Infectious diseases and vaccine sciences

Strategic directions

Stephen P. Luby, W Abdullah Brooks, K. Zaman, Shahed Hossain, Tahmeed Ahmed

Research output: Contribution to journalArticle

Abstract

Despite substantial progress, infectious diseases remain important causes of ill-health and premature deaths in Bangladesh. Bangladesh has experienced a >90% reduction in the incidence of deaths due to childhood diarrhoea over the last 25 years. Further reductions can be achieved through the introduction of effective vaccines against rotavirus and improvements in home hygiene, quality of drinking-water, and clinical case management, including appropriate use of oral rehydration solution and zinc. Pneumonia is now the leading cause of childhood deaths in Bangladesh, and the pneumonia-specific child mortality is largely unchanged over the last 25 years. Reductions in mortality due to pneumonia can be achieved through the introduction of protein conjugate vaccines against Haemophilus influenza type b and Streptococcus pneumoniae, improvements in case management, including efforts to prevent delays in providing appropriate treatment, and the wider use of zinc. Tuberculosis is responsible for an estimated 70,000 deaths each year in Bangladesh. Although services for directly-observed therapy have expanded markedly, improved case finding and involvement of private practitioners will be important to reduce the burden of disease.

Original languageEnglish (US)
Pages (from-to)295-310
Number of pages16
JournalJournal of Health, Population and Nutrition
Volume26
Issue number3
StatePublished - 2008
Externally publishedYes

Fingerprint

Bangladesh
infectious diseases
Communicable Diseases
Vaccines
pneumonia
vaccines
death
Pneumonia
Case Management
childhood
home improvement
Zinc
Directly Observed Therapy
zinc
Rehydration Solutions
oral rehydration
Rotavirus Vaccines
Haemophilus influenzae type b
Haemophilus influenzae
Child Mortality

Keywords

  • Bangladesh
  • Communicable diseases
  • Diarrhoea
  • Mortality
  • Pneumoniea
  • Tuberculosis
  • Vaccine Sciences

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Food Science
  • Health, Toxicology and Mutagenesis

Cite this

Infectious diseases and vaccine sciences : Strategic directions. / Luby, Stephen P.; Brooks, W Abdullah; Zaman, K.; Hossain, Shahed; Ahmed, Tahmeed.

In: Journal of Health, Population and Nutrition, Vol. 26, No. 3, 2008, p. 295-310.

Research output: Contribution to journalArticle

Luby, SP, Brooks, WA, Zaman, K, Hossain, S & Ahmed, T 2008, 'Infectious diseases and vaccine sciences: Strategic directions', Journal of Health, Population and Nutrition, vol. 26, no. 3, pp. 295-310.
Luby, Stephen P. ; Brooks, W Abdullah ; Zaman, K. ; Hossain, Shahed ; Ahmed, Tahmeed. / Infectious diseases and vaccine sciences : Strategic directions. In: Journal of Health, Population and Nutrition. 2008 ; Vol. 26, No. 3. pp. 295-310.
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