Bangladesh Institute of Tropical and Infectious Diseases
Considering the importance of prevalent tropical and infectious diseases and emerging illness the Government of the People’s Republic of Bangladesh took an initiative to set up a dedicated institute on Tropical and Infectious Diseases at Chittagong in the premise of infectious disease at Fauzdarhat, Chittagong through Health Population and Nutrition sector Programme (HNPSP).
‘Tropical and infectious diseases are important health conditions in Bangladesh causing significant suffering, disability and death. Examples of such health conditions are: Malaria, kala azar, filariasis, dengue, leprosy, typhoid fever, leptospirosis, snake bite, meningitis, encephalitis, rabies, hepatitis, pesticide poisoning, emerging illness (like Nipah infection). Many of them affect relatively poor sections of the population particularly in rural Bangladesh. Preventive methods, diagnostic techniques and effective treatment of many such conditions are known now a days but need to be adapted in country perspective based on evidence. The poor are unaware of the availability of different methods of interventions due to many reasons. Government of Bangladesh is committed to fulfill the goal targeted in the Millenium Development Goal where priority was set around issues related to poor man’s health conditions. In order to generate evidence we need to strengthen education, service and research area in tropical and infectious diseases by setting up a national institute. Such government initiatives for the poor man’s health conditions will give the opportunity to health professionals ‘Learning by Doing’. ‘National Institute for Tropical and Infectious Diseases’ will respond to the health needs of the poor related to tropical health conditions including poisoning due to snakebite and other chemical poisons of Bangladesh and the region by:
- Conducting and promoting education and training
- Conducting research and disseminating results of research
- Providing appropriate clinical service in tropical health conditions
- Providing and promoting health promotion and prevention of illness.
A National Institute for Tropical & Infectious Diseases will be established at Fauzderhat, Chittagong and the budget provision for the institute has been reflected in the concerned programme’.1
After the liberation of Bangladesh the former School of Tropical Medicine was amalgamated with the former Institute of Postgraduate Medicine and Research with a declaration: ‘The country should have one centre of excellence for Postgraduate Medical training and specialized patient care’.2 Later on several postgraduate institutes with organ specific specialty were set up but no attempt was made to revitalize the initiative to establish a very important postgraduate institute dedicated to tropical and infectious diseases most prevalent in the country and affecting poor section of the society.
____________________________________________________________________________________________NPSP 2005). Planning Wing Ministry of Health & Family Welfare, Bangladesh.
- Islam N (1978). History IPGMR 1964-78. Institute of Postgraduate Medicine & Research, Dacca, Bangladesh.
An independent autonomous institute of tropical and infectious diseases for providing clinical service, conduct training and research could attract international fund for national capacity building in terms of prevention, control, service and research on tropical and infectious diseases. The public sector institute is likely to generate local evidences for developing and implementing country specific prevention, control, elimination and eradication of locally prevalent tropical diseases of Bangladesh. The following are few landmarks towards establishment of the National Institute:
- Submission of a Concept Paper signed by Professor Md. Abul Faiz, Professor of Medicine, Dhaka Medical College to the Secretary MOHFW for setting up of a Tropical Medicine Institute/ Centre in Bangladesh 24-01-2005 (Annex). Forwarding of the Concept paper for comments to DGHS by MOHFW 04-06-2005.
- Proposal for setting up of ‘Bangladesh Institute for Tropical and Infectious Diseases signed by Civil Surgeon, Chittagong to MOHFW 10.07.2005
- Included in HNPSP, RPIP Revised Programme Implementation Plan, Original: July 2003-2006, Revised: July 2003-July 2010. November, 2005 Planning Wing Ministry of Health and Family Welfare, Government of the People’s Republic of Bangladesh. 4.2.5 Establishment of Bangladesh Institute of Tropical and Infectious Diseases. Page 77-78 (BITID).1
- Meeting in DGHS, GOB on 21.11.2006 for establishment of ‘Institute of Tropical Medicine and Infectious Diseases’ at Fauzderhat, Chittagong. The responsibility for construction has been given to CMMU by the MOHFW. Due to availability of limited budget a phase wise implementation was proposed. The meeting appreciated the government for setting up such a specialized institute in Bangladesh. A special committee was formed to draft a Scheme Summary to be sent to DGHS. Submission of the Scheme Summary of BITID prepared by the formed committee to the Joint Chief planning MOHFW from DGHS 12.06.2007.
- Inclusion of the activities of BITID in the operation plan of Line Director IST 12.09.2007
- Inclusion of the activities of BITID in the operation plan of line Director, Procurement and Supplies Management, DGHS 12.09.207.
- Foundation of BITID was laid on 7th September 2007.
