Clinicians' roles in management of arsenicosis in Bangladesh: interview study
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《英国医生杂志》
1 Australian National University, National Centre for Epidemiology and Population Health, Canberra, ACT 0200, Australia
Corresponding author: R M Douglas bobdouglas@netspeed.com.au
Introduction
Doctors working in two Dhaka hospitals that receive patients from contaminated areas were inadequately informed to recognise and manage arsenicosis. Remedial action is necessary if this lack of professional capacity is common. If it is the problem could be addressed by brief training courses on arsenic and public health for all medical practitioners in Bangladesh. Millions of Bangladeshis may be at risk of life threatening complications of chronic arsenic ingestion.
Contributors and guarantor: This work forms the substance of an M Phil thesis submitted by RM to the Australian National University for examination on 14 November 2002 and recently accepted for the degree. RMD, GR, and BC were joint supervisors of the research. All four authors participated in study design, interpretation of results, and drafting of the paper. RM conducted the interviews and prepared the main draft of the table and paper.
Funding: The work was funded jointly from the personal finances of RM.
Competing interests: None declared.
Ethical approval: The work was not submitted to ethics review on the basis that this was a simple, voluntary survey, in which participants understood that they could decline to participate in a study whose purpose was fully explained by the interviewer.
References
British Geological Survey. Arsenic contamination of groundwater. www.bgs.ac.uk/arsenic/home.html (accessed 23 Oct 2003).
MacDonald R. Providing clean water: lessons from Bangladesh. BMJ 2001;322: 626-7.
Smith AH, Lingas EO, Rahman M. Contamination of drinking water by arsenic in Bangladesh: a public health emergency. Bull WHO 2000;78: 1093-103.(Rubaiul Murshed, postgrad)
Corresponding author: R M Douglas bobdouglas@netspeed.com.au
Introduction
Doctors working in two Dhaka hospitals that receive patients from contaminated areas were inadequately informed to recognise and manage arsenicosis. Remedial action is necessary if this lack of professional capacity is common. If it is the problem could be addressed by brief training courses on arsenic and public health for all medical practitioners in Bangladesh. Millions of Bangladeshis may be at risk of life threatening complications of chronic arsenic ingestion.
Contributors and guarantor: This work forms the substance of an M Phil thesis submitted by RM to the Australian National University for examination on 14 November 2002 and recently accepted for the degree. RMD, GR, and BC were joint supervisors of the research. All four authors participated in study design, interpretation of results, and drafting of the paper. RM conducted the interviews and prepared the main draft of the table and paper.
Funding: The work was funded jointly from the personal finances of RM.
Competing interests: None declared.
Ethical approval: The work was not submitted to ethics review on the basis that this was a simple, voluntary survey, in which participants understood that they could decline to participate in a study whose purpose was fully explained by the interviewer.
References
British Geological Survey. Arsenic contamination of groundwater. www.bgs.ac.uk/arsenic/home.html (accessed 23 Oct 2003).
MacDonald R. Providing clean water: lessons from Bangladesh. BMJ 2001;322: 626-7.
Smith AH, Lingas EO, Rahman M. Contamination of drinking water by arsenic in Bangladesh: a public health emergency. Bull WHO 2000;78: 1093-103.(Rubaiul Murshed, postgrad)