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.
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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