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For decades, monkeypox virus was only a disease that infected animals but, in the 1990’s it found a new target in humans. This paper dives into the history of human monkeypox and the root of the cause right from the start. The aim here is to understand the underlying cause for the sudden rise in monkeypox cases in regions that are not conducive to the disease. Throughout the paper, there will also be a list of activities mentioned that people ought to avoid when a known person is infected. Overall, by the end of the paper there will be a clear idea of do’s and don’ts regarding monkeypox virus.

Background: Coronavirus Disease (COVID-19) vaccines have been licensed for usage and have been delivered over the globe in various regions. There is a lack of public awareness and understanding of COVID-19 vaccinations, however. As a result, researchers conducted a survey to see what Bangladeshis had to say about COVID-19 vaccinations. Methods: This cross-sectional study, conducted among the general population of Bangladesh, asked a series of questions about the KAP of the population with regard to COVID-19 vaccination, and the demographic characteristics of participants and the source of information with regard to the COVID-19 vaccine were recorded and analyzed. Results: A total of 386 complete surveys were included in the final analysis. 35.2% of people, who took part in it, said that everyone in Bangladesh should get the COVID-19 vaccine, while 64.8% said no to this idea. As a result of our survey, 73.6% of respondents believed that the new COVID-19 vaccination, which is now used in Bangladesh, may cause negative effects. Although a large number of the population was illiterate (44.6%), our study indicated that those with higher levels of education had a better understanding of the COVID-19 vaccination. This research indicated that those who had previously received a vaccination had a better understanding of the COVID-19 vaccine. For this to be successful, people must have had positive vaccination experiences in the past. There is a far greater awareness about COVID-19 vaccinations in urban areas compared to rural places. However, when multiple regressions were used, this association did not hold up. Conclusion: In Bangladesh, many are unfamiliar with the COVID-19 vaccination, but they have a positive attitude toward it. Before mass vaccines are planned in the near future, health education campaigns must begin immediately to assist people in better understanding their health.

Background: In a public health crisis, knowledge and understanding of disease transmission modes, fundamental hygiene concepts, and procedures are critical for designing effective control measures. The purpose of this research was to assess the Bangladeshi population's Knowledge, Attitude and Practice (KAP) towards COVID-19. Methods: A series of questions about the KAP of the population about COVID-19 were asked in this cross-sectional study, which was conducted among the general population of Bangladesh over the age of 15, and participants' demographic characteristics and source of information about COVID-19 were recorded and analyzed. Results: Despite the fact that the majority of respondents (more than 60%) had a positive attitude about COVID-19, 70% of those questioned in Bangladesh had insufficient understanding and preventative actions. This latter discovery is promising and suggests a potential therapeutic strategy. Male and less educated respondents reported inadequate COVID-19 preventive methods, as well as a lack of understanding about signs and symptoms and transmission. The findings revealed a substantial link between knowledge, attitude, and practice among women of a certain gender, age, and education level. Male gender, non-healthcare-related jobs, single status, and a lesser degree of schooling were all substantially correlated with poorer knowledge scores, according to multiple linear regression analysis. Conclusion: The present study revealed a high attitude among the study population towards COVID-19 but a poor response on knowledge and preventive practices, which can be enhanced by awareness campaigns and proper planning.

