International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 6, Issue 7 (2020)

Risk factors of diphtheria on Rohingya refugees in Bangladesh: A matched case-control study


Md Torikul Islam

Rohingya refugees are one of the most deprive, persecuted and stateless person in the world. Almost one million fleeing from Myanmar in between 1991 to 2018 and in the present time Bangladesh hosts a large number of refugee camp. Recently a large number of Rohingya refugees arrived in the cox’s bazaar district specially the Kutupalong Rohingya camps. This burden population destroy the rules regulations and system of governance of the local area. For the over density of population in the refugees camps have higher risk of human health and several infectious disease like cholera, hepatitis E, and diphtheria are outbreaks. In last of the previous year, diphtheria outbreak in the refugees camps especially the Kutupalong camps, almost 500 cases reported in the first month after the detecting the first cases of diphtheria infected person. For rising a large number of cases MSF (Médecins sans Frontières) was run a provisional diphtheria treatment care centre in Kutupalong refugee camps. Thus, the study was conducted to know the risk factors of diphtheria among the Rohingya refugees specially the Kutupalong Rohingya refugee’s camps and also the socio-demographical characteristic of the infected person. A matched case–control study design was conducted by a standard questionnaire. Total 346 information was collected from both cases and control groups, 173 from cases group and 173 for control groups with the matching criteria. Information classified into five categories questions, It’s was respondent socio-demographic, socio-economic, knowledge about diphtheria, services accessibility and availability with prevention against diphtheria. The result of the study found that female were mostly infected by the diphtheria was 74% than the male respondent 26% and also the lower ages (less than 20 years) people were mostly victim for the disease that was 80%. And also found that the winter season when temperature fallen down below 10 degrees Celsius, that is the optimum time for outback of the disease. Respondent having history of irregular bathing (OR=1.040, p ≤ 0.001), total number of family member whose age ≤20 years (OR=1.003, p ≤ 0.001), Illiterate mother's education level (OR=1.452, p ≤ 0.005), More than 15 family member in respondent room (OR=1.213, p ≤ 0.005), very poor shelter quality (OR=1.168, p ≤ 0.005), and also the using the Deep Tube-well and Surface Water both for washing food vessel (OR=1.251, p ≤ 0.005) are at risk being infected by diphtheria. The study concludes that their living condition is high risk of human health because of over density population, socio economical and psychological condition so much vulnerable in the small area. Bangladesh government with others country and different types of NGO should take adequate measures to mitigate the health hazards in the refugees camps
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