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Research Detail

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T.M. Rafiqul Islam
Department of Botany, Faculty of Bio-Sciences, University of Barishal, Barishal 8200, Bangladesh

Jannatul Ferdousi
Department of Botany, Faculty of Bio-Sciences, University of Barishal, Barishal 8200, Bangladesh

Md Shahinozzaman
Department of Botany, University of Rajshahi, Rajshahi 6205, Bangladesh

Several plants have traditionally been used since antiquity to treat various gastroenteritis and respiratory symptoms similar to COVID-19 outcomes. The common symptoms of COVID-19 include fever or chills, cold, cough, flu, headache, diarrhoea, tiredness/fatigue, sore throat, loss of taste or smell, asthma, shortness of breath, or difficulty breathing, etc. This study aims to find out the plants and plant-derived products which are being used by the COVID-19 infected patients in Bangladesh and how those plants are being used for the management of COVID-19 symptoms. In this study, online and partially in-person survey interviews were carried out among Bangladeshi respondents. We selected Bangladeshi COVID-19patients who were detected Coronavirus positive (+) by RT-PCR nucleic acid test and later recovered. Furthermore, identified plant species from the surveys were thoroughly investigated for safety and efficacy based on the previous ethnomedicinal usage reports. Based on the published data, they were also reviewed for their significant potentialities as antiviral, anti-inflammatory, and immunomodulatory agents. We explored comprehensive information about a total of 26 plant species, belonging to 23 genera and 17 different botanical families, used in COVID-19 treatment as home remedies by the respondents. Most of the plants and plant-derived products were collected directly from the local marketplace.According to our survey results, greatly top 5 cited plant species measured as per the highest RFC value are Camellia sinensis(1.0) >Allium sativum(0.984) >Azadirachta indica(0.966) >Zingiber officinale(0.966) >Syzygium aromaticum(0.943). Previously published ethnomedicinal usage reports, antiviral, anti-inflammatory, and immunomodulatory activity of the concerned plant species also support our results. Thus, the survey and review analysis simultaneously reveal that these reported plants and plant-derived products might be promising candidates for the treatment of COVID-19. Moreover, this study clarifies the reported plants for their safety during COVID-19 management and thereby supports them to include in any future pre-clinical and clinical investigation for developing herbal COVID-19therapeutics.

  Ethnobotany, Bangladesh, Traditional home remedies, Medicinal plants, COVID-19
  In Bangladesh
  
  
  Pest Management
  COVID-19

The review analysis was done in the light of literature references of past ethnomedicinal use reports of the studied plant species treated in other gastroenteritis and respiratory diseases similar toCOVID-19 symptoms. Besides, we reviewed the studied plant species by their published data related to antiviral, anti-inflammatory, and immunomodulatory activities.

2.1. Study technique and sampling of the informants Primary and secondary data were used and analyzed qualitatively and quantitatively to conduct the study. A survey was conducted throughout the country to collect the primary data from the participants being infected with COVID-19 and recovered eventually. A semi-structured and open-ended questionnaire was adopted for this survey, partially followed by Martin (1995) and Alexiades and Sheldon (1996). To facilitate a better understanding, the questionnaire was prepared in the Bengali language. The participants were asked about what traditional home remedies based on plant and plant-derived products they used to recover from COVID-19. Questionnaires were converted to Google Docs form via Google service to make the online survey easier and faster. The Google Docs questionnaire form was shared among selective people using the snowball-sampling technique through online-based various social media platforms such as FacebookÓ, Messen-gerÓ, WhatsAppÓ, email, and other online platforms. In addition to the online survey, the printed questionnaire form was supplied to apart a number of participants who are less knowledgeable and uninterested in the online platform. After all, the necessary questionnaire data was collected by contacting them over the mobile phone. Initially, the questionnaire was sent to FacebookÓfriendsand other personal acquaintances who were known and confirmed to be infected with COVID-19, and special requests were made for answering the questionnaire. They were later requested to send the questionnaire form to their acquaintances who had been infected and recovered from COVID-19.

2.2. Data collection2.2.1. Ethical statementThe study was conducted following the ethical guidelines formulated by the American Anthropological Association (2012) and the Code of Ethics of the International Society of Ethnobiology(with  2008  additions).  2006;  (http://www.ethnobiology.net/what-we-do/core-programs/ise-ethics-program/code-of-ethics/-code-in-English/). Ethical approval was taken from the Research and Ethics Committee, Department of Botany, University of Barishal, Bangladesh (approval number-BU/BOT/01/20). Before all interviews, we explained the aims and objectives of the study and obtained verbal informed consent from each respondent participating in the study. They have also been assured that their personal information would be kept confidential and obtained data will be used for research purposes only.