Background: Several SARS-CoV-2 variants have been discovered in different parts of the world since the COVID-19 epidemic began. The most recent COVID-19 variant to be discovered is the Omicron strain. When we have a thorough understanding of the epidemic, we will be able to respond appropriately. The primary purpose of this research is to assess the level of Omicron variant awareness and understanding among the Bangladeshi people. Methods: In the midst of the appearance of the Omicron variation, a cross-sectional analysis was performed. The survey was conducted from January 3, 2021, to February 5, 2022. Statistical data from the descriptive analysis were displayed as numbers (N), percentages (%), and averages and variances (Mean, Standard Deviation) (m SD). To examine the correlation between the dependent and independent categories, we utilized the Chi-square test (x2 ) in SPSS. Results: On average, the 200 respondents were 33.8 ± 12.1 years old. In a survey, more than 55 percent of respondents had a favorable impression of the new COVID-19 variation. However, males and those with lower levels of education felt there were not any measures in place to halt the spread of Omicron, and they lacked information about the disease's symptoms and transmission. The results of our survey indicate that individuals have some knowledge about the new Omicron strain (B.1.1.529). Conclusion: Awareness campaigns and strategic preparation can help improve the dismal response on knowledge and preventative actions shown in the current study. While much progress has been made in our understanding of this virus, there is still a significant knowledge gap (B.1.1.529).

Aim: Tuberculosis (TB) and diabetes mellitus continue to be significant public health problems. Diabetes screening of tuberculosis patients will provide early case diagnosis, improved diabetes control, and improved tuberculosis treatment result. The purpose of this study was to ascertain the prevalence and risk factors for diabetes in tuberculosis patients, as well as their influence on the treatment result of tuberculosis. Methods: This cross-sectional study was conducted at Bangladesh's randomly chosen peripheral health institutions. All TB patients above the age of 18 years were checked for diabetes. Age, gender, family history, smoking, and BMI were all considered as risk factors. Results: Out of 165 participants, diabetes was shown to be prevalent in 35% of TB patients. Diabetes was related to advanced age and type of tuberculosis; its origin (pulmonary or extra pulmonary) and socioeconomic level were found to be significant. Conclusion: Diabetes is a common comorbidity among tuberculosis patients. Over the age of 50 years, the risk of this twin morbidity increases significantly. Screening tuberculosis patients for fasting blood sugar values will aid in the early diagnosis of diabetes and will lead to a better prognosis.

In Bangladesh, the surge of cases due to the emergence of Omicron had initially been a cause of worry for experts. With time, there have been many changes brought to structures in Bangladesh to cope with and work around COVID-19. However, with coronavirus cases rising over and over again, some changes have become permanent. The aim of this paper is to find out what measures have been taken in Bangladesh to keep the cases under control from Omicron and compare it to other South Asian countries.

Diabetes mellitus, a life-threatening non-communicable disease, is now an epidemic-level problem in developed countries, and also prevalent in developing countries, including Bangladesh. Bangladesh has been facing a significant and growing burden of diabetes mellitus handling in recent decades. In the present study, we investigated whether a daily walking intervention could improve the fasting blood sugar level in newly diagnosed diabetes mellitus participants in rural Bangladesh who were not on medication. A rural population of 1,045 people in Bangladesh were screened for diabetes mellitus. One hundred fifty-six people, including 87 diabetes mellitus participants, went through a 5-month daily walking program (twice daily, 1.5 km walking each time). In our initial screening, the prevalence of newly diagnosed diabetes mellitus cases was 8.5% in the rural population. Mean fasting blood sugar level in these new diabetes mellitus cases was 10.0 ± 0.33 mmol/L. After five months of exercise, both the fasting blood sugar and 2h OGTT sugar levels were significantly improved, and no DM (diabetes mellitus) cases were on medication. The current research findings show that a walking program can be a potential lifestyle intervention to combat the diabetes mellitus epidemic in a poor rural context in Bangladesh.

