Ahluwalia Indu B, Bern Caryn, Costa Cristiane, Akter Tangin, Chowdhury Rajib, Ali Mustakim, Alam Didarul, Kenah Eben, Amann Josef, Islam Meghla, Wagatsuma Yukiko, Haque Rashidul, Breiman Robert F, Maguire James H
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.
Am J Trop Med Hyg. 2003 Dec;69(6):624-8.
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.
内脏利什曼病，即黑热病，影响农村贫困人口，导致严重的发病和死亡。我们研究了黑热病在孟加拉国一个村庄的流行病学、社会和经济影响。一项针对2348人的基于人群的调查显示，2000年至2002年期间黑热病的年发病率为2%，成年女性的病死率为19%，而其他人口群体的病死率为6%-8%。黑热病病例在村庄的某些区域呈地理聚集状态。抗利什曼药物短缺以及诊断和治疗费用高昂给受影响家庭带来了巨大的情感和经济困难。社区希望更多地了解黑热病，并愿意采取集体行动应对其造成的问题。为减轻流行地区的黑热病负担，应通过有效的治疗方案来补充社区努力，以确保能够获得适当且负担得起的诊断和病例管理。
