title: Visceral leishmaniasis: consequences to women in a Bangladeshi community.
abstract: Visceral leishmaniasis (VL) or kala-azar (KA) affects the rural poor, causing significant morbidity and mortality. We examined the epidemiological and social impact of KA in an affected village in Bangladesh. A population-based survey of the village residents showed a case fatality rate of 14.7% among females and 5.3% among males. Before initiation of the study, female patients were ill longer than males before they received treatment. Future work needs to focus on understanding the implications of KA on women and to develop sustainable strategies for appropriate and timely access to treatment.
authors.affiliation: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. IAhuluwalia@cdc.gov
authors.forename: Indu B
authors.initials: IB
authors.lastname: Ahluwalia
authors.forename: Caryn
authors.initials: C
authors.lastname: Bern
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Wagatsuma
authors.forename: Cristiane
authors.initials: C
authors.lastname: Costa
authors.forename: Rajib
authors.initials: R
authors.lastname: Chowdhury
authors.forename: Mustakim
authors.initials: M
authors.lastname: Ali
authors.forename: Josef
authors.initials: J
authors.lastname: Amann
authors.forename: Rashidul
authors.initials: R
authors.lastname: Haque
authors.forename: Robert
authors.initials: R
authors.lastname: Breiman
authors.forename: James H
authors.initials: JH
authors.lastname: Maguire
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D001459:Bangladesh / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007898:Leishmaniasis, Visceral / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control*; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D017678:Sex Distribution; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016387:Women's Health; D014932:Women's Health Services / Q000592:standards
chemical_list: D000981:Antiprotozoal Agents