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European Journal of Environment and Public Health

Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem
Steward Mudenda 1 2 * , Bwalya Angel Witika 3, Mohammad Jaffar Sadiq 4, Michelo Banda 1, Ruth Lindizyani Mfune 2 5, Victor Daka 2 5, Damaless Kalui 1, Maureen Nkandu Phiri 1, Maisa Kasanga 5 6, Frank Mudenda 7, Webrod Mufwambi 1
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1 University of Zambia, School of Health Sciences, Department of Pharmacy, P.O. Box 50110, Lusaka, ZAMBIA
2 University of Zambia, School of Veterinary Medicine, Department of Disease Control, P.O Box 32379, Lusaka, ZAMBIA
3 Department of Pharmacy, DDT College of Medicine, P.O Box 70587, Gaborone, BOTSWANA
4 Department of Pharmacology, Batterjee Medical College for Science and Technology, Jeddah, SAUDI ARABIA
5 Copperbelt University, Michael Chilufya Sata School of Medicine, P.O Box 71191, Ndola, ZAMBIA
6 University Teaching Hospitals, P/Bag RW1X, Lusaka, ZAMBIA
7 University of Pretoria, Department of Civil Engineering, Pretoria, Hatfield, 0001, SOUTH AFRICA
* Corresponding Author
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European Journal of Environment and Public Health, 2021 - Volume 5 Issue 1, Article No: em0066
https://doi.org/10.29333/ejeph/9308

Published Online: 30 Nov 2020

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APA 6th edition
In-text citation: (Mudenda et al., 2021)
Reference: Mudenda, S., Witika, B. A., Sadiq, M. J., Banda, M., Mfune, R. L., Daka, V., . . . Mufwambi, W. (2021). Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem. European Journal of Environment and Public Health, 5(1), em0066. https://doi.org/10.29333/ejeph/9308
Vancouver
In-text citation: (1), (2), (3), etc.
Reference: Mudenda S, Witika BA, Sadiq MJ, Banda M, Mfune RL, Daka V, et al. Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem. EUROPEAN J ENV PUBLI. 2021;5(1):em0066. https://doi.org/10.29333/ejeph/9308
AMA 10th edition
In-text citation: (1), (2), (3), etc.
Reference: Mudenda S, Witika BA, Sadiq MJ, et al. Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem. EUROPEAN J ENV PUBLI. 2021;5(1), em0066. https://doi.org/10.29333/ejeph/9308
Chicago
In-text citation: (Mudenda et al., 2021)
Reference: Mudenda, Steward, Bwalya Angel Witika, Mohammad Jaffar Sadiq, Michelo Banda, Ruth Lindizyani Mfune, Victor Daka, Damaless Kalui, Maureen Nkandu Phiri, Maisa Kasanga, Frank Mudenda, and Webrod Mufwambi. "Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem". European Journal of Environment and Public Health 2021 5 no. 1 (2021): em0066. https://doi.org/10.29333/ejeph/9308
Harvard
In-text citation: (Mudenda et al., 2021)
Reference: Mudenda, S., Witika, B. A., Sadiq, M. J., Banda, M., Mfune, R. L., Daka, V., . . . Mufwambi, W. (2021). Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem. European Journal of Environment and Public Health, 5(1), em0066. https://doi.org/10.29333/ejeph/9308
MLA
In-text citation: (Mudenda et al., 2021)
Reference: Mudenda, Steward et al. "Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem". European Journal of Environment and Public Health, vol. 5, no. 1, 2021, em0066. https://doi.org/10.29333/ejeph/9308
ABSTRACT
Coronavirus disease 2019 (COVID-19) is a respiratory tract infection that emerged from China in December 2019 and is caused by severe acute respiratory syndrome coronavirus 2. Due to the airborne nature of its transmission, COVID-19 spread to the rest of the world rapidly. Thus, the World Health Organization declared COVID-19 a pandemic. This paper evaluated the factors that lead to self-medication in people suffering from respiratory tract infections such as COVID-19, and the consequences of practicing self-medication using antimicrobial agents. Most of the signs and symptoms of COVID-19 are also seen in infections such as malaria, flu, and the common cold. For this reason, and also due to poor healthcare-seeking behaviour, most people tend to self-medicate using medicines that are known to be effective against malaria, common cold, and COVID-19. Among the commonly used medicines in the practice of self-medication include antibacterials, antimalarials, and antivirals. Some vitamins such as vitamin C boost the immune system enabling it to provide effective defence mechanisms against microbes. However, self-medication may pose consequences such as the emergence of antimicrobial-resistant microorganisms, hypersensitivity reactions as well as dose-dependent toxicities viz dermatoxicity, cardiotoxicity, and hepatoxicity. Infectious diseases caused by antimicrobial-resistant microbes are difficult and, in some instances, impossible to treat thereby leading to increased morbidity and mortality among infected people. Consequently, antimicrobial resistance poses another global public health problem and requires a multisectoral approach to curb. It is our recommendation that all governments ensure that there are adequate medicines and efficient human resources in healthcare facilities as well as sufficient public awareness to prevent people from seeking self-medication.
