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Biomedical subjects

A K Siddique

Publications and source records attributed to A K Siddique.

45 records · Page 3Linked to original sources

Cyclone deaths in Bangladesh, May 1985: who was at risk.

In May 1985, a cyclone from the Bay of Bengal struck the coastal islands of Bangladesh. In spite of early detection of atmospheric turbulence and the history of severe cyclones in the area, an estimated 11,000 people lost their lives. In a natural experiment, cyclone death rates from the two severely affected islands, Urir Char and Sandwip, were analysed to determine the risk factors of cyclone-associated mortality. In Urir Char, in which no cyclone shelters existed, the study group lost 40% of the family members in contrast to 3.4% from Sandwip, where at least eight cyclone shelters existed. Individuals who did not seek shelter were at the highest risk. Barriers in seeking safety were physical as well as behavioural. Easy access to shelters was a significant factor in reducing the risk. Deaths could have been averted through improved timing and method of advance warning.

Bangladesh↗

Cardiac failure in pregnant Northern Nigerian women.

Thirty-nine gravidae with congestive cardiac failure and ten pregnant patients with acute pulmonary edema treated at the Ahmadu Bello University Teaching Hospital in Kaduna, Nigeria, over a five-year period are presented. Congestive cardiac failure occurred more frequently in the postnatal period, and parity and socioeconomic class were not significantly related to cardiac failure. Maternal mortality was low in spite of all patients being in functional grades III and IV. Idiopathic cardiomegaly and chronic rheumatic heart disease were the most common underlying causes of heart failure in pregnancy. The dominant valvular lesions in the patients with rheumatic heart disease was mitral incompetence.

Adult↗

A steep decline of death in a shigellosis epidemic in Bangladesh by a community--participated intervention.

The outcome of an intervention of a shigellosis epidemic during April-July 1985 at Dimla, northern Bangladesh is reported. People of the epidemic-affected community operated a makeshift hospital to provide early indoor treatment for 1,708 patients of blood dysentery, based on empirically selected antibiotic(s), oral rehydration of the patients and giving them high-protein diets. They raised funds and received technical and logistic assistance from the physicians and officials of the local government health centre and of the International Centre for Diarrhoeal Disease Research, Bangladesh. In comparison with the number of deaths recorded before intervention, there was a 187-fold reduction of case-fatality ratio from 11.2 to 0.06% (p less than 0.0001). Probable causes for this precipitious decline of mortality are discussed. It is concluded that such a community action in the intervention of a rural shigellosis epidemic in a developing country may avert death almost totally.

Adolescent↗