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Visceral leishmaniasis-associated mortality in Bangladesh: a retrospective cross-sectional study.

Huda MM, Chowdhury R, Ghosh D, Dash AP, Bhattacharya SK, Mondal D - BMJ Open (2014)

Bottom Line: Tribal ethnicity had an 18 times (OR=18.1, 95% CI 3.6 to 90.6) higher risk for VL deaths compared with Bangali ethnicity (p<0.0001).VL deaths were found to be high in the study areas and were under-reported.The national VL Elimination Programme should give special attention to the tribal community in the endemic areas, especially for those in Rajshahi, and should strengthen VL surveillance by including tertiary hospitals in the national surveillance system.

View Article: PubMed Central - PubMed

Affiliation: Centre for Population, Urbanization and Climate Change, icddr,b, Dhaka, Bangladesh.

No MeSH data available.


Related in: MedlinePlus

Study profile (HH, household; VA, verbal autopsy; VL, visceral leishmaniasis).
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BMJOPEN2014005408F1: Study profile (HH, household; VA, verbal autopsy; VL, visceral leishmaniasis).

Mentions: The study design was retrospective cross-sectional. As mentioned above, we selected Trishal and Godagari subdistricts and one endemic union from each subdistrict was taken randomly (figure 1). The trained field research assistants (FRAs) visited each household, made household rosters and collected sociodemographic information from the head of the household. During their visit, FRAs also identified households with past cases of VL, any death and suspected VL deaths within the past 2 years. To minimise recall bias, the FRAs used probing with different events (mainly religious festivals) that occurred during the past 2 years from the date of the interview. We defined a suspected VL death as a death with a history of VL treatment or a death with an illness associated with two or more weeks of fever, plus at least one of the following: weight loss, enlarged abdomen, abdominal pain and/or skin darkening. Then the VA method was applied to confirm the suspected VL death (please see below). A household with a VL death confirmed by VA was defined as a VL death household. The household with a history of VL but no deaths in the past 2 years was defined as a VL cured household (figure 1). Household heads from both VL death and VL cured households were interviewed by the FRAs with a structured questionnaire for collection of information about the households’ socioeconomic status, knowledge about VL and its vector, and for information about the treatment seeking behaviour used. At the same time, the coordinates (longitude and latitude) of all the households in the study area were recorded using eTrex Venture Garmin single handheld GPS receivers.


Visceral leishmaniasis-associated mortality in Bangladesh: a retrospective cross-sectional study.

Huda MM, Chowdhury R, Ghosh D, Dash AP, Bhattacharya SK, Mondal D - BMJ Open (2014)

Study profile (HH, household; VA, verbal autopsy; VL, visceral leishmaniasis).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4120369&req=5

BMJOPEN2014005408F1: Study profile (HH, household; VA, verbal autopsy; VL, visceral leishmaniasis).
Mentions: The study design was retrospective cross-sectional. As mentioned above, we selected Trishal and Godagari subdistricts and one endemic union from each subdistrict was taken randomly (figure 1). The trained field research assistants (FRAs) visited each household, made household rosters and collected sociodemographic information from the head of the household. During their visit, FRAs also identified households with past cases of VL, any death and suspected VL deaths within the past 2 years. To minimise recall bias, the FRAs used probing with different events (mainly religious festivals) that occurred during the past 2 years from the date of the interview. We defined a suspected VL death as a death with a history of VL treatment or a death with an illness associated with two or more weeks of fever, plus at least one of the following: weight loss, enlarged abdomen, abdominal pain and/or skin darkening. Then the VA method was applied to confirm the suspected VL death (please see below). A household with a VL death confirmed by VA was defined as a VL death household. The household with a history of VL but no deaths in the past 2 years was defined as a VL cured household (figure 1). Household heads from both VL death and VL cured households were interviewed by the FRAs with a structured questionnaire for collection of information about the households’ socioeconomic status, knowledge about VL and its vector, and for information about the treatment seeking behaviour used. At the same time, the coordinates (longitude and latitude) of all the households in the study area were recorded using eTrex Venture Garmin single handheld GPS receivers.

Bottom Line: Tribal ethnicity had an 18 times (OR=18.1, 95% CI 3.6 to 90.6) higher risk for VL deaths compared with Bangali ethnicity (p<0.0001).VL deaths were found to be high in the study areas and were under-reported.The national VL Elimination Programme should give special attention to the tribal community in the endemic areas, especially for those in Rajshahi, and should strengthen VL surveillance by including tertiary hospitals in the national surveillance system.

View Article: PubMed Central - PubMed

Affiliation: Centre for Population, Urbanization and Climate Change, icddr,b, Dhaka, Bangladesh.

No MeSH data available.


Related in: MedlinePlus