In December 2019, a new human coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was discovered in Wuhan, China. Since then, the virus has spread over the world, affecting over 180 nations. SARS-CoV-2 has infected people of all ages, races, and genders, infecting both men and women and spreading at an alarming pace across communities. Given the virus's origin, much remains unknown; however, we do know that clinical presentations vary from a typical cold to more serious infections, including pneumonia, bronchitis, severe acute respiratory distress syndrome (ARDS), multi-organ failure, and even death. COVID-19 is thought to have a more fast and severe progression in people with underlying health issues or co-morbidities, frequently resulting in death. Methods: This retrospective study was conducted at Bangladesh's Tertiary care hospital. 534 patients were selected for this study. Medical history, age, gender, and co-morbidities (including Hypertension, Diabetes, and CKD, etc.) were recorded at the time of diagnosis, biochemical parameters such as CRP, ESR, creatinine, FBS, Hb, and LDH were also recorded. SARS-CoV-2 RNA was detected using a real-time reverse transcription-polymerase chain reaction (rRT-PCR) at diagnosis and throughout the follow-up of these patients. Results: The comorbid conditions, illness progression, and death rates in patients from a Bangladeshi tertiary care hospital were investigated in this study. COVID-19 patients with co-morbidities, such as hypertension or diabetes, are more likely to have a more severe course and development of the disease. Furthermore, individuals over the age of 60 who have co-morbidities and are infected have a higher incidence of admission to the intensive care unit (ICU) and death from the COVID-19. Conclusion: Where Vaccination, Early diagnosis, and Management lead to a better prognosis, patients with co-morbidities should take all steps to prevent contracting SARS CoV-2 since their prognosis is generally the poorest.

Non-communicable disease (NCD) is now a burning public health issue in Bangladesh. Among crucial NCD risk factors, widespread low high-density lipoprotein cholesterol (HDL-C) levels is of top concern in Bangladesh. Over the last ten years, through an extensive nationwide investigation in Bangladesh, we found that more than 80% apparently healthy rural women in Bangladesh have low HDL-C levels. Thus, the present study investigated whether a lifestyle intervention program through daily walking could improve the low HDL-C levels in these women. A total of 231 rural women in Bangladesh were studied using an interventional approach, and analysis was performed based on a case-control design between low HDL-C and normal HDL-C. The subjects underwent a ten-week daily walking program (1.5 km walk twice a day). Among 231 participants at baseline, those with low HDL-C levels were 82.5%. Mean total HDL-C levels were 39.4 mg/dl in low HDL-C subjects and 56.1 mg/dl in normal HDL-C subjects, respectively, at baseline levels. The percentage of hypertriglyceridemia was 25.5% in low, and 10.3% in normal HDL-C subjects and the percentage of diabetes mellitus was 16.4% in low and 7.7% in normal HDL-C subjects before the exercise intervention. Although blood glucose levels and blood pressure were not changed significantly after the exercise intervention, low HDL-C levels were significantly improved with exercise (baseline, 39.8 ± 0.56; exercised, 46.3 ± 1.01, p < 0.001). The current research findings show that even a 10-week mild exercise program improved low HDL-C levels in rural Bangladeshi women, which can be a potential strategy for the prevention of NCD.

Aim: Metabolic Syndrome (MetS), a significant risk factor for coronary artery disease (CAD), is now highly prevalent in South Asian countries, including Bangladesh. The diseases also affect young people. A large number of young populations with acute coronary syndrome (ACS) have MetS. The aim of this study was to determine the prevalence of MetS and the combination of components in patients with early age onset ACS (age ≤50 years). Methods: This prospective study comprised 678 consecutive patients age ≤50 years hospitalized for ACS during 2012-2013. The patients were categorized according to the criteria stated in the latest joint statement for the global definition of MetS. Results: Among 678 ACS patients, 236 (34.8%) patients have filled the criteria of MetS. The mean age was 42.4 ± 0.28 years. The prevalence of MetS was higher in females than in males (48.8% vs. 30.4%, p < 0.001). One component of MetS was found in 26.4%, two components in 29.8%, three or more components in 34.8% of young ACS study participants. Among the various components of MetS, low HDL and high TG were the crucial common components of MetS in young ACS patients in Bangladesh (low HDL: 51.9%, high TG: 44.8%). Conclusions: We conclude that the prevalence of MetSin patients with early age onset ACS (age ≤50 years) is high in Bangladesh. Since Low HDL and high TG are the most common components of MetSin our study, these biochemical parameters would be a clinical target for early treatment. Strategies are needed for the early detection and treatment of cardio-metabolic risk factors to prevent coronary artery disease progression and prognosis.

