Abstract

The study aim is to know indigenous people perception, diagnosis and etiology about black fever. The perception of black fever differs to them. To them, black fever means curse of God, black power and black magic. 70% patients know about black fever through NGO or medical test. Indigenous Santal people said about different physical characteristics of black fever. Those are angry, cold felling and avoiding rice, headache, lack of blood, birth of dead children, belly become big and stop menstruation, loss of weight and strength etc. People’s knowledge about black fever, long time to recognize black fever, belief in supernatural power, belief it is touchable and fear about stigma effect on treatment of black fever patient. 78% patients believe their poor knowledge regarding black fever affect treatment process. After taking treatment from NGO or medical center 45% people didn’t face any side effect and rest of them face side effect.

Highlights

  • Black fever or leishmaniasis is one of major tropical diseases research by Word Health Organigation (WHO) [1, 2]

  • Humans are considered as only source of infection for the sandflies vector [4]. 90% of black fever occurs in Bangladesh, Brazil, Ethiopia, India, Nepal, South Sudan and Sudan [5] where 300,000 new Visceral Leishmaniasis (VL) occur annually

  • Black fever is a kind of fever that exists for long time in the human body

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Summary

Introduction

Black fever or leishmaniasis is one of major tropical diseases research by Word Health Organigation (WHO) [1, 2]. 90% of black fever occurs in Bangladesh, Brazil, Ethiopia, India, Nepal, South Sudan and Sudan [5] where 300,000 new Visceral Leishmaniasis (VL) occur annually. That’s why South Asia is considered as the highest Visceral Leishmaniasis (VL) prone region in the world [6]. In Bangladesh, black fever re-emerged sporadically in the decade of 1970s. It increases from 3,978 in 1993 to 9,379 in 2006. Visceral Leishmaniasis (VL) reported cases are second highest in Bangladesh among Indian subcontinent [8]. Post Kala-azar Dermal Leishmaniasis (PKDL) burden within Indian subcontinent is highest in Bangladesh [9]

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