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© 1983 Oxford University Press

research-article

Clinical Illnesses and Causes of Death in a Burmese Refugee Camp in Bangladesh

MOSLEM UDDIN KHAN* and M H MUNSHI**

* Epidemiology Division Bangladesh (ICDDR,B) GPO Box 128, Dacca-2, Bangladesh
** Teknaf Dysentery Project, International Center for Diarrhoeal Diseases Research Bangladesh (ICDDR,B) GPO Box 128, Dacca-2, Bangladesh

In 1978 almost 200000 Burmese refugees entered Bangladesh. Thirteen camps were set up for refugees. Data for the camp at Leda is presented here. There were four medical clinics; including a diarrhoea clinic operated by the International Centre for Diarrhoeal Disease Research, Bangladesh. The four clinics recorded a total of 174201 visits by the refugees, of which 28% were for watery diarrhoea, 32% for dysentery and 40% for other illnesses. Of 2321 diarrhoea stools cultured. 29.2% yielded pathogens of which 22% were Shigellae alone. Coliform count of water was extremely high. The death rate (89/1000/year) was higher than the birth rate (28/1000/year). Most of the deaths were among infants (640), children (357) and old people (131). Main causes of death were clinical diarrhoea (11.8%), fever (23%) and poor nutrition (52%). Prompt arrangements for food, identifying the vulnerable groups, and proper sanitation perhaps could have reduced the number of deaths considerably.

Received 1 June 1982


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