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Cultural and Social Context of Dysentery: Implications for the Introduction of a New Vaccine
Ist Teil von
Journal of health, population and nutrition, 2013-10, Vol.22 (2)
Ort / Verlag
Bangladesh: icddr,b
Erscheinungsjahr
2013
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Dysentery, a severe form of diarrhoeal disease, is a major cause of
morbidity and mortality. Paradoxically, virtually no studies have been
conducted to examine beliefs and behaviours associated with dysentery.
The explanatory model of dysentery was explored in a community in
Dhaka, Bangladesh, to understand the acceptability of a vaccine against
dysentery. A local term for bloody dysentery is widely known, and
residents describe a progression of symptoms, which closely mirrors the
biomedical model of the disease. Due to the symbolic significance of
blood loss and the fact that there is much uncertainty regarding
treatment, bloody dysentery is perceived to be extremely serious.
Causal interpretations most commonly relate to humoral theories, and
remedies involve the consumption of 'cooling' foods that will reduce
the heat associated with dysentery. Despite many misconceptions about
vaccines and the fact that this approach contradicts aetiological
explanations, the perceived severity of the illness makes vaccines
attractive compared to other preventative measures. The results
illuminate relevant information for the implementation of a new
vaccine.