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  1. Assault by burning in Dhaka, Bangladesh.

    PubMed

    Das, Kishore Kumar; Khondokar, M Sazzad; Quamruzzaman, M; Ahmed, Syed Shamsuddin; Peck, Michael

    2013-02-01

    Assault by burning in Dhaka, Bangladesh, occurs in a variety of forms, resulting from various causes and motives. A total of 311 cases of intentional burns from the Burn Unit of Dhaka Medical College Hospital from April 2004 to May 2011 (6 years) were studied by retrospective and prospective observational review. The majority of victims (68%) were female. Concentrated sulphuric acid was the most commonly used chemical for attack. Disfigurement was the principal complication (mortality, 4%). Dowry-related issues, divorce and other marital quarrels were frequent backgrounds for assault by burning. Kerosene oil was used to ignite 78 girls or young women, most often related to conflicts over dowry (mortality 97%). A total of 102 victims (32%) in all burn groups were attacked because of dowry-related issues. Intentional contact burns were often inflicted on domestic servants. Although physical morbidity and mortality were not reported in contact and other types of burns, psychological disturbances were reported in all victims. A few victims had been assaulted prior to receiving burns, and fractures and deformities were also present on examination at the time of presentation for burn treatment. Ophthalmic injury, with frequent visual impairment, was very common in cases of chemical attack. Legal and social support for victims and their families are frequently inadequate to compensate for losses. Clearly, more attention in our community should be focussed on the prevention of burn assaults, adequate compensation and medical care for victims, as well as speedy retribution for perpetrators.

  2. Urban Inequality, Social Exclusion and Schooling in Dhaka, Bangladesh

    ERIC Educational Resources Information Center

    Cameron, Stuart James

    2017-01-01

    This paper asks whether education is a viable route to better livelihoods and social inclusion for children living in poor urban areas in Dhaka, Bangladesh. It uses qualitative interviews with 36 students aged 11-16, living in slum and middle-class areas, and also draws on data from a larger, mixed-methods study to provide context. Many children…

  3. Perceptions of Ayurvedic medicine by citizens in Dhaka, Bangladesh.

    PubMed

    Yoshida, Yoshitoku; Harun-Or-Rashid, Md; Yoshida, Yasuko; Alim, Md Abdul

    2016-02-01

    Bangladesh is now facing the public health problems of deficiency of iron and iodine, especially for women. The Ministry of Health and Family Welfare of Bangladesh has implemented strong countermeasures to enhance the health condition of the nation. On the other hand, based on the concept of the Declaration of Alma-Ata, complementary and alternative medicine should be used more vigorously to enhance public health in the world. The usage of complementary and alternative medicine such as ayurvedic medicine (AM) should be increased in Bangladesh. Therefore we conducted the study on perceptions of AM by citizens in Dhaka, Bangladesh in order to promote and enhance the effective usage of AM, including herbal medicines as medical resources, from December 2010 to January 2011. This study showed younger citizens (61.1%) did not get more benefit from AM than elder citizens (48.0%). On the other hand, younger citizens (76.8%) did not get more harm from AM than elder citizens (70.1%). We think that in terms of effectiveness of AM, the younger generation in Dhaka seems to be more skeptical to AM than the elder generation in Dhaka, even though the younger generation are more satisfied with AM than the elder generation. With viewpoint of enhancement of usage of AM in Dhaka, we think that scientifically sound information on AM should be collected rigorously and brought to the citizens vigorously to remove the skeptical feeling of AM from younger citizen in Dhaka. In terms of the effective utilization of limited medical resources, AM should be used appropriately in Bangladesh, Asia and the world.

  4. Variability of annual daily maximum rainfall of Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Ahammed, Faisal; Hewa, Guna Alankarage; Argue, John R.

    2014-02-01

    This paper deals with a study on rainfall characterises of Dhaka, the capital city of Bangladesh for the period of 1953 to 2009. Data were collected from Bangladesh Meteorological Department in January 2011 and found 2.84% missing data. Descriptive statistical analysis was conducted on annual rainfall, annual daily and monthly maximum rainfall. We applied Gumbel distribution function to estimate return periods of extreme rainfall events and found that annual daily maximum rainfall equal or greater than 425 mm had a return period of 100 years. Normal distribution function was adopted to forecast rainfall variability due to global climate change and found that annual daily maximum rainfall equal or greater than 200 mm might occur in any 12 years during the period of 2010 to 2066. The outcomes of this paper can be used in better understanding rainfall patterns of Dhaka, Bangladesh.

  5. Multimedia lead exposure and associated risk assessment in Dhaka, Bangladesh

    SciTech Connect

    Sarwar, M.

    1998-12-31

    Motor vehicles consume the largest amount of leaded gasoline in Bangladesh. The number of vehicles and fuel consumption have increased significantly in recent years. These vehicles, which are believed to be the major sources of lead emissions in Dhaka, may cause an excessive level of lead exposure in children. The paper describes the results of a study conducted to determine risk associated with the multimedia lead exposure for children in Dhaka. Specifically, data related to lead content in air and soil in Dhaka were collected and used to estimate the blood lead levels in children. The Integrated Exposure Uptake Biokinetics Model, developed by the United States Environmental Protection Agency (USEPA), was used. Bangladesh is yet to adopt any blood lead standards. The results of the study indicated that the model predicted geometric blood lead levels in children in Dhaka are significantly below the blood lead standard recommended by the World Health Organization (WHO). It was also found that children in Dhaka are not expected to contain blood lead levels higher than the WHO recommended standard.

  6. Construction Material-Based Methodology for Military Contingency Base Construction: Case Study of Dhaka, Bangladesh

    DTIC Science & Technology

    2016-08-01

    Military Contingency Base Construction Case Study of Dhaka, Bangladesh Co ns tr uc tio n En gi ne er in g R es ea rc h La bo ra to ry...Construction Case Study of Dhaka, Bangladesh Ghassan K. Al-Chaar, George W. Calfas, Michael A. Weiss, Michael K. Valentino, and Patrick J. Guertin...can be replicated in other locations throughout the world. This work then validates the developed methodology with a case study of Dhaka, Bangladesh

  7. Pollutant dispersion characteristics in Dhaka city, Bangladesh

    NASA Astrophysics Data System (ADS)

    Hossain, Khandaker M. A.; Easa, Said M.

    2012-02-01

    Air pollution is a major environmental concern in major cities around the world. The major causes of air pollution include rapid industrialization/urbanization and increased non environment-friendly energy production. This paper analyses the atmospheric pollutant such as carbon monoxide (CO) and particulate matter (PM) dispersion characteristics of Dhaka city. The yearly and diurnal variations of pollutant concentration are described by taking into consideration of both meteorological and emission source parameters highlighting washout effect due to rainfall and inversion phenomena. Concentration of PM (both PM2.5 and PM10) and CO in the ambient air are measured for a period of one year with Airmetric Minivol air samplers and Gas Chromatographic (GC) technique, respectively. The trend over the year shows an increase in the monthly average hourly PM and CO concentrations in winter months (November to March) when both PM10 and PM2.5 annual average concentrations (about 130 and 95 μg m-3, respectively) exhibit levels exceeding World Health Organization (WHO) guidelines as well as exceed more than twice the national standards of annual PM10 (50 μg m-3) and PM2.5 (15 μg m-3) concentrations. Such high pollutant concentrations may have significant health implications for residents of Dhaka city. It is also found that the PM concentration increases with the increase of wind speed during dry winter season and is also influenced by transboundary air pollution. The data and subsequent recommendations can be useful in formulating air quality management strategies for the Dhaka city.

  8. A survey of recycling behaviour in households in Dhaka, Bangladesh.

    PubMed

    Afroz, Rafia; Hanaki, Keisuke; Tuddin, Rabaah; Ayupp, Kartinah; Ayup, Kartinah

    2010-06-01

    This paper examines the factors that might influence recycling behaviour of the households in Dhaka city, Bangladesh. Information on recycling activity, socio-economic characteristics, and attitudes of the households towards recycling were obtained from interviews with 456 households in Dhaka. Logistic regression analysis was used to determine the dominant factors that might influence the recycling behaviour of the households. The results showed that environmental consciousness, the availability of storage space, and age (25-35 years) are significant positive predictors of recycling behaviour (at the 1% level). Another variable Income 2 (TK3,000-15,000) is also positively correlated with recycling (at the 5% level). Establishment of a recycling programme could be an effective strategy in implementing sustainable waste management in Bangladesh. For this strategy to succeed, however, active partnership between households and the waste management service department is required. The households' attitudes toward recycling should, therefore, be taken into consideration as should the results of this study, which are important indicators of households' positive attitudes toward sustainable waste management in Dhaka.

  9. Current state of traffic pollution in Bangladesh and metropolitan Dhaka

    SciTech Connect

    Karim, Masud; Matsui, Hiroshi; Ohno, Takashi; Hoque, S.

    1997-12-31

    Limited resources, invested for the development of transport facilities, such as infrastructure and vehicles, coupled with the rapid rise in transport demand, existence of a huge number of non-motorized vehicles on roads, lack of application of adequate and proper traffic management schemes are producing severe transport problems in almost all the urban areas of Bangladesh. Worsening situation of traffic congestion in the streets and sufferings of the inhabitants from vehicle emissions demand extensive research in this field. However, no detailed study concerning traffic congestion and pollution problems for urban areas of Bangladesh has yet been done. Therefore, it has become increasingly important to examine the present state of the problem. This research is a preliminary evaluation of the current situation of traffic pollution problem in Bangladesh. The daily total emissions of NO{sub x}, HC, CO, PM, and SO{sub x} are estimated using the daily fuel consumption and total traffic flows in Dhaka city. Estimated daily emissions are 42, 39, 314, 14, and 42 t/d for NO{sub x}, HC, CO, PM, and SO{sub x}, respectively. The emissions estimated using two different methods revealed good correlation. Daily average concentration of NO{sub x} (NO{sub 2}, NO) were measured at 30 street locations in Dhaka city during September and November, 1996. The results showed extremely high concentrations of NO{sub 2} and NO in these locations.

  10. Key issues in controlling air pollutants in Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Begum, Bilkis A.; Biswas, Swapan K.; Hopke, Philip K.

    2011-12-01

    Particulate matter (PM) sampling for both coarse and fine fractions was conducted in a semi-residential site (AECD) in Dhaka from February 2005 to December 2006. The samples were analyzed for mass, black carbon (BC), and elemental compositions. The resulting data set were analyzed for sources by Positive Matrix Factorization (EPA-PMF). From previous studies, it is found that, the air quality became worse in the dry winter period compared to the rainy season because of higher particulate matter concentration in the ambient air. Therefore, seasonal source contributions were determined from seasonally segregated data using EPA-PMF modeling so that further policy interventions can be undertaken to improve air quality. From the source apportionment results, it is observed that vehicular emissions and emission from brick kiln are the major contributors to air pollution in Dhaka especially in the dry seasons, while contribution from emissions from metal smelters increases during rainy seasons. The Government of Bangladesh is considering different interventions to reduce the emissions from those sources by adopting conversion of diesel/petrol vehicles to CNG, increasing traffic speed in the city and by introducing green technologies for brick production. However, in order to reduce the transboundary effect it is necessary to take action regionally.

  11. An ongoing earthquake sequence near Dhaka, Bangladesh, from regional recordings

    NASA Astrophysics Data System (ADS)

    Howe, M.; Mondal, D. R.; Akhter, S. H.; Kim, W.; Seeber, L.; Steckler, M. S.

    2013-12-01

    Earthquakes in and around the syntaxial region between the continent-continent collision of the Himalayan arc and oceanic subduction of the Sunda arc result primarily from the convergence of India and Eurasia-Sunda plates along two fronts. The northern front, the convergence of the Indian and Eurasian plates, has produced the Himalayas. The eastern front, the convergence of the Indian and Sunda plates, ranges from ocean-continent subduction at the Andaman Arc and Burma Arc, and transitions to continent-continent collision to the north at the Assam Syntaxis in northeast India. The India-Sunda convergence at the Burma Arc is extremely oblique. The boundary-normal convergence rate is ~17 mm/yr while the boundary-parallel rate is ~45 mm/yr including the well-known Sagaing strike-slip fault, which accommodates about half the shear component. This heterogeneous tectonic setting produces multiple earthquake sources that need to be considered when assessing seismic hazard and risk in this region. The largest earthquakes, just as in other subduction systems, are expected to be interplate events that occur on the low-angle megathrusts, such as the Mw 9.2 2004 Sumatra-Andaman earthquake and the 1762 earthquake along the Arakan margin. These earthquakes are known to produce large damage over vast areas, but since they account for large fault motions they are relatively rare. The majority of current seismicity in the study area is intraplate. Most of the seismicity associated with the Burma Arc subduction system is in the down-going slab, including the shallow-dipping part below the megathrust flooring the accretionary wedge. The strike of the wedge is ~N-S and Dhaka lies at its outer limit. One particular source relevant to seismic risk in Dhaka is illuminated by a multi-year sequence of earthquakes in Bangladesh less than 100 km southeast of Dhaka. The population in Dhaka (now at least 15 million) has been increasing dramatically due to rapid urbanization. The vulnerability

  12. Growth and health status of street children in Dhaka, Bangladesh.

    PubMed

    Greksa, Lawrence P; Rie, Naganuma; Islam, A B M Rafiqul; Maki, Uchida; Omori, Kinuko

    2007-01-01

    The purpose of this study was to assess the effect of street life on the growth and health status of poor children who live and work full-time on the streets of Dhaka, Bangladesh (street children), independent of the effects of poverty. This was accomplished by comparing 142 street children with 150 poor children who live and work on the streets of Dhaka but who return to their families at night (slum children). Children between 7-14 years old were recruited at locales where street and slum children are typically found. Weight and upper arm circumference did not differ significantly between street and slum children (P > 0.05), but energy reserves, as assessed by skinfolds, were significantly larger in street than in slum children (P < 0.05). There was no wasting in either street or slum children. Although the majority of children in both groups were stunted and underweight, there were no significant differences between groups (P > 0.05). The prevalence of disease symptoms tended to be slightly higher in street children than in slum children, but few of the differences were statistically significant (P < 0.05). These data do not support the contention that street children are a particularly high-risk group. The greater-than-expected growth and health status of street children, compared to other poor children, may be due to biologically fitter children being more likely to permanently move to the streets and/or to remain on the streets once the move has been made.

  13. Delivery practices of traditional birth attendants in Dhaka slums, Bangladesh.

    PubMed

    Fronczak, N; Arifeen, S E; Moran, A C; Caulfield, L E; Baqui, A H

    2007-12-01

    This paper describes associations among delivery-location, training of birth attendants, birthing practices, and early postpartum morbidity in women in slum areas of Dhaka, Bangladesh. During November 1993-May 1995, data on delivery-location, training of birth attendants, birthing practices, delivery-related complications, and postpartum morbidity were collected through interviews with 1,506 women, 489 home-based birth attendants, and audits in 20 facilities where the women from this study gave birth. Associations among maternal characteristics, birth practices, delivery-location, and early postpartum morbidity were specifically explored. Self-reported postpartum morbidity was associated with maternal characteristics, delivery-related complications, and some birthing practices. Dais with more experience were more likely to use potentially-harmful birthing practices which increased the risk of postpartum morbidity among women with births at home. Postpartum morbidity did not differ by birth-location. Safe motherhood programmes must develop effective strategies to discourage potentially-harmful home-based delivery practices demonstrated to contribute to morbidity.

  14. Delivery Practices of Traditional Birth Attendants in Dhaka Slums, Bangladesh

    PubMed Central

    Fronczak, N.; Arifeen, S.E.; Moran, A.C.; Caulfield, L.E.; Baqui, A.H.

    2007-01-01

    This paper describes associations among delivery-location, training of birth attendants, birthing practices, and early postpartum morbidity in women in slum areas of Dhaka, Bangladesh. During November 1993–May 1995, data on delivery-location, training of birth attendants, birthing practices, delivery-related complications, and postpartum morbidity were collected through interviews with 1,506 women, 489 home-based birth attendants, and audits in 20 facilities where the women from this study gave birth. Associations among maternal characteristics, birth practices, delivery-location, and early postpartum morbidity were specifically explored. Self-reported postpartum morbidity was associated with maternal characteristics, delivery-related complications, and some birthing practices. Dais with more experience were more likely to use potentially-harmful birthing practices which increased the risk of postpartum morbidity among women with births at home. Postpartum morbidity did not differ by birth-location. Safe motherhood programmes must develop effective strategies to discourage potentially-harmful home-based delivery practices demonstrated to contribute to morbidity. PMID:18402192

  15. Cohesive subgroups and drug user networks in Dhaka City, Bangladesh.

    PubMed

    Gayen, Tarun Kanti; Gayen, Kaberi; Raeside, Robert; Elliott, Lawrie

    2012-01-01

    The purpose of this paper was to explore group drug taking behaviour in a slum area of Dhaka, Bangladesh. We set out to examine the relationships between those who met, at least weekly, to take illegal drugs together, and how these relationships might shape their drug behaviour. Sociometric and behavioural data were collected using questionnaires via semi-structured interviews. We found that the likelihood of injecting drugs and sharing needles increased with age, duration of group membership and length of drug use. Drug users were classified into two clusters: one was more cohesive and comprised longer-term users, who were more likely to inject drugs and had poorer physical and mental health. The other cluster comprised younger, better educated members who were more transient, less cohesive, less likely to inject drugs and had better health. Qualitative data suggested that members of the first cluster were less accepting of outsiders and confirmed more to group norms. We conclude that emotionally bonded cohesive subgroups acquire norms, which reinforce problematic drug-using behaviour. Thus, health initiatives need to consider group relationships and norms and those initiatives which work with networks may be more effective and more appropriate for low-income countries.

