Health Bulletin 2009

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trained on morbidity control management. A Filaria Hospital has been established at Syedpur of Nilphamari in January 2003, which is the only center in the world. The disease mainly prevails in the northern parts of Bangladesh. Division-wise distribution of filariasis patients by body parts affected (01 Jan-28 Dec 2008 ) Source: Filariasis, Elimination Programme, Disease Control Unit, CDC,(2008) DGHS, Bangladesh. Two Drugs 30
Treatment Schedule (once in a year for 5 consecutive years) Age (100 mg) Tab Diethyl Carbamazine (400 mg) Tab Albandazole 2-8 yrs > 8 -12 yrs 1 Tab 1 Tab 2 Tab 1 Tab >12yrs 3 Tab 1 Tab Diarrhea The Diarrheal disease is endemic in all countries of the South East Asia Region that includes Bangladesh. This disease constellation comprises of five major diseases, which causes the bulk of the under five mortality in Bangladesh. The diseases are associated with unsafe water and poor sanitation coupled with poor food handling practices and bottle-feeding of infants during the first few months of life. The main cause of death from acute diarrhoea is dehydration resulting from loss of fluids and electrolytes. Other causes of death are dysentery and malnutrition resulting from incorrect management of diarrhoea.Globally there are an estimated 1.8 billion episodes of childhood diarrhoea each year and diarrhoeal diseases, including dysentery, claim the lives of three million children annually. A regional programme for the control of diarrhoeal disease has been in operation since 1979. The diarrhoeal diseases are of two types eatery diarrhoea and bloody diarrhoea (dysentery). Several microorganisms cause the disease, but major organisms responsible for the disease are V. cholera and Shigella. V.cholerae is responsible for cholera which is endemic in all countries of the South East Asia Region. Diarrhoeal Report by Division and by Year (2001-2008) Division Year 2001 Year 2002 Year 2003 Year 2004 Year 2005 Year 2006 Year 2007 Year 2008 Attack Death Attack Death Attack Death Attack Death Attack Death Attack Death Attack Death Attack Death Barisal 25202 33 19869 19 14412 11 17986 19 15078 12 29072 5 31695 5 42584 12 Chittagong 337838 166 512215 296 379276 265 432829 277 405446 162 363710 84 446965 148 410195 123 Dhaka 518951 101 667406 140 610181 221 606782 172 606302 165 654172 46 710972 180 808390 160 Khulna 349735 56 528556 60 455683 82 401339 98 428502 81 413268 32 445631 37 476231 26 Rajshahi 412531 65 519503 121 528211 285 474848 382 441132 247 349203 49 661969 88 372203 38 Sylhet 213207 100 251296 96 209156 168 198650 119 144467 27 152425 23 178094 79 185376 34 Total 1857464 521 2498845 732 2196919 1032 2132434 1067 2040927 694 1961850 239 2335326 537 2294979 393 Division-wise case fatality rate of diarrhea in Bangladesh (2001-2008) Division Y2001 Y2002 Y2003 Y2004 Y2005 Y2006 Y2007 Y2008 Barisal 0.13 0.10 0.08 0.11 0.08 0.02 0.02 0.03 Chittagong 0.05 0.06 0.07 0.06 0.04 0.02 0.03 0.03 Dhaka 0.02 0.02 0.04 0.03 0.03 0.01 0.02 0.02 Khulna 0.02 0.01 0.02 0.02 0.02 0.01 0.01 0.01 Rajshahi 0.02 0.02 0.05 0.08 0.06 0.01 0.02 0.01 Sylhet 0.05 0.04 0.08 0.06 0.02 0.02 0.04 0.02 Average 0.03 0.03 0.05 0.05 0.03 0.01 0.02 0.02 Source: Director, Disease Control, DGHS, Mohakhali, Dhaka 31
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Acknowledgement Professor Dr AFM Ru
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viii
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IEC IEDCR IHSM IMHR IMR IOL IPH IPH
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CONTENTS Bangladesh- Basic Informat
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Climate Bangladesh has a tropical m
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District-wise distribution of popul
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District-wise distribution of popul
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Health care delivery systems of Ban
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one MLSS. Number of USC is 1,362; t
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A. GEOGRAPHY Basic Information and
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Health Related Millennium Developme
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Demand side financing: Maternal Hea
Page 35 and 36: The community skilled birth attenda
Page 37 and 38: Essential Service Delivery. To simp
Page 39 and 40: In-patient children in IMCI upazila
Page 42 and 43: Sex distribution of causes of death
Page 44 and 45: Distribution of causes of death wit
Page 46 and 47: Routine Immunization Coverage by Di
Page 48 and 49: Support service and coordination fo
Page 50 and 51: Facility Based Health Services Hosp
Page 52 and 53: No. of different types of hospitals
Page 54 and 55: Other Special Purpose Hospitals und
Page 56 and 57: Dhaka 32 Tangail 250 100 150 0 0 Kh
Page 58 and 59: Number of hospitals with bed capaci
Page 60 and 61: Indoor and outdoor statistics of di
Page 62 and 63: Indoor & outdoor Statistics of Lepr
Page 64 and 65: Barguna 100 12932 13084 26016 224 1
Page 66 and 67: and a well equipped radioimmunoassa
Page 68 and 69: Patient statistics of SSFP during J
Page 70 and 71: Morbidity Profile National level Th
Page 73 and 74: Medical College Hospitals In Bangla
