Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-02T19:58:53.281Z Has data issue: false hasContentIssue false

Epidemiology of shigellosis in Teknaf, a coastal area of Bangladesh: a 10-year survey

Published online by Cambridge University Press:  15 May 2009

Md. Anowar Hossain
Affiliation:
International Centre for Diarrhoeal Disease Research, PO Box 128, Dhaka 1000, Bangladesh
M. John Albert
Affiliation:
International Centre for Diarrhoeal Disease Research, PO Box 128, Dhaka 1000, Bangladesh
Kh. Zahid Hasan
Affiliation:
International Centre for Diarrhoeal Disease Research, PO Box 128, Dhaka 1000, Bangladesh
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The epidemiological data on shigellosis in Teknaf, a coastal area of Bangladesh, were reviewed for a 10-year period (1975–84). Certain similarities and differences were observed in the epidemiology of the disease in Teknaf when compared with urban Dhaka and rural Matlab. Similarities included: round-the-year infection with two peaks, one in the monsoon period and the other in the winter period; high male to female attendance ratio at the treatment centre: the predominance of infection in the under-15-year age group; high mortality rate in the under-5-year age group of both sexes and in females of all age groups; the multiple drug resistance of organisms. Differences included the higher isolation rate of organisms in Teknaf (42·1 % as against 11–12% in Dhaka and Matlab) and the preponderance of Shigella dysenteriae 1 infection in females in Teknaf. The unusually high isolation rate of shigella makes Teknaf the area with the highest incidence of shigellosis in Bangladesh.

Type
Special Article
Copyright
Copyright © Cambridge University Press 1990

References

REFERENCES

1.Rosenberg, ML, Weissman, JB, Gangarosa, EJ et al. , Shigellosis in the United States: ten year review of nationwide surveillance. 1964–73. Am J Epidemiol 1976: 104: 543–51.CrossRefGoogle Scholar
2.Mata, LJ, Gangarosa, EJ, Caceres, A et al. , Epidemic shiga bacillus dysentery in Central America. 1. Etiologic investigation in Guatemala. 1969. J Infect Dis 1970; 122: 170–80.CrossRefGoogle Scholar
3.Frost, JA, Vandepitte, J, Rowe, B, Threlfall, EJ. Plasmid characterisation in the investigation of an epidemic caused by multiply resistant Shigella dysenteriae type 1 in Central Africa. Lancet 1981; ii: 1074–6.CrossRefGoogle Scholar
4.Islam, SS, Shahid, NS. Morbidity and mortality in a diarrhoeal diseases hospital in Bangladesh. Trans R Soc Trop Med Hyg 1986: 80: 748–52.CrossRefGoogle Scholar
5.Rahaman, MM, Aziz, KMS. The emergence and the decline of epidemics due to Shigella dysenteriae type 1 and S. flexneri in Bangladesh between 1971 and 1978: some new lessons learned. In: Rahaman, MM et al. eds. Shigellosis: a continuing global problem. Dhaka: International Centre for Diarrhoeal Disease Research. Bangladesh, special publication 1983: no. 20. 813.Google Scholar
6.Khan, MU, Roy, NC, Islam, R et al. Fourteen years of shigellosis in Dhaka: an epidemiological analysis. Intl J Epidemiol 1985: 14: 607–13.CrossRefGoogle ScholarPubMed
7.Baqui, AH, Zaman, K, Yunus, M et al. Epidemiological and clinical characteristics of shigellosis in rural Bangladesh. J Diarrhoeal Dis Res 1988: 6: 21–8.Google ScholarPubMed
8.Rahaman, MM. A strategy for control of shigellosis (dysentery) in Teknaf – a rural Bangladesh village. Prog Wat Tech 1979: 11: 303–8.Google Scholar
9.Rahaman, MM, Khan, MU, Aziz, KMS et al. , An outbreak of dysentery caused by Shigella dysenteriae Type 1 on a coral island in the Bay of Bengal. J Infect Dis 1975; 132: 1519.CrossRefGoogle ScholarPubMed
10.Edwards, PR, Ewing, WH. Identification of Enterobacteriaceae, 3rd ed.Minneapolis: Burgess Pub. Co. 1972.Google Scholar
11.Bauer, AW, Kirby, WMM, Sherris, JC, Turck, M. Antibiotic susceptibility testing by a standard single disc method. Am J Clin Pathol 1966: 45: 493–6.CrossRefGoogle Scholar
12.Shahid, NS, Rahaman, MM, Haider, K et al. , Changing pattern of resistant Shiga bacillus (Shigella dysenteriae type 1) and Shigella flexneri in Bangladesh. J Infect Dis 1985; 152: 1114–19.CrossRefGoogle ScholarPubMed
13.Hossain, MM, Glass, RI. Parental son preference in seeking medical care for children less than five years of age in a rural community in Bangladesh. Am J Public Health 1988: 78: 1349–50.CrossRefGoogle Scholar