A participatory epidemiological and One Health approach to explore the community’s capacity to detect emerging zoonoses and surveillance network opportunities in the forest region of Guinea
Fig 2
Perception of the signs ranked and scored according to rarity and concern by Community Human Health Workers and women from the community.
On the x-axis: rank associated with the frequency of observation of the sign, from the least to the most frequent. On the y-axis: score associated with the threat for human health, from the least to the most health threatening. Axes are cut at their median. Red dots represent hemorrhagic signs: 1. Bleeding 2. Hematemesis 3. Bloody stools 4. Hematuria 5. Red eyes and dark yellow urine. Orange dots represent signs included in the WHO case definitions for viral hemorrhagic fever surveillance: 6. Anorexia 7. Diarrhea 8. Vomiting 9. Headache 10. Fever 11. Breathing difficulties 12. Fatigue 13. Abdominal pain 14. Muscle pain. The blue dots represent all other signs that are ranked and scored as not fitting these categories: 15. Paralysis 16. Bloating 17. Edema 18. Pimples 19. Loss of consciousness / coma 20. Neck stiffness 21. Palmar pallor 22. Cough 23. Convulsions 24. Weight loss 25. Deep-set eyes 26. Yellow eyes 27. Yellow urine 28. Pimples located on one side of the body 29. Mutilation 30. Weight gain 31. Polyuria 32. Malnutrition 33. Pyuria 34. Pallor 35. Rectal prolapse 36. Wound 37. Epilepsy 38. Loss of speech 39. Vertigo 40. Gbassama 41. Taeniasis 42. Abortion 43. Constipation 44. Opimo 45. Breast pain 46. Swelling 47. Chest pain 48. Toothache 49. Absence of menstrual period. Women from Temessadou did not assign a rank to the signs mentioned but classified them into two categories: rare and frequent.