  16. Whether and where to Enrol? Choosing a Primary School in the Slums of Urban Dhaka, Bangladesh

    ERIC Educational Resources Information Center

    Cameron, Stuart

    2011-01-01

    Slums account for around a third of the population of Dhaka, Bangladesh, and are thought to be growing rapidly. But there is little in the research literature about education of children who live in slums and it is doubtful whether they are covered in official statistics such as those on enrolment rates. This paper addresses this gap with…

  17. Treatment referral system for tuberculosis patients in Dhaka, Bangladesh.

    PubMed

    Islam, S; Hirayama, T; Islam, A; Ishikawa, N; Afsana, K

    2015-12-21

    Objectif : Evaluer le système de référence dans les programmes de DOTS urbains dans la ville de Dhaka, Bangladesh, et sa banlieue et à identifier les opportunités de renforcer ce système.Schéma : Une étude rétrospective de cohorte a interviewé les patients ayant eu un diagnostic de TB et les prestataires de soins des centres de diagnostic et de traitement (DOTS). Les outils de recherche ont inclus des questionnaires structurés pré testés et de registres de référence de patients TB.Résultats : Un total de 4974 patients TB a été référé aux différents centres de traitement. Seulement 1756 (35%) des fiches de référence des homologues ont été retournées. Parmi eux, 250 patients ont été sélectionnés au hasard pour un entretien. Parmi eux, 165 patients sont allés dans les centres DOTS, 69 n'y sont pas allés et 16 n'ont pas pu être retrouvés. On a découvert des variations statistiquement significatives en matière de niveau d'instruction, de lieu de résidence et d'identification du centre DOTS après conseil (P < 0,05). Les personnes ayant un revenu mensuel plus faible (RR = 7,84 ; RR = 5,03), la distance par rapport au centre (RR = 36,21) et prenant leur traitement dans une pharmacie et divers autres lieux ont eu un risque plus élevé (RR = 3 ; RR = 28,48) de prendre un traitement irrégulier.Conclusion : Un bon nombre de patients référés ont été enregistrés et ont mis en route le traitement mais ne sont pas retournés au centre de traitement indiqué. Un conseil adapté et le fait de tenir compte des préférences du patient pendant la référence sont essentiels pour répondre aux contraintes d'accès, pour l'adhésion au traitement et pour un meilleur résultat du traitement.

  18. Seasonal Distribution and Climatic Correlates of Dengue Disease in Dhaka, Bangladesh.

    PubMed

    Morales, Ivonne; Salje, Henrik; Saha, Samir; Gurley, Emily S

    2016-06-01

    Dengue has been regularly reported in Dhaka, Bangladesh, since a large outbreak in 2000. However, to date, we have limited information on the seasonal distribution of dengue disease and how case distribution correlates with climate. Here, we analyzed dengue cases detected at a private diagnostic facility in Dhaka during 2010-2014. We calculated Pearson cross-correlation coefficients to examine the relationship between the timing of cases and both rainfall and temperature. There were 2,334 cases diagnosed during the study period with 76% over the age of 15 years. Cases were reported in every month of the study; however, 90% of cases occurred between June and November. Increases in rainfall were correlated with increases in cases 2 months later (correlation of 0.7). The large proportion of adult cases is consistent with substantial population susceptibility and suggests Dhaka remains at risk for outbreaks. Although cases occurred year-round, public health preparedness should be focused during peak months.

  19. Trends in atmospheric particulate matter in Dhaka, Bangladesh, and the vicinity.

    PubMed

    Rana, Md Masud; Sulaiman, Norela; Sivertsen, Bjarne; Khan, Md Firoz; Nasreen, Sabera

    2016-09-01

    Dhaka and its neighboring areas suffer from severe air pollution, especially during dry season (November-April). We investigated temporal and directional variations in particulate matter (PM) concentrations in Dhaka, Gazipur, and Narayanganj from October 2012 to March 2015 to understand different aspects of PM concentrations and possible sources of high pollution in this region. Ninety-six-hour backward trajectories for the whole dry season were also computed to investigate incursion of long-range pollution into this area. We found yearly PM10 concentrations in this area about three times and yearly PM2.5 concentrations about six times greater than the national standards of Bangladesh. Dhaka and its vicinity experienced several air pollution episodes in dry season when PM2.5 concentrations were 8-13 times greater than the World Health Organization (WHO) guideline value. Higher pollution and great contribution of PM2.5 most of the time were associated with the north-westerly wind. Winter (November to January) was found as the most polluted season in this area, when average PM10 concentrations in Dhaka, Gazipur, and Narayanganj were 257.1, 240.3, and 327.4 μg m(-3), respectively. Pollution levels during wet season (May-October) were, although found legitimate as per the national standards of Bangladesh, exceeded WHO guideline value in 50 % of the days of that season. Trans-boundary source identifications using concentration-weighted trajectory method revealed that the sources in the eastern Indian region bordering Bangladesh, in the north-eastern Indian region bordering Nepal and in Nepal and its neighboring areas had high probability of contributing to the PM pollutions at Gazipur station.

  20. Migration, health, and socioenvironmental safety net among children of Dhaka, Bangladesh.

    PubMed

    Molla, Neelima Afroz; Ali, Ghaffar; Mollah, Kabirul Ahsan; Wongwit, Waranya; Shipin, Oleg; Ramasoota, Pongrama; Nur, Husna Parvin

    2016-10-31

    This study quantifies the diarrhea burden among migrant children under age 5 (who have migrated due to environmental degradation) in Dhaka. We used a multifactor socioepidemiological as well as environmental approach with pretested questionnaires and observations. It was found that 52% of the children were affected by diarrhea. Disability-adjusted life years (DALYs) lost was reduced manifold with the increase of mothers' behavioral determinants. Health losses were 1,718 fold with significant coefficient (β) in the migrant group. DALYs lost were significantly associated with socioenvironmental factors such as mother's illiteracy (β = .18; p < .001), no hand wash before eating (β = .08; p = .004), and no hand wash after defecation (β = .10; p < .001). This puts emphasis clearly on the awareness at household level, especially of mothers and children under age 5 in Dhaka, Bangladesh, in formulating migration-related policies.

  1. ANTIGENIC AND GENETIC CHARACTERIZATION OF INFLUENZA B VIRUSES IN 2012 FROM SLUMS, DHAKA, BANGLADESH.

    PubMed

    Islam, Mohammad Ariful; Sultana, Nazneen; Ahmed, Firoz; Rahman, M Majibur; Rahman, Sabita Rezwana

    2015-07-01

    Nasal and throat swab samples were collected from 400 subjects with influenza-like illness during June to September, 2012 from two heavily crowded slums, Rayerbazar and Hazaribagh, situated southeast of Dhaka, Bangladesh. Forty-one samples were positive for influenza B virus using quantitative RT-PCR, but no influenza A virus was detected. Antigenic characterization revealed that the influenza B viruses were of Yamagata and Victoria lineages, which was confirmed from genetic analysis of hemagglutinin (HA) and neuraminidase (NA) genes. Co-circulation of influenza B viruses of both Yamagata and Victoria lineages in the slums of Dhaka indicates that introduction of a tetravalent vaccine formulation that includes both of these influenza B virus lineages would be more effective in this population.

  2. Willingness to pay for waste management improvement in Dhaka city, Bangladesh.

    PubMed

    Afroz, Rafia; Hanaki, Keisuke; Hasegawa-Kurisu, Kiyo

    2009-01-01

    We employed the contingent valuation method to estimate the willingness to pay of the respondents to improve the waste collection system in Dhaka city, Bangladesh. Our objective was to estimate how WTP differs between respondents who received or did not receive door to door waste collection. The methodology consisted of asking people directly about their willingness to pay an additional waste collection service charge to cover the costs of a new waste management project. The mean value of WTP for areas that received waste collection service areas was higher than for residents of areas that did not but the difference was not statistically significant. The aggregate value of WTP of the respondents in Dhaka city was 7.6 million Taka (USD0.1 million).

  3. Groundwater Depletion in Dhaka City, Bangladesh: A Spatio-temporal Analysis

    NASA Astrophysics Data System (ADS)

    Jerin, T.; Ishtiaque, A.

    2015-12-01

    Dhaka city, having a population of more than fifteen million, exclusively depends on groundwater as a source of quality drinking water. In recent decades the city is encountering groundwater diminution and the declining scenario is dissimilar in different parts of the city. This paper aims to discuss the groundwater depletion in different parts of Dhaka city from 1990 to 2012 along with the causes and consequences. Groundwater level data of different locations of Dhaka city were collected from Bangladesh Water Development Board (BWDB). The data were processed and analyzed using SPSS and Excel Worksheet; a contour map was generated using ArcGIS 10.0 to outline the contemporary groundwater scenario of Dhaka city and the spatial analyst tool, Inverse Distance Weighted (IDW) was used to prepare the map. In addition, experts' opinions were collected using an in-depth interview strategy in order to provide a better understanding of the causes and consequences of groundwater depletion. The research results show that groundwater in Dhaka city is depleting at an alarming rate; the central part has the worst situation followed by the south-western part. In contrast, northern part has relatively better groundwater condition. Moreover, the peripheral zone exhibits a better condition because of the existence of rivers and wetlands. The interviews reveal that population density and overexploitation are mainly responsible for groundwater depletion; however, various other factors such as the deliberate establishment of deep tube wells, reduction of recharge capacity due to rapid growth of urban structures altogether results in huge drop of water level throughout the city. Rapid decline in groundwater augments the city's exposure towards multiple risks including land subsidence, groundwater pollution and most importantly, paucity of available fresh water that might ultimately results into an urban disaster. Potential solutions to ameliorate this situation include urban greening

  4. Subsurface information for risk-sensitive urban spatial planning in Dhaka Metropolitan City, Bangladesh

    NASA Astrophysics Data System (ADS)

    Günther, Andreas; Aziz Patwary, Mohammad Abdul; Bahls, Rebecca; Asaduzzaman, Atm; Ludwig, Rüdiger; Ashraful Kamal, Mohammad; Nahar Faruqa, Nurun; Jabeen, Sarwat

    2016-04-01

    Dhaka Metropolitan City (including Dhaka and five adjacent municipal areas) is one of the fastest developing urban regions in the world. Densely build-up areas in the developed metropolitan area of Dhaka City are subject to extensive restructuring as common six- or lower storied buildings are replaced by higher and heavier constructions. Additional stories are built on existing houses, frequently exceeding the allowable bearing pressure on the subsoil as supported by the foundations. In turn, newly developing city areas are projected in marshy terrains modified by extensive, largely unengineered landfills. In most areas, these terrains bear unfavorable building ground conditions within 30 meters. Within a collaborative technical cooperation project between Bangladesh and Germany, BGR supports GSB in the provision of geo-information for the Capital Development Authority (RAJUK). For general urban planning, RAJUK successively develops a detailed area plan (DAP) at scale 1 : 50000 for the whole Dhaka Metropolitan City area (approx. 1700 km2). Geo-information have not been considered in the present DAP. Within the project, geospatial information in form of a geomorphic map, a digital terrain model and a 3-D subsurface model covering the whole city area have been generated at a scale of 1 : 50000. An extensive engineering geological data base consisting of more than 2200 borehole data with associated Standard Penetration Testing (SPT) and lab data has been compiled. With the field testing (SPT) and engineering geological lab data, the 3-D subsurface model can be parameterized to derive important spatial subsurface information for urban planning like bearing capacity evaluations for different foundation designs or soil liquefaction potential assessments for specific earthquake scenarios. In conjunction with inundation potential evaluations for different flooding scenarios, comprehensive building ground suitability information can be derived to support risk

  5. Introducing leaky-well concept for stormwater quantity control in Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Ahammed, Faisal; Hewa, Guna Alankarage; Argue, John R.

    2013-03-01

    Dhaka, the capital city of Bangladesh with rapid and unplanned urbanization, is subjected to annual average rainfall of 2,076 mm. The intensity of rainfall during 10 years recurrence interval and 1 h duration of the city is 98 mm/h. The stormwater drainage systems of the city are often unable to manage peak runoff volume and hence urban flooding is common after medium to heavy rainfall events. A proposal to introduce leaky-wells using water sensitive urban design (WSUD) principles was investigated for Dhaka's drainage network to transfer the present unsatisfactory situation into one which is sustainable. The regime in balance strategy was considered to control the stormwater for 100 years recurrence interval. We applied scaling theory to 57 years (1953-2009) daily rainfall data for the estimation of sub-daily rainfall intensity values. It was found that two leaky-wells; each with depth H = 2.0 m and diameter D = 2.0 m, in 500 m2 allotment can improve the situation. The emptying (drain) time of the proposed device is around 1.25 days, which meets the standard criterion. Groundwater table, soil hydraulic conductivity and topographic slope of Dhaka also support for installations of leaky-wells.

  6. Access to and Exclusion from Primary Education in Slums of Dhaka, Bangladesh. CREATE Pathways to Access. Research Monograph No. 45

    ERIC Educational Resources Information Center

    Cameron, Stuart

    2010-01-01

    Bangladesh's urban population is rising fast. In the capital, Dhaka, some 4 million people live in slums. They are lacking in wealth, power and social connections; probably under-counted in national surveys; and under-served by both government and non-government organisations, many of whom still see poverty as a rural issue or see the urban poor…

  7. How dengue vector Aedes albopictus (Diptera: Culicidae) survive during the dry season in Dhaka City, Bangladesh?

    PubMed

    Chowdhury, Rajib; Chowdhury, Vashkar; Faria, Shyla; Huda, M Mamun; Laila, Runa; Dhar, Indrani; Maheswary, Narayan P; Dash, Aditya Prasad

    2014-09-01

    In 2000, a dengue outbreak occurred in Bangladesh that included Dhaka City. Both dengue vectors, Aedes aegypti and Ae. albopictus are present in Bangladesh. Aedes aegypti mosquitoes mainly breed in and around houses and Ae. albopictus is an outside breeder. There are many old trees throughout Dhaka City in different parks, streets and the university campus which may have holes that can contribute as potential breeding habitat for the dengue vector. Therefore, a survey was conducted to investigate the presence of eggs of the dengue vector mosquitoes in treeholes during the dry season in February 2001 to know their contribution on dengue outbreaks. All treeholes in 10 different localities (parks, streets and university campus) of Dhaka City were surveyed. All trees were examined for treeholes up to the height of approximately 3 m and sampled. Debris were collected and packed in poly bags and brought to the laboratory for detailed studies. These were then soaked with tap water to observe egg hatching. The soaked materials were kept up to 20 days covered by a fine mosquito net. After 2-3 days, the eggs started hatching and larvae were separated from the sample for rearing up to IV instar. A total of 245 treeholes were surveyed in 49 identified tree species and 18 unidentified trees. Altogether, 1365 Aedes larvae were found, of which 1096 were Aedes albopictus and 269 were other Aedes species. The largest number of larvae was observed in Delonix regia of Leguminosae family. The number of Aedes albopictus found in the treeholes have perfect positive correlation with the number of other Aedes species. Not a single egg of Aedes aegypti was found in this survey. This information will inform public health workers as well as the national control programme to help to solve mosquito borne diseases specially that of dengue. This is critical in planning for vector control operations due to the diversity of dengue outbreak in the nature.

