Matches in SemOpenAlex for { <https://semopenalex.org/work/W2780854582> ?p ?o ?g. }
Showing items 1 to 91 of
91
with 100 items per page.
- W2780854582 abstract "BackgroundVisceral leishmaniasis (VL) has been targeted by the WHO for elimination as a public health problem (<1 case/10,000 people/year) in the Indian sub-continent (ISC) by 2020. Bihar State in India, which accounts for the majority of cases in the ISC, remains a major target for this elimination effort. However, there is considerable spatial, temporal and sub-population variation in occurrence of the disease and the pathway to care, which is largely unexplored and a threat to achieving the target.MethodsData from 6,081 suspected VL patients who reported being clinically diagnosed during 2012-2013 across eight districts in Bihar were analysed. Graphical comparisons and Chi-squared tests were used to determine differences in the burden of identified cases by season, district, age and sex. Log-linear regression models were fitted to onset (of symptoms)-to-diagnosis and onset-to-treatment waiting times to estimate their associations with age, sex, district and various socio-economic factors (SEFs). Logistic regression models were used to identify factors associated with mortality.ResultsComparisons of VL caseloads suggested an annual cycle peaking in January-March. A 17-fold variation in the burden of identified cases across districts and under-representation of young children (0-5 years) relative to age-specific populations in Bihar were observed. Women accounted for a significantly lower proportion of the reported cases than men (41% vs. 59%, p-value <0.0001). Age, district of residence, house wall materials, caste, treatment cost, travelling for diagnosis and the number of treatments for symptoms prior to diagnosis were identified as correlates of waiting times. Mortality was associated with age, district of residence, onset-to-treatment waiting time, treatment duration, cattle ownership and cost of diagnosis.ConclusionsThe distribution of VL in Bihar is highly heterogeneous, and reported caseloads and associated mortality vary significantly across different districts, posing different challenges to the elimination campaign. Socio-economic factors are important correlates of these differences, suggesting that elimination will require tailoring to population and subpopulation circumstances." @default.
- W2780854582 created "2018-01-05" @default.
- W2780854582 creator A5005041583 @default.
- W2780854582 creator A5007714344 @default.
- W2780854582 creator A5012794862 @default.
- W2780854582 creator A5025357486 @default.
- W2780854582 creator A5025611396 @default.
- W2780854582 creator A5029902566 @default.
- W2780854582 creator A5035097998 @default.
- W2780854582 creator A5035184758 @default.
- W2780854582 creator A5047861545 @default.
- W2780854582 creator A5058326347 @default.
- W2780854582 creator A5063928335 @default.
- W2780854582 creator A5066301502 @default.
- W2780854582 creator A5068600458 @default.
- W2780854582 date "2017-10-25" @default.
- W2780854582 modified "2023-09-27" @default.
- W2780854582 title "Variations in VL burden, mortality and the pathway to care within Bihar, India" @default.
- W2780854582 hasPublicationYear "2017" @default.
- W2780854582 type Work @default.
- W2780854582 sameAs 2780854582 @default.
- W2780854582 citedByCount "0" @default.
- W2780854582 crossrefType "journal-article" @default.
- W2780854582 hasAuthorship W2780854582A5005041583 @default.
- W2780854582 hasAuthorship W2780854582A5007714344 @default.
- W2780854582 hasAuthorship W2780854582A5012794862 @default.
- W2780854582 hasAuthorship W2780854582A5025357486 @default.
- W2780854582 hasAuthorship W2780854582A5025611396 @default.
- W2780854582 hasAuthorship W2780854582A5029902566 @default.
- W2780854582 hasAuthorship W2780854582A5035097998 @default.
- W2780854582 hasAuthorship W2780854582A5035184758 @default.
- W2780854582 hasAuthorship W2780854582A5047861545 @default.
- W2780854582 hasAuthorship W2780854582A5058326347 @default.
- W2780854582 hasAuthorship W2780854582A5063928335 @default.
- W2780854582 hasAuthorship W2780854582A5066301502 @default.
- W2780854582 hasAuthorship W2780854582A5068600458 @default.
- W2780854582 hasConcept C126322002 @default.
- W2780854582 hasConcept C138816342 @default.
- W2780854582 hasConcept C144024400 @default.
- W2780854582 hasConcept C149923435 @default.
- W2780854582 hasConcept C151956035 @default.
- W2780854582 hasConcept C159110408 @default.
- W2780854582 hasConcept C160735492 @default.
- W2780854582 hasConcept C162324750 @default.
- W2780854582 hasConcept C2776269092 @default.
- W2780854582 hasConcept C2779134260 @default.
- W2780854582 hasConcept C2908647359 @default.
- W2780854582 hasConcept C50522688 @default.
- W2780854582 hasConcept C71924100 @default.
- W2780854582 hasConcept C99454951 @default.
- W2780854582 hasConceptScore W2780854582C126322002 @default.
- W2780854582 hasConceptScore W2780854582C138816342 @default.
- W2780854582 hasConceptScore W2780854582C144024400 @default.
- W2780854582 hasConceptScore W2780854582C149923435 @default.
- W2780854582 hasConceptScore W2780854582C151956035 @default.
- W2780854582 hasConceptScore W2780854582C159110408 @default.
- W2780854582 hasConceptScore W2780854582C160735492 @default.
- W2780854582 hasConceptScore W2780854582C162324750 @default.
- W2780854582 hasConceptScore W2780854582C2776269092 @default.
- W2780854582 hasConceptScore W2780854582C2779134260 @default.
- W2780854582 hasConceptScore W2780854582C2908647359 @default.
- W2780854582 hasConceptScore W2780854582C50522688 @default.
- W2780854582 hasConceptScore W2780854582C71924100 @default.
- W2780854582 hasConceptScore W2780854582C99454951 @default.
- W2780854582 hasLocation W27808545821 @default.
- W2780854582 hasOpenAccess W2780854582 @default.
- W2780854582 hasPrimaryLocation W27808545821 @default.
- W2780854582 hasRelatedWork W1968020305 @default.
- W2780854582 hasRelatedWork W1973958258 @default.
- W2780854582 hasRelatedWork W2397150115 @default.
- W2780854582 hasRelatedWork W2409442092 @default.
- W2780854582 hasRelatedWork W2771492402 @default.
- W2780854582 hasRelatedWork W2903711775 @default.
- W2780854582 hasRelatedWork W2947690443 @default.
- W2780854582 hasRelatedWork W2996460857 @default.
- W2780854582 hasRelatedWork W3005854773 @default.
- W2780854582 hasRelatedWork W3012639425 @default.
- W2780854582 hasRelatedWork W3090982981 @default.
- W2780854582 hasRelatedWork W3094662949 @default.
- W2780854582 hasRelatedWork W3108657442 @default.
- W2780854582 hasRelatedWork W3116917822 @default.
- W2780854582 hasRelatedWork W3126041859 @default.
- W2780854582 hasRelatedWork W3172213671 @default.
- W2780854582 hasRelatedWork W3180043044 @default.
- W2780854582 hasRelatedWork W3184704065 @default.
- W2780854582 hasRelatedWork W3190406817 @default.
- W2780854582 hasRelatedWork W3201890703 @default.
- W2780854582 isParatext "false" @default.
- W2780854582 isRetracted "false" @default.
- W2780854582 magId "2780854582" @default.
- W2780854582 workType "article" @default.