scholarly journals Epidemiological Profile of Pandemic Influenza A (H1N1) 2009 at Dhaka Medical College Hospital

1970 ◽  
Vol 11 (1) ◽  
pp. 3-6
Author(s):  
Quazi Tarikul Islam ◽  
Azizul Kahhar ◽  
Syed Mohammad Arif ◽  
Ahmedul Kabir ◽  
Khan Mohammed Arif ◽  
...  

The first case of 2009 pandemic influenza A (H1N1) virus infection in Bangladesh was documented on June 18. Subsequently, persons with suspected cases of infection and contacts of those with suspected infection were tested. Individuals in whom infection was confirmed were hospitalized and quarantined, and some of them were closely observed for the purpose of investigating the nature and duration of the disease. In Dhaka Medical College Hospital, there were 28 admitted patients in flu ward and 2335 registered suspected H1N1 influenza cases attended in flue corner but 833 highly suspected cases were recorded in case record form. We describe the epidemiological characteristics of 28 indoor (flu ward) and 833 outdoor (flu corner) patients. Most of them were in between 20 to 30 years age group. Among 833 outdoor patients 611(73.34%) were male and 222(26.65%) were female. 354 (42.49%) patients were student, 195 (23.40%) were service holder. No patients (indoor) had any serious underlying medical conditions. Keywords: Pandemic influenza A (H1N1), Dhaka Medical College Hospital, Bangladesh, epidemiology. DOI:10.3329/jom.v11i1.4259 J Medicine 2010: 11: 3-6

1970 ◽  
Vol 11 (2) ◽  
pp. 119-123
Author(s):  
Quazi Tarikul Islam ◽  
Azizul Kahhar ◽  
Syed Mohammad Arif ◽  
HAM Nazmul Ahasan ◽  
Md Mahmudur Rahman Siddiqui ◽  
...  

Introduction: Bangladesh recorded the first case of 2009 pandemic influenza A (H1N1) virus infection on 18thJune 2009. This report describes the clinical and epidemiological characteristics of both the indoor and outdoorpatients reporting in Flu Ward and Flu Corner of Dhaka Medical College Hospital.Methods: This cross-sectional study was done on highly suspected 833 registered outdoor (flu corner) and 28indoor patients admitted in Flu ward of Dhaka Medical College Hospital during the study period of August 2009 toNovember 2009. A suspected case was defined as an influenza-like illness and either a history of travel to a countrywhere infection had been reported in the previous 7 days or an epidemiologic link to a person with confirmed orsuspected infection in the previous 7 days. A confirmed case was defined by a positive real-time reverse-transcriptasepolymerase chain reaction (RT-PCR) assay.Results: Most of the patients were in between 20 to 30 years age group. Indoor patients presented with mostly fever(92.85%), rhinorrhea (71.42%), shortness of breathe (89.28%) and cough (64.28%). Maximum duration of feverin indoor patients was 4 days. RT-PCR from throat swab sample for H1N1 tested positive in 9 (32.14%) indoorpatients. Out of the 833 outdoor patients 596(71.54%) patients had fever, 585(70.22%) had cough, 410(49.21%)had rhinorrhea and 314(37.69%) had sore throat. Only 2(7.14%) admitted patients died of flu.Conclusion: Despite widespread infection mortality rate is quite low. Prompt implementation and adherence tonational guidelines on 2009 pandemic influenza A (H1N1) should be encouraged.Keywords: Pandemic influenza A (H1N1); Dhaka Medical College Hospital; Bangladesh.DOI: 10.3329/jom.v11i2.5452J MEDICINE 2010; 11 : 119-123


1970 ◽  
Vol 28 (1) ◽  
pp. 63
Author(s):  
Quazi Tarikul Islam

DOI: 10.3329/jbcps.v28i1.4648 J Bangladesh Coll Phys Surg 2010; 28: 63


2020 ◽  
Vol 21 (2) ◽  
pp. 69-75
Author(s):  
Mohammad Murad Hossain ◽  
Sayeef Hossain Khan Mark ◽  
AKM Humayon Kabir ◽  
Partha Pratim Das ◽  
Md Khairul Islam ◽  
...  

