Public Knowledge and Attitude toward Crimean Congo Hemorrhagic Fever in Tokat Turkey

  • R Yilmaz Department of Pediatrics, School of Medicine, Gaziosmanpasa University Tokat- Turkey
  • M Ozcetin Department of Pediatrics, School of Medicine, Gaziosmanpasa University Tokat- Turkey
  • U Erkorkmaz Department of Biostatistics, School of Medicine, Gaziosmanpasa University Tokat- Turkey
  • S Ozer Department of Pediatrics, School of Medicine, Gaziosmanpasa University Tokat- Turkey
  • F Ekici Department of Physiology, School of Medicine, Gaziosmanpasa University Tokat- Turkey
Keywords: Crimean Congo hemorrhagic fever, Public knowledge, Survey, Turkey,


Background: The World health Organization (WHO) declares Crimean Congo hemorrhagic fe­ver (CCHF) endemic in Turkey. Despite the magnitude of problem, no documented evi­dence exists in Turkey, which reveals the aware­ness and practices of the country's adult popula­tion regarding CCHF, its spread, symptoms, treatment, and preven­tion. This study was conducted to assess the level of knowledge, attitudes, and practices regarding CCHF in people visit­ing terti­ary care hospital in Tokat, Turkey.Methods: This questionnaire based cross-sectional survey was conducted among patients' rela­tives or guardians who ad­mitted pediatric outpatient clinics during May-July 2008. The question­naire was composed of 25 questions.Results: A total of 1034 respondents participated in the survey. Sufficient knowledge about CCHF was not found in 28.9% of the sample. Literate individuals were relatively better informed about CCHF as compared to the illiterate peo­ple. Television and radio were con­sidered as the most important and useful source of information on the disease.Conclusion: We have found insufficient knowledge on CCHF in our population. It is thought to have no chance of suc­cess against a fatal disease such as CCHF, which has serious consequences, without the contribution of commu­nity. It is clear that there are important tasks for health, agri­culture, and media sectors to improve public knowledge and awareness about CCHF.


Bakir M, Ugurlu M, Dokuzoguz B, Bodur H, Tasyaran MA, Vahaboglu H; Turkish CCHF Study Group (2005) CrimeanCongo haemorrhagic fever outbreak in Middle Anatolia: a multicentre study of clinical features and outcome meas- ures. J Med Microbiol. 54(Pt 4): 385-89.

Bülent Dinçer, Metin Özaslan, Erdoğan Sa- tılmış. İllerin sosyo-ekonomik gelişmişlik sıralaması araştırması (1996) Ankara: DPT. Bölgesel Gelişme ve Yapısal Uyum Genel Müdürlüğü, Aralık 1996. ISBN:975-19-1594-5 ( cerb/il/)

Crimean-Congo Hemorrhagic Fever, Fact Sheet No. 208, Dec 1998.

Çultu-Kantaroğlu Ö, Yıldırım İ, Ceylan M (2007) The level of public awareness and knowledge about avian influenza in a survey of parents of children admitted to a university children’s hospital. Çocuk Sağlığı ve Hastalıkları Dergisi 50: 180-85.

Ergonul O, Zeller H, Celikbas A, Doku- zoguz B (2007) The lack of Crimean- Congo hemorrhagic fever virus antibod- ies in healthcare workers in an endemic region. Int J Infect Dis. 11(1): 48-51.

Flick R, Whitehouse CA (2005) Crimean- Congo hemorrhagic fever virus. Curr Mol Med. 5(8): 753-60.

Gozalan A, Esen B, Fitzner J, Tapar FS, Oz- kan AP, Georges-Courbot MC (2007). Crimean-Congo haemorrhagic fever cases in Turkey. Scand J Infect Dis. 39(4):332-336.

Itrat A, Khan A, Javaid S, Kamal M, Khan H, Javed S (2008) Knowledge, aware- ness and practices regarding dengue fe- ver among the adult population of den- gue hit cosmopolitan. PLoS One. 9; 3(7): e2620.

McArthur L, Pena M, Holbert D (2001) Ef- fects of socioeconomic status on the obesity knowledge of adolescents from six Latin American cities. Int J Obes Relat Metab Disord. 25: 1262-1268.

Mossialos E, Rudisill C (2008) Knowledge about avian influenza, European Region. Emerg Infect Dis. 14(12): 1956-1957.

Singh SP, Reddy DC, Mishra RN, Sundar S (2006) Knowledge, attitude, and prac- tices related to Kala-azar in a rural area of Bihar state, India. Am J Trop Med Hyg. 75(3): 505-8.

Sloan SB (2009) Tick Removal: Treatment & MedicationUpdated: Jul 21, 2009

Vorou R, Pierroutsakos IN, Maltezou HC (2007) Crimean-Congo hemorrhagic fever. Curr Opin Infect Dis. 20(5): 495-500.

Williams RJ, Al-Busaidy S, Mehta FR, Maupin GO, Wagoner KD, Al-Awaidy S (2000) Crimean-Congo haemorrhagic fever: a seroepidemiological and tick survey in the Sultanate of Oman. Trop Med Int Health. 5: 99-106.

Winch PJ, Leontsini E, Rigau-Pérez JG, Ruiz- Pérez M, Clark GG, Gubler DJ (2002) Community-based dengue prevention programs in Puerto Rico: impact on knowl- edge, behavior, and residential mosquito infestation. Am J Trop Med Hyg. 67(4):363-70.

Yilmaz R, Kundak AA, Ozer S, Esmeray H (2009) Successful treatment of severe Crimean-Congo hemorrhagic fever with supportive measures without ribavirin and hypothermia. J Clin Virol. 44(2): 181-182.

How to Cite
Yilmaz R, Ozcetin M, Erkorkmaz U, Ozer S, Ekici F. Public Knowledge and Attitude toward Crimean Congo Hemorrhagic Fever in Tokat Turkey. J Arthropod Borne Dis. 3(2):12-17.