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Prevalence of allergic conjunctivitis among basic school children in the Kumasi Metropolis (Ghana): a community-based
David Ben Kumah1, Seth Yaw Lartey2, Felix Yemanyi3
1Department of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. ben56kay@gmail.com.
Insights
Allergic Conjunctivitis (AC) affects nearly 40% of children in Ghana
Area of Science:
- Ophthalmology
- Public Health
- Pediatrics
Background:
- Hospital-based studies may underestimate Allergic Conjunctivitis (AC) prevalence in children.
- Male children's lower hospital attendance can skew AC prevalence data.
- Community-based studies are crucial for understanding the true burden of AC.
Purpose of the Study:
- To determine the prevalence of Allergic Conjunctivitis (AC) in basic school children in Kumasi Metropolis.
- To identify symptoms associated with AC in this population.
- To address the underestimation of AC burden in Ghana.
Main Methods:
- Cross-sectional, community-based study design.
- 1571 students from 11 basic schools participated.
- Comprehensive eye examinations including slit-lamp and ophthalmoscopy.
Main Results:
- The prevalence of Allergic Conjunctivitis (AC) was 39.9%.
- AC prevalence was significantly associated with gender.
- 70% of affected students received no treatment for AC.
Conclusions:
- Allergic Conjunctivitis (AC) is endemic among basic school children in Kumasi.
- Proactive public health measures are needed to reduce the burden of AC.
- Addressing AC in schools is vital for affected children's well-being.
Background:
There seems a preponderance of hospital-based studies on the prevalence of Allergic Conjunctivitis (AC) compared to community-based ones, particularly among children in Ghana and Africa as a whole. Meanwhile, literature supports the possibility of underdiagnosing AC in the hospital setting; exponentially so when males generally have poor hospital-attending behavior. This may lead to underestimation of the true burden of AC. Consequently, the purpose of the current community-based study was to determine the prevalence of AC among basic school children in the Kumasi Metropolis, while identifying its associated symptoms.
Methods:
A cross-sectional community-based study involving 1571 students from 11 basic schools (Primary and JHS) participated in the study. Data collection started in November 2011 and was completed in March 2014. After history taking, subjects underwent a battery of tests; visual acuity, objective refraction, anterior and posterior segments examination with a slit-lamp and a direct ophthalmoscope respectively.
Results:
The prevalence of AC was 39.9 %. The mean (± SD) age of participants was 8 ± 0.65 years. AC was significantly associated with gender (p < 0.05), but not with age (p > 0.05). A total of 70 % of the students with AC never had any form of treatment.
Conclusions:
AC is an endemic ocular disease among basic schools in the Kumasi metropolis and therefore calls for pragmatic and proactive measures to reduce its burden and effects on its victims. Public health measures may be required to help reduce the burden associated with this condition.
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