Year: 2019, Issue: December
Prevalence of visceral leishmaniasis, risk factors and associated disorders in Fulbaria, Mymensingh district
Anindita Rani Bhowmick and Hamida Khanum
Prevalence, Visceral leishmaniasis, Risks, Disorders.
A total of 215 cases were recorded from the rural areas of Fulbaria upazila. The prevalence of kala-azar was higher in male (51.22%) than female (36.96%). In the area, 10.1-20 years age group was the most prevalent group and the prevalence was found to decrease with the increase of age. Post Kala-azar Dermal Leishmaniasis (PKDL) was developed in 38.14% of KA patients of Fulbaria upazila. In case of living in mud house, the prevalence of KA was found 63.89% and when living in tin shed house but with earthen floor, the prevalence was 58.79%. On the other hand, 10.31% had associated with single infection, 21.65% double infection and 68.04% had multiple infection. Living in proximity to prior case, climatic change, racked mud house, humid area, cattle sheds made of cracked mud walls, poor economical condition, malnutrition, illiteracy, incomplete treatment, lack of awareness and knowledge regarding kala azar were the risk factors. Total 45 professionals were interviewed in the Upazila Health Complex and Upazila SubCeAnters of the study area through a preset questionnaire. Of them, 71.11% had the appropriate acquaintance about the agent (Leishmania donovani) of kala-azar and 35.29% professionals had the correct comprehension regarding the reservoir of kala-azar (man). Most of them (91.11%) recommended rK 39 dipstick test as the single most important diagnostic blood test and Miltefosine and Amphotericin B are the most recommended drugs for treatment of kala-azar. About 54.12% professionals reported death as a consequence of not treating kala-azar.