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Delays in seeking appropriate healthcare can increase the case fatality of acute febrile illnesses, and circuitous routes of care-seeking can have a catastrophic financial impact upon patients in low-income settings. Median time from onset of any symptoms to arrival at hospital was 22 hours longer for MPI poor adults compared to non-poor adults vs. There was no difference in delays for children from poor and non-poor households 97 vs. Case fatality was 5.
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Or alternatively hold down the Ctrl key and scroll up or down with the mouse. When you think of Bangladesh you may think of a vibrant nation of teeming people in the Ganges delta. The Chittagong Hill Tracts are altogether different: impossibly green, forested mountains rise above lakes in a verdant, uncrowded land — a side of Bangladesh most people never see. This is hardly surprising: since March , access to outsiders is tightly controlled and the indigenous people are forbidden to speak to foreigners without supervision. In the s and s, thousands were forced off their lands to make way for reservoirs and hydroelectric schemes, a displacement made worse by massacres against the Jumma people the collective name for all indigenous peoples in the region , and nearly twenty years of conflict against a military dictatorship and also with the democratic government of Bangladesh. This only ended in when a peace accord recognised the rights of the Jumma people over their lands. This accord remains largely unimplemented and the Jumma people are not even acknowledged in the Bangladesh constitution.
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