Background: The objective of the study was to report the epidemiological characteristics of symptomatic laboratory confirmed COVID-19 patients seeking care from Dhaka Medical College Hospital (DMCH). Methods: This observational study was conducted in department of Medicine, DMCH for the period of 2 months following ethical approval. Total 100 RT-PCR confirmed COVID-19 patients were included and interviewed. Informed written consent was ensured before participation. Collected data were entered in a predesigned case record form and subsequently analyzed by SPSS-20. Results: Average age of presentation was 37.20±10.02(SD) years with male predominance (77%). Urban presence was in 90%. Thirty-two percent of the patients had comorbidities, with diabetes (16%) and hypertension (19%) being the most frequently observed.The most commonly observed symptoms was fever (65%), followed by cough (58%), breathlessness (42%), Dysgeusia (40%) and fatigue (33%). Mean duration of illness was 8.74±4.8 (SD) days. Overall mortality was 9%. All patients were managed according to the national guidelines and only 7% required ICU support. Conclusion: Patients were mostly middle-aged and male. Typical presentations were fever, cough, breathlessness and dysgeusia. Overall mortality was 9% among the admitted patients and requirement of ICU was 7%. Further study with large sample size is recommended to get a more precise picture. J MEDICINE JUL 2020; 21 (2) : 69-75


Author(s):  
Mohammad Rafiqul Islam ◽  
Khondaker Abul Bashar ◽  
Shariful Matin ◽  
Tahmid Tanveer ◽  
Atiqur Rahman ◽  
...  

Introduction: On 11th March, 2020 COVID19 was declared as a pandemic and it currently involves 210 countries worldwide. Bangladesh declared its first case on 8th March 2020. Currently, the highest case detection of COVID is in the Dhaka district. Due to a lack of quality PPE (personal protection equipment) and proper knowledge of donning, doffing and transmission dynamics of COVID 19 thought to be high infection rate among physicians. Material and Methods: A pretested questionnaire was set and distributed among COVID 19 infected physicians working at Shaheed Suhrawardy Medical College Hospital through internet to know about the clinical and epidemiological characteristics. Results: 65.3% of the respondents were male and had a mean age were 35.7 years. Among all the respondents, the highest number of physicians involved were from medicine department (26.9%). Lethargy, body ache and fever were observed in 57.69%, 50% and 30.7% patients respectively. Among 52 infected physicians, first time RT-PCR for COVID 19 yield 78.8% positive results. Prophylactic dose of hydroxychloroquine taken by 15.3% patients before being infected with COVID19. Conclusion: Health care workers are getting infected in a alarming number but fortunately at Shaheed Suhrawardy Medical college all the cases were in mild form. J Bangladesh Coll Phys Surg 2020; 38(0): 56-60


2021 ◽  
Author(s):  
Mohammad Ismail ◽  
Mohammad Farhad Hussain ◽  
Mohammad Abdullah Al Hasan ◽  
AHM Mustafa Kamal ◽  
Monjur Rahman ◽  
...  

Abstract Background Forcibly displaced Myanmar nationals (FDMNs) or Rohingya refugees are one of the vulnerable groups suffering from different kinds of health problems but have been less reported yet. Therefore, the study was designed to delineate the health problems among FDMNs admitted to Cox’s Bazar Medical College Hospital. Methods This hospital-based cross-sectional study was conducted at the Medicine ward, Cox’s Bazar Medical College Hospital, for a six-month period following approval. Rohingya refugees who were admitted during the study period were approached for inclusion. Informed written consent was ensured prior to participation. A structured questionnaire was used during data collection. Collected information was recorded in case record form. A total of 290 subjects were interviewed. Analysis was performed using the statistical package for social science (SPSS) version 20. Results The mean age of the participants was 48.76±18.67 years (range: 16-91), with a clear male predominance (60.7%). Family size ranged 6-8. All of the participants reported at least one of the illnesses. Of all, 29.66% patients reported disease of the respiratory system, and 26.9% reported disease of the gastrointestinal disease and hepatobiliary system. Accidental injury or injury due to electrocution or thin falls or snake bites was present in 10.4% of the cases. Among the single most common diseases, COPD (20%) was the most frequently observed, and the rest of them were chronic liver disease (13.1%), pulmonary TB (5.5%), ischemic stroke (5.5%), CAP (4.1%), acute coronary syndrome (3.4%), thalassaemia (3.4%) and hepatocellular carcinoma (3.4%). Among the top 6 reported diseases, PTB was more common in elderly individuals (p=0.29). The disease pattern was similar across the sexes among the refugees except community acquisition pneumonia (CAP), which was commonly observed among males (p=.004). Considering different age groups, genitourinary problems were more common in males aged >60 years, and rheumatology and musculoskeletal problems were equally affected in females aged between 40-60 years. Conclusion COPD, CLD and CAP were the most prevalent diseases in FDMN patients who attended the medicine ward of Cox’s Bazar Medical College Hospital. Further exploration is warranted before any policy making and comprehensive plan.


