Tippayarat Yoonuan

This study assessed and compared the knowledge, attitudes, and practices of nursing students in Japan and Laos, two countries with distinct epidemiological and socioeconomic contexts, regarding neglected tropical diseases (NTDs) and zoonoses. A cross-sectional survey was conducted using a self-administered questionnaire among 190 nursing students from Japan and 254 students from Laos. Descriptive statistics, chi-square test, and Fisher’s exact test were used to analyze intergroup differences. Most of the study participants were female and in their first or second year of their nursing program. Knowledge gaps were identified in both groups. Japanese students showed a higher perceived susceptibility to infections and greater adherence to hygiene practices. Laotian students reported higher exposure to endemic diseases and more frequent contact with livestock. Attitudes toward public health education were generally positive, although Japanese students expressed a greater willingness to engage in future educational roles. However, gaps between attitude and actual practice were apparent in both groups, including inconsistent use of soap and insect repellents. The findings reveal a gap in knowledge of NTDs and zoonoses and a deficit in translating knowledge and attitudes into preventive behaviors. Findings highlight the need for tailored educational strategies considering behavioral and cultural factors to strengthen the nurse’s role in infectious disease prevention.

Background: Under-regulated national borders in Southeast Asia represent potential regions for enhanced parasitic helminth transmission and present barriers to helminthiasis disease control. Methods: Three Thailand border regions close to Myanmar, Laos and Cambodia were surveyed for clinical parasitic helminth disease. In-field microscopy was performed on stools from 567 individuals. Sub-samples were transported to Bangkok for molecular analysis comprising three multiplex qPCR assays. Results: The overall helminth infection prevalence was 17.99% as assessed by Kato-Katz and 24.51% by qPCR. The combined prevalence of the two methods was 28.57%; the most predominant species detected were Opisthorchis viverrini (18.34%), hookworm (6.88%; Ancylostoma spp. and Necator americanus), Ascaris lumbricoides (2.29%) and Trichuris trichiura (1.76%). Conclusions: These data demonstrate the value of molecular diagnostics for determining more precise prevalence levels of helminthiases in Southeast Asia. Availability of such accurate prevalence information will help guide future public health initiatives and highlights the need for more rigorous surveillance and timely intervention in these regions.