2.2.2. Primary data: To gather primary data, 436 respondents were interviewed from June to December 2020. It should be noted that in the case of respondent selection, only those were considered who were confirmed their infection and recovery with COVID-19 through RT-PCR nucleic acid test results. The data is collected and aggregated and sorted into different categories based on different titles in the Excel sheet. In the case of data on plants and plant-derived products used in the treatment of COVID-19 in the home-traditional method, the scientific names, family, and other botanical information of these plants were recorded with the help of standard literature books and the internet. All scientific names of plants were further reviewed and checked through the standardized database (http://www.theplantlist.org, Version 1.1). The herbarium voucher specimens were prepared and stored in the herbarium of the Department of Botany, University of Barishal, Bangladesh based on the availability of plant species found in the nearby area of our locations. Since most of the plants and plant-derived products used in COVID-19 treatment were collected from local marketplaces and some of the plants are not endemic in Bangladesh, therefore, herbarium sheets and/or voucher specimens of all their plants could not be prepared and stored except for a few.

.2.3. Secondary data: The primary data obtained by the survey are further explained by the secondary data. Secondary data were generated from literature references of published articles on ethnomedicinal uses and pharmacological evidence related to antiviral, anti-inflammatory, and immunomodulatory activities of the studied plant species. To scientifically interpret the possible potentiality of the obtained primary data to fight against COVID-19, many published articles connected to the ethnobotanical study, antiviral activity, and bioactive compounds responsible for their antiviral properties were down-loaded from various bibliographical databases such as Science Direct Ò, PubMedÒ, ScopusÒ, Google ScholarÒ, etc., and reviewed. The keywords used for searching the ethnobotanical use / antiviral activity and phytochemical compounds responsible for inhibitingthe  virus of  the  respective  plant/anti-inflammatory and immunomodulatory activity were ‘‘ethnomedicinal use + scientific names of related plants, antiviral activity + scientific names of related plants, anti-inflammatory activity + scientific names of related plants and immunomodulatory activity + scientific namesof related plants”; as - antiviral activity+ Allium cepaL., ‘‘ anti-inflammatory activity + scientific names of related plants”, and/or ‘‘immunomodulatory activity + scientific names of related plants”.

2.2.4. Data analysis: Obtained primary and secondary data were systematically arranged in tabulated form using Microsoft Excel spreadsheets. The data were then analyzed and computed to determine the values of different variables such as socio-demographics of the informants, quantitative ethnomedicinal data such as Frequency Citation (FC), Relative Frequency Citation (RCF), Use Reports (UR) and use value (UV) for all plant species. Besides, all types of graphs, charts, and figures were prepared using statistical equations in Microsoft Excel 2013.

 

 

  Saudi Journal of Biological Sciences,
  https://doi.org/10.1016/j.sjbs.2021.07.036
Funding Source:
1.   Budget:  
  

The present study reveals that the Bangladeshi COVID-19patients used 26 different plants and their products to manage and mitigate the COVID-19 symptoms. Literature review analysis supports the antiviral properties of these investigated plants, especially against several positive-sense (+) single-stranded RNA viruses. Review analysis also showed the anti-inflammatory and immunomodulatory effects of these plants in the human body. These all shreds of evidence support the effective use of these plants and their products in the prevention and management of corvid-19 symptoms. It also shows strong evidence, rationales, and scientific claims for the efficacy of COVID-19 treatment. Thus, the plants studied in this investigation might play an important role as safe home-based therapeutics for protecting us from the deadly pandemic COVID-19 viral infection. This study may be a very plausible platform for exploring plant-based drugs and vaccines for COVID-19 therapy through in Vitro and/or in vivo pharmacological studies. Although several COVID-19 vaccines candidates have already been developed. However, there arise mixed responses among the public about their actual effectiveness. Moreover, the vaccine is not readily available to the marginalized population.  On  the  other  hand,  these  plant-based  traditional remedies are easily accessible to marginalized people. Its side effects are considered as very low and negligible and their use and utilization are recognized as safe. Therefore we recommend that patients with mild symptoms of COVID-19 can easily use plant-based traditional therapies that could reduce the overall risk of COVID-19 such as morbidity and mortality.

  Journal
  


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