| Visceral leishmaniasis: consequences of a neglected disease in a Bangladeshi community. | |
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MedLine Citation:
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PMID: 14740879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Visceral leishmaniasis, or kala azar (KA), affects the rural poor, causing significant morbidity and mortality. We examined the epidemiologic, social, and economic impact of KA in a village in Bangladesh. A population-based survey among 2,348 people demonstrated a KA incidence of 2% per year from 2000 to 2002, with a case-fatality rate of 19% among adult women, compared with 6-8% among other demographic groups. Kala azar cases were geographically clustered in certain sections of the village. Anti-leishmanial drug shortages and the high cost of diagnosis and treatment caused substantial emotional and economic hardship for affected families. Communities wanted to learn more about KA, and were willing to take collective action to confront the problems it causes. To decrease the KA burden in endemic areas, community efforts should be supplemented with effective treatment programs to ensure access to appropriate and affordable diagnosis and case management. |
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Authors:
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Indu B Ahluwalia; Caryn Bern; Cristiane Costa; Tangin Akter; Rajib Chowdhury; Mustakim Ali; Didarul Alam; Eben Kenah; Josef Amann; Meghla Islam; Yukiko Wagatsuma; Rashidul Haque; Robert F Breiman; James H Maguire |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American journal of tropical medicine and hygiene Volume: 69 ISSN: 0002-9637 ISO Abbreviation: Am. J. Trop. Med. Hyg. Publication Date: 2003 Dec |
Date Detail:
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Created Date: 2004-01-26 Completed Date: 2004-02-06 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370507 Medline TA: Am J Trop Med Hyg Country: United States |
Other Details:
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Languages: eng Pagination: 624-8 Citation Subset: AIM; IM |
Affiliation:
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Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Antiprotozoal Agents / supply & distribution Bangladesh / epidemiology Child Endemic Diseases Female Geography Humans Incidence Leishmaniasis, Visceral / economics, epidemiology*, etiology, mortality, prevention & control* Male Medically Underserved Area Middle Aged Sex Factors Socioeconomic Factors |
| Chemical | |
Reg. No./Substance:
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0/Antiprotozoal Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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