  8. Perception and attitude of medical doctors in Dhaka, Bangladesh, with regard to Ayurvedic medicine

    PubMed Central

    Yoshida, Yoshitoku; Alim, Md. Abdul; Alam, Zakia; Asaduzzaman, Mohammad; Yoshida, Yasuko; Manikdrs, Shahabuddin

    2017-01-01

    ABSTRACT The World Health Organization (WHO) Traditional Medicine Strategy (2014–2023) aimed to help member states promote the safe and effective use of traditional medicine. While economic conditions have markedly improved in Bangladesh, the country is experiencing significant public health problems. Because of limited medical resources, there is a strong incentive to enhance complementary and alternative medicine usage in Bangladesh. Therefore, this study aimed to confirm the perceptions and attitudes of medical doctors (MDs) in Dhaka, Bangladesh, with regard to Ayurvedic medicine (AM). A total number of 159 MDs in Dhaka were interviewed by face-to-face between February and June 2015. The study revealed that 62.0% of MDs had treated patients with AM and 55.3% believed that AM should be regarded as its own specialty, whereas 39.7% of MDs believed that AM should be part of the conventional medical curriculum and 32.7% thought that AM did not seem scientific. In terms of gender, 45.3% of male MDs agreed or strongly agreed that AM only had a placebo effect. On the other hand, 65.8% of female MDs disagreed or strongly disagreed it. In terms of age, 77.0% of MDs aged 36 or elder (elder MDs) believed they were more likely to recommend AM use and 80.3% of elder MDs believed that the government should encourage more initiatives to promote AM. To enhance AM use, scientifically robust information on the efficacy, safety and scientific basis of AM should be more effectively conveyed to male MDs. PMID:28303062

  9. Newborn care practices among slum dwellers in Dhaka, Bangladesh: a quantitative and qualitative exploratory study.

    PubMed

    Moran, Allisyn C; Choudhury, Nuzhat; Uz Zaman Khan, Nazib; Ahsan Karar, Zunaid; Wahed, Tasnuva; Faiz Rashid, Sabina; Alam, M Ashraful

    2009-11-17

    Urbanization is occurring at a rapid pace, especially in low-income countries. Dhaka, Bangladesh, is estimated to grow to 50 million by 2015, with 21 million living in urban slums. Although health services are available, neonatal mortality is higher in slum areas than in urban non-slum areas. The Manoshi program works to improve maternal, newborn, and child health in urban slums in Bangladesh. This paper describes newborn care practices in urban slums in Dhaka and provides program recommendations. A quantitative baseline survey was conducted in six urban slum areas to measure newborn care practices among recently delivered women (n = 1,256). Thirty-six in-depth semi-structured interviews were conducted to explore newborn care practices among currently pregnant women (n = 18) and women who had at least one delivery (n = 18). In the baseline survey, the majority of women gave birth at home (84%). Most women reported having knowledge about drying the baby (64%), wrapping the baby after birth (59%), and cord care (46%). In the in-depth interviews, almost all women reported using sterilized instruments to cut the cord. Babies are typically bathed soon after birth to purify them from the birth process. There was extensive care given to the umbilical cord including massage and/or applying substances, as well as a variety of practices to keep the baby warm. Exclusive breastfeeding was rare; most women reported first giving their babies sweet water, honey and/or other foods. These reported newborn care practices are similar to those in rural areas of Bangladesh and to urban and rural areas in the South Asia region. There are several program implications. Educational messages to promote providing newborn care immediately after birth, using sterile thread, delaying bathing, and ensuring dry cord care and exclusive breastfeeding are needed. Programs in urban slum areas should also consider interventions to improve social support for women, especially first time mothers. These

  10. Perception and attitude of medical doctors in Dhaka, Bangladesh, with regard to Ayurvedic medicine.

    PubMed

    Yoshida, Yoshitoku; Alim, Md Abdul; Alam, Zakia; Asaduzzaman, Mohammad; Yoshida, Yasuko; Manikdrs, Shahabuddin

    2017-02-01

    The World Health Organization (WHO) Traditional Medicine Strategy (2014-2023) aimed to help member states promote the safe and effective use of traditional medicine. While economic conditions have markedly improved in Bangladesh, the country is experiencing significant public health problems. Because of limited medical resources, there is a strong incentive to enhance complementary and alternative medicine usage in Bangladesh. Therefore, this study aimed to confirm the perceptions and attitudes of medical doctors (MDs) in Dhaka, Bangladesh, with regard to Ayurvedic medicine (AM). A total number of 159 MDs in Dhaka were interviewed by face-to-face between February and June 2015. The study revealed that 62.0% of MDs had treated patients with AM and 55.3% believed that AM should be regarded as its own specialty, whereas 39.7% of MDs believed that AM should be part of the conventional medical curriculum and 32.7% thought that AM did not seem scientific. In terms of gender, 45.3% of male MDs agreed or strongly agreed that AM only had a placebo effect. On the other hand, 65.8% of female MDs disagreed or strongly disagreed it. In terms of age, 77.0% of MDs aged 36 or elder (elder MDs) believed they were more likely to recommend AM use and 80.3% of elder MDs believed that the government should encourage more initiatives to promote AM. To enhance AM use, scientifically robust information on the efficacy, safety and scientific basis of AM should be more effectively conveyed to male MDs.

  11. Fecal indicators and bacterial pathogens in bottled water from Dhaka, Bangladesh

    PubMed Central

    Ahmed, W.; Yusuf, R.; Hasan, I.; Ashraf, W.; Goonetilleke, A.; Toze, S.; Gardner, T.

    2013-01-01

    Forty-six bottled water samples representing 16 brands from Dhaka, Bangladesh were tested for the numbers of total coliforms, fecal indicator bacteria (i.e., thermotolerant Escherichia coli and Enterococcus spp.) and potential bacterial pathogens (i.e., Aeromonas hydrophila, Pseudomonas aeruginosa, Salmonella spp., and Shigella spp.). Among the 16 brands tested, 14 (86%), ten (63%) and seven (44%) were positive for total coliforms, E. coil and Enterococcus spp., respectively. Additionally, a further nine (56%), eight (50%), six (37%), and four (25%) brands were PCR positive for A. hydrophila lip, P. aeruginosa ETA, Salmonella spp. invA, and Shigella spp. ipaH genes, respectively. The numbers of bacterial pathogens in bottled water samples ranged from 28 ± 12 to 600 ± 45 (A. hydrophila lip gene), 180 ± 40 to 900 ± 200 (Salmonella spp. invA gene), 180 ± 40 to 1,300 ± 400 (P. aeruginosa ETA gene) genomic units per L of water. Shigella spp. ipaH gene was not quantifiable. Discrepancies were observed in terms of the occurrence of fecal indicators and bacterial pathogens. No correlations were observed between fecal indicators numbers and presence/absence of A. hydrophila lip (p = 0.245), Salmonella spp. invA (p = 0.433), Shigella spp. ipaH gene (p = 0.078), and P. aeruginosa ETA (p = 0.059) genes. Our results suggest that microbiological quality of bottled waters sold in Dhaka, Bangladesh is highly variable. To protect public health, stringent quality control is recommended for the bottled water industry in Bangladesh. PMID:24159289

  12. Prevalence and Pattern of Smoking among Bus Drivers of Dhaka, Bangladesh.

    PubMed

    Goon, Shatabdi; Bipasha, Munmun S

    2014-01-01

    Smoking is an increasingly prevalent habit in Bangladesh, particularly among men with low socioeconomic status. The aim of this study was determining the prevalence and pattern of smoking among bus drivers of Dhaka city, Bangladesh. A cross-sectional study was carried out from 15 to 26 March 2013 among four hundred bus drivers of Dhaka city, Bangladesh aged between 18 and 50 determining the prevalence, pattern, and socioeconomic determinants of smoking. Data were input into a pre-designed access database with data management and analysis using standard statistical tools (SPSS-15) to assess significance through cross-tabulation. The overall prevalence of smoking among bus drivers was 93%, and 20% of their daily income was spent on smoking. Though most (32.3%) of the drivers started smoking before involving in driving profession, but excessive smoking had been promoted by occupational and environmental stress experiencing hectic work schedule. Individuals with no education were three times (odds ratio (OR) 2.8; 95% CI 1.2-6.13) more likely to be smoker. Smoking was detected among 53.2% of smokers aged 26 or above (χ (2) = 8.30, P < 0.05), and they showed significantly high prevalence. The reasons behind smoking were almost exclusively habit (38.1%), peer influence (26.8%), and thinking of stress relief (25.3%). Smoking can also worsen poverty among users and their families because most of the drivers reported chest pain (34.4%), heart disease (25.8%), and other health complications caused by smoking depriving families of much-needed income and imposing additional costs of health care. Interventions and preventions by policy makers, public health experts, and other stakeholders should be introduced considering high prevalence of smoking among Bangladeshi bus drivers with detrimental health sequel.

  13. Injecting drug users and their health seeking behavior: a cross-sectional study in dhaka, bangladesh.

    PubMed

    Shariful Islam, Sheikh Mohammed; Biswas, Tuhin; Bhuiyan, Faiz Ahmed; Islam, Md Serajul; Rahman, Mohammad Mizanur; Nessa, Hurun

    2015-01-01

    Introduction and Aim. Injecting drug users (IDUs) are amongst the most vulnerable people to acquisition of HIV/AIDS. This study aims to collect information on IDUs and their health seeking behavior in Bangladesh. Design and Methods. A cross-sectional study was conducted among 120 IDUs attending a drug rehabilitation center in Dhaka, Bangladesh. Data were collected on sociodemographics, drug use, health seeking behavior, knowledge of injecting drugs, and sexual behavior. Results. The mean ± SD and median (IQR) age of the participants were 32.5 ± 21.3 and 33 (27-38) years, respectively, with only 9.2% females. Injection buprenorphine was the drug of choice for 40% of participants, and 58% of the participants first started drug use with smoking cannabis. 73.3% of participants shared needles sometimes and 57.5% were willing to use the needle exchange programs. 60% of the participants had no knowledge about the diseases spread by injection. Condom use during the last intercourse with regular partners was 11.7% and with any partners 15.8%. Conclusion. IDUs in Bangladesh are a high-risk group for HIV/AIDS due to lack of knowledge and risky behaviors. Education and interventions specifically aimed at IDUs are needed, because traditional education may not reach IDUs or influence their behavior.

  14. Injecting Drug Users and Their Health Seeking Behavior: A Cross-Sectional Study in Dhaka, Bangladesh

    PubMed Central

    Biswas, Tuhin; Bhuiyan, Faiz Ahmed; Islam, Md. Serajul; Rahman, Mohammad Mizanur; Nessa, Hurun

    2015-01-01

    Introduction and Aim. Injecting drug users (IDUs) are amongst the most vulnerable people to acquisition of HIV/AIDS. This study aims to collect information on IDUs and their health seeking behavior in Bangladesh. Design and Methods. A cross-sectional study was conducted among 120 IDUs attending a drug rehabilitation center in Dhaka, Bangladesh. Data were collected on sociodemographics, drug use, health seeking behavior, knowledge of injecting drugs, and sexual behavior. Results. The mean ± SD and median (IQR) age of the participants were 32.5 ± 21.3 and 33 (27–38) years, respectively, with only 9.2% females. Injection buprenorphine was the drug of choice for 40% of participants, and 58% of the participants first started drug use with smoking cannabis. 73.3% of participants shared needles sometimes and 57.5% were willing to use the needle exchange programs. 60% of the participants had no knowledge about the diseases spread by injection. Condom use during the last intercourse with regular partners was 11.7% and with any partners 15.8%. Conclusion. IDUs in Bangladesh are a high-risk group for HIV/AIDS due to lack of knowledge and risky behaviors. Education and interventions specifically aimed at IDUs are needed, because traditional education may not reach IDUs or influence their behavior. PMID:25692067

  15. Epidemiology and Etiology of Sexually Transmitted Infection among Hotel-Based Sex Workers in Dhaka, Bangladesh

    PubMed Central

    Nessa, Khairun; Waris, Shama-A; Sultan, Zafar; Monira, Shirajum; Hossain, Maqsud; Nahar, Shamsun; Rahman, Habibur; Alam, Mahbub; Baatsen, Pam; Rahman, Motiur

    2004-01-01

    The prevalence of sexually transmitted infections (STIs) and reproductive tract infections (RTIs) among hotel-based sex workers (HBSWs) in Dhaka, Bangladesh, was studied. A total of 400 HBSWs were enrolled in the study during April to July 2002. Endocervical swabs, high vaginal swabs, and blood samples from 400 HBSWs were examined for Neisseria gonorrhoeae (by culture), Chlamydia trachomatis (by PCR), Trichomonas vaginalis (by microscopy), antibody to Treponema pallidum (by both rapid plasma reagin and Treponema pallidum hemagglutination tests), and antibody to herpes simplex virus type 2 (HSV-2) (by enzyme-linked immunosorbent assay). Sociodemographic information as well as gynecological and obstetric information was collected. Among the HBSWs, 228 women (57%) were symptomatic and 172 (43%) were asymptomatic, 35.8% were positive for N. gonorrhoeae, 43.5% were positive for C. trachomatis, and 4.3% were positive for T. vaginalis. A total of 8.5% had syphilis, 34.5% were positive for HSV-2, and 86.8% were positive for at least one RTI or STI. There was no significant difference between the prevalences of STIs among the symptomatic and asymptomatic HBSWs. These data suggested a high prevalence of STIs, particularly gonorrhea and chlamydia, among HBSWs in Dhaka. PMID:14766825

  16. Ruminants Contribute Fecal Contamination to the Urban Household Environment in Dhaka, Bangladesh.

    PubMed

    Harris, Angela R; Pickering, Amy J; Harris, Michael; Doza, Solaiman; Islam, M Sirajul; Unicomb, Leanne; Luby, Stephen; Davis, Jennifer; Boehm, Alexandria B

    2016-05-03

    In Dhaka, Bangladesh, the sensitivity and specificity of three human, three ruminant, and one avian source-associated QPCR microbial source tracking assays were evaluated using fecal samples collected on site. Ruminant-associated assays performed well, whereas the avian and human assays exhibited unacceptable cross-reactions with feces from other hosts. Subsequently, child hand rinses (n = 44) and floor sponge samples (n = 44) from low-income-households in Dhaka were assayed for fecal indicator bacteria (enterococci, Bacteroidales, and Escherichia coli) and a ruminant-associated bacterial target (BacR). Mean enterococci concentrations were of 100 most probable number (MPN)/2 hands and 1000 MPN/225 cm(2) floor. Mean concentrations of Bacteroidales were 10(6) copies/2 hands and 10(5) copies/225 cm(2) floor. E. coli were detected in a quarter of hand rinse and floor samples. BacR was detected in 18% of hand rinse and 27% of floor samples. Results suggest that effective household fecal management should account not only for human sources of contamination but also for animal sources. The poor performance of the human-associated assays in the study area calls into the question the feasibility of developing a human-associated marker in urban slum environments, where domestic animals are exposed to human feces that have been disposed in pits and open drains.

  17. Understanding the Broader Sexual and Reproductive Health Needs of Female Sex Workers in Dhaka, Bangladesh.

    PubMed

    Katz, Karen R; McDowell, Misti; Green, Mackenzie; Jahan, Shamim; Johnson, Laura; Chen, Mario

    2015-12-01

    Little is known about the sexual and reproductive health care needs of female sex workers in Dhaka, Bangladesh. Survey data were collected from 354 hotel-based and 323 street-based female sex workers using a venue-based stratified cluster sampling approach. In addition, in-depth interviews were conducted with 20 female sex workers recruited from drop-in centers. We calculated unmet need for family planning and examined fertility desires, use of condoms and other contraceptive methods, experiences with gender-based violence, sexual and reproductive health service needs, and preferences on where to receive services. The prevalence of unmet need was 25% among hotel-based female sex workers and 36% among street-based female sex workers. Almost all participants reported having used condoms in the past 30 days, and 44% of hotel-based sex workers and 30% of street-based sex workers reported dual method use during that period. Condom use was inconsistent, however, and condom breakage and nonuse for extra money were common. Many women reported experiencing gender-based violence. Sexual and reproductive health services had been obtained by 64% of hotel-based and 89% of street-based sex workers in the past six months; drop-in centers were their preferred site for receiving health services. Female sex workers in Dhaka need family planning and other sexual and reproductive health services and prefer receiving them from drop-in centers.

  18. Rotavirus infections and climate variability in Dhaka, Bangladesh: a time-series analysis.

    PubMed

    Hashizume, M; Armstrong, B; Wagatsuma, Y; Faruque, A S G; Hayashi, T; Sack, D A

    2008-09-01

    Attempts to explain the clear seasonality of rotavirus infections have been made by relating disease incidence to climate factors; however, few studies have disentangled the effects of weather from other factors that might cause seasonality. We investigated the relationships between hospital visits for rotavirus diarrhoea and temperature, humidity and river level, in Dhaka, Bangladesh, using time-series analysis adjusting for other confounding seasonal factors. There was strong evidence for an increase in rotavirus diarrhoea at high temperatures, by 40.2% for each 1 degrees C increase above a threshold (29 degrees C). Relative humidity had a linear inverse relationship with the number of cases of rotavirus diarrhoea. River level, above a threshold (4.8 m), was associated with an increase in cases of rotavirus diarrhoea, by 5.5% per 10-cm river-level rise. Our findings provide evidence that factors associated with high temperature, low humidity and high river-level increase the incidence of rotavirus diarrhoea in Dhaka.

  19. Projecting the impact of climate change on dengue transmission in Dhaka, Bangladesh.

    PubMed

    Banu, Shahera; Hu, Wenbiao; Guo, Yuming; Hurst, Cameron; Tong, Shilu

    2014-02-01

    Weather variables, mainly temperature and humidity influence vectors, viruses, human biology, ecology and consequently the intensity and distribution of the vector-borne diseases. There is evidence that warmer temperature due to climate change will influence the dengue transmission. However, long term scenario-based projections are yet to be developed. Here, we assessed the impact of weather variability on dengue transmission in a megacity of Dhaka, Bangladesh and projected the future dengue risk attributable to climate change. Our results show that weather variables particularly temperature and humidity were positively associated with dengue transmission. The effects of weather variables were observed at a lag of four months. We projected that assuming a temperature increase of 3.3°C without any adaptation measure and changes in socio-economic condition, there will be a projected increase of 16,030 dengue cases in Dhaka by the end of this century. This information might be helpful for the public health authorities to prepare for the likely increase of dengue due to climate change. The modelling framework used in this study may be applicable to dengue projection in other cities.

  20. Interaction of Mean Temperature and Daily Fluctuation Influences Dengue Incidence in Dhaka, Bangladesh.

    PubMed

    Sharmin, Sifat; Glass, Kathryn; Viennet, Elvina; Harley, David

    2015-01-01

    Local weather influences the transmission of the dengue virus. Most studies analyzing the relationship between dengue and climate are based on relatively coarse aggregate measures such as mean temperature. Here, we include both mean temperature and daily fluctuations in temperature in modelling dengue transmission in Dhaka, the capital of Bangladesh. We used a negative binomial generalized linear model, adjusted for rainfall, anomalies in sea surface temperature (an index for El Niño-Southern Oscillation), population density, the number of dengue cases in the previous month, and the long term temporal trend in dengue incidence. In addition to the significant associations of mean temperature and temperature fluctuation with dengue incidence, we found interaction of mean and temperature fluctuation significantly influences disease transmission at a lag of one month. High mean temperature with low fluctuation increases dengue incidence one month later. Besides temperature, dengue incidence was also influenced by sea surface temperature anomalies in the current and previous month, presumably as a consequence of concomitant anomalies in the annual rainfall cycle. Population density exerted a significant positive influence on dengue incidence indicating increasing risk of dengue in over-populated Dhaka. Understanding these complex relationships between climate, population, and dengue incidence will help inform outbreak prediction and control.

