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Rheumatic disease in a Philippine village. II: a WHO-ILAR-APLAR COPCORD study, phases II and III
R Wigley1, L Manahan, K D Muirden
1Research Laboratory, Public Hospital, Palmerston North, New Zealand.
Rheumatology International
|January 1, 1991
Summary
Rheumatic complaints are common in rural Philippines, causing significant disability and work loss. This study highlights the need for better healthcare worker education to manage these prevalent musculoskeletal issues.
Area of Science:
- Epidemiology
- Rheumatology
- Public Health
Background:
- Rheumatic complaints pose a significant public health challenge in rural communities.
- Accurate prevalence data is crucial for effective intervention strategies.
Purpose of the Study:
- To assess the prevalence and impact of rheumatic complaints in a remote Philippine village.
- To identify specific rheumatic conditions and their association with work and disability.
Main Methods:
- A three-phase population survey involving questionnaires and medical examinations.
- Phase I: Initial screening questionnaire (n=950).
- Phase II: Detailed pro forma for positive respondents (n=234).
- Phase III: Medical examination of selected subjects (n=166).
Main Results:
- High prevalence of peripheral joint pain (196), neck pain (67), and back pain (137).
- One-third attributed symptoms to work; 127 stopped working due to complaints.
- Significant disability (1.8%) and need for symptom management (82%).
- Diagnosed conditions included osteoarthritis of the knee (25), rheumatoid arthritis (2), and gout (5).
Conclusions:
- Rheumatic complaints are highly prevalent and debilitating in this rural community.
- Work-related factors significantly contribute to rheumatic symptoms and disability.
- Enhanced training for health workers is essential for managing rheumatic conditions in underserved areas.