1. Presented by Hedayet ullah Roll: 120331, Reg:1203123 Department of Microbiology Jessore university of science & technology Disease Prevalence at Jessore City According to a Survey on Hospitalized Patients

2. Introduction In epidemiology, prevalence is the proportion of a particular population found to be affected by a medical condition and disease burden is the impact of a health problem in an area measured by financial cost, mortality, morbidity, or other indicators. Due to huge number of population, Bangladesh faces double burden of diseases : Communicable diseases & Non- Communicable diseases. 2Wednesday, February 27, 2019

3. Cont. Non-Communicable diseases are: Diabetes, Cardiovascular diseases, Hypertension, Stroke, Chronic respiratory diseases, Cancer and Communicable diseases: Tuberculosis, HIV, Tetanus, Malaria, Measles, Rubella, leprosy and so on. The health problems of Bangladesh include communicable and non-communicable disease, malnutrition, environmental sanitation problems, and others. 3Wednesday, February 27, 2019

4. Hospital Number in Bangladesh In 2015 the total number of hospitals in Bangladesh was 1683. Of these 1683 hospitals, 678 were government hospitals and 1005 were non-governmental (Statistical Pocket Book of Bangladesh). 4Wednesday, February 27, 2019

5. Aim and objectives The survey was conducted for finding the condition of hospitalized patients of 3 different hospitals at Jessore sadar area. The main target of the study can be pointed as: Determination of the prevalence of disease burden in Jessore city. 5Wednesday, February 27, 2019

6. Cont. Determination of the risk assessment (age and sex groups) among groups. Compare among government and private hospitals based on the medical facilities and need. Find the effect of seasonal change on prevalence of hospitalized patients Wednesday, February 27, 2019 6

7. Methods Pre study survey To collect data we selected Sadar(250 bedded) hospital which one is government hospital, queens hospital (100 bedded private hospital ) and sishu hospital (73 bedded). Permission form hospital To conduct this survey we need to get permission from each hospital. For that we submitted application forwarded by our chairman. We asked and permitted for 3 months access in each hospital. 7Wednesday, February 27, 2019

8. Questioners formation To gather information about patients and diseases, we designed a questionnaire Survey on hospitalization Hospital name: patient numbers: Ward name: date: Serial numberDiseasedurationagesex 8Wednesday, February 27, 2019

9. Cont. Data collection Our survey was for three months (October to December). We visited every hospital once in a month and collected data from current patients. Data analysis We analyze the collected data by SPSS and Excel software. 9Wednesday, February 27, 2019

10. Results Number of patients admitted at three different hospitals in Jessore city 10Wednesday, February 27, 2019

11. Queens hospital Disease frequency of queens hospital (October), 2017. 11Wednesday, February 27, 2019

12. Disease frequency of queens hospital (November), 2017. 12Wednesday, February 27, 2019

13. Disease frequency of queens hospital (December), 2017. 13Wednesday, February 27, 2019

14. Gender distribution among the hospitalized patients at Queens hospital at a specified day of different months. 14Wednesday, February 27, 2019

15. Comparison of the duration of hospitalization among the patients in Queens hospital 15Wednesday, February 27, 2019

16. Age distribution among hospitalized patients at Queens hospital 16Wednesday, February 27, 2019

17. sishu hospital Disease frequency of Jessore Shishu hospital in October, 2017 ) 17Wednesday, February 27, 2019

18. Disease frequency of Jessore Shishu hospital in November, 2017 18Wednesday, February 27, 2019

19. Disease frequency of Jessore Shishu hospital in December, 2017 19Wednesday, February 27, 2019

20. Patients’ duration of hospitalization in Jessore Shishu hospital. 20Wednesday, February 27, 2019

21. Age distribution among the children admitted in Jessore Shishu Hospital 21Wednesday, February 27, 2019

22. Sadar hospital Occurrence of patients at different wards in Jessore Sadar hospital in October, 2017. 22Wednesday, February 27, 2019

23. Occurrence of patients at different wards in Jessore Sadar hospital in November, 2017. 23Wednesday, February 27, 2019

24. Occurrence of patients at different wards in Jessore Sadar hospital in December, 2017. 24Wednesday, February 27, 2019

25. Duration of stay of patient in different ward at Jessore sadar hospital. 25Wednesday, February 27, 2019

26. Age Distribution among different patients admitted in Jessore Sadar Hospital at a specified day in October. 26Wednesday, February 27, 2019

27. Age Distribution among different patients admitted in Jessore Sadar Hospital at a specified day in November. 27Wednesday, February 27, 2019

28. Age Distribution among different patients admitted in Jessore Sadar Hospital at a specified day in December. 28Wednesday, February 27, 2019

29. Gender distribution among different patients admitted in Jessore Sadar 29Wednesday, February 27, 2019

30. Age distribution among patients hospitalized in Jessore Sadar Hospital irrespective of wards they are admitted at. 30Wednesday, February 27, 2019

31. Disease prevalence of Jessore city as per hospitalization data in Queens hospital 31Wednesday, February 27, 2019

32. Disease prevalence of children in Jessore city as per hospitalized data of Jessore sishu hospital 32Wednesday, February 27, 2019

33. Cumulative age distribution of adults patients 33Wednesday, February 27, 2019

34. concluding remakes Total 1058 (782 in JSH, 124 in QH and 152 in SH) patients were interviewed. Male are found higher in number at Government hospital but females are higher in number at private hospital may be due to better environment. Equal age distribution in general hospitals were found with a bit higher cases in adult working group (11 to 40 years ). Wednesday, February 27, 2019 34

35. Non communicable diseases (operation and broken injuries, stroke) were responsible for more hospitalization in adults but in children, communicable diseases (diarrhea, pneumonia and fever) are more prevalent. The study were performed for three consecutive months, thus seasonal pattern cannot be analyzed. Wednesday, February 27, 2019 35

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