  1. Diarrheal epidemics in Dhaka, Bangladesh, during three consecutive floods: 1988, 1998, and 2004.

    PubMed

    Schwartz, Brian S; Harris, Jason B; Khan, Ashraful I; Larocque, Regina C; Sack, David A; Malek, Mohammad A; Faruque, Abu S G; Qadri, Firdausi; Calderwood, Stephen B; Luby, Stephen P; Ryan, Edward T

    2006-06-01

    We examined demographic, microbiologic, and clinical data from patients presenting during 1988, 1998, and 2004 flood-associated diarrheal epidemics at a diarrhea treatment hospital in Dhaka, Bangladesh. Compared with non-flood periods, individuals presenting during flood-associated epidemics were older, more severely dehydrated, and of lower socioeconomic status. During flood-associated epidemics, Vibrio cholerae was the most commonly identified cause of diarrhea, and the only diarrheal pathogen whose incidence proportionally increased in each epidemic compared with seasonally matched periods. Rotavirus was the second most frequently identified flood-associated pathogen, although the proportion of cases caused by rotavirus infection decreased during floods compared with matched periods. Other causes of diarrhea did not proportionally change, although more patients per day presented with enterotoxigenic Escherichia coli, Shigella, and Salmonella species-associated diarrhea during floods compared with matched periods. Our findings suggest that cholera is the predominant cause of flood-associated diarrheal epidemics in Dhaka, but that other organisms spread by the fecal-oral route also contribute.

  2. Interaction of Mean Temperature and Daily Fluctuation Influences Dengue Incidence in Dhaka, Bangladesh

    PubMed Central

    Sharmin, Sifat; Glass, Kathryn; Viennet, Elvina; Harley, David

    2015-01-01

    Local weather influences the transmission of the dengue virus. Most studies analyzing the relationship between dengue and climate are based on relatively coarse aggregate measures such as mean temperature. Here, we include both mean temperature and daily fluctuations in temperature in modelling dengue transmission in Dhaka, the capital of Bangladesh. We used a negative binomial generalized linear model, adjusted for rainfall, anomalies in sea surface temperature (an index for El Niño-Southern Oscillation), population density, the number of dengue cases in the previous month, and the long term temporal trend in dengue incidence. In addition to the significant associations of mean temperature and temperature fluctuation with dengue incidence, we found interaction of mean and temperature fluctuation significantly influences disease transmission at a lag of one month. High mean temperature with low fluctuation increases dengue incidence one month later. Besides temperature, dengue incidence was also influenced by sea surface temperature anomalies in the current and previous month, presumably as a consequence of concomitant anomalies in the annual rainfall cycle. Population density exerted a significant positive influence on dengue incidence indicating increasing risk of dengue in over-populated Dhaka. Understanding these complex relationships between climate, population, and dengue incidence will help inform outbreak prediction and control. PMID:26161895

  3. Assessment of impact on health of children working in the garbage dumping site in Dhaka, Bangladesh.

    PubMed

    Lahiry, Gargy; Rahman, Tania; Hasan, A K M Mahbub; Dutta, Alak K; Arif, Md; Howlader, Zakir H

    2011-12-01

    Waste dumping is one of the major causes of environment pollution in Bangladesh. This study was designed to assess the impact on health of children working in one of the garbage dumping sites in Dhaka. Blood samples were collected from exposed (n = 20, aged: 8-15 years, exposed to dumped garbage from 6 months to 6 years) and control subjects (n = 15, age matched and never worked in the garbage dumping site). Oxidative stress markers like lipid hydroperoxides, thiobarbituric acid reactive substances and protein carbonyl content were measured. Alkaline comet assay was performed to assess the possible damage in DNA. To check the consequences of possible toxic exposure, we performed liver function tests of the study subjects. Oxidative stress-mediated damage of macromolecules was found to be significantly increased in the exposed children. Liver function tests were found normal. Thus, the children working in garbage dumping site are in severe health risk.

  4. Sexual and reproductive health behaviors of female sex workers in Dhaka, Bangladesh

    PubMed Central

    Alam, Anadil; Sultana, Salima; Alam, Nazmul; Somrongthong, Ratana

    2017-01-01

    Objectives The objective of this study was to document sexual and reproductive health (SRH) practices among female sex workers (FSWs) including abortion, pregnancy, use of maternal healthcare services and sexually transmitted infections (STIs) with the aim of developing recommendations for action. Methods A total of 731 FSWs aged between 15 and 49 years were surveyed using a stratified sampling in Dhaka, Bangladesh. A workshop with 23 participants consisted of policy makers, researchers, program implementers was conducted to formulate recommendations. Results About 61.3% of 731 FSWs reported SRH-related experiences in the past one year, including abortion (15.5%), ongoing pregnancy (9.0%), childbirth (8.3%) or any symptoms of STIs (41.6%). Among FSWs who had an abortion (n = 113), the most common methods included menstrual regulation through manual vacuum aspiration (47.8%), followed by Dilation and Curettage procedure (31%) and oral medicine from pharmacies (35.4%). About 57.5% of 113 cases reported post abortion complications. Among FSWs with delivery in the past year (n = 61), 27.7% attended the recommended four or more antenatal care visits and more than half did not have any postnatal visit. Adopting sustainable and effective strategies to provide accessible and adequate SRH services for FSWs was prioritized by workshop participants. Conclusion There was substantial unmet need for SRH care among FSWs in urban areas in Dhaka, Bangladesh. Therefore, it is important to integrate SRH services for FSWs in the formal healthcare system or integration of abortion and maternal healthcare services within existing HIV prevention services. PMID:28369093

  5. Pulmonary Tuberculosis and Drug Resistance in Dhaka Central Jail, the Largest Prison in Bangladesh

    PubMed Central

    Banu, Sayera; Hossain, Arman; Uddin, Mohammad Khaja Mafij; Uddin, Muhammad Reaj; Ahmed, Tahmeed; Khatun, Razia; Mahmud, Asif Mujtaba; Hyder, Khurshid Alam; Lutfor, Afzalunnessa Binte; Karim, Md. Sirajul; Zaman, Khalequ; Khan, Md. Ashraful Islam; Barua, Pravat Chandra; Luby, Stephen P.

    2010-01-01

    Background There are limited data on TB among prison inmates in Bangladesh. The aim of the study was to determine the prevalence of pulmonary tuberculosis (TB), its drug resistance and risk factors in Dhaka Central Jail, the largest prison in Bangladesh. Methods Cross sectional survey with, active screening of a total number of 11,001 inmates over a period of 2 years. Sputum samples from TB suspects were taken for acid- fast bacilli (AFB) microscopy, culture and drug susceptibility testing. Results Among 1,781 TB suspects 245 (13.8%) were positive for AFB on microscopy and/or culture. The prevalence rate of sputum- positive pulmonary TB was 2,227/100,000. Fifty three cases (21.6% of 245 cases) were AFB- negative on microscopy but were found positive on culture. Resistance to isoniazid, rifampicin, streptomycin and ethambutol was 11.4%, 0.8%, 22.4% and 6.5% respectively. No multidrug resistance was observed. The main risk factors of TB in prison were exposure to TB patients (adjusted odds ratio 3.16, 95% CI 2.36–4.21), previous imprisonment (1.86, 1.38–2.50), longer duration of stay in prison (17.5 months for TB cases; 1.004, 1.001–1.006) and low body mass index which is less than 18.5 kg/m2 (5.37, 4.02–7.16). Conclusions The study results revealed a very high prevalence of TB in the prison population in Dhaka Central Jail. Entry examinations and active symptom screening among inmates are important to control TB transmission inside the prison. Identifying undiagnosed smear-negative TB cases remains a challenge to combat this deadly disease in this difficult setting. PMID:20505826

  6. Patterns and correlates of physical activity in adolescents in Dhaka city, Bangladesh.

    PubMed

    Khan, A; Burton, N W; Trost, S G

    2017-04-01

    Despite the widely acknowledged public health importance of physical activity (PA), few studies have examined levels of PA in Bangladesh. The purpose of this study was to investigate the patterns and correlates of PA in adolescents in Bangladesh. Cross-sectional survey. A total of 798 students, aged 13-17 years; 48% girls, from eight purposively selected secondary schools in Dhaka city, Bangladesh completed a self-administered questionnaire including the 3-Day PA Recall. Parents completed a separate questionnaire to provide household/family-level data. Multilevel generalized linear modelling was used to identify the correlates of PA for boys and girls. Two-thirds (66%) of the adolescents met the recommendations of 60 min/day of moderate to vigorous PA (MVPA) daily, with more boys than girls (76% and 55%, respectively). The most common activities reported were walking for travel (42%), cricket (33%) and household chores (30%). Multivariable modelling showed that girls' PA was positively associated with mother's education level, walking to school, involvement in school sports and having home sports equipment. Boys' PA was positively associated with mother's employment, having home sports equipment, having a playground at school and walking to school. One third of adolescents in Bangladesh were insufficiently active with girls less active than boys. Walking to school and access to sports facilities including playgrounds and home equipment may be important to promote activity among Bangladeshi adolescents, with special attention to the girls. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  7. Faecal contamination of commuters' hands in main vehicle stations in Dhaka city, Bangladesh.

    PubMed

    Islam, Mohammad S; Mahmud, Zahid H; Islam, Mohammad S; Zaman, Rokon U; Islam, Mohammad R; Gope, Partha S; Islam, Khairul; Jahan, Hasin; Opel, Aftab; Shaha, Ganesh C; Faruque, Shah M; Clemens, John D

    2016-06-01

    Faecal-oral carriage via hands is an important transmission pathway for diarrhoeal pathogens. The level of faecal contamination of commuters' hands in Dhaka, Bangladesh, was examined in this study. A total of 900 hand washing samples, including both left and right hands, were collected during one year to cover three different seasons in Bangladesh: winter, summer and rainy seasons. Standard membrane filtration technique was used to quantify total coliforms (TC), faecal coliforms (FC), faecal streptococci (FS), Escherichia coli (EC) and Clostridium perfringens (CP). The hands of the commuters were contaminated with TC, FC, FS, CP and EC. The TC, FC, FS, CP and EC counts were 1.95, 1.65, 4.04, 1.54 and1.46 log10 colony forming units (cfu) in the left hand; and 2.13, 1.82, 4.11, 1.52 and 1.61 log10 cfu in the right hand, respectively. There were no statistically significant differences in counts of left and right hands. The highest counts were observed for FS in all seasons. This evidence based study may be used to provide interventions to reduce the contamination of commuters' hands through washing with detergent and, thus, help to prevent the spread of infectious diseases. © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. Tracing recharge to aquifers beneath an Asian megacity with Cl/Br and stable isotopes: the example of Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Hoque, M. A.; McArthur, J. M.; Sikdar, P. K.; Ball, J. D.; Molla, T. N.

    2014-06-01

    Dhaka, the capital of Bangladesh, is home to a population of 15 million people, whose water supply is 85% drawn from groundwater in aquifers that underlie the city. Values of Cl/Br >500 are common in groundwater beneath western Dhaka in areas <3 km from the river, and in rivers and sewers around and within the city. The study shows that groundwater beneath western Dhaka is strongly influenced by infiltration of effluent from leaking sewers and unsewered sanitation, and by river-bank infiltration from the Turag-Buriganga river system which bounds the western limit of the city. River-bank infiltration from other rivers around Dhaka is minor. Values of Cl/Br and Cl concentrations reveal that 23 % of wells sampled in Dhaka are influenced by saline connate water in amounts up to 1%. This residual natural salinity compromises the use of electrical conductivity of groundwater as a method for defining pathways of recharge by contaminated surface waters. Concentrations of As, B, Ba, Cd, Cu, F, Ni, NO3, Pb, Sb, Se and U in groundwater samples are less than WHO health-based guideline values for drinking water.

  9. Water Quality vs. Sanitation Accessibility: What is the most effective intervention point for preventing cholera in Dhaka, Bangladesh?

    NASA Astrophysics Data System (ADS)

    Majumder, M. S.; Gute, D.; Faruque, A. S.

    2011-12-01

    Every year, 3 to 5 million individuals contract cholera, an acute diarrheal infection that is caused by the ingestion of food or water containing the Vibrio cholerae bacterium. Because cholera is a waterborne disease, it can be transmitted quickly in environments with inadequate water and sanitation systems where infected waste can easily pollute drinking water. Today, Bangladesh continues to struggle with endemic cholera. Donor organizations address water and sanitation via localized initiatives, including the installation of community water collection sites (i.e. tubewells; water-boiling points; etc.). At this small-scale level, water quality and sanitation accessibility can be improved independently of one another, and when resources are limited, donors must invest in the most effective disease prevention options. This study used laboratory-confirmed cholera incidence data (2000-2009) collected by the International Centre of Diarrheal Disease Research, Bangladesh at their on-site hospital to compare the efficacy of interventions addressing water quality versus sanitation accessibility in Dhaka, Bangladesh. Data regarding use of sanitary latrines and boiling of drinking water were extracted from sequential patient interviews conducted at the Dhaka facility and used as surrogate variables for sanitation accessibility and water quality respectively. Our analysis indicates that boiling water is 10 times more effective at preventing cholera than the use of a sanitary latrine. This finding suggests that regulating water quality is perhaps more critical to cholera prevention than increasing sanitation accessibility in an urban environment like that of Dhaka. At present, WaterAid - one of Bangladesh's most significant water and sanitation donor organizations - invests the majority of its budget on improving sanitation accessibility. The World Health Organization and the United Nations Millennium Development Goals also prioritize sanitation accessibility. However, in

  10. Socio-demographic characteristics and tobacco use among the adults in urban slums of Dhaka, Bangladesh.

    PubMed

    Khandker, Nusrat Nausheen; Biswas, Tuhin; Khan, Abdullah Nurus Salam; Hasib, Enamul; Rawal, Lal B

    2017-01-01

    Use of tobacco has become one of the major causes of premature deaths in most developing countries, including Bangladesh. The poorest and most disadvantaged populations, such as those living in slums, are considered to be extremely vulnerable to non-communicable diseases and their risk factors, especially tobacco use. The objective of this study was to assess the current status of tobacco consumption among slum dwellers and its association with socio-demographic factors. A cross-sectional study was conducted in three slums of Dhaka city. Information about tobacco use as well as socio-demographic characteristics was collected from adult slum dwellers via face to face interviews using WHO STEPS questionnaire. Overall proportion of smoking, smokeless tobacco consumption and dual use of tobacco was 35% [95% CI: 31.6-39.8], 40.6% [95% CI: 36.5-45.2] and 12% [95% CI: 9.3-15.0] respectively. Elderly people (55-64 years) were more likely to smoke (OR: 2.34, 95% CI: 1.21-4.49) than younger people (aged 25-34 years). On the other hand, those who had no schooling history (OR: 2.95, 95% CI: 1.66-5.25) were more likely to consume smokeless tobacco than those who had higher education (secondary or above). At the same time, manual workers were more likely to indulge in dual use of tobacco (OR: 5.17, 95% CI: 2.82-9.48) as compared to non-manual workers. The urban slum population of Dhaka city has a high prevalence of tobacco use, which increases their likelihood of developing non-communicable diseases. Proper attention needs to be directed towards addressing the risk factors related to non-communicable diseases within this vulnerable population.

  11. Investigation of sources of atmospheric aerosol at a hot spot area in Dhaka, Bangladesh.

    PubMed

    Begum, Bilkis A; Biswas, Swapan K; Kim, Eugene; Hopke, Philip K; Khaliquzzaman, Mohammed

    2005-02-01

    Samples of fine and coarse fractions of airborne particulate matter were collected at the Farm Gate area in Dhaka from July 2001 to March 2002. Dhaka is a hot spot area with very high pollutant concentrations because of the proximity of major roadways. The samples were collected using a "Gent" stacked filter unit in two fractions of 0- to 2.2-microm and 2.2- to 10-microm sizes. The samples were analyzed for elemental concentrations by particle-induced X-ray excitation (PIXE) and for black carbon by reflectivity methods, respectively. The data were analyzed by positive matrix factorization (PMF) to identify the possible sources of atmospheric aerosols in this area. Six sources were found for both the coarse and fine PM fractions. The data sets were also analyzed by an expanded model to explore additional sources. Seven and six factors were obtained for coarse and fine PM fractions, respectively, in these analyses. The identified sources are motor vehicle, soil dust, emissions from construction activities, sea salt, biomass burning/brick kiln, resuspended/fugitive Pb, and two-stroke engines. From the expanded modeling, approximately 50% of the total PM2.2 mass can be attributed to motor vehicles, including two-stroke engine vehicle in this hot spot in Dhaka, whereas the PMF modeling indicates that 45% of the total PM2.2 mass is from motor vehicles. The PMF2 and expanded models could resolve approximately 4% and 3% of the total PM2.2 mass as resuspended/fugitive Pb, respectively. Although, Pb has been eliminated from gasoline in Bangladesh since July 1999, there still may be substantial amounts of accumulated lead in the dust near roadways as well as fugitive Pb emissions from battery reclaimation and other industries. Soil dust is the largest component of the coarse particle fraction (PM2.2-10) accounting for approximately 71% of the total PM2.2-10 mass in the expanded model, whereas from the PMF modeling, the dust (undifferentiated) contribution is approximately 49%.

