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Integrate Luo Epidemic Alert -Drum sounding with Village Health Team training. more update

Epidemic alert- common among the Luo people, sounding drums,empty tins, shutting,neighbours automatically join in across boarders,fast notic

Photo of Obua Godfrey
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use tradition for benefits today. alert people and educate them to take care of their own life. it is easier for informed community to welcome health programmes;for instance  2 new Zika virus vaccines have just been successfully tested in the United State on mice. For years, the Luo people, whenever there is epidemic outbreak everybody sound the drums, empty tins, and others,as they  shut, go, go .... it is believed that you do not beat the drum or any other object that makes sound, the epidemic as threaten by the drums and noise will settle at your home, and kill your children and relatives;common practice  which is received and respond quickly by the neighbours in all directions,and it goes cross boundary. then elders in every community would do the necessary traditional work against the  same. Hence, this is a good communication system,where everybody gets instance messages, and are aware that there is great danger around,so we need to do something. This can be integrated with the modern technology like phone calls, as an alert massage.the health workers can then take actions as they link one another on the same note and mobilize the village people for the necessary steps to be taken followed by training to prevent any serious  infection against all health threats. It could be followed by radio announcements, phone calls to reach especially the remote areas, which is also the most affected by health threats.

The best we can do to make us a little safer are all about preventive measures for moment than cure.

Referring to the health threats:


1. As Zika is very difficult to track is the fact that in the vast majority of cases, it causes no symptoms at all. Most people who get infected don't even realize it — and therefore never seek medical attention. They can, however, still transmit the disease if they are bitten by a mosquito that then bites someone else. There is no cure for Zika, but clinicians can help patients manage symptoms, giving them medicine to reduce fever and pain. They can also provide education on how to protect their families from the mosquitos that carry the virus.

2. SARS-The bottom line is that there are many uncertainties and unknowns about SARS and the information is changing daily

1. Have people care for their own life.

Involving community on the frontlines of the Zika crisis would include caring for patients with suspected infections Clinicians at the health centre to diagnose suspected Zika infections and providing ultrasounds to pregnant patients concern about the health of their unborn babies, and later providing education on how to prevent the disease.

We can use the same throughout with partnering with hospitals and clinics to ensure they are well equipped to address the intensifying health crisis. We can improve education and prevention against the spread of the virus and ensure health providers have the medicine and supplies to provide the best possible care. Common methods of protecting against mosquito bites include the use of topical insect repellents; protective clothing such as insecticide-treated clothing; bed nets and insecticide-treated nets; and screens, mesh, or netting on windows and doors. In addition, Common methods of protecting against mosquito bites include the use of topical insect repellents; protective clothing such as insecticide-treated clothing; bed nets and insecticide-treated nets; and screens, mesh, or netting on windows and doors.

2. Low-cost and appropriate for various developing country settings, particularly those lacking a consistent supply of electricity and facing frequent power outages

Despite the scale of the problem, there is ground of hope as a combination of drugs, awareness campaigns and innovative special plants, like mosquitoes repellent, neem seeds adaptation strategies begin to take effects. There is light at the end of the tunnel, if we are to continue to invest resources.

Awareness programme by involving community includes school children, with the aim of educating young people to become peer educators, so that they take care of their own health. Formation of health clubs in schools would be helpful as they will continuously prepare health news for their assembly and other issues concern health threats and future prevention


3. Environmentally-friendly with minimal generation of excess waste material

People can be informed to use mosquito repellent plants

Sleep under impregnated net/ chemically treated net

Spray rooms, surrounding with pesticides-in door residual spraying or vector control

Cover body well with long sleeve shirts and trousers.

Zika virus response

Create and distribute interactive educational DVDs and online lessons, free of charge, to remote places in their own local languages.

We can include current topics as(an array of subjects, such as Basic Hygiene, Avoiding Malaria, Dangers of Zika virus, and other health treats) and can always be expanded. Our most response to the Zika crisis and the title can be Avoiding Zika virus infection.

This lesson can be available in two formats – classic interactive DVD, or a new online viewable format, TMElite. Both have versions to be translated into relevant languages like English, French,etc.

For DVDs: online.

For TMElite: to be browsed in the library.

key notes for control and preveting infections:

· engaging with key community members – decreasing stigma, fear, and demoralising perceptions;

· adopting a multi-disciplinary approach, including case identification and management, infection control, and social mobilisation, as well as understanding of local contexts to develop and adapt prevention messages and control measures and;

· establishing intersectoral as well as trans-disciplinary surveillance response systems through network connections, adequate collaboration, funding, participation from wider stakeholders, research innovation for vaccine development and pursuing global health initiatives to establish surveillance systems with network connections, including research–action interventions.

People traveling to countries with known Zika virus should take steps to avoid being bitten by mosquitoes, including:

•Use insect repellent containing DEET, picaridin, IR3535, oil of lemon eucalyptus, or para-menthane-diol for long lasting protection. If you use both sunscreen and insect repellant, apply the sunscreen first and then the repellent. Pregnant women and women who are breastfeeding can and should choose EPA-registered insect repellent and use it according to the product label.

•Wear long-sleeved shirts and long pants.

•Use air conditioning or window/door screes to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.

•Help reduce the number of mosquitoes outside by emptying standing water from containers such as flowerpots or buckets.

. Fill all spots that can hold water and new, spread neem tree seeds in all stagnant waters twice a week to kill mosquitos’ larvae.

.use billboards to inform people against malaria infection.

4. Ability to be scaled rapidly

Sounding of drums and shouting even by those who do not have an instrument to beat; has been used by the Luo people to mean an outbreak of epidemic. It sends instance message across boarders in less than 10 minutes in all direction in all languages. So each time the drums are sounded the community awaits communication health coordinators, who also get in touch with the heath headquarters within a short time.

