@article{PAR00008240,
  title = {{T}reatment of leishmaniasis in the {O}yapock basin ({F}rench {G}uiana) : a {KAP} survey and analysis of the evolution of phytotherapy knowledge amongst {W}ayapi {I}ndians},
  author = {{O}donne, {G}. and {B}erger, {F}. and {S}tien, {D}. and {G}renand, {P}ierre and {B}ourdy, {G}enevi{\`e}ve},
  editor = {},
  language = {{ENG}},
  abstract = {{E}thnopharmacological relevance: {C}utaneous leishmaniasis is a neglected disease with a high incidence in {F}rench {G}uiana, mainly in the middle and upper {O}yapock basin, where {A}merindian and some {B}razilian people live. {T}he main goals of this work were (i) to assess the knowledge about leishmaniasis in the different populations of the middle and upper {O}yapock basin, (ii) to study the therapeutic strategies adopted by people affected by leishmaniasis and (iii) to document the use of phytotherapeutic remedies for leishmaniasis. {K}nowledge, attitudes and practices ({K}.{A}.{P}.) related to this disease and its treatments have been studied according to cultural group and geographical settlement. {W}ithin the {W}ayapi group, the evolution of the knowledge of phytoremedies over the last 20 years has been characterised by literature-based comparisons. {M}aterials and methods: {A} total of 144 questionnaires were administered in all the villages of the upper {O}yapock and {C}amopi basins. {C}orrespondence analyses were used for multivariate analysis. {P}lant species were identified at the {C}ayenne {H}erbarium ({CAY}). {R}esults: {T}he biomedical concept of leishmaniasis correlates well with the {T}eko and {W}ayapi concepts of kalasapa and kalasapau. {A}lthough the vector of this disease was not correctly identified, the most commonly cited aetiology (74.5%) was vector-borne, and related epidemiological schemes correlate well with the one encountered in {F}rench {G}uiana. {T}heoretically and practically, health centres were the most commonly used resource for diagnostic in instances of leishmaniasis infection (65.9%), independently of the patient's cultural group, along with the use of pharmaceutical drugs (85.3%). {P}harmaceuticals were commonly utilised despite the frequent (51.5%) use of phytotherapeutic remedies, alone or in combination with drugs. {T}he most cited medicinal plant species for the treatment of leishmaniasis included {E}leutherine bulbosa ({M}ill.) {U}rb. ({I}ridaceae, cited 14 times), {E}uterpe oleracea {M}art. ({A}recaceae, 9), {C}ecropia obtusa {T}recul ({C}ecropiaceae, 8), {J}atropha curcas {L} ({E}uphorbiaceae, 7), {C}eiba pentandra ({L}) {G}aertn. ({B}ombacaceae, 6) and {C}arica papaya {L} ({C}aricaceae, 6). {M}ultiple correspondence analyses demonstrated that the species used in leishmaniasis remedies are more prone to vary by the user's place of residence than by their cultural origin, which indicates that exchange of knowledge about leishmaniasis remedies has occurred across different cultural groups. {L}iterature-based comparisons between the remedies for leishmaniasis used by the {W}ayapi during the 1980s showed a striking evolution, both in terms of diversity of species and number of plants used. {T}he large number of species shared with other {G}uianese groups argues for intercultural exchange and may explain the majority (57.1%) of the newly used species highlighted in our study. {C}onclusions: {L}eishmaniasis is a well-known disease in the studied area. {P}hytotherapeutic treatments are still in use, although they are not the main source of remedies, and should undergo pharmacological studies to evaluate their potential therapeutic value.},
  keywords = {{L}eishmaniasis ; {T}raditional remedies ; {K}nowledge attitude and practices ; {KAP} ; {F}rench {G}uiana ; {W}ayapi ; {T}eko ; {O}yapock {R}iver ; {C}amopi {R}iver ; {I}ntercultural exchanges ; {K}nowledge evolution ; {Q}uantitative ; ethnopharmacology},
  booktitle = {},
  journal = {{J}ournal of {E}thnopharmacology},
  volume = {137},
  numero = {3},
  pages = {1228--1239},
  ISSN = {0378-8741},
  year = {2011},
  DOI = {10.1016/j.jep.2011.07.044},
  URL = {https://www.documentation.ird.fr/hor/{PAR}00008240},
}