  12. Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh

    PubMed Central

    Hassan, M Manzurul; Ahmed, Shafiul Azam; Rahman, K Anisur; Biswas, Tarit Kanti

    2008-01-01

    Background Medical waste is infectious and hazardous. It poses serious threats to environmental health and requires specific treatment and management prior to its final disposal. The problem is growing with an ever-increasing number of hospitals, clinics, and diagnostic laboratories in Dhaka City, Bangladesh. However, research on this critical issue has been very limited, and there is a serious dearth of information for planning. This paper seeks to document the handling practice of waste (e.g. collection, storage, transportation and disposal) along with the types and amount of wastes generated by Health Care Establishments (HCE). A total of 60 out of the existing 68 HCE in the study areas provided us with relevant information. Methods The methodology for this paper includes empirical field observation and field-level data collection through inventory, questionnaire survey and formal and informal interviews. A structured questionnaire was designed to collect information addressing the generation of different medical wastes according to amount and sources from different HCE. A number of in-depth interviews were arranged to enhance our understanding of previous and existing management practice of medical wastes. A number of specific questions were asked of nurses, hospital managers, doctors, and cleaners to elicit their knowledge. The collected data with the questionnaire survey were analysed, mainly with simple descriptive statistics; while the qualitative mode of analysis is mainly in narrative form. Results The paper shows that the surveyed HCE generate a total of 5,562 kg/day of wastes, of which about 77.4 per cent are non-hazardous and about 22.6 per cent are hazardous. The average waste generation rate for the surveyed HCE is 1.9 kg/bed/day or 0.5 kg/patient/day. The study reveals that there is no proper, systematic management of medical waste except in a few private HCE that segregate their infectious wastes. Some cleaners were found to salvage used sharps

  13. Impacts of policy and market incentives for solid waste recycling in Dhaka, Bangladesh.

    PubMed

    Matter, Anne; Ahsan, Mehedi; Marbach, Michelle; Zurbrügg, Christian

    2015-05-01

    Solid waste mismanagement in Dhaka, Bangladesh, illustrates a well-known market failure which can be summarized as: waste is a resource in the wrong place. Inorganic materials such as plastic or paper can be used to feed the demand for recycled materials in the industrial sector. Organic materials can be converted and used in the nutrient-starved agricultural sector which is currently heavily depending on chemical fertilizers. They are also a feedstock to generate renewable energy in the form of biogas for this energy-starved country relying on diminishing natural gas reserves and increasing import of coal. Reality however does not capitalize on this potential; instead the waste is a burden for municipal authorities who spend large portions of their budgets attempting to transport it out of the city for discharge into landfills. The major part of these materials still remains uncollected in the residential areas and is discarded indiscriminately in open spaces, polluting the residents' living environment including water, soil and air resources, in the city and beyond. Bangladeshi authorities have, to some extent, recognized this market failure and have developed policies to encourage the development of waste recycling activities. It is also important to note that this market failure is only partial: a large, mostly informal recycling sector has developed in Bangladesh, focusing on inorganic recyclables of market value. The fact that this sector remains largely informal means that these actors perceive significant barriers to formalization. Comparatively, the organic waste recycling sector is less driven by market mechanisms. Competition from chemical fertilizers and fossil fuels is fierce and hinders the development of market opportunities for compost and renewable energy. Nevertheless commercial production of compost and biogas from organic municipal waste is formalized and benefiting from policy incentives. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Geo-information for sustainable urban development of Greater Dhaka City, Bangladesh

    NASA Astrophysics Data System (ADS)

    Günther, Andreas; Asaduzzaman, Atm; Bahls, Rebecca; Ludwig, Rüdiger; Ashraful Kamal, Mohammad; Nahar Faruqa, Nurun

    2015-04-01

    Greater Dhaka City (including Dhaka and five adjacent municipal areas) is one of the fastest developing urban regions in the world. Densely build-up areas in the developed metropolitan area of Dhaka City are subject to extensive restructuring as common six-storied buildings are replaced by higher and heavier constructions. Additional stories are built on existing houses, frequently exceeding the allowable bearing pressure on the subsoil as supported by the foundations. In turn, newly developing areas are projected in marshy areas modified by extensive, largely unengineered landfills. In many areas, these terrains bear unfavorable building ground conditions, and reliable geospatial information is a major prerequisite for risk-sensitive urban planning. Within a collaborative technical cooperation project between Bangladesh and Germany, BGR supports GSB in the provision of geo-information for the Capital Development authority (RAJUK). For general urban planning, RAJUK successively develops a detailed area plan (DAP) at scale 1 : 50000 for the whole Greater Dhaka City area. Geospatial information have not been considered in the present DAP. Within the project, GSB prepared a detailed geomorphologic map matching the DAP both in areal extent and scale. The geomorphological setting can be used as an important spatial proxy for the characterization of the subsurface since highly segmented, elevated terraces consisting of consolidated sandy Pliocene deposits overlain by stiff Plio-Pleistocene sediments are sharply bordered by low lying-areas. The floodplain and marsh areas are consisting of thick, mechanically weak Holocene fluvial sandy-silty sediments that are sometimes alternated by organic layers. A first expert-based engineering geological reclassification of the geomorphological map resulting in five building ground suitability classes is highly supported by the spatial analysis of extensive archive borehole information consisting of depth-continuous standard

  15. Patterns of Use and Perceptions of Harm of Smokeless Tobacco in Navi Mumbai, India and Dhaka, Bangladesh

    PubMed Central

    Mutti, Seema; Reid, Jessica L.; Gupta, Prakash C.; Pednekar, Mangesh S.; Dhumal, Gauri; Nargis, Nigar; Hussain, AKM Ghulam; Hammond, David

    2016-01-01

    Background: Globally, smokeless tobacco use is disproportionately concentrated in low-income and middle-income countries like India and Bangladesh. Objectives: The current study examined comparative patterns of use and perceptions of harm for different smokeless tobacco products among adults and youth in Navi Mumbai, India, and Dhaka, Bangladesh. Methods: Face-to-face interviews were conducted on tablets with adult (19 years and older) smokeless tobacco users and youth (16–18 years) users and non-users in Navi Mumbai (n = 1002), and Dhaka (n = 1081). Results: A majority (88.9%) of smokeless tobacco users reported daily use. Approximately one-fifth (20.4%) of the sample were mixed-users (used both smoked and smokeless tobacco), of which about half (54.4%) reported that they primarily used smokeless over smoked forms like cigarettes or bidis. The proportion of users planning to quit was higher in India than in Bangladesh (75.7% vs. 49.8%, p < 0.001). Gutkha was the most commonly used smokeless product in India, and pan masala in Bangladesh. Among users in Bangladesh, the most commonly reported reason for using their usual product was the belief that it was “less harmful” than other types. Perceptions of harm also differed with respect to a respondent's usual product. Bangladeshi respondents reported more negative attitudes toward smokeless tobacco compared to Indian respondents. Conclusions: The findings highlight the high daily use of smokeless tobacco, and the high prevalence of false beliefs about its harms. This set of findings reinforces the need to implement effective tobacco control strategies in low and middle-income countries like India and Bangladesh. PMID:27890978

  16. The Prevalence of Mixed Helicobacter pylori Infections in Symptomatic and Asymptomatic Subjects in Dhaka, Bangladesh.

    PubMed

    Kibria, Khandoker Mohammad K; Hossain, Md Enayet; Sultana, Jinath; Sarker, Shafiqul A; Bardhan, Pradip Kumar; Rahman, Motiur; Nahar, Shamsun

    2015-10-01

    Helicobacter pylori is a highly genetically diverse bacterial species, which can persist in the gastric environment for decades. Recent studies have shown that single infections predominate in developed countries, whereas mixed infections are more prevalent in developing countries. Mixed infections of this bacterium may be important for adaptation to the hostile gastric environment and may facilitate dyspeptic symptoms. To calculate the prevalence of mixed infections in symptomatic and asymptomatic subjects, 2010 H. pylori isolates collected from 83 symptomatic and 91 asymptomatic subjects from Dhaka, Bangladesh, were analyzed by (i) random amplified polymorphic DNA fingerprinting (RAPD) and (ii) multiplex PCR amplification for cagA and vacA virulence gene alleles. The overall prevalence of mixed H. pylori infection was 60.15% (77/128), indicating substantial co-colonization in this population. We additionally found that symptomatic subjects (53%) had a significantly higher rate of mixed infection than asymptomatic individuals (36.3%) (p = .016) and that the prevalence of the cagA and vacA and vacA m1/s1 and vacA m2/s1 alleles were higher in subjects with mixed infection. Our findings suggest that an increased diversity of the H. pylori strains in the gastric environment may contribute to the development of disease symptoms. © 2015 John Wiley & Sons Ltd.

  17. Socioeconomic and Ecological Factors Influencing Aedes aegypti Prevalence, Abundance, and Distribution in Dhaka, Bangladesh

    PubMed Central

    Dhar-Chowdhury, Parnali; Haque, C. Emdad; Lindsay, Robbin; Hossain, Shakhawat

    2016-01-01

    This study examined household risk factors and prevalence, abundance, and distribution of immature Aedes aegypti and Aedes albopictus, and their association with socioeconomic and ecological factors at urban zonal and household levels in the city of Dhaka, Bangladesh. During the 2011 monsoon, 826 households in 12 randomly selected administrative wards were surveyed for vector mosquitoes. Results revealed that the abundance and distribution of immature Ae. aegypti and Ae. albopictus, and pupae-per-person indices did not vary significantly among the zones with varied socioeconomic status. Of 35 different types of identified wet containers, 30 were infested, and among the 23 pupae-positive container types, nine were defined as the “most productive” for pupae including: disposable plastic containers (12.2% of 550), sealable plastic barrels (12.0%), tires (10.4%), abandoned plastic buckets (9.6%), flower tub and trays (8.5%), refrigerator trays (6.5%), plastic bottles (6.4%), clay pots (4.9%), and water tanks (1.6%). When the function of the containers was assessed, ornamental, discarded, and household repairing and reconstruction-related container categories were found significantly associated with the number of pupae in the households. The purpose of storing water and income variables were significant predictors of possession of containers that were infested by vector mosquitoes. PMID:27022149

  18. Coverage and acceptability of cholera vaccine among high-risk population of urban Dhaka, Bangladesh.

    PubMed

    Uddin, Md Jasim; Wahed, Tasnuva; Saha, Nirod Chandra; Kaukab, Sheikh Shah Tanvir; Khan, Iqbal Ansary; Khan, Ashraful Islam; Saha, Amit; Chowdhury, Fahima; Clemens, John David; Qadri, Firdausi

    2014-09-29

    The oral cholera vaccine (Shanchol), along with other interventions, is a potential new measure to prevent or control cholera. A mass cholera-vaccination programme was launched in urban Dhaka, Bangladesh, during February-April 2011 targeting about 173,041 people who are at high risk of cholera. This cross-sectional, descriptive study assessed the coverage and acceptability of the vaccine. The study used a quantitative household survey and qualitative data-collection techniques comprising focus-group discussions, in-depth interviews, and observations for assessment. The findings revealed that 88% of the target population received the first dose of the vaccine, and 79% received the second dose. Absence of persons at home was a prominent cause of not administering the first (71%) and the second dose (67%). Thirty-three percent of the respondents (n=9308) did not like the taste of the vaccine. Only 1.3% and 3% recipients of the first dose and the second dose of the vaccine respectively reported adverse effects within 28 days of vaccination, and the adverse effects included vomiting or vomiting tendency and diarrhoea. To improve the coverage of the cholera vaccine, exploration of effective solutions to reach the unvaccinated population is required. The vaccine may be more acceptable to the community through changing its taste.

  19. Socioeconomic and Ecological Factors Influencing Aedes aegypti Prevalence, Abundance, and Distribution in Dhaka, Bangladesh.

    PubMed

    Dhar-Chowdhury, Parnali; Haque, C Emdad; Lindsay, Robbin; Hossain, Shakhawat

    2016-06-01

    This study examined household risk factors and prevalence, abundance, and distribution of immature Aedes aegypti and Aedes albopictus, and their association with socioeconomic and ecological factors at urban zonal and household levels in the city of Dhaka, Bangladesh. During the 2011 monsoon, 826 households in 12 randomly selected administrative wards were surveyed for vector mosquitoes. Results revealed that the abundance and distribution of immature Ae. aegypti and Ae. albopictus, and pupae-per-person indices did not vary significantly among the zones with varied socioeconomic status. Of 35 different types of identified wet containers, 30 were infested, and among the 23 pupae-positive container types, nine were defined as the "most productive" for pupae including: disposable plastic containers (12.2% of 550), sealable plastic barrels (12.0%), tires (10.4%), abandoned plastic buckets (9.6%), flower tub and trays (8.5%), refrigerator trays (6.5%), plastic bottles (6.4%), clay pots (4.9%), and water tanks (1.6%). When the function of the containers was assessed, ornamental, discarded, and household repairing and reconstruction-related container categories were found significantly associated with the number of pupae in the households. The purpose of storing water and income variables were significant predictors of possession of containers that were infested by vector mosquitoes. © The American Society of Tropical Medicine and Hygiene.

  20. Trends in water level and flooding in Dhaka, Bangladesh and their impact on mortality.

    PubMed

    Thiele-Eich, Insa; Burkart, Katrin; Simmer, Clemens

    2015-01-22

    Climate change is expected to impact flooding in many highly populated coastal regions, including Dhaka (Bangladesh), which is currently among the fastest growing cities in the world. In the past, high mortality counts have been associated with extreme flood events. We first analyzed daily water levels of the past 100 years in order to detect potential shifts in extremes. A distributed lag non-linear model was then used to examine the connection between water levels and mortality. Results indicate that for the period of 2003-2007, which entails two major flood events in 2004 and 2007, high water levels do not lead to a significant increase in relative mortality, which indicates a good level of adaptation and capacity to cope with flooding. However, following low water levels, an increase in mortality could be found. As our trend analysis of past water levels shows that minimum water levels have decreased during the past 100 years, action should be taken to ensure that the exposed population is also well-adapted to drought.

  1. Sexually transmitted infections and risk factors among truck stand workers in Dhaka, Bangladesh.

    PubMed

    Alam, Nazmul; Rahman, Motiur; Gausia, Kaniz; Yunus, M D; Islam, Nazrul; Chaudhury, Parwez; Monira, Shirajum; Funkhouser, Ellen; Vermund, Sten H; Killewo, Japhet

    2007-02-01

    This study was conducted to determine the prevalence of selected sexually transmitted infections (STIs) and their risk factors among workers in and near a truck stand in Dhaka, Bangladesh. A random sample of 696 men and 206 women were recruited into a cross-sectional study using a census that enumerated transport agents, motor mechanics, laborers, and vendors in Tejgaon truck stand. The prevalence rates of syphilis (rapid plasma reagin and Treponema pallidum hemagglutination), gonorrhea (polymerase chain reaction [PCR]), and chlamydial infections (PCR) among men were 4.1%, 7.7%, and 2.3%, respectively, and among women were 2.9%, 8.3%, and 5.2%. Multivariable analysis revealed that having >or=2 sex partners in the last month, never using a condom with sex workers, and ever injecting narcotics were significant predictors of STI among men. Being never married, working as a laborer, older age, and living within the truck stand were significant predictors of practicing high-risk behaviors among men, but none predicted infection with STIs. Both behavioral and STI data suggest that truck stand workers should be included in the STI/HIV intervention programs.

  2. Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

    PubMed Central

    Alam, Nazmul; Rahman, Motiur; Gausia, Kaniz; Yunus, Md; Islam, Nazrul; Chaudhury, Parwez; Monira, Shirajum; Funkhouser, Ellen; Vermund, Sten H.; Killewo, Japhet

    2009-01-01

    Objective This study was conducted to determine the prevalence of selected sexually transmitted infections (STIs) and their risk factors among workers in and near a truck stand in Dhaka, Bangladesh. Study Design A random sample of 696 men and 206 women were recruited into a cross-sectional study using a census that enumerated transport agents, motor mechanics, laborers, and vendors in Tejgaon truck stand. Results The prevalence rates of syphilis (rapid plasma reagin and Treponema pallidum hemagglutination), gonorrhea (polymerase chain reaction [PCR]), and chlamydial infections (PCR) among men were 4.1%, 7.7%, and 2.3%, respectively, and among women were 2.9%, 8.3%, and 5.2%. Multivariable analysis revealed that having ≥2 sex partners in the last month, never using a condom with sex workers, and ever injecting narcotics were significant predictors of STI among men. Being never married, working as a laborer, older age, and living within the truck stand were significant predictors of practicing high-risk behaviors among men, but none predicted infection with STIs. Conclusions Both behavioral and STI data suggest that truck stand workers should be included in the STI/HIV intervention programs. PMID:16837827

  3. A community-randomised controlled trial promoting waterless hand sanitizer and handwashing with soap, Dhaka, Bangladesh.