2010 ◽  
Vol 15 (2) ◽  
Author(s):  
T M van ‘t Klooster ◽  
C C Wielders ◽  
T Donker ◽  
L Isken ◽  
A Meijer ◽  
...  

We analysed and reported on a weekly basis clinical and epidemiological characteristics of patients hospitalised in the Netherlands for the 2009 pandemic influenza A(H1N1) using information from the national mandatory notification system. The notification criteria changed on 15 August 2009 from all possible, probable and confirmed cases to only laboratory-confirmed pandemic influenza hospitalisations and deaths. In the period of comprehensive case-based surveillance (until 15 August), 2% (35/1,622) of the patients with pandemic influenza were hospitalised. From 5 June to 31 December 2009, a total of 2,181 patients were hospitalised. Of these, 10% (219/2,181) were admitted to an intensive care unit (ICU) and 53 died. Among non-ICU hospitalised patients, 56% (961/1,722) had an underlying medical condition compared with 70% (147/211) of the patients in ICU and 46 of the 51 fatal cases for whom this information was reported. Most common complications were dehydration among non-ICU hospitalised patients and acute respiratory distress syndrome among patients in ICU and patients who died. Children under the age of five years had the highest age-specific hospitalisation rate (62.7/100,000), but relatively few were admitted to an ICU (1.7/100,000). Characteristics and admission rates of hospitalised patients were comparable with reports from other countries and previous influenza seasons. The national notification system was well suited to provide weekly updates of relevant monitoring information on the severity of the pandemic for professionals, decision makers, the media and the public, and could be rapidly adapted to changing information requirements.


2011 ◽  
Vol 5 (09) ◽  
pp. 664-668 ◽  
Author(s):  
Javier Nieto- Guevara ◽  
Nestor Sosa ◽  
Mariana Garcia ◽  
Alex Martinez ◽  
Marlene Castillo

Introduction: Pandemic Influenza A (H1N1) was identified as the major febrile respiratory illness worldwide during the year 2009.  We present a report of its clinical and epidemiological characteristics in children and adults in Panama.  Methodology: A descriptive study from the database of the Gorgas Memorial Institute is presented.   We included patients with severe acute respiratory infection in whom a nasopharyngeal swab was positive by real-time RT-PCR for 2009 Influenza A (H1N1) pandemic virus and negative for seasonal influenza A H1 and H3. Results: From 26 April 2009 to 11 January 2010, confirmed cases of pandemic 2009 Influenza A (H1N1) reached 806. The overall incident rate was 23.35 cases of pandemic influenza per 100,000 habitants, with the highest incidence found in the age group between 10 to 14 years of age (58.67 cases per 100,000 habitants).  The median age for the cases was 13 years (ages ranging from one day to 88 years) and 71% were from the Panama City Metropolitan Area.  The male/female ratio was 1:1 and 90% were managed as out-patients.   An influenza-like syndrome was the presenting diagnosis in 99% of the cases.  Fever and cough were the most frequent symptoms reported in all age groups. The case fatality rate was 0.3 cases per 100,000 habitants. Conclusion: The 2009 Influenza A (H1N1) outbreak affected mainly the pediatric population, had a low case fatality rate, and was the predominant virus circulating in Panama during the 2009/2010 flu season


2012 ◽  
Vol 44 (6) ◽  
pp. 431 ◽  
Author(s):  
Hyun Jung Kim ◽  
Byung Chul Chun ◽  
Hoo Jae Hann ◽  
Jang Wook Sohn ◽  
Sae Yoon Kee ◽  
...  

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