Application of Technologies for Diagnosis, Treatment, Prevention and Control of Malaria, Kala-azar and Filaia in Endemic Areas of Bangladesh

The present study was carried out in 13 Upazillas of 13 endemic districts for Malaria and 15 upozillas of 3 endemic districts for kala-azar in Bangladesh. to assess the current application of techniques for Diagnosis, Treatment, Prevention for malaria and kala-azar by the professionals For Malaria, 300 professionals were interviewed of Upazilla Thana Complexes, they apply Examination of peripheral blood film (40.8%) and Rapid Diagnostic test (38.50%) for diagnosis of Malaria and also tests CBC and MP in small range. About 85% professionals use Quinine as an appropriate drug for treating Malaria, drugs like Chloroquinine, Pyremethamine, Artemisinin and Malaone are also in use. For Kala-azar, out of 205 professionals interviewed, about 80% practice rK39 dipstick test for diagnosis of Kala-azar while, DAT, AT, Bone marrow examination and Spleen puncture are rare. About 73.3% professionals use SAG, 85.7% Miltefosine and 62.9% AmphotericinB as appropriate drug for Kala-azar. The filarial cases have been decreasing for taking some preventive steps on filariasis elimination programs. the reasons for long time continuing filariasis due to lack of some important things. Regarding the site of filaria, in most (31.2%) of the cases the right leg-sided filaria. The cases with the more severe grades of lymphoedema complained of physical problems, such as difficulty in standing and/or walking and discomfort because of the heaviness of the affected limb(s). Professionals believe in use of mosquito nets, awareness campaign, insecticide spray, early detection and treatment of kala-azar. and malaria.. These modern technologies are widely used world-wide and Bangladesh for diagnosis, treatment and prevention of malaria and kala-azar, which are safe, have less sideeffect and reliable. So, Bangladesh is not behind from the advances in world.