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HEALTH HAZARD OF ARSENICOSIS PATIENTS IN ARSENIC PRONE AREAS OF BANGLADESH:

A CASE STUDY ON GOPALGONJ SADAR UPAZILLA, GOPALGONJ.

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Approximately 50 million people of Bangladesh are

currently exposed to high level of arsenic in drinking water

derived from ground water through millions of hand pump

tube-wells.

Adverse health effects resulting from drinking arsenic

contaminated water ranging from skin depigmentation, top

several types of skin cancer as well as different internal

cancer (WHO, 2000), an increase in the prevalence of

diabetes, hypertension & respiratory illness.

INTRODUCTION

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OBJECTIVES OF THE STUDY

To identify the perception about arsenicosis disease among

the rural Bangladeshis.

To identify the traditional practices they follow to manage

the disease.

To find out the loopholes of existing medical facilities for

arsenicosis patients in rural area.

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MATERIALS AND METHODOS

Location Map of the Study Area

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MATERIALS AND METHODOS

Sampling Area:

4 Unions (Jalalabad ,Suktail, Karpara and Paikkandi)

Sample Size

51 (Out of 116 patients)

Sampling Technique

Random Sampling

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Primary Data Collection

Questionnaire Survey

Key Informants’ Interview

Secondary Data Collection

Maps and geological information: Union Parishad Office, Upazilla

office.

Population Census: Bangladesh Bureau of Statistics (BBS,2001)

Journals, papers and articles relevant to the study: NGO Forum for

Drinking Water Supply and Sanitation, Central library, Khulna

University; Seminar library, ES discipline, Khulna University; daily

newspaper; internets; and Banglapedia.

Diseases information: Union Parishad Office, Upazilla health

complex, Various health centre.

MATERIALS AND METHODOS

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RESULTS AND DISCUSSION

Age and gender distribution of the respondents

<30 years 30-39 Years

40-49 years 50-59Years > 60years0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

22%

25%29%

14%

10%

Age distribution of the Respondents

Age Distribution

Perc

ent o

f the

resp

onde

nts

41.18%

58.82%

Gender distribution of the re-spondents

Male

Female

Source: Field Survey, 2010

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Sources of Drinking Water

64%

29%

2% 5%ST DT

PSF Idara/Dug well

Note: ST- Shallow Tube-well, DT- Deep Tube-well, PSF- Pond Sand Filter

RESULTS AND DISCUSSION

Source: Field Survey, 2010

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Location of drinking water source of respondents

RESULTS AND DISCUSSION

Source: Field Survey, 2010

61.18%

38.82%

Outside the houseInside the house

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Knowledge on the arsenic level in drinking water source of the respondent

31.77%

68.23%

Yes

No

The name of different variables that firstly identify arsenicosis case Unions Govt.

HWNGO HW

MBBS Doctor

Relatives

Grand Total

Jalalabad 3 3 2 2 10

Suktail 7 4 1 2 14

Karpara 4 2 0 5 11

Paikkandi 7 6 0 3 16

Total 21 15 3 12 51

Percent % 41.18 29.41 11.76 23.53 100

RESULTS AND DISCUSSION

Source: Field Survey, 2010

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Information about different types of physicians consulted by arsenicosis patients

No

Cons

ulta

tion

Hom

eopa

th

Villa

ge d

octo

r

MBB

S do

ctor

Govt

. Phy

sicia

n

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

16.47%

32.94%

23.54%

4.70%

22.35%

Series1

Perc

ent o

f the

resp

onde

nts

RESULTS AND DISCUSSION

Source: Field Survey, 2010

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Distribution of arsenicosis symptoms of the respondents

25.50%

19.61%

11.76%

7.84%

5.88%

1.96%

5.88%

7.84%

5.90%

3.92%3.92%

Black spot in the body

White spot in the body

Thickening & roughness of the palm /sole

Body ache

Numbness of the body

Burning sensation

Chronic cough

Weakness

Anemia

Breathing difficulty

Gangrene

RESULTS AND DISCUSSION

Source: Field Survey, 2010

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Medicines available for the treatment of arsenicosis patients

Ointment Vitamin Rex0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

28.24%

68.24%

3.52%

Series1

Medicine Types

Perc

ent

of

the R

espondent

RESULTS AND DISCUSSION

Source: Field Survey, 2010

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Affordable status for arsenicosis treatment

RESULTS AND DISCUSSION

Source: Field Survey, 2010

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Satisfaction with existing healthcare facilities

Recommendations of the respondents about the current medical facilities

45.58%

14.65%

6.85%

12.12%

20.80% Free treatment and medicine can be provided regularly

Loan can be provided

More arsenic safe water options can be installed

Regular physician visit should be ensured

More medical center should be established

RESULTS AND DISCUSSION

Source: Field Survey, 2010

No Yes No Comment0.00%

10.00%20.00%30.00%40.00%50.00%60.00%70.00%

64.17%

34.58%

1.25%

Series1

Satisfaction Level

Re

sp

on

de

nt(

%)

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54.67% patients face black and white spot in

the body. Rest of the patients face thickening

and roughness in the palm & sole, body ache,

chronic cough, weakness, anemia and many

other diseases.

The supply of medicine for the treatment of

arsenicosis patients is not sufficient in study

area.

The people of the study area expressed that the

government should be more cooperative to

save them from arsenic burden.

CONCLUSION

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Thanks TO ALL