KEYWORDS
Coronavirus disease 2019 COVID-19 self-medication antimicrobial resistance antibiotics antimalarials antivirals
REFERENCES
  • Ali, I. and Alharbi, O. M. L. (2020). COVID-19: disease, management, treatment, and social impact. Sci. Total Environ, 728, 138861. https://doi.org/10.1016/j.scitotenv.2020.138861
  • Barkur, G., Vibha and Kamath, G. B. (2020). Sentiment analysis of nationwide lockdown due to COVID 19 outbreak: Evidence from India. Asian journal of psychiatry, 51, 102089. https://doi.org/10.1016/j.ajp.2020.102089
  • Bennadi, D. (2013). Self-medication: A current challenge. J Basic Clin Pharm, 5(1), 19-23. https://doi.org/10.4103/0976-0105.128253
  • Budhwani, H. and Sun, R. (2020). Creating COVID-19 stigma by referencing the novel coronavirus as the “Chinese virus” on Twitter: quantitative analysis of social media data. J. Med. Internet Res, 22, e19301. https://doi.org/10.2196/19301
  • Centres for Disease Control and Prevention. (2020). Azithromycin shortage. [cited 2020 15th September]; Available at: https://www.cdc.gov/std/treatment/drugnotices/azithromycin-2020.htm
  • Chambial, S., Dwivedi, S., Shukla, K. K., John, P. J., et al. (2013). Vitamin C in disease prevention and cure: an overview. Indian J Clin Biochem, 28, 314-328. https://doi.org/10.1007/s12291-013-0375-3
  • Chinese Center for Disease Control and Prevention. (2020). Epidemic update and risk assessment of 2019 Novel Coronavirus 2020 [updated 29 January 2020; cited 2020 29 July]. Available at: http://www.chinacdc.cn/yyrdgz/202001/P020200128523354919292.pdf
  • Devakumar, D., Shannon, G., Bhopal, S. S. and Abubakar, I. (2020). Racism and discrimination in COVID-19 responses. Lancet, 395, 1194. https://doi.org/10.1016/S0140-6736(20)30792-3
  • European Centre for Disease Prevention and Control (ECDC). (2020). Novel coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK - sixth update - 12 March 2020. Stockholm: ECDC. Available at: https://www.ecdc.europa.eu/sites/default/files/documents/RRA-sixth-update-Outbreak-of-novel-coronavirus-disease-2019-COVID-19.pdf
  • Friedman, N. D., Temkin, E. & Carmeli Y. (2016). The negative impact of antibiotic resistance. Clin Microbiol Infect, 22, 416-422. https://doi.org/10.1016/j.cmi.2015.12.002
  • Guan, W. J., Ni, Z. Y., Hu, Y., Liang, W. H., Ou, C. Q., He, J. X., et al. (2020). Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med, 382, 1708-1720. https://doi.org/10.1056/NEJMoa2002032
  • Guo, Y., Cao, Q., Hong, Z., et al. (2020). The origin, transmission, and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Military Med Res, 7, 11. https://doi.org/10.1186/s40779-020-00240-0
  • Habersaat, K.B., Betsch, C., Danchin, M., et al. (2020). Ten considerations for effectively managing the COVID-19 transition. Nat Hum Behav, 4, 677-687. https://doi.org/10.1038/s41562-020-0906-x
  • Hangoma, J. M., Mudenda, S., Mwenechanya, M. M. and Kalungia, A. C. (2020). Community pharmacists’ knowledge and preparedness to participate in the fight against Coronavirus disease 2019 (COVID-19) in Zambia. medRxiv. https://doi.org/10.1101/2020.09.01.20185694
  • Hiedra, R., Lo, B. K., Elbashabsheh, M., Gul, F., Wright, M. R, Albano, J., Azmaiparashvili, Z. and Aponte, G. P. (2020). The use of IV vitamin C for patients with COVID-19: a case series. Expert Review of Anti-infective Therapy, Published online: 1 August 2020. https://doi.org/10.1080/14787210.2020.1794819
  • Hsu, J. (2020). How COVID-19 is accelerating the threat of antimicrobial resistance. BMJ, 369, m1983. https://doi.org/10.1136/bmj.m1983
  • Hunter, J., Arentz, S., Goldenberg, J., Yang, G., Beardsley, J. and Mertz, D. (2020). Rapid review protocol: zinc for the prevention or treatment of COVID-19 and other coronavirus-related respiratory tract infections. Integrative medicine research, 100457. https://doi.org/10.1016/j.imr.2020.100457
  • Hussain, R., Rashidian, A., Hafeez, A. and Mirzaee, N. (2019). Factors Influencing Healthcare Seeking Behaviour At Primary Healthcare Level, In Pakistan. Journal of Ayub Medical College, Abbottabad: JAMC, 31, 201-6.
