point prevalence study, the commonest complaints were parasitic (scabies, pediculosis, and onchocerciasis) infestations (46% of diagnoses), followed by bacterial and fungal infections (33%); other conditions included endemic nonfilarial elephantiasis. Overcrowding was the main risk factor for infection. Thirty‐two per cent (S/UO) and 39% (Kishe) of examined individuals had received previous treatments, which were ineffective in 74% and 63% respectively. Conclusions Subsistence farmers spend a high proportion of their limited cash income on ineffective treatment. Simple schemes of management for the most common dermatoses, which local health workers could be trained to recognize and manage, could do much to redress the burden of skin disease in this population.
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Prevalence studies from different continents have pointed to a high prevalence of skin diseases, especially in children, at an average of 30% (range 6 to 87%).
“Prevalence studies from different continents have pointed to a high prevalence of SDs, especially in children, at an average of 30% (range 6 to 87%) [2,3,4,5,6,7,8,9,10].”
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Hay, R. J., Johns, N. E., Williams, H. C., Bolliger, I. W., Dellavalle, R. P., Margolis, D. J., Marks, R., Naldi, L., Weinstock, M. A., Wulf, S. K., et al. (2014) · Journal of Investigative Dermatology · doi:10.1038/jid.2013.446 · Cited by 1,706
Self-citationAge-associated skin conditions and diseases: Current perspectives and future options
Blume-Peytavi, U., Kottner, J., Sterry, W., Hodin, M. W., Griffiths, T. W., Watson, R. E. B., Hay, R. J., & Griffiths, C. E. M. (2016) · The Gerontologist · doi:10.1093/geront/gnw003 · Cited by 221
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Metadata
- Authors
- Figueroa, J. I., Fuller, L. C., Abraha, A., & Hay, R. J.
- Affiliations
- Guy's Hospital (GB)
- Venue
- International Journal of Dermatology
- Publisher
- Wiley
- Published
- 1998-10
- Volume
- 37
- Issue
- 10
- Pages
- 752-758
- ISSN
- 0011-9059 (ISSN-L)
- 1365-4632
- OpenAlex
- W1973736314
- Cited by
- 96
- References
- 12
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 6 · 2015: 8 · 2014: 2 · 2013: 3 · 2012: 5
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Leverhulme Trust
- Pfizer UK
- Topics
- Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Dermatology › Medicine and Dermatology Studies History
- Keywords
- skin diseases, point prevalence, scabies, pediculosis, onchocerciasis, parasitic skin infestation, overcrowding, ineffective treatments, rural health, Southwest Ethiopia, sub-Saharan Africa
- MeSH terms
- Adolescent, Adult, Age Factors, Child, Child, Preschool, Cross-Sectional Studies, Drug Therapy, Ethiopia, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Risk Factors, Rural Population, Skin Diseases, Socioeconomic Factors, Prevalence
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