    PubMed

    Luby, Stephen P; Kadir, Mohammad Abdul; Yushuf Sharker, M A; Yeasmin, Farzana; Unicomb, Leanne; Sirajul Islam, M

    2010-12-01

    To pilot two intensive hand hygiene promotion interventions, one using soap and one using a waterless hand sanitizer, in low-income housing compounds in Dhaka, Bangladesh and assess subsequent changes in handwashing behaviour and hand microbiology. Fieldworkers randomized 30 housing compounds: 10 received handwashing promotion with free soap, 10 received handwashing promotion with free waterless hand sanitizer and 10 were non-intervention controls. Fieldworkers assessed handwashing behaviour by structured observation and collected hand rinse specimens. At baseline, compound residents washed their hands with soap 26% of the time after defecation and 30% after cleaning a child's anus but <1% at other times. Compared with baseline, residents of soap intervention compounds were much more likely to wash their hands with soap after faecal contact (85-91%), before preparing food (26%) and before eating (26%). Compounds that received waterless hand sanitizer cleansed their hands more commonly than control compounds that used soap (10.4%vs. 2.3%), but less commonly than soap intervention compounds used soap (25%). Post-intervention hand rinse samples from soap and sanitizer compounds had lower concentrations of faecal indicator bacteria compared with baseline and control compounds. Waterless hand sanitizer was readily adopted by this low-income community and reduced hand contamination but did not improve the frequency of handwashing compared with soap. Future deployments of waterless hand sanitizers may improve hand hygiene more effectively by targeting settings where soap and water is unavailable. © 2010 Blackwell Publishing Ltd.

  4. Emerging changes in reproductive behaviour among married adolescent girls in an urban slum in Dhaka, Bangladesh.

    PubMed

    Rashid, Sabina Faiz

    2006-05-01

    Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contraceptive use. Ethnographic fieldwork among married adolescent girls, aged 15-19, was carried out in a Dhaka slum from December 2001-January 2003, including 50 in-depth interviews and eight case studies from among 153 married adolescent girls, and observations and discussions with family and community members. Cultural and social expectations meant that 128 of the girls had borne children before they were emotionally or physically ready. Twenty-seven had terminated their pregnancies, of whom 11 reported they were forced to do so by family members. Poverty, economic conditions, marital insecurity, politics in the household, absence of dowry and rivalry among family, co-wives and in-laws made these young women acquiesce to decisions made by others in order to survive. Young married women's status is changing in urban slum conditions. When their economical productivity takes priority over their reproductive role, the effects on reproductive decision-making within families may be considerable. This paper highlights the vulnerability of young women as they pragmatically make choices within the social and structural constraints in their lives.

  5. Study on the flood simulation techniques for estimation of health risk in Dhaka city, Bangladesh

    NASA Astrophysics Data System (ADS)

    Hashimoto, M.; Suetsugi, T.; Sunada, K.; ICRE

    2011-12-01

    Although some studies have been carried out on the spread of infectious disease with the flooding, the relation between flooding and the infectious expansion has not been clarified yet. The improvement of the calculation precision of inundation and its relation with the infectious disease, surveyed epidemiologically, are therefore investigated in a case study in Dhaka city, Bangladesh. The inundation was computed using a flood simulation model that is numerical 2D-model. The "sensitivity to inundation" of hydraulic factors such as drainage channel, dike, and the building occupied ratio was examined because of the lack of digital data set related to flood simulation. Each element in the flood simulation model was incorporated progressively and results were compared with the calculation result as inspection materials by the inundation classification from the existing study (Mollah et al., 2007). The results show that the influences by ''dyke'' and "drainage channel" factors are remarkable to water level near each facility. The inundation level and duration have influence on wide areas when "building occupied ratio" is also considered. The correlation between maximum inundation depth and health risk (DALY, Mortality, Morbidity) was found, but the validation of the inundation model for this case has not been performed yet. The flood simulation model needs to be validated by observed inundation depth. The drainage facilities such as sewer network or the pumping system will be also considered in the further research to improve the precision of the inundation model.

  6. Monitoring the Urban Growth of Dhaka (bangladesh) by Satellite Imagery in Flooding Risk Management Perspective

    NASA Astrophysics Data System (ADS)

    Bitelli, G.; Franci, F.; Mandanici, E.

    2013-01-01

    There is large consensus that demographic changes, the lack of appropriate environmental policies and sprawling urbanization result in high vulnerability and exposure to the natural disasters. This work reports some experiences of using multispectral satellite imagery to produce landuse/cover maps for the Dhaka city, the capital of Bangladesh, which is subject to frequent flooding events.The activity was conducted in collaboration with the non-profit organization ITHACA (Information Technology for Humanitarian Assistance, Cooperation and Action). The Landsat images acquired in 2000, 2002 and 2009 were used to evaluate the urban growth in order to support risk assessment studies; to identify areas routinely flooded during the monsoon season, the image of October 2009 (the most critical month for the effects of rain) was compared with two images acquired in January and February 2010. The analysis between 2000 and 2009 was able to quantify a very rapid growth of the metropolis, with an increase in built-up areas from 75 to 111 km2. The analysis highlights also a sharp rise of Bare soil class, likely related to the construction of embankments for the creation of new building space; consequently a decrease of cultivated land was observed. In particular, these artificial islands have been invading flooding areas. The change detection procedure also showed that the flooding in October 2009 affected about 20% (115 out of 591 km2) of the entire study area; furthermore these areas became wetlands and farmland over the next three/four months.

  7. Quality assessment of industrially processed fruit juices available in dhaka city, bangladesh.

    PubMed

    Tasnim, F; Anwar Hossain, M; Kamal Hossain, M; Lopa, D; Formuzul Haque, K M

    2010-12-01

    This study was performed to evaluate the nutritional and microbiological quality of industrially processed packed fruit juices of mango (Mangifera indica) and orange (Citrus sinensis) from nine different manufacturing companies in Dhaka City. The highest quantity of total sugar (17.62%) and reducing sugar (9.99%) was recorded in mango juices while the lowest in orange juices (10.41% and 2.24% respectively) of different companies. In this study, protein contents were comparatively higher in mango juices than in orange juices. The pH of all samples varied from 3.50±0.10 to 4.70±0.05. Vitamin C content was comparatively higher in mango juices. The levels of metals tested namely, arsenic, lead, copper and zinc in the juices were within the limits of Bangladesh Standard and Testing Institute (BSTI) for fruit juices. The microbiological qualities of all the products were within the limits of the Gulf standards (the recommended Microbiological Standards for any fruit juice sold in the Gulf Region). Based on the above results, it is suggested that processed juices be prepared under hygienic conditions.

  8. Impact of tannery effluents on the aquatic environment of the Buriganga River in Dhaka, Bangladesh.

    PubMed

    Asaduzzaman, Mohammad; Hasan, Imtiaj; Rajia, Sultana; Khan, Nazneen; Kabir, Kazi Ahmed

    2016-06-01

    This study presents an overview of the existence and effects of six heavy metals, chromium (Cr), lead (Pb), cadmium (Cd), mercury (Hg), manganese (Mn), and aluminum (Al), in tannery effluents released to the Buriganga River in Dhaka, Bangladesh. The pollutants were found in three different sources, such as effluents from tanneries, contaminated river water and three species of fish-climbing perch (Anabas testudineus), spotted snakehead (Channa punctata), and Black tilapia (Oreochromis mossambicus) caught from the river. Tannery effluents, water, and fish samples were collected from three different factories, five sample stations, and three different harvesting points, respectively. Effluents from all three factories contained significant amounts of heavy metals, especially Cr (374.19 ppm in average), whereas lesser amounts were found in the tissues of the three fish species studied. The trends in tissue elemental concentrations of fish were Cr > Pb > Al > Hg > Mn > Cd. In most cases (Cr, Cd, Mn, and Al), heavy metal concentrations were found to be greater in climbing perch than in Black tilapia and spotted snakehead. Although the river water contained high concentrations of harmful heavy metals, the fish species under study had concentrations well below the permissible Food and Agriculture Organization/World Health Organization levels for those metals and seemed to be safe for human consumption.

  9. Long term observation of surface O3 and its precursors in Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Sikder, Helena Akhter; Nasiruddin, Mohammed; Suthawaree, Jeeranut; Kato, Shungo; Kajii, Yoshizumi

    2013-03-01

    Continuous ground-based measurements of O3 and its precursors were conducted in Dhaka, Bangladesh during April 2002-December 2005 in order to investigate ozone precursor characteristics and their distribution. Seasonal and diurnal variations of the O3, CO, NOx and SO2 concentrations - are studied and their possible causes are identified. It is shown that most of the trace gases have peak concentrations in winter and base in monsoon period. Two major emission sources, vehicles and brick kilns, are attributed to the high levels of trace gases in winter. O3 formation was mainly due to local activity and relied on photochemical processes with precursors. The occurrence patterns and the shape of a distribution of trace gases are obtained from histogram distribution. In most cases, the frequency distributions of observed trace gases show a peak to the lower concentration ranges (e.g. 0-10 ppb for O3, 0-500 ppb for CO, 0-20 ppb for NO, NO2 and 0-10 ppb for SO2) with a long tail to the right and unimodal in most of the cases.CO, NOx and SO2 are significantly correlated throughout the entire data set, reflecting the overall influence of anthropogenic emissions.

  10. Urban flood problems in Dhaka, Bangladesh: slum residents' choices for relocation to flood-free areas.

    PubMed

    Rashid, Harun; Hunt, Len M; Haider, Wolfgang

    2007-07-01

    This article applies a stated preference choice model to assess trade-offs that residents of two squatter settlements in Dhaka, Bangladesh might consider if they were given choices for relocation to flood-free areas. The respondents were asked to choose repeatedly from a set of choice cards, which displayed different configurations of financial incentives for relocation, such as free or inexpensive land, loans or nonrepayable grants, and provisions for temporary or permanent employment opportunities. The survey results indicated that despite extensive experience with flood problems, many residents of Mirpur and Vasantek found that certain configurations of economic incentives were not attractive enough for them to relocate to flood-free areas. At the same time, they would prefer a reduction in the risk of flooding at their current location. The economic incentives that would best assist in increasing voluntary relocation of residents from their current locations included free land, nonrepayable grants (Taka 20,000), and long-term employment opportunities. Further, differences in geographic location (i.e., Mirpur vs. Vasantek), income levels, and membership in neighborhood communities were linked with the tendency of residents to stay at their current location.

  11. Trends in Water Level and Flooding in Dhaka, Bangladesh and Their Impact on Mortality

    PubMed Central

    Thiele-Eich, Insa; Burkart, Katrin; Simmer, Clemens

    2015-01-01

    Climate change is expected to impact flooding in many highly populated coastal regions, including Dhaka (Bangladesh), which is currently among the fastest growing cities in the world. In the past, high mortality counts have been associated with extreme flood events. We first analyzed daily water levels of the past 100 years in order to detect potential shifts in extremes. A distributed lag non-linear model was then used to examine the connection between water levels and mortality. Results indicate that for the period of 2003–2007, which entails two major flood events in 2004 and 2007, high water levels do not lead to a significant increase in relative mortality, which indicates a good level of adaptation and capacity to cope with flooding. However, following low water levels, an increase in mortality could be found. As our trend analysis of past water levels shows that minimum water levels have decreased during the past 100 years, action should be taken to ensure that the exposed population is also well-adapted to drought. PMID:25648177

  12. Diarrhoea in slum children: observation from a large diarrhoeal disease hospital in Dhaka, Bangladesh.

    PubMed

    Ferdous, Farzana; Das, Sumon Kumar; Ahmed, Shahnawaz; Farzana, Fahmida Dil; Malek, Mohammad Abdul; Das, Jui; Latham, Jonathan Ross; Faruque, Abu Syed Golam; Chisti, Mohammod Jobayer

    2014-10-01

    To determine and compare socio-demographic, nutritional and clinical characteristics of children under five with diarrhoea living in slums with those of children who do not live in slums of Dhaka, Bangladesh. From 1993 to 2012, a total of 28 948 under fives children with diarrhoea attended the Dhaka Hospital of icddr,b. Data were extracted from the hospital-based Diarrhoea Disease Surveillance System, which comprised 17 548 under fives children from slum and non-slum areas of the city. Maternal illiteracy [aOR = 1.57; 95% confidence interval (1.36, 1.81), P-value <0.001], paternal illiteracy [1.37 (1.21, 1.56) <0.001], mother's employment [1.59 (1.37, 1.85) <0.001], consumption of untreated water [2.73 (2.26, 3.30) <0.001], use of non-sanitary toilets [3.48 (3.09, 3.93) <0.001], 1st wealth quintile background [3.32 (2.88, 3.84) <0.001], presence of fever [1.14 (1.00, 1.29) 0.047], some or severe dehydration [1.21 (1.06, 1.40) 0.007], stunting [1.14 (1.01, 1.29) 0.030] and infection with Vibrio cholerae [1.21 (1.01, 1.45) 0.039] were significantly associated with slum-dwelling children after controlling for co-variates. Measles immunisation [0.52 (0.47, 0.59) P < 0.001] and vitamin A supplementation rates [0.36 (0.31, 0.41) P < 0.001] amongst children 12-59 months were lower for slum dwellers than other children in univarate analysis only. Slum-dwelling children are more malnourished, have lower immunisation rates (measles vaccination and vitamin A supplementation) and higher rates of measles, are more susceptible to diarrhoeal illness due to V. cholerae and suffer from severe dehydration more often than children from non-slum areas. Improved health and nutrition strategies should give priority to children living in urban slums. © 2014 John Wiley & Sons Ltd.

  13. Factors affecting nutritional status in female adults in Dhaka slums, Bangladesh.

    PubMed

    Pryer, Jane A; Rogers, Stephen; Rahman, Ataur

    2003-01-01

    This study looks at women from the slums in Mohammadpur, Dhaka, Bangladesh, where 54 percent of women's BMI was less than 18.5. Fifty percent of the Dhaka slum population lived below the poverty line. Logistic regression showed that women with income above 1,500 taka per capita were 1.78 times more likely to have a higher BMI (odds ratio 1.7863; CI = 0.671-3.639). Women with their own savings were 1.89 times more likely to have higher BMI (odds ratio 1.879; CI = 0.01163-1.6431). Women were 4.5 times more likely to have a higher BMI when food expenditure per capita above 559 taka per month (odds ratio 4.55; CI = 1.0302-8.0799). Women were 1.82 times more likely to have higher BMI when there was a break even situation in financial status (odds ratio 1.8212; CI = -015709-3.6285). Female headed households were 3.3 times more likely to have a higher BMI compared to women living in male headed households (odds ratio 3.2966; CI = 0.33711-6.25620). Women who work 15-23 days per month were 2.3 times more likely to have a higher BMI (odds ratio 2.33; CI = 0.1133-4.5600). Women who are the budget manager are 1.12 times more likely to have a higher BMI (odds ratio 1.125; CI = 0.29296-2.0966). Where as a husband who beats his wife is 1.83 more likely to have a poorer BMI (odds ratio 1.8312; CI = -3.72596-0.17508). Women who have no marriage documents and women who take days off due to illness less than 11 days per month were more likely to have a poorer BMI (odds ratio 0.5567; CI = -0.049339-2.8379; odds ratio 0.7569; CI = 0.183167-2.0002). Women's nutritional status and well being can influence their ability to provide for themselves and their families and the demonstration of a relationship between measures of women's autonomy and control in the household and women's nutritional status is an important indication of the importance of these sociological constructs. Women's participation in work outside the home may be a factor increasing their autonomy. The identification of

  14. Investigation of severe water problem in urban areas of a developing country: the case of Dhaka, Bangladesh.

    PubMed

    Nahar, Mst Shamsun; Zhang, Jing; Ueda, Akira; Yoshihisa, Fujishiro

    2014-12-01

    The present study evaluated water supply geochemistry in Dhaka City, Bangladesh, to provide detailed trace level (subppb) water quality data that include major ions, low dissolved oxygen (DO) and toxic trace metals for sustainable development. Dhaka Groundwater, which almost uniformly meets the World Health Organization guideline, has become the preferred source. Due to groundwater depletion and an ever-increasing need to meet water demands by city residents, Dhaka water supply and sewerage authority has initiated the treatment of river water, despite the fact that very little is known about the geochemical structure, and trace metal content in the Dhaka water supply. Major ion composition of water samples was determined, and the results used to generate Stiff diagrams. The diagrams served to visually compare water from different sources based on units of mass/volume. Hydrochemical facies analysis showed supply ground and surface waters are comprised predominately of Ca-Na-Mg-HCO3 and Ca-Na-Mg-HCO3-Cl types. Spatial distribution of ions, and Na/Cl and Na/SiO2 molar ratio indicated that silicate weathering is the dominant geochemical process. Chemical data revealed that toxic Cr metal mobilization is associated with chemical hazards from the leather industry. The vulnerability of deep wells to contamination by As is governed by the geometry of induced groundwater flow paths and the geochemical conditions encountered between the shallow and deep regions of the aquifer. Quantifying total arsenic (As) and As from interlocking geochemical cycles (Fe, Mn) may assist in interpreting As dynamics in Dhaka well water. The surface source water was hypoxic to anoxic low DO associated with very high concentrations of biological oxygen demands, and electrical conductivity compared to industrial and non-industrial urban processes and standard activity guidelines. The results of this study should be applied to future research focused on the potential to improve water quality in

  15. Temporal variations and spatial distribution of ambient PM2.2 and PM10 concentrations in Dhaka, Bangladesh.

    PubMed

    Begum, Bilkis A; Biswas, Swapan K; Hopke, Philip K

    2006-04-01

    Concentrations and characteristics of airborne particulate matter (PM(10), PM(2.2) and BC) on air quality have been studied at two air quality-monitoring stations in Dhaka, the capital of Bangladesh. One site is at the Farm Gate area, a hot spot with very high pollutant concentrations because of its proximity to major roadways. The other site is at a semi-residential area located at the Atomic Energy Centre, Dhaka Campus, (AECD) with relatively less traffic. The samples were collected using a 'Gent' stacked filter unit in two fractions of 0-2.2 mum and 2.2-10 mum sizes. Samples of fine (PM(2.2)) and coarse (PM(2.2-10)) airborne particulate matter fractions collected from 2000 to 2003 were studied. It has been observed that fine particulate matter has a decreasing trend, from prior year measurements, because of Government policy interventions like phase-wise plans to take two-stroke three-wheelers off the roads in Dhaka and finally banned from January 1, 2003. Other policy interventions were banning of old buses and trucks to ply on Dhaka city promotion of the using compressed natural gas (CNG), introducing air pollution control devices in vehicles, etc. It was found that both local (mostly from vehicular emissions) and possibly some regional emission sources are responsible for high PM(2.2) and BC concentrations in Dhaka. PM(2.2), PM(2.2-10) and black carbon concentration levels depend on the season, wind direction and wind speed. Transport related emissions are the major source of BC and long-range transportation from fossil fuel related sources and biomass burning could be another substantial source of BC.