  • Huttner, B. D., Catho, G., Pano-Pardo, J. R., Pulcini, C. and Schouten, J. (2020). COVID-19: dont neglect antimicrobial stewardship principles! Clin Microbiol Infect, 26(7), 808810). https://doi.org/10.1016/j.cmi.2020.04.024
  • Islam, M. S., Sarkar, T., Khan, S. H., Mostofa Kamal, A. H., Hasan, S. M. M., Kabir, A., Yeasmin, D., Islam, M. A., Amin Chowdhury, K. I., Anwar, K. S., Chughtai, A. A. and Seale, H. (2020). COVID-19-Related Infodemic and Its Impact on Public Health: A Global Social Media Analysis. The American Journal of Tropical Medicine and Hygiene, 103(4), 1621-1629. https://doi.org/10.4269/ajtmh.20-0812
  • Kalonga, J., Hangoma, J., Banda, M., Munkombwe, D. and Mudenda, S. (2020). Antibiotic Prescribing Patterns in Paediatric Patients at Levy Mwanawasa University Teaching Hospital in Lusaka, Zambia. International Journal of Pharmaceutics & Pharmacology, 4(1), 1-9. https://doi.org/10.31531/2581-3080.1000138
  • Kasanga, M., Mudenda, S., Gondwe, T., Chileshe, M., Solochi, B. and Wu, J. (2020). Impact of COVID-19 on blood donation and transfusion services at Lusaka provincial blood transfusion centre, Zambia. Pan African Medical Journal, 35(2), 74. https://doi.org/10.11604/pamj.supp.2020.35.2.23975
  • Kumar, A., Kubota, Y., Chernov, M., and Kasuya, H. (2020). Potential role of zinc supplementation in prophylaxis and treatment of COVID-19. Med Hypotheses, 144, 109848. https://doi.org/10.1016/j.mehy.2020.109848
  • Lee, C. R., Cho, I. H., Jeong, B. C., and Lee, S. H. (2013). Strategies to minimize antibiotic resistance. International journal of environmental research and public health, 10(9), 4274-4305. https://doi.org/10.3390/ijerph10094274
  • Li, Q., Guan, X., Wu, P., et al. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med, 382, 1199-1207. https://doi.org/10.1056/NEJMoa2001316
  • Mehta, B., Salmon, J., Ibrahim, S., editors. (2020). Potential Shortages of Hydroxychloroquine for Patients with Lupus during the Coronavirus Disease 2019 Pandemic. JAMA Health Forum: American Medical Association. Published online 10 April 2020. https://doi.org/10.1001/jamahealthforum.2020.0438
  • Ministry of Health, Zambia. (2020). MoH warns against self-medicating, as COVID-19 deaths hit 200. News Diggers! Available at: https://diggers.news/local/2020/08/07/moh-warns-against-self-medicating-as-covid-19-deaths-hit-200/
  • Molento, M. B. (2020). COVID-19 and the rush for self-medication and self-dosing with Ivermectin: A word of caution. One Health, 10, 100148. https://doi.org/10.1016/j.onehlt.2020.100148
  • Mudenda, S. (2020). Coronavirus Disease (COVID-19): A Global Health Problem. Int J Pharm Pharmacol, 4, 141. https://doi.org/10.31531/2581-3080.1000141
  • Mudenda, S., Bangara, F. F, Sitali, J. and Banda, M. (2019). Knowledge, attitude, and practices on antibiotic resistance among Pharmacists at the University Teaching hospitals in Lusaka, Zambia. Journal of Harmonized Research in Pharmacy, 8, 12-24. https://doi.org/10.30876/JOHR.8.2.2019.12-24
  • Mudenda, S., Hankombo, M., Saleem, Z., Sadiq, M. J., Banda, M., Munkombwe, D., Mwila, C., et al. (2020b). Knowledge, Attitude, and Practices of Community Pharmacists on Antibiotic Resistance and Antimicrobial Stewardship in Lusaka, Zambia. medRxiv. https://doi.org/10.1101/2020.08.27.20181826
