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Vulnerability of Newborns to Environmental Factors: Findings from Community Based Surveillance Data in Bangladesh

Author

Listed:
  • Ishtiaq Mannan

    (Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8138, Baltimore, MD 21205, USA
    Save the Children, H 1(A) 2, Road 91, Dhaka 1212, Bangladesh)

  • Yoonjoung Choi

    (Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8138, Baltimore, MD 21205, USA)

  • Anastasia J. Coutinho

    (Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8138, Baltimore, MD 21205, USA)

  • Atique I. Chowdhury

    (International Center for Diarrhoeal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh)

  • Syed Moshfiqur Rahman

    (International Center for Diarrhoeal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh)

  • Habib R. Seraji

    (International Center for Diarrhoeal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh)

  • Sanwarul Bari

    (International Center for Diarrhoeal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh)

  • Rasheduzzaman Shah

    (Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8138, Baltimore, MD 21205, USA
    International Center for Diarrhoeal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh)

  • Peter J. Winch

    (Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8138, Baltimore, MD 21205, USA)

  • Shams El Arifeen

    (International Center for Diarrhoeal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh)

  • Gary L. Darmstadt

    (Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8138, Baltimore, MD 21205, USA)

  • Abdullah H. Baqui

    (Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8138, Baltimore, MD 21205, USA
    International Center for Diarrhoeal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh)

Abstract

Infection is the major cause of neonatal deaths. Home born newborns in rural Bangladeshi communities are exposed to environmental factors increasing their vulnerability to a number of disease agents that may compromise their health. The current analysis was conducted to assess the association of very severe disease (VSD) in newborns in rural communities with temperature, rainfall, and humidity. A total of 12,836 newborns from rural Sylhet and Mirzapur communities were assessed by trained community health workers using a sign based algorithm. Records of temperature, humidity, and rainfall were collected from the nearest meteorological stations. Associations between VSD and environmental factors were estimated. Incidence of VSD was found to be associated with higher temperatures (odds ratios: 1.14, 95% CI: 1.08 to 1.21 in Sylhet and 1.06, 95% CI: 1.04 to 1.07 in Mirzapur) and heat humidity index (odds ratios: 1.06, 95% CI: 1.04 to 1.08 in Sylhet and, 1.03, 95% CI: 1.01 to 1.04 in Mirzapur). Four months (June-September) in Sylhet, and six months in Mirzapur (April-September) had higher odds ratios of incidence of VSD as compared to the remainder of the year (odds ratios: 1.72, 95% CI: 1.32 to 2.23 in Sylhet and, 1.62, 95% CI: 1.33 to1.96 in Mirzapur). Prevention of VSD in neonates can be enhanced if these interactions are considered in health intervention strategies.

Suggested Citation

  • Ishtiaq Mannan & Yoonjoung Choi & Anastasia J. Coutinho & Atique I. Chowdhury & Syed Moshfiqur Rahman & Habib R. Seraji & Sanwarul Bari & Rasheduzzaman Shah & Peter J. Winch & Shams El Arifeen & Gary , 2011. "Vulnerability of Newborns to Environmental Factors: Findings from Community Based Surveillance Data in Bangladesh," IJERPH, MDPI, vol. 8(8), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:8:y:2011:i:8:p:3437-3452:d:13645
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    References listed on IDEAS

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    1. Bantje, Han, 1987. "Seasonality of births and birthweights in Tanzania," Social Science & Medicine, Elsevier, vol. 24(9), pages 733-739, January.
    2. Lajinian, S. & Hudson, S. & Applewhite, L. & Feldman, J. & Minkoff, H.L., 1997. "An association between the heat-humidity index and preterm labor and delivery: A preliminary analysis," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1205-1207.
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