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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