  • Mudenda, S., Zulu, A., Phiri, M. N., Ngazimbi, M., Mufwambi, W., Kasanga, M. and Banda, M. (2020a). Impact of Coronavirus Disease 2019 (COVID-19) on College and University Students: A Global Health and Education Problem. Aquademia, 4(2), ep20026. https://doi.org/10.29333/aquademia/8494
  • Nasir, M., Talha, K. A., Chowdhury, A. S., Zahan, T. and Perveen, R. A. (2020). Prevalence, Pattern and Impact of Self Medication of Anti-infective Agents during COVID-19 Outbreak in Dhaka City. https://doi.org/10.21203/rs.3.rs-57011/v1
  • Onchonga, D., Omwoyo, J. and Nyamamba, D. (2020). Assessing the Prevalence of Self-Medication among Healthcare Workers before and during the 2019 SARS-CoV-2 (COVID-19) Pandemic in Kenya. Saudi Pharmaceutical Journal, 28(10), 1149-1154. https://doi.org/10.1016/j.jsps.2020.08.003
  • Phiri, M. N., Banda, M., Mudenda, S., Ngazimbi M, Hangoma J, Mufwambi W., et al. (2020). Coronavirus Disease 2019 (COVID-19): The Role of Pharmacists in the Fight against COVID-19 Pandemic. Int J Pharm Pharmacol, 4, 143. https://doi.org/10.31531/2581-3080.1000143
  • Rahman, M. T. and Idid, S. Z. (2020). Can Zn Be a Critical Element in COVID-19 Treatment? Biol Trace Elem Res, 1-9. https://doi.org/10.1007/s12011-020-02194-9
  • Saleem, Z., Hassali, M. A. and Hashmi, F. K. (2018). Pakistan’s national action plan for antimicrobial resistance: translating ideas into reality. Lancet Infect Dis, 18(10), 1066-1067. https://doi.org/10.1016/S1473-3099(18)30516-4
  • Sanders, J. M., Monogue, M. L., Jodlowski, T. Z. and Cutrell J. B. (2020). Pharmacologic Treatments for Coronavirus Disease 2019 (COVID-19): A Review. JAMA, 323, 1824-1836. https://doi.org/10.1001/jama.2020.6019
  • Wang, M., Jiang, A., Gong, L., Luo, L., Guo, W., Li, C., Zheng, J., Li, C., Yang, B., Zeng, J. and Chen, Y. (2020). Temperature significant change COVID-19 Transmission in 429 cities. MedRxiv. https://doi.org/10.1101/2020.02.22.20025791
  • Wong, L., Hawkins, J., Langness, S., Murrell, K. L., Iris, P. and Sammann, A. (2020). Where are all the patients? Addressing covid-19 fear to encourage sick patients to seek emergency care. NEJM Catal Innov Care Deliv. https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0193
  • World Health Organization (WHO). (2020). Modes of Transmission of Virus Causing COVID-19: Implications for IPC Precaution Recommendations: Scientific Brief, 27 March 2020. Available at: https://apps.who.int/iris/handle/10665/331601
  • Zambia Situation Report. (2020). Reliefweb. Available at: https://reliefweb.int/report/zambia/zambia-situation-report-20-august-2020 (Accessed: 22 August 2020).
  • Zhang, J., Wang, S. and Xue, Y. (2020). Fecal specimen diagnosis 2019 novel coronavirus-infected pneumonia. J. Med. Virol, 92, 680-682. https://doi.org/10.1002/jmv.25742
  • Zulu, A., Matafwali, S. K., Banda, M. and Mudenda, S. (2020). Assessment of knowledge, attitude and practices on antibiotic resistance among undergraduate medical students in the school of medicine at the University of Zambia. Int J Basic Clin Pharmacol, 9, 263-270. https://doi.org/10.18203/2319-2003.ijbcp20200174
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