PRESENTED BY Alfonso Rosales September 28, 2016 Zika virus knowledge, attitudes, and practices among the populations of six countries in Latin America PRESENTED BY Alfonso Rosales September 28, 2016

Background As of 22 September 2016: Autochthonous ZIKV cases: 500,557 Countries with autochthonous transmission of ZIKV: 47 countries Congenital syndrome associated with ZIKV: 2,066 cases Incidence rate: 62.26 / 100,000 pop.

Methods Universe: Men and women, rural and urban, 13 to 65 years of age Type of study: descriptive, cross-sectional survey Sampling: 2-stage, 30-cluster sampling method Total sample: 3,024 Collection tool: mobile-technology-based structured questionnaire Countries: Brazil, Colombia, Dominican Republic, Guatemala, Honduras, and El Salvador

Number of pregnant women Illiterate (No formal education) Results: Demographics Guatemala Dominican Republic Honduras El Salvador Brazil Colombia Age 29 30 32 31 Urban 1% 82% 76% 64% 97% 95% Number of pregnant women 20% 12% 14% 6% 19% 11% Illiterate (No formal education) 17% 4% 9% 7%

Results: Knowledge on the methods of ZIKA transmission Guatemala Dominican Republic Honduras El Salvador Brazil Colombia Mosquito bite 69% 58% 79% 67% 50% 66% Contaminated water 10% 22% 8% 9% 16% Sexual contact 4% 3% 2% 5% 6% Blood transfusion 1% 0.4% Mother to fetus 0.1%

Results: Knowledge on symptoms and signs of ZIKA infection Guatemala Dominican Republic Honduras El Salvador Brazil Colombia Fever 25% 21% 26% Headache 23% 20% 18% 19% Rash 11% 12% 10% 17% 14% Joint pain 13% 16% Conjunctivitis 6% 5% 7% 2% 4%

No association with ZIKA virus Results: Microcephaly Guatemala Dominican Republic Honduras El Salvador Brazil Colombia No knowledge 57% 52% 51% 34% 8% No association with ZIKA virus 76% 66% 55% 48% 22% 61%

Results: Attitudes toward ZIKAV Guatemala Dominican Republic Honduras El Salvador Brazil Colombia Are you at risk? High 40% 59% 36% 37% 39% Moderate 30% 15% 34% 29% 23% Low 14% 8% 13% 16% No/Don't Know 17% 20% 24% Can be prevented? Yes 78% 83% 92% 90% 80% 84% No 22% 11% Can be treated? 43% 56% 51% 67% 60% 57% 45% 49% 33% 64%

Results: Preventive practices against ZIKAV Guatemala Dominican Republic Honduras El Salvador Brazil Colombia Use mosquito net 25% 28% 10% 23% 12% 14% Use mosquito repellent 9% 5% 11% 17% Use mosquito coils 3% 4% 2% 1% Covering body with clothes 6% Use condom 0.4% 0% Spray insecticide 7% 16% Cleaning water containers 13% 21% 20% Eliminating standing water 15% 18%

Results: Sources of information on ZIKAV

Thanks