The Corona virus disease 19 (COVID-19) is a new global pandemic. World Health Organization (WHO) declared COVID-19 a public health emergency of international concern. Health Care Works (HCWs) are the primary sectors in contact with suspected patients. Thus, the knowledge, attitudes and practices of HCWs towards COVID-19 remain unclear. The objectives: To investigate the knowledge, attitudes and practices of Medical doctors about COVID-19 at Tripoli University Teaching Hospitals. Methods: This crosssectional survey was conducted from April 30 to 29 May, the week immediately after first case of COVID-19 reported in Libya. A pilot trail questionnaire was distributed and filled by taking the relevant information from medical staff doctors working at various medical and surgical units. The data coded according to variable and analysed by SPSS. Results: Of (250) participants, a total (100) of Medical staff doctors completed the surve\ (response rate 40%). The participants¶ qualification was (64%) MBBS, (14%) Master degree, (16%) PhD and (6%) professors. the mean age 35 years. (42%) were male and (58%) female participants. Most of the medical staff doctors (70%) were GPs, (22%) were specialists, (6%) were internship doctors and (2%) were consultants. Questionnaire survey revealed that (18%) of the respondents reported working experience of >20 years. The survey was considered if the Medical doctor in frontline healthcare workers (FLHCWs), our results demonstrate that, only 30% of medical staff doctors was provided care of COVID-19 patients while 70% was not in the FLHCWs. Most participants (79%) reported that no specific treatment of COVID-19. A significant proportion of medical doctors (68%) had good knowledge of the transmission, diagnostic method & prevention of COVID-19. According to the case report definition of WHO and ECDC, the survey results showed (69%) of the respondents reported that, the test should be repeated if the first RT-PCR results were negative from the patient represent the typical clinical symptoms of COVID-19. Our questionnaire survey revealed that (68%) of the medical staff doctors¶ participants agree that wearing face masks prevent the infection while (32%) reported that wearing face masks could not prevent the infection. Overall, Medical staff doctors in Tripoli University Teaching Hospital showed expected level of knowledge and attitudes about COVID-19. The findings survey suggests that due to the limited medical staff doctor¶s representative, it must be cautious when generalizing these findings to other medical doctors residing in other regions of the country. As intentional threat of COVID-19 continuous to emerge, the results survey highlights the importance of continuous health educational programs from the government and national health authorities that well improve and updated knowledge of the HCWs regarding COVID-19, which also result in increasing their attitudes and practices towards COVID-19. Further studies are warranted to confirm our findings. arabic 17 English 99
ِAbdusalam Sharef (12-2020)

Background: The pre-vaccination survey is considered an important tool for assessing and evaluating knowledge, attitudes and determine vaccine hesitancy. Throughout many decades the world had faced a challenge in fighting against the endemic, epidemic, and pandemic diseases that have been emerging and re-emerging special those that constitute a great potential risk on humanity’s life. Still, after more than one year and half of scientific milestones of COVID-19 pandemic, there are many countries scarifying and struggling to mitigate the impacts of SARS-CoV-2 among their societies. Objectives: Our study was conduct to address, assessing and evaluate COVID-19 vaccine literacy (VL) prior to and during the vaccination campaign in Libya. Material and Methods: The cross-sectional questionnaire survey was conducted during April 2021 one week prior COVID-19 vaccination campaign in Libya. All relevant data was obtained and collected by online and face-to-face interview. The sampling method with an online Microsoft form questionnaire resulted in collecting only 33 valid questionnaires. Further, the survey carried out also during vaccination campaign however, any participants who had already taken the COVID-19 vaccine were not indorsed in questionnaire survey. Results: A total of 243 participants were involved in this study. The overall response rate (45.6%). This study enrolled (58.8%) and (41.2%) of participants from male and female respectively. Considering the age classes, the results revealed that (35%, 18-30 year), (43.6%, 31-50 year), (18.5%, 51-65 year) and (>65 year, 2.9%). The results revealed that, 29.2% (95% Confidence Interval (CI): 25%-33.44%) of the respondents were confirmed or suspected COVID-19 infection, while and 70.8% (95% CI: 66.56%-75%) participants were not sure if they had contracted the virus. Regarding the recurrent COVID-19 infection, our questionnaire survey reported that, at least 5.8% (95% CI: 3.60%-7.92%) of the respondents had got infected twice by SRAS-CoV-2. Regarding the currently available COVID-19 vaccines (Sputnik V, AstraZeneca and Sinovac) in the country, the vast majority (43.2%) of the participants, they would like to prefer the Sputnik V, followed by (19.3%) AstraZeneca and (2.5%) Sinovac vaccines, while (35%) of the respondents refused to be vaccinated by three of these vaccines that have been provided by the Libyan healthy authorities under the supervision of NCDC. A proximately 33% (95% CI: 28.56%-37.28%) of the respondents refused to be vaccinated due to mistrust in the vaccine safety. Clearly, the vaccine safety was the main cause for the refuse and delay time of the vaccination from the most of the population. Conclusion: Our study highlights that, the vaccine hesitancy is underestimated issue in Libya, and clearly there is misleading and misinformation about SARS-CoV-2 from unauthorized media sources. According to the metadata analysis of high efficacy, safety and successes of COVID-19 vaccines for mitigate and minimize both the case fatality rate (CFT) and transmission rate across the entire of the global, still there is a controversies around potential safety concerns of the COVID-19 vaccines. Urgently, the Libyan healthy authority needs to enforce the public health education about vaccine safety, and Libyan healthy authorities should be implement an effective vaccination strategies that complement with international standard criteria for the vaccination policy to improve the vaccination efficacy and the vaccine coverage rate. Consequently, The Libya national deployment and vaccination plan for the COVID-19 vaccine should implement National Immunization Technical Advisory Group (NITAG) in every municipality for collecting and processing information, and producing periodic reports during COVID-19 vaccination campaign.
Abdusalam Sharef Abdusalam Mahmoud(6-2021)

Aims: To determine the seroprevalence of Toxoplasma gondii (T. gondii) in women from Aljalla Maternity and Gynaecology Hospital (AMGH) and to evaluate the association between the infection and potential risk factors. Methods: A cross-sectional study was conducted at AMGH in Tripoli during the year 2012. Data on potential risk factors were collected by a structured questionnaire and results of the test. The output data of questionnaire were used to assess potential risk factors for positive outcome. All sera (n = 500) was screened against ToxoG, by using the Vidas machine automated enzyme-linked florescent immunoassay. The association between the outcome variables and its potential risk factors were screened in a multivariate analysis. A p-value < 0.05 was considered to be significant. Results: The overall seroprevalence was estimated to be 50.8% with 95% confidence interval (CI) (46.42%–55.18%). The results revealed that T. gondii infection is highly prevalent, and eating habits (consuming raw meat and/or raw vegetables or fruits) were highly significant associated in multivariable analysis. Expectedly, a significantly [odds ratio (OR):1.712; p =
Abdusalam Sharef Abdusalam Mahmoud(1-2019)