Page 75 and 76: hospitals), 5 medical college hospi
Page 77 and 78: Improved Hospital Services Manageme
Page 79 and 80: Control of communicable diseases Th
Page 81 and 82: Malaria Malaria is one of the major
Page 83 and 84: In Bangladesh, all age groups are a
Page 85: Filariasis Filariasis is a mosquito
Page 89 and 90: Source: Nipah in short, 2006, Dr. B
Page 91 and 92: HIV Prevalence over the Rounds Sali
Page 93 and 94: Avian Influenza (Bird flu) Avian In
Page 95 and 96: Leprosy Elimination of leprosy as a
Page 97 and 98: Emergency Preparedness & Response (
Page 99: Response to Super Cyclone SIDR Supe
Page 102 and 103: Non-communicable disease There have
Page 104 and 105: Rheumatic heart disease (RHD) Rheum
Page 106 and 107: Number of Cancer patients treated a
Page 108 and 109: Bladder Stone 100 110 210 BOO 200 2
Page 110 and 111: Substance abuse with Complication 5
Page 112 and 113: Since 2005, in Dhaka Medical Colleg
Page 114 and 115: The prerequisites for establishing
Page 116 and 117: Nutrition Nutritional status of peo
Page 118 and 119: Prevalence (%) of low birth weight
Page 120 and 121: vi. Behavior change communication (
Page 122 and 123: Reduction of Protein Energy Malnutr
Page 124 and 125: Committee (BRAC),2003 and Helen Kel
Page 126 and 127: • Development, field testing and
Page 128 and 129: • Interpersonal communication and
Page 135 and 136: Alternative Medical Care (AMC) Alte
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Other Public Health Interventions T
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• Epidemiology of Influenza in Ba
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2007 24,46,900 4,89,380 34,955 4,83
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2007 5992 3488 58.2% 2504 41.8% 200
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Rubella Positive 0 55 609 164 432 2
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without antibiotics in adjunct to s
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Institute-wise distribution of ongo
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• Adolescent pregnancy is an emer
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• Awareness about otitis media am
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• Socio-demographic profile and h
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• Evaluation of results of open r
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• Clinical Presentation of pregna
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• Comparative study of early and
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Pathology • A comparative study o
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• Role of heparin in the manageme
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• Screening for risk factors of D
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• Free conjunctival graft and amn
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• Prevalence and risk factor of u
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104
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Alternative Medical Care Fourty fiv
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8. Sher-e-Bangla Medical College, B
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Number of seats in the different po
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Private medical colleges and their
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It is estimated that there are over
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116
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Production of community based skill
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Production of medical technologists
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Institute of Health Technology in p
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Training Achievement of In-Service
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Programme/ Administrative Managemen
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128
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Health MIS in Bangladesh Introducti
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What are the types of data the heal
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The data handling environment is st
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success. The relatively few intelli
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Staff profile of MIS (health), DGHS
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6. Internet mail server under own d
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142
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facilities will need to create thei
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population; reaching people living
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Allocation, Expenditures and Progre
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Annex Division and district wise no
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Division and district wise no. of d
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Khulna Division (contd...) 158
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Health Bulletin 2009

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