key: cord-0820657-u5hg9i28 authors: Lowe, Mat title: Using rapid online survey to assess public perceptions of Covid-19 in Gambia date: 2020-05-12 journal: Pan Afr Med J DOI: 10.11604/pamj.supp.2020.35.2.22794 sha: a71c831a51ba55175666c8c6851957d472696cdf doc_id: 820657 cord_uid: u5hg9i28 nan Coronavirus disease (Covid-19), which started in Wuhan, China, in December 2019 [1, 2] , is an ongoing global pandemic that has led to confusion, anxiety and fear throughout the whole world [3, 4] . In the Gambia, since the first case of Covid-19 was confirmed on March 17, 2020 [5] , series of public health measures including case detection, contact tracing and quarantine, guidance and information to the public have been implemented. Other response strategies such as closure of schools, land borders and airspaces, travel restriction for public officials, and suspension of public gatherings have also been adopted [6] [7] [8] . However, to ensure adherence to these measures and to facilitate the prevention and management of Covid-19 in the Gambia, there is an urgent need to understand people´s perceptions of the disease, including it severity. This letter to the editors is a report of a rapid online crosssectional survey that was conducted to assess the perceived severity of Covid-19 among adult population in the Gambia. The survey was conducted from April 4-8, 2020. It was administered through Instant Message via WhatsApp Application and using Google Doc Form. A total of 206 respondents participated in the survey. Of these, (56%) were males and (43.5%) were females. Their ages ranged from 20 to 64 years old and more than half (69%) have university education. Drawing from the data presented in (Table 1) , (62.6%) of respondents reported being very worried for themselves and their family members of contracting coronavirus. (68.5%) were also very worried that there will be many cases of coronavirus in the Gambia and (70%) were not too confident that the healthcare system will be able to handle many cases of coronavirus. Most respondents (98%) believed that Covid-19 is a disease that could be spread very easily and (54%) regarded death as their biggest fear towards the Covid-19 pandemic (Figure 1 ). Although the findings reported in this letter to the editors were selfreported and limited to individuals with a higher level of education, the findings showed high level of worry and fear related to Covid-19 among adult Gambian population. This reality must be considered when communicating risks and providing guidance and information to the public, as revealed by a previous study that with high level of fear, individuals may not think clearly and rationally when reacting to Covid-19 [9] . The findings also revealed that a significant number of respondents (70%) had less confidence in the Gambian healthcare system capacity to handle many cases of coronavirus. Ensuring confidence in the healthcare system was a challenge during the Ebola virus disease response and recovery efforts [10] , which must also be taken into consideration in current Covid-19 response strategies and interventions in the Gambia. The author declares no competing interests. This letter to the editors and the study presented was conceptualized, design and written by Mat Lowe. He collected and analyzed the data, and wrote the first and final draft of the paper. Disease spreads very easily 199 (98%) Disease spreads not very easily 4 (2%) Note: % represents respondents who provided responses Report of the WHO-China Joint. Mission on Coronavirus Disease 2019 (COVID-19) World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19-11 Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic Figures of the week: Perceptions of COVID-19 in South Africa, Kenya and Nigeria Gambia confirms first coronavirus case. Anadolu Agency COVID-19: Gambia, Senegal to close border for 21 days Information on COVID-19 Testing at the MRC Unit The Gambia at LSHTM Public gatherings banned, schools & universities closed from today The Fear of COVID-19 Scale: Development and Initial Validation Public Confidence in the Health Care System 1 Year After the Start of the Ebola Virus Disease Outbreak-Sierra Leone I am grateful to the respondents for their participation in the study.