When we carry out awareness education the community can be able to take care of their own health. They can prevent infections by planting mosquito repellent around their homes, use them in their rooms. Fill all spots which collect water when trains, cover their bodies well. And soon

5. Strong likelihood of achieving a substantial impact

Community involvement is very vital for serious diseases, especially for remote areas which do not have any kind of alert system in place. In contrast, West African countries, which had never experienced an Ebola outbreak, were poorly prepared for this unfamiliar and unexpected disease at every level, from early detection of the first cases to orchestrating an appropriate response. Clinicians had never managed cases. No laboratory had ever diagnosed a patient specimen. No government had ever witnessed the social and economic upheaval that can accompany an outbreak of this disease. Populations could not understand what hit them or why.so community engagement becomes so important in order to save life, especially in an emergencies cases.

Mosquito Bite Prevention

Not all mosquitoes are the same. Different mosquitoes spread different viruses and bite at different times of the day.


Type of Mosquito Viruses spread Biting habits

Aedes aegypti, Chikungunya, Primarily daytime, but Aedes albopictu Dengue, Zika can also bite at night


Culex species West Nile Evening to morning


Protect yourself and your family from mosquito bites

Use insect repellent


Use an Environmental Protection Agency (EPA)-registered insect repellent with one of the following active ingredients. When used as directed, EPA-registered insect repellents are proven safe and effective, even for pregnant and breastfeeding women.


Active ingredient

Higher percentages of active ingredient provide longer protection

Some brand name examples

* DEET Off!, Cutter, Sawyer, Ultrathon Picaridin, also known as KBR 3023, Bayrepel, and icaridin Cutter Advanced, Skin So Soft Bug Guard Plus, Autan (outside the United States)

Oil of lemon eucalyptus(OLE) or para-menthane-diol (PMD) Repel IR3535

Skin So Soft Bug Guard Plus Expedition, SkinSmart

* Insect repellent brand names are provided for your information only. The Centers for

Disease Control and Prevention and the U.S. Department of Health and Human Services cannot recommend or endorse any name brand products.

CS258143A

Š

Always follow the product label instructions.

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Reapply insect repellent every few hours, depending on which product and strength you choose.

» Do not spray repellent on the skin under clothing.

»

If you are also using sunscreen, apply sunscreen first and insect repellent second

.

Natural insect repellents (repellents not registered with EPA)

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The effectiveness of non-EPA registered insect repellents, including some natural repellents, is not known.

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To protect yourself against diseases like chikungunya, dengue, and Zika, CDC and

EPA recommends using an EPA-registered insect repellent.

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When used as directed, E

PA-registered insect repellents are proven safe and effective.

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For more information:

www2.epa.gov/insect-repellents

Pregnant women or If you have a baby or child

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Always follow instructions when applying insect repellent to children.

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Do not use insect repellent on babies younger than 2 months of age.

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Dress your child in clothing that covers arms and legs, or

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Cover crib, stroller, and baby carrier with mosquito netting.

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Do not apply insect repellent onto a child’s hands, eyes, mouth, and cut or irritated skin.

» Adults: Spray insect repellent onto your hands and then apply to a child’s face.

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Do not use products containing oil of lemon eucalyptus (OLE) or para-menthane­diol (PMD) on children under 3 years of age.

Treat clothing and gear

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Treat items such as boots, pants, socks, and tents with permethrin or purchase permethrin-treated clothing and gear.

» Permethrin-treated clothing will protect you after multiple washings.

See product information to find out how long the protection will last.

» If treating items yourself, follow the product instructions.

» Do not use permethrin products directly on skin.

Mosquito-proof your home

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Use screens on windows and doors. Repair holes in screens to keep mosquitoes

outside.

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Use air conditioning when available.

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Keep mosquitoes from laying eggs in and near standing water.

» Once a week, empty and scrub, turn over, cover, or throw out items that hold water, such as tires, buckets, planters, toys, pools, birdbaths, flowerpots, or trash containers. Check inside and outside your home.

www.cdc.gov/features/StopMosquitoes

Are you participating in the Partners in Health Campagin?

  • Yes

Do you plan to apply for USAID’s Grand Challenge for funding?

  • Yes
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Attachments (2)

Mosquito Bite Prevention.docx

more detail of preventive measures.

community involvment.docx

Explanation and benefit of community enagement

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Photo of Minh Nguyen
Team

how might we incorporate these sounds into the technology that is currently used? (i.e. ring tones, notification sounds, etc.) .

Photo of Obua Godfrey
Team

Thank very much Minh Nguyen. As I have indicated in the visuals, I am particularly concerned about the remote areas, undeveloped or under developed. I believe these areas are more vulnerable to the epidemic out break than built up areas, where ring tones, notifications sounds could be used to alert people. For example in Uganda, I am not sure whether we do have it at all. Again when there was an out break of Ebola in the northern town of Gulu about 70 kilometres from my  home town, we relied on local radios,news papers, phone calls and the local communication systems. Development is on going, but this matter is very urgent,we can not wait, so if such areas could use the drum sounding which people here are used to, and it sends the same message,within less than 10 minutes. This method is very cheap but helps a lot in remote places. for those who are new to the system, when they are made aware of it will help likewise, then taking actions by relevant personnel is only to ensure the necessary steps to be taken by health workers to save life.This is also one way of engaging community to take care of their own health, in the remote areas. In addition, this can also be followed by awareness campaign to educate peer educators and community health teams, to help coordinate the health teams to reach those remote areas where communication is still a big problem. Regards Godfrey Obua

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