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Title: Infectious diseases and vaccine sciences: strategic directions
Authors: Luby, Stephen P.
Brooks, W. Abdullah
Zaman, K.
Hossain, Shahed
Ahmed, Tahmeed
Keywords: Diarrhea-epidemiology
Diarrhea/prevention & control
Female
Infant, Newborn
Pneumonia-epidemiology
Pneumonia-mortality
Tuberculosis-epidemiology
Tuberculosis-mortality
Tuberculosis/prevention & control
Vaccination-methods
Bangladesh-epidemiology
Issue Date: Sep-2008
Citation: J Health Popul Nutr. 2008 Sep;26(3):295-310
Abstract: Despite substantial progress, infectious diseases remain important causes of ill-health and premature deaths in Bangladesh. Bangladesh has experienced a > 90% reduction in the incidence of deaths due to childhood diarrhoea over the last 25 years. Further reductions can be achieved through the introduction of effective vaccines against rotavirus and improvements in home hygiene, quality of drinking-water, and clinical case management, including appropriate use of oral rehydration solution and zinc. Pneumonia is now the leading cause of childhood deaths in Bangladesh, and the pneumonia-specific child mortality is largely unchanged over the last 25 years. Reductions in mortality due to pneumonia can be achieved through the introduction of protein conjugate vaccines against Haemophilus influenza type b and Streptococcus pneumoniae, improvements in case management, including efforts to prevent delays in providing appropriate treatment, and the wider use of zinc. Tuberculosis is responsible for an estimated 70,000 deaths each year in Bangladesh. Although services for directly-observed therapy have expanded markedly, improved case finding and involvement of private practitioners will be important to reduce the burden of disease
URI: http://hdl.handle.net/123456789/3003
Appears in Collections:Infectious diseases and vaccine sciences research papers

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