The joint of waist bone of Ruksana Begum has been fractured after she fell on the yard. She was admitted to the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR) in Dhaka for treatment. She needed surgery. On the previous day, she experienced respiratory problems accompanied by fever and diarrhoea. Physicians of the hospital deferred date of operation and started treatmen
t for reducing respiratory problems, fever and diarrhoea. Maksud, son of Ruksana told this correspondent, “In the past my mother never suffered from respiratory problems. After 4 days of admission to this hospital I see the problems for the first time. I never seen diarrhoea problem of my mother. I am anxious about her health because she is suffering from other diseases.” Mahfuza Akhtar, an expectant mother, took admission at Sir Salimullah Medical College Hospital. She was admitted in the hospital 12 days ahead of the stipulated time. On the fourteenth day, she gave birth to a healthy child through surgery. After three days of her surgery she was attacked with fever. First of all, the attending doctors felt that it is a post-delivery problem. After a thorough examination conducted by the doctors, it was found that Mahfuza was inflicted with dengue. Then hospital authorities gave her dengue treatment. After deterioration of her condition, she was shifted to another hospital for better treatment. Feroz Alam, husband of Mahfuza, told this correspondent, “The environment of Mitford Hospital is very dirty. Besides, mosquito menace also prevails there.” According to latest news, thought Mahfuza and Ruksana returned home being cured but many patients in different hospitals in the city fall victim to various problems. Patients usually get admission to the hospitals for good treatment. But in many cases patients are facing difficulties while they went to hospitals for treatment. It was found from a recent research that most of the patients fall victim of different diseases from hospital. Even doctors, nurses and patients are being attacked with those diseases. The International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) conducted the research. Experts said, germs of different diseases have been spreading from patient to health workers because lack of effective security measure of hospitals. Most of the private and public hospitals of the country do not follow the guidelines of World Health Organisation (WHO). Environment of majority of hospitals are not satisfactory accept few ones. Different reasons have been specified. Those hospitals have no pure drinking water facilities, have dirty toilets and no cleaning of bed in proper time. Prof Dr ABM Abdul Hannan, Director (Hospital), Health Directorate told this correspondent, “Different types of germs may exist in hospitals. Efforts are always made to keep the environment clean.” He said that physicians, nurses and other health workers who are involved in health services are getting specilaised training so that they can provide treatment for contaminated disease. An ICDDR,B research work reveals that among 100 patients admitted to three public medical college hospitals of the country, three of them are affected with HARI. The symptoms include fever, cough, influenza and respiratory complexities. Most of the HARI patients were affected by virus in respiratory. This infection is three times higher in the case of children. Researchers expressed concern that those hospital authorities are not conducting regular germ control activities. As a result there is risk for spreading Middle East Respiratory Syndrome (MERS), corona virus or Nipah Virus (NiV). Another research of ICDDR,B reveals that health workers became affected while they providing health services to the patients. As per research findings helath workers at hospitals do not have sufficient safety measures. They often fall victims as they come in touch with patients without any safety measures. Quoting a research study, ICDDR,B said, a total of 449 health workers of different categories were brought under two-layer Tuberculin Skin Test (TST). Of them, 78 work in Rajshahi, 81 in Khulna, 61 in Chittagong and 229 in Dhaka. Those who underwent test included a large number of nurses. Their participation was 45 percent of the total health workers tested. Around 54 percent of them found to be contaminated with tuberculosis. The ratio of TB contamination was high among the health workers of Chittagong (67%) and low in Khulna (40 %). A number of 85 percent affected health workers told the survey team that none of their family members was TB patients. They first came in contact with the patients at the time of discharging their duties at the hospital. As such, the members of the survey team came to the conclusion that the health workers were contaminated with the disease for their professional reason. Asked about the risk, Dr Kazi Saifuddin Bennur of National Institute of Chest Diseases and Hospital said the people who are dealing with contagious disease have a risk of contamination. “We instruct the patients to wear mask but we do not wear it. The preventive measures are not explained in the guidelines. But the nurses and other staffs are more vulnerable than us because they discharge duties always in the ward of the patients.” The test on health workers was initiated with a view to determining the extent of TB in Bangladesh as part of implementation of National Tuberculosis Control Programme (NTP). Dr Kazi Saifuddin Bennur further said “As we are engaged in treating TB patients in the government hospital, get risk allowance Tk 200 per month. Abut the amount which was given to the health workers before independence remains unchanged, he regretted. Health experts, however, said one of the contaminations is classified as hidden TB. It has no symptom. It is no contamination at all. Only 10 percent of the people carrying hidden TB may face active TB in their lifespan.
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