Objectives:It is unknown whether endothelin (ET)-1 affects the production of angiotensin II (AII) in the heart. We hypothesized that ET-1 may act on the upstream of renin-angiotensin system (RAS) in the hypertrophied heart. The aim was to investigate the effects of the ET blockade on the expression

Aims: Endothelin-1 (ET-1), a potential marker of endothelial dysfunction, has been shown to be elevated in diabetic mellitus (DM) subjects. However, to date, the circulatory profile of ET-1 and its association with DM have not been investigated in any South Asian country, including Bangladesh. The present study assessed circulating levels of ET-1 in subjects with or without DM and further examined the association of ET-1 with clinical and metabolic parameters in Bangladeshi rural women. Main Methods: A total of 2022 rural Bangladeshi women were studied using a cross-sectional survey and then further analysis was performed based on a case control design between DM (n=195) and non-DM (204). Multiple regressions were used to examine the association between circulatory ET-1 level and DM. Key findings: A total of 2022 rural Bangladeshi women aged ≥15 years were studied using a population-based cross-sectional survey (DM prevalence is 9.1%). ET-1 levels were significantly increased in diabetes subjects [DM vs. non-DM: 3.11 ± 0.16 vs. 1.97 ± 0.03, p

Aims: Prevalence of non-communicable diseases is a challenging problem among menopausal women especially in a least developing country like Bangladesh. Recently, plasma levels of endothelin-1 or related molecules are reported to be associated with metabolic syndrome and its components. So we determined the circulatory level of endothelin-1 in Bangladeshi rural pre- and post-menopausal women and its association with various cardiometabolic risk factors. Main methods: This study is based on a community based cross-sectional survey among 1678 rural women over the age of 15. We measured plasma level of endothelin-1 by ELISAand used multipleregressions to estimate the association between circulatory endothelin-1 level and cardio-metabolic risk factors. Key findings: Endothelin-1 levels were significantly higher in post-menopausal subjects than in pre-menopausal (post-menopausal vs. pre-menopausal: 3.13 ± 0.09 vs. 2.29 ± 0.05pg/ml, p=0.001). Mean values of age, systolic blood pressure, diastolic blood pressure, plasma triglyceride level, fasting plasma glucose level, and HDL cholesterol were significantly higher in post-menopause compared to pre-menopausal group (P

Objective: High blood pressure is one of the primary risk factor for heart disease,stroke and chronic kidney disease and the leading cause of death worldwide. About 20% of adult populations are hypertensive in Bangladesh. Endothelin-1 (ET-1), a potential marker of endothelial dysfunction has been shown to be elevated in hypertensive subjects. No study yet has investigated the circulatory level of ET-1 and hypertension in a country from South Asia. As racial differences exist in plasma level of ET-1, more research addressing the association between ET-1 and hypertension among other races needs to be investigated. As such, the present study assessed circulating levels of ET-1 in subjects with or without hypertension and further examined the association of ET-1 with clinical and metabolic parameters. Methods: A total of 2052 rural Bangladeshi women with mean age of 44.46years were studied using a cross-sectional survey. Multiple regressions were used to examinethe association between circulatory ET-1 level and hypertension. Results: The prevalence of hypertensionwas30.3%. ET-1 levels were significantly higher in hypertensive (mean 3.08 pg/ml, SE ± 0.19) than non-hypertensive subjects (mean 2.01 pg/ml, SE ± 0.30) (p = Conclusions: Thus the present study demonstrates that there is higher concentration of ET-1 among hypertensive subjects of apparently healthy population in Bangladeshi rural women who did not know they were hypertensive. The relation of ET-1 and hypertension needs further investigations to define the clinical utility and predictive value of serum ET-1 levels in hypertension for South Asian population.