Visceral Leishmaniasis Eradication is a Reality: Data from a Community-based Active Surveillance in Bangladesh
| Autor: | Mohammad S. Alam, Yukiko Wagatsuma, Makoto Itoh, Farhana Ferdousi, Enbo Ma, Rashidul Haque, Dinesh Mondal, Mohammad Sharif Hossain |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Community based
Bed nets Veterinary medicine medicine.medical_specialty education.field_of_study Bangladesh business.industry Incidence (epidemiology) Population active surveillance Public Health Environmental and Occupational Health Leishmaniasis medicine.disease Infectious Diseases Visceral leishmaniasis rK39 dipstick test Environmental health Epidemiology Medicine visceral leishmaniasis risk factors Original Article business education Socioeconomic status |
| Zdroj: | Tropical Medicine and Health |
| ISSN: | 1349-4147 1348-8945 |
| Popis: | More than 20 million people in Bangladesh are considered at risk of developing visceral leishmaniasis (VL). A community-based active surveillance was conducted in eight randomly selected villages in a highly endemic area of Bangladesh from 2006 to 2008. A total of 6,761 individuals living in 1,550 mud-walled houses were included in the active surveillance. Rapid rK39 dipstick tests were conducted throughout the study period to facilitate the case diagnosis. Individuals with previous or current clinical leishmaniasis were identified on the basis of the case definition of the VL elimination program. Untreated cases of suspected VL were referred to the hospital for treatment. Socioeconomic and environmental information including bed net use was also collected. In 2006, the annual incidence of clinical leishmaniasis in the study area was 141.9 cases per 10,000 population, which was significantly increased by the following year owing to community-based active surveillance for case detection and reporting. However, early case detection and early referral for treatment led to a significant decrease in incidence in 2008. This study suggests that community-based active surveillance using a simple diagnostic tool might play a role in achieving the goal of the VL elimination program. |
| Databáze: | OpenAIRE |
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