  16. Hydrogeological Framework Model for Dhaka Regional Groundwater Flow System (DGFS), Bangladesh

    NASA Astrophysics Data System (ADS)

    Firoz, Abm; Marandi, Andres; Schüth, Christoph; Ribbe, Lars

    2017-04-01

    The hydrogeology of the Dhaka Regional Groundwater Flow System (DGFS) is located in central Bangladesh, consisting of sediment accumulates from the Ganges and Brahmaputra Meghna (GBM) river systems. The DGFS system is stratigraphically and structurally complex and subjected to a variety of structural disruption. These sediment deposits form a complex, three-dimensional (3D) framework that can be subdivided into aquifers and confining units on the basis of their ability to store and transmit water. The aquifer systems in this region are geologically controlled and depend on the sedimentary characteristics of the depositional environment and related parameters. More than 20 years of ground-water flow modeling of the DGFS has produced a succession of models that represent the regional hydrogeology and groundwater flow system. However, incorporation of a geologic framework in the models with different geologic data sets or subsurface interpretation is often missing. Therefore, such incorporation of geological and sedimentological information within the modeling framework could increase model calibration. The separate geological structure of the Dhaka region is studied yet detailed spatial and depth variables of geological and sedimentological information is still not evident in the hydrogeological framework. In this background, the objective of the paper is therefore to incorporate the geological information into the hydrogeological framework model and advance the approach of hydrogeology for the DGFS. We have used the concept of the Hydrogeologic Unit (HGU) - the sediment and deposits formation of the hydrostratigraphic framework for a groundwater flow system. The quaternary sedimentation processes of DGFS were subdivided into different cycles based on sea-level changes and Carbon-14 dating. The subdivisions are called 1a, 1b, 2 and 3 which correspond to high stand fluvial sequences (10-0 ka BP), Transgressive Tract/ low stand (20-10 ka BP), pre lows stand deposits

  17. Risk Factors of Tendo-Achilles Injury in Football, Cricket and Badminton Players at Dhaka, Bangladesh.

    PubMed

    Khan, M J; Giasuddin, A S M; Khalil, M I

    2015-04-01

    Achilles tendon is the tendon connecting the heel with the calf muscles. Tendo-achilles injury (TAI) in players is common in games. The frequency of TAI is unknown and aetiology is controversial: The present descriptive cross-sectional study was done to determine the prevalence of TAI and associated factors contributing to it in football, cricket and badminton. From January to June 2012, male players (n = 131), age -17-35 years, were selected by purposive sampling technique from renowned sporting clubs at Dhaka, Bangladesh. TAI was diagnosed through structured questionnaire and interviewing the respondents. The analysis by Statistical Package for Social Sciences (SPSS) programme revealed that 11.5% players suffered from TAI, i.e. prevalence was 115 per 1000 respondents. Most injuries (70/131; 53.4%) occurred in the playground and (59/131; 45.3%) happened in practice field. Injuries among the players of third division were higher, i.e. about 36% (p = 0.000). TAI was significantly dependent on occupation (p = 0.046), BMI (p = 0.008), divisional status (p = 0.023), game type (p = 0.043), ground condition (p = 0.05) and injury severity (p = 0.000). The injured players referred for treatment to the physiotherapist was highest (9/15, i.e. 60%) followed by the physicians (5/15, i.e. 33%) (p = 0.000). The associations of TAI with various factors were discussed suggesting effective measures be taken and treatment, particularly physiotherapy, be given to injured players. However, there is a need of team work with sports medicine specialist also to enable the injured players to continue their professional games.

  18. Risk Factors for Household Transmission of Vibrio cholerae in Dhaka, Bangladesh (CHoBI7 Trial).

    PubMed

    Burrowes, Vanessa; Perin, Jamie; Monira, Shirajum; Sack, David A; Rashid, Mahamud-Ur; Mahamud, Toslim; Rahman, Zillur; Mustafiz, Munshi; Bhuyian, Sazzadul I; Begum, Farzana; Zohura, Fatema; Biswas, Shwapon; Parvin, Tahmina; Hasan, Tasdik; Zhang, Xiaotong; Sack, Bradley R; Saif-Ur-Rahman, K M; Alam, Munirul; George, Christine Marie

    2017-06-01

    AbstractHousehold contacts of cholera patients are at a 100 times higher risk of a Vibrio cholerae infection than the general population. To examine risk factors for V. cholerae infections and investigate intervention strategies among this population, we followed household contacts of cholera patients for the 1-week high-risk period after the index patient obtained care. This study was nested within a randomized controlled trial of the Cholera-Hospital-Based-Intervention-for-7-days (CHoBI7), a handwashing with soap and water treatment intervention in Dhaka, Bangladesh. Rectal swab results were available from 320 household contacts of cholera patients at five time points over a 1-week period. Fecal and water samples were analyzed for V. cholerae by bacterial culture. All analyses were stratified by study arm. Within the intervention arm, stored household drinking water with a median free chlorine concentration below 0.5 mg/L was associated with a three times higher odds of a cholera infection (odds ratio [OR]: 3.0; 95% confidence interval [CI]: 1.32, 6.63). In the control arm, having V. cholerae in stored water was associated with a significantly higher odds of a symptomatic cholera infection (OR: 8.66; 95% CI: 2.11, 35.48). No association was found between observed handwashing with soap at food and stool-related events and V. cholerae infections. Stored household drinking water with detectable V. cholerae and chlorine concentrations below the World Health Organization guideline were found to be important risk factors for cholera infection among household contacts of cholera patients. These findings emphasize the need for water treatment interventions targeting this high risk population.

  19. Impacts of policy and market incentives for solid waste recycling in Dhaka, Bangladesh

    SciTech Connect

    Matter, Anne; Ahsan, Mehedi; Zurbrügg, Christian

    2015-05-15

    Highlights: • Bangladesh’s industry and population are growing rapidly, producing more urban waste. • Recycling reduces the solid waste management burden of Municipalities. • A wide array of informal and formal actors is involved in collection and recycling. • Demand for recycled materials and renewable energy creates market incentives. • Policy incentives exist, but they only reach the formal industry. - Abstract: Solid waste mismanagement in Dhaka, Bangladesh, illustrates a well-known market failure which can be summarized as: waste is a resource in the wrong place. Inorganic materials such as plastic or paper can be used to feed the demand for recycled materials in the industrial sector. Organic materials can be converted and used in the nutrient-starved agricultural sector which is currently heavily depending on chemical fertilizers. They are also a feedstock to generate renewable energy in the form of biogas for this energy-starved country relying on diminishing natural gas reserves and increasing import of coal. Reality however does not capitalize on this potential; instead the waste is a burden for municipal authorities who spend large portions of their budgets attempting to transport it out of the city for discharge into landfills. The major part of these materials still remains uncollected in the residential areas and is discarded indiscriminately in open spaces, polluting the residents’ living environment including water, soil and air resources, in the city and beyond. Bangladeshi authorities have, to some extent, recognized this market failure and have developed policies to encourage the development of waste recycling activities. It is also important to note that this market failure is only partial: a large, mostly informal recycling sector has developed in Bangladesh, focusing on inorganic recyclables of market value. The fact that this sector remains largely informal means that these actors perceive significant barriers to formalization

  20. A regional groundwater-flow model for sustainable groundwater-resource management in the south Asian megacity of Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Islam, Md Bayzidul; Firoz, A. B. M.; Foglia, Laura; Marandi, Andres; Khan, Abidur Rahman; Schüth, Christoph; Ribbe, Lars

    2017-01-01

    The water resources that supply most of the megacities in the world are under increased pressure because of land transformation, population growth, rapid urbanization, and climate-change impacts. Dhaka, in Bangladesh, is one of the largest of 22 growing megacities in the world, and it depends on mainly groundwater for all kinds of water needs. The regional groundwater-flow model MODFLOW-2005 was used to simulate the interaction between aquifers and rivers in steady-state and transient conditions during the period 1981-2013, to assess the impact of development and climate change on the regional groundwater resources. Detailed hydro-stratigraphic units are described according to 150 lithology logs, and a three-dimensional model of the upper 400 m of the Greater Dhaka area was constructed. The results explain how the total abstraction (2.9 million m3/d) in the Dhaka megacity, which has caused regional cones of depression, is balanced by recharge and induced river leakage. The simulated outcome shows the general trend of groundwater flow in the sedimentary Holocene aquifers under a variety of hydrogeological conditions, which will assist in the future development of a rational and sustainable management approach.

  1. Analysis of transport eco-efficiency scenarios to support sustainability assessment: a study on Dhaka City, Bangladesh.

    PubMed

    Iqbal, Asif; Allan, Andrew; Afroze, Shirina

    2017-08-01

    The study focused to assess the level of efficiency (of both emissions and service quality) that can be achieved for the transport system in Dhaka City, Bangladesh. The assessment technique attempted to quantify the extent of eco-efficiency achievable for the system modifications due to planning or strategy. The eco-efficiency analysis was facilitated with a detailed survey data on Dhaka City transport system, which was conducted for 9 months in 2012-2013. Line source modelling (CALINE4) was incorporated to estimate the on-road emission concentration. The eco-efficiency of the transport systems was assessed with the 'multi-criteria analysis' (MCA) technique that enabled the valuation of systems' qualitative and quantitative parameters. As per the analysis, driving indiscipline on road can alone promise about 47% reductions in emissions, which along with the number of private vehicles were the important stressors that restrict achieving eco-efficiency in Dhaka City. Detailed analysis of the transport system together with the potential transport system scenarios can offer a checklist to the policy makers enabling to identify the possible actions needed that can offer greater services to the dwellers against lesser emissions, which in turn can bring sustainability of the system.

  2. The effect of intrapartum antibiotics on early-onset neonatal sepsis in Dhaka, Bangladesh: a propensity score matched analysis

    PubMed Central

    2014-01-01

    Background We estimate the effect of antibiotics given in the intrapartum period on early-onset neonatal sepsis in Dhaka, Bangladesh using propensity score techniques. Methods We followed 600 mother-newborn pairs as part of a cohort study at a maternity center in Dhaka. Some pregnant women received one dose of intravenous antibiotics during labor based on clinician discretion. Newborns were followed over the first seven days of life for early-onset neonatal sepsis defined by a modified version of the World Health Organization Young Infants Integrated Management of Childhood Illnesses criteria. Using propensity scores we matched women who received antibiotics with similar women who did not. A final logistic regression model predicting sepsis was run in the matched sample controlling for additional potential confounders. Results Of the 600 mother-newborn pairs, 48 mothers (8.0%) received antibiotics during the intrapartum period. Seventy-seven newborns (12.8%) were classified with early-onset neonatal sepsis. Antibiotics appeared to be protective (odds ratio 0.381, 95% confidence interval 0.115–1.258), however this was not statistically significant. The results were similar after adjusting for prematurity, wealth status, and maternal colonization status (odds ratio 0.361, 95% confidence interval 0.106–1.225). Conclusions Antibiotics administered during the intrapartum period may reduce the risk of early-onset neonatal sepsis in high neonatal mortality settings like Dhaka. PMID:24742087

  3. A regional groundwater-flow model for sustainable groundwater-resource management in the south Asian megacity of Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Islam, Md Bayzidul; Firoz, A. B. M.; Foglia, Laura; Marandi, Andres; Khan, Abidur Rahman; Schüth, Christoph; Ribbe, Lars

    2017-05-01

    The water resources that supply most of the megacities in the world are under increased pressure because of land transformation, population growth, rapid urbanization, and climate-change impacts. Dhaka, in Bangladesh, is one of the largest of 22 growing megacities in the world, and it depends on mainly groundwater for all kinds of water needs. The regional groundwater-flow model MODFLOW-2005 was used to simulate the interaction between aquifers and rivers in steady-state and transient conditions during the period 1981-2013, to assess the impact of development and climate change on the regional groundwater resources. Detailed hydro-stratigraphic units are described according to 150 lithology logs, and a three-dimensional model of the upper 400 m of the Greater Dhaka area was constructed. The results explain how the total abstraction (2.9 million m3/d) in the Dhaka megacity, which has caused regional cones of depression, is balanced by recharge and induced river leakage. The simulated outcome shows the general trend of groundwater flow in the sedimentary Holocene aquifers under a variety of hydrogeological conditions, which will assist in the future development of a rational and sustainable management approach.

  4. Cross-sectional study exploring barriers to adverse drug reactions reporting in community pharmacy settings in Dhaka, Bangladesh

    PubMed Central

    Amin, Mohammad Nurul; Khan, Tahir Mehmood; Dewan, Syed Masudur Rahman; Islam, Mohammad Safiqul; Moghal, Mizanur Rahman

    2016-01-01

    Objectives To assess community pharmacists'/pharmacy technicians' knowledge and perceptions about adverse drug reactions (ADRs) and barriers towards the reporting of such reactions in Dhaka, Bangladesh. Method A cross-sectional study was planned to approach potential respondents for the study. A self-administered questionnaire was delivered to community pharmacists/pharmacy technicians (N=292) practising in Dhaka, Bangladesh. Results The overall response to the survey was 69.5% (n=203). The majority of the sample was comprised of pharmacy technicians (152, 74.9%) who possessed a diploma in pharmacy, followed by pharmacists (37, 18.2%) and others (12, 5.9%). Overall, 72 (35.5%) of the respondents disclosed that they had experienced an ADR at their pharmacy, yet more than half (105, 51.7%) were not familiar with the existence of an ADR reporting body in Bangladesh. Exploring the barriers to the reporting of ADRs, it was revealed that the top four barriers to ADR reporting were ‘I do not know how to report (Relative Importance Index (RII)=0.998)’, ‘reporting forms are not available (0.996)’, ‘I am not motivated to report (0.997)’ and ‘Unavailability of professional environment to discuss about ADR (RII=0.939)’. In addition to these, a majority (141, 69.46%) were not confident about the classification of ADRs (RII=0.889) and were afraid of legal liabilities associated with reporting ADRs (RII=0.806). Moreover, a lack of knowledge about pharmacotherapy and the detection of ADRs was another major factor hindering their reporting (RII=0.731). Conclusions The Directorate of Drug Administration in Bangladesh needs to consider the results of this study to help it improve and simplify ADR reporting in Bangladeshi community pharmacy settings. PMID:27489151

  5. Multi-antibiotic resistant bacteria in frozen food (ready to cook food) of animal origin sold in Dhaka, Bangladesh

    PubMed Central

    Sultana, Fouzia; Kamrunnahar; Afroz, Hafsa; Jahan, Afroz; Fakruddin, Md.; Datta, Suvamoy

    2014-01-01

    Objective To investigate the bacterial load and antibiotic resistance pattern of bacterial isolates obtained from (ready to cook) frozen food samples of animal origin in Dhaka, Bangladesh. Methods A total of 20 samples of frozen ready to cook food of animal origin were purchased from different separate grocery stores in Dhaka, Bangladesh. Bacteria were isolated and identified based on the basis of biochemical properties. Results A total of 57 isolates has been isolated from 20 samples, of them 35.08% were Gram positive and 64.92% were Gram negative organisms. Highest percentages of isolated organisms were Staphylococcocus spp. (24.56%), Alcaligene spp. (17.54%), Klebshiella spp. (12.28%) and the lowest percentages of organisms were Enterococcus spp., Actinobacillus spp. and Proteus spp. Antibiogram results clearly showed that levofloxacin and imipenem were the most effective drug against the isolates. The less effective antibiotics were chloramphenicol and nalidixic acid and resistance was highest against ciprofloxacin. The most contaminated food was chicken nuggets. Conclusions This type of frozen food contaminated with multi-antibiotic resistant microorganisms can be potential vehicles for transmitting food-borne diseases. PMID:25183094

  6. Multi-antibiotic resistant bacteria in frozen food (ready to cook food) of animal origin sold in Dhaka, Bangladesh.

    PubMed

    Sultana, Fouzia; Kamrunnahar; Afroz, Hafsa; Jahan, Afroz; Fakruddin, Md; Datta, Suvamoy

    2014-05-01

    To investigate the bacterial load and antibiotic resistance pattern of bacterial isolates obtained from (ready to cook) frozen food samples of animal origin in Dhaka, Bangladesh. A total of 20 samples of frozen ready to cook food of animal origin were purchased from different separate grocery stores in Dhaka, Bangladesh. Bacteria were isolated and identified based on the basis of biochemical properties. A total of 57 isolates has been isolated from 20 samples, of them 35.08% were Gram positive and 64.92% were Gram negative organisms. Highest percentages of isolated organisms were Staphylococcocus spp. (24.56%), Alcaligene spp. (17.54%), Klebshiella spp. (12.28%) and the lowest percentages of organisms were Enterococcus spp., Actinobacillus spp. and Proteus spp. Antibiogram results clearly showed that levofloxacin and imipenem were the most effective drug against the isolates. The less effective antibiotics were chloramphenicol and nalidixic acid and resistance was highest against ciprofloxacin. The most contaminated food was chicken nuggets. This type of frozen food contaminated with multi-antibiotic resistant microorganisms can be potential vehicles for transmitting food-borne diseases.