- Selection of Focal Point of BITID, Professor Md. Abul Faiz, Principal, DMC 28.11.2007
- Formation of the ‘Core Group’ to assist in the implementation of BITID.
- Submission of proposed Core Group of BITID by Focal Point 26.12.2007.
- Submission of Proposal for creation of different posts of BITID from DGHS to MOHFW 07.08.08.
- Resubmission of the proposal for creation of posts of BITID to MOHFW on 17.12.2008.
- Preparation of the Road Map for establishment of BITID by the Focal Point through funding assistance of country office of WHO.3 (attachment)
- Submission of the Road Map of BITID to MOHFW by DGHS 19.12.08.
- Renovation of Mymensingh SK Hospital by government agency through a modest donation from Drugs for Neglected Diseases Initiative (DNDI) through a dialogue with ED DNDI and Professor Nick J White (Oxford University) and Professor M A Faiz (Bangladesh). Letter for permission to use renovated Mymensingh SK Hospital as an outreach centre of BITID for Kala Azar Treatment and Research Centre from DGHS to MOHFW in response to application from the Core Group of BITID 17.12.2008.
- BITID (2007). A Road map for Establishing the Bangladesh Institute of Tropical and Infectious Diseases. Chittagong, Bangladesh.
- Request for office space for rental and logistics for BITID letter from Focal Point BITID 19.12.2007.
- Permission to use Mymensingh SK Hospital for Kala Azar Treatment and Research as out reach Centre of BITID 30.12.2008 from MOHFW.
- Estimated cost of 10 storied institute for Tropical and Infectious Diseases and 100 bedded hospitals at Fauzdarhat, Chittagong from CMMU HQ 6.05.2008.
- Construction of first phase of BITID has been completed and proposal for construction of second phase has been sent to the MOHFW by the CMMU.
- Post-creation proposal re-submitted after resolving the queries from Establishment Ministry (18-05-09).
- Government sanction of the posts for BITID 01.12.2010.
- Curriculum for MD in Tropical and Infectious Diseases under University of Chittagong has been finalized.
- FCPS in Tropical and Infectious Diseases has been started and the Log Book for FCPS has been finalized.
- Declaration of Intent (DOI) between BITID (under MOHFW) and Fondation Merieux, France was signed for the development of a Biosafety Level 2/ level 3 lab in BITID on 03.04.11.
- Handing over of the BITID building on 20.06.2012.
- 20 bedded ID hospital was given under the control of BITID on 20.09.2012.
- Memorandum of understanding (MOU) was signed between BITID & Fondation Merieux, on 20.10.2012 for the establishment of the BSL at BITID only such a lab outside Dhaka.
- One research work conducted by the focal point as Principal Investigator and some member of the core group as Co-PI has been published and donated to the BITID for credibility building of the Institute.4
- Faculty of BITID (Dr. Rumana Rashid) was involved in 2012 in one collaborative study of malaria: ‘Long-term neurocognitive assessment of children following an episode of severe malaria: the artesunate suppository trial cohort’.
- MOU to establish a bio-safety laboratory at BITID by Fondation Merieux on 20.10.2012
- Completion of first phase of the institute and posting of first director of BITID on 30.06.2013.
- Inauguration of the BITID by Hon’ble Prime Minister Sheikh Hasina on 26.01.2013.
- Outdoor service had been started from 23.03.2013.
Prepared by Professor M A Faiz (Focal Point for BITID), Professor M A Hasan Chowdhury, Director BITID, and Dr. Rumana Rashid, Asst Professor Community Medicine and Epidemiology, BITID.
- Pre-referral rectal artesunate to prevent death and disability in severe malaria: a placebo-controlled trial Lancet 2009;373:557-66).
THE MISSION OF BITID
BITID is the only dedicated specialized institute on tropical disease in Bangladesh. It wishes to create a multidisciplinary centre of excellence encompassing academia, collaborative research, clinical services and capacity development to guide policies and practices in tropical and infectious diseases, with the aim of achieving a sustainable health and poverty alleviation.
VISION OF BITID
- To achieve excellence in Tropical Medicine and Infectious Diseases.
OBJECTIVES OF BITID
- To conduct clinical and laboratory research leading to the development of cost-effective means to prevent, diagnose and treat locally endemic tropical and infectious diseases (TID).
- To develop a critical mass of committed human resources as well as laboratory and clinical facilities dedicated to tackle TID.
- To provide clinical and diagnostic health care to patients in BITID and its community outreach facilities.
- To promote and sustain productive national and international collaborations to achieve excellence in academic research, service, education and capacity development.
- To provide evidence to complement relevant national health policy dealings compatible with cost-effective, equitable and sustainable development.
- To advocate the use of evidence-based interventions for health promotion, disease prevention and treatment.