  7. Impact of flooding on feeding practices of infants and young children in Dhaka, Bangladesh Slums: what are the coping strategies?

    PubMed

    Goudet, Sophie M; Griffiths, Paula L; Bogin, Barry A; Selim, Nasima

    2011-04-01

    Previous research has shown that urban slums are hostile environments for the growth of infants and young children (IYC). Flooding is a hazard commonly found in Dhaka slums (Bangladesh) which negatively impacts IYC's nutritional and health status. This paper aims 1) to identify the impact of flooding on IYC's feeding practices, and 2) to explore the coping strategies developed by caregivers. Qualitative data (participant observation and semi-structured interviews) and quantitative data (household questionnaire and anthropometric measurements) collected in slums in Dhaka (n=18 mothers, n=5 community health workers, and n=55 children) were analysed. The subjects of the interviews were mothers and Bangladesh Rural Advancement Committee (BRAC) community health workers living and working in the slums. Research findings showed that breastfeeding and complementary feeding practices for IYC were poor and inappropriate due to lack of knowledge, time, and resources in normal times and worse during flooding. One coping strategy developed by mothers purposely to protect their IYC's nutritional status was to decrease their personal food intake. Our research findings suggest that mothers perceived the negative impact of flooding on their IYC's nutritional health but did not have the means to prevent it. They could only maintain their health through coping strategies which had other negative consequences. The results suggests a holistic approach combining 1) provision of relief for nutritionally vulnerable groups during flooding, 2) support to mothers in their working role, 3) breastfeeding counseling and support to lactating mothers with difficulties, and 4) preventing malnutrition in under 2 year old children.

  8. Dengue Disease Risk Mental Models in the City of Dhaka, Bangladesh: Juxtapositions and Gaps Between the Public and Experts.

    PubMed

    Dhar-Chowdhury, Parnali; Haque, C Emdad; Driedger, S Michelle

    2016-05-01

    Worldwide, more than 50 million cases of dengue fever are reported every year in at least 124 countries, and it is estimated that approximately 2.5 billion people are at risk for dengue infection. In Bangladesh, the recurrence of dengue has become a growing public health threat. Notably, knowledge and perceptions of dengue disease risk, particularly among the public, are not well understood. Recognizing the importance of assessing risk perception, we adopted a comparative approach to examine a generic methodology to assess diverse sets of beliefs related to dengue disease risk. Our study mapped existing knowledge structures regarding the risk associated with dengue virus, its vector (Aedes mosquitoes), water container use, and human activities in the city of Dhaka, Bangladesh. "Public mental models" were developed from interviews and focus group discussions with diverse community groups; "expert mental models" were formulated based on open-ended discussions with experts in the pertinent fields. A comparative assessment of the public's and experts' knowledge and perception of dengue disease risk has revealed significant gaps in the perception of: (a) disease risk indicators and measurements; (b) disease severity; (c) control of disease spread; and (d) the institutions responsible for intervention. This assessment further identifies misconceptions in public perception regarding: (a) causes of dengue disease; (b) dengue disease symptoms; (c) dengue disease severity; (d) dengue vector ecology; and (e) dengue disease transmission. Based on these results, recommendations are put forward for improving communication of dengue risk and practicing local community engagement and knowledge enhancement in Bangladesh.

  9. Rapid dipstick detection of Vibrio cholerae in household stored and municipal water in Dhaka, Bangladesh: CHoBI7 trial.

    PubMed

    Rashid, Mahamud-Ur; Rahman, Zillur; Burrowes, Vanessa; Perin, Jamie; Mustafiz, Munshi; Monira, Shirajum; Saif-Ur-Rahman, K M; Bhuyian, Sazzadul Islam; Mahmud, Md Toslim; Sack, R Bradley; Sack, David; Alam, Munirul; George, Christine Marie

    2017-02-01

    In urban Dhaka, Bangladesh, 30% of source water samples collected from the households of patients with cholera had detectable Vibrio cholerae. These findings indicate an urgent need for a public health intervention for this population. The Crystal VC(®) dipstick test is a rapid method for detecting V. cholerae in stool and water. However, to date no study has investigated the use of the rapid dipstick test for household surveillance of stored drinking water. The efficacy of the Crystal VC(®) dipstick test for detecting V. cholerae in the Dhaka city municipal water supply and stored household drinking water sources after enrichment for 18 h in alkaline peptone water (APW) was compared to bacterial culture as the gold standard. A total of 1648 water samples (824 stored household drinking water samples and 824 municipal water supply samples) were collected from households of patients with cholera. The overall specificity and sensitivity of the dipstick test compared to bacterial culture was 99.6% (95% confidence interval (CI): 99.2%, 99.9%) and 65.6% (95% CI: 55.2%, 75%), respectively. The specificities for stored household drinking water and Dhaka city municipal supply water compared to bacterial culture were 99.8% (95% CI: 99.1%, 100%) and 99.5% (95% CI: 98.6%, 99.9%), respectively (P = 0.138), and the sensitivities were 66.7% (95% CI: 43.0%, 85.4%) and 65.3% (95% CI: 53.5%, 76.0%), respectively (P = 0.891). The Crystal VC(®) dipstick is a promising screening tool for cholera outbreak surveillance in resource-limited settings where elimination of false-positive results is critical. The lower than expected sensitivity should be further investigated in future studies. © 2016 John Wiley & Sons Ltd.

  10. Antibiotic use for pneumonia among children under-five at a pediatric hospital in Dhaka city, Bangladesh.

    PubMed

    Rashid, Md Mahbubur; Chisti, Mohammod Jobayer; Akter, Dilruba; Sarkar, Malabika; Chowdhury, Fahmida

    2017-01-01

    Pneumonia has been the leading cause of morbidity and mortality among children under 5 for more than 3 decades, particularly in low-income countries like Bangladesh. The World Health Organization (WHO) developed a pneumonia case management strategy which included the use of antibiotics for both primary and hospital-based care. This study aims to describe antibiotic usage for treating pneumonia in children in a private pediatric teaching hospital in Dhaka, Bangladesh. We conducted this cross-sectional study among children <5 years old who were admitted to a private pediatric hospital in Dhaka with a diagnosis of pneumonia in November 2012. We enrolled 80 children during the study period. Among them, 28 (35.4%) were underweight, 14 (17.7%) were moderately underweight, and 13 (16.5%) were severely under-weight. On the basis of WHO classification (2005), 43 children (54%) had severe pneumonia and 37 (46%) had very severe pneumonia, as diagnosed by the research physician. Among the prescribed antibiotics in the hospital, parenteral ceftriaxone was the most common 40 (50%), followed by cefotaxime plus amikacin 14 (17.5%), cefuroxime 7 (8.8%), ceftazidime plus amikacin 6 (7.5%), ceftriaxone plus amikacin 3 (3.8%), meropenem 2 (2.5%), cefepime 2 (2.5%), and cefotaxime 2 (2.5%). Despite the WHO pneumonia treatment strategy, the inappropriate use of higher-generation cephalosporin and carbapenem was high in the study hospital. The results underscore the noncompliance with the WHO guidelines of antibiotic use and the importance of enforcing regulatory policy of the rational use of antibiotics for treating hospitalized children with pneumonia. Following these guidelines may help prevent increased antimicrobial resistance.

  11. Chemical Composition and Emission Sources of the Fine Particulate Matters in a Southeast Asian Mega City (Dhaka, Bangladesh)

    NASA Astrophysics Data System (ADS)

    Salam, Abdus

    2016-04-01

    Air pollution has significant impact on human health, climate change, agriculture, visibility reduction, and also on the atmospheric chemistry. There are many studies already reported about the direct relation of the human mortality and morbidity with the increase of the atmospheric particulate matters. Especially, fine particulate matters can easily enter into the human respiratory system and causes many diseases. Particulate matters have the properties to absorb the solar radiation and impact on the climate. Dhaka, Bangladesh is a densely populated mega-city in the world. About 16 million inhabitants are living within an area of 360 square kilometers. Air quality situation has been degrading due to unplanned growth, increasing vehicles, severe traffic jams, brick kilns, industries, construction, and also transboundary air pollution. A rapidly growing number of vehicles has worsen the air quality in spite of major policy interventions, e.g., ban of two-stroke and three-wheeled vehicles, phase out of 20 years old vehicles, conversion to compressed natural gas (CNGs), etc. Introduction of CNGs to reduce air pollution was not the solution for fine particles at all, as evidence shows that CNGs and diesel engines are the major sources of fine particles. High concentration of the air pollutants in Dhaka city such as PM, carbonaceous species (black and organic carbon), CO, etc. has already been reported. PM2.5 mass, chemical composition (e.g., BC, OC, SO42-, NO3-, trace elements, etc.), aerosol Optical Depth (AOD) and emission sources of our recent measurements at the highly polluted south East Asian Mega city (Dhaka) Bangladesh will be presented in the conference. PM2.5 samples were collected on filters with Digital PM2.5 sampler (Switzerland) and Air photon, USA. BC was measured from filters (with thermal and optical method) and also real time with an Aethalometer AE42 (Magee Scitific., USA). Water soluble ions were determined from filters with ion chromatogram. AOD

  12. Microbiological quality of selected street food items vended by school-based street food vendors in Dhaka, Bangladesh.

    PubMed

    Al Mamun, Mohammad; Rahman, Shah Mahfuzur; Turin, Tanvir Chowdhury

    2013-09-16

    A cross sectional study was conducted to assess the microbiological quality of local food items vended by the school-based street food vendors in Dhaka City. A total of 80 schools from 19 school-zones of Dhaka City and its outskirts were chosen for the study. A total of 110 food samples, one each from 110 school-based street food vendors, were collected for laboratory analysis. Face to face interviews were conducted with the food vendors using a pre-tested questionnaire. The food samples were analyzed for coliform counts in the Public Health Laboratory, Institute of Public Health, Dhaka, which is a national level central food testing laboratory in Bangladesh. Microbiological criteria recommended by the International Commission on Microbiological Specifications for Foods (ICMSF) were considered to classify food samples as 'satisfactory' (total coliforms <100 per g or ml) and 'unsatisfactory' (total coliforms ≥ 100 per g or ml). Multivariable logistic regression was used to explore the association of selected socio-demographic characteristics of school-based street food vendors with the presence of unsatisfactory levels of coliforms in their food items. Of the 110 school-based street food samples analyzed in the laboratory, 44% were unsatisfactory. Among different items of street vended foods, 54% of sliced fruits samples, 59% of jhalmuri samples, 29% of chotpotis samples, 53% of vajavuji samples, and all (100%) sharbat samples were unsatisfactory, while all samples from achar (100%) and ice cream (100%) were found to be satisfactory. Logistic regression models showed that the food samples collected from the vendors belonging to the age group '15-24 years' and the vendors possessing an educational status higher than primary level were less likely to be unsatisfactory, while the food samples collected from the vendors having a daily income of more than 200 Bangladeshi Taka (equivalent to 3.00 USD) were more likely to be unsatisfactory. Our study findings reflected

  13. Demographic Correlates of Constant Condom Use among Sex Workers in Tangail, Dhaka, Bangladesh

    ERIC Educational Resources Information Center

    Eva, Nilufar Akter; Munakata, Tsunetsugu; Onuoha, Francis N.

    2007-01-01

    Consistent condom use, particularly by promiscuous individuals, is a major safeguard against sexually transmitted diseases, including HIV/AIDS. This study examines some demographic factors that may affect such use among Bangladeshi female commercial sex workers at a brothel in Tangail (n = 196; mean age = 23.44 years), and the streets of Dhaka (n…

  14. Demographic Correlates of Constant Condom Use among Sex Workers in Tangail, Dhaka, Bangladesh

    ERIC Educational Resources Information Center

    Eva, Nilufar Akter; Munakata, Tsunetsugu; Onuoha, Francis N.

    2007-01-01

    Consistent condom use, particularly by promiscuous individuals, is a major safeguard against sexually transmitted diseases, including HIV/AIDS. This study examines some demographic factors that may affect such use among Bangladeshi female commercial sex workers at a brothel in Tangail (n = 196; mean age = 23.44 years), and the streets of Dhaka (n…

  15. Free-roaming dog population estimation and status of the dog population management and rabies control program in Dhaka City, Bangladesh.

    PubMed

    Tenzin, Tenzin; Ahmed, Rubaiya; Debnath, Nitish C; Ahmed, Garba; Yamage, Mat

    2015-05-01

    Beginning January 2012, a humane method of dog population management using a Catch-Neuter-Vaccinate-Release (CNVR) program was implemented in Dhaka City, Bangladesh as part of the national rabies control program. To enable this program, the size and distribution of the free-roaming dog population needed to be estimated. We present the results of a dog population survey and a pilot assessment of the CNVR program coverage in Dhaka City. Free-roaming dog population surveys were undertaken in 18 wards of Dhaka City on consecutive days using mark-resight methods. Data was analyzed using Lincoln-Petersen index-Chapman correction methods. The CNVR program was assessed over the two years (2012-2013) whilst the coverage of the CNVR program was assessed by estimating the proportion of dogs that were ear-notched (processed dogs) via dog population surveys. The free-roaming dog population was estimated to be 1,242 (95 % CI: 1205-1278) in the 18 sampled wards and 18,585 dogs in Dhaka City (52 dogs/km2) with an estimated human-to-free-roaming dog ratio of 828:1. During the two year CNVR program, a total of 6,665 dogs (3,357 male and 3,308 female) were neutered and vaccinated against rabies in 29 of the 92 city wards. A pilot population survey indicated a mean CNVR coverage of 60.6% (range 19.2-79.3%) with only eight wards achieving > 70% coverage. Given that the coverage in many neighborhoods was below the WHO-recommended threshold level of 70% for rabies eradications and since the CNVR program takes considerable time to implement throughout the entire Dhaka City area, a mass dog vaccination program in the non-CNVR coverage area is recommended to create herd immunity. The findings from this study are expected to guide dog population management and the rabies control program in Dhaka City and elsewhere in Bangladesh.

  16. Impact of Ramadan on clinical and microbiologic parameters of patients seen at a diarrheal hospital in urban Dhaka, Bangladesh, 1996-2012.

    PubMed

    Leung, Daniel T; Das, Sumon K; Malek, M A; Qadri, Firdausi; Faruque, A S G; Ryan, Edward T

    2014-02-01

    Ramadan is a month in the Islamic calendar when Muslims fast during daylight hours. We used data from the surveillance system of the International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka Hospital in Dhaka, Bangladesh, a predominantly Muslim country, to compare the etiology and clinical presentation of patients who presented with diarrhea during Ramadan to that of control periods, defined as the 30 days immediately before Ramadan. The proportion of infecting pathogens was largely the same, although Shigella spp. were less likely to be identified during Ramadan. Clinical presentations during Ramadan among adult Muslim diarrheal patients were also comparable to those admitted during control periods. A subgroup of cholera patients who presented after sunset during Ramadan had a shorter duration of diarrhea and higher prevalence of severe thirst, drowsiness, and severe dehydration. Our findings suggest that Ramadan has few effects on the profile of enteric pathogens and clinical features of adults seeking medical care for diarrhea.

  17. Evaluation of knowledge, practices, and possible barriers among healthcare providers regarding medical waste management in Dhaka, Bangladesh.

    PubMed

    Sarker, Mohammad Abul Bashar; Harun-Or-Rashid, Md; Hirosawa, Tomoya; Abdul Hai, Md Shaheen Bin; Siddique, Md Ruhul Furkan; Sakamoto, Junichi; Hamajima, Nobuyuki

    2014-12-09

    Improper handling of medical wastes, which is common in Bangladesh, could adversely affect the hospital environment and community at large, and poses a serious threat to public health. We aimed to assess the knowledge and practices regarding medical waste management (MWM) among healthcare providers (HCPs) and to identify possible barriers related to it. A cross-sectional study was carried out during June to September, 2012 including 1 tertiary, 3 secondary, and 3 primary level hospitals in Dhaka division, Bangladesh through 2-stage cluster sampling. Data were collected from 625 HCPs, including 245 medical doctors, 220 nurses, 44 technologists, and 116 cleaning staff who were directly involved in MWM using a self-administered (researcher-administered for cleaning staff), semi-structured questionnaire. Nearly one-third of medical doctors and nurses and two-thirds of technologists and cleaning staff had inadequate knowledge, and about half of medical doctors (44.0%) and cleaning staff (56.0%) had poor practices. HCPs without prior training on MWM were more likely to have poor practices compared to those who had training. Lack of personal protective equipment, equipment for final disposal, MWM-related staff, proper policy/guideline, and lack of incinerator were identified as the top 5 barriers. Strengthening and expansion of ongoing educational programs/training is necessary to improve knowledge and practices regarding MWM. The government should take necessary steps and provide financial support to eliminate the possible barriers related to proper MWM.

  18. Evaluation of Knowledge, Practices, and Possible Barriers among Healthcare Providers regarding Medical Waste Management in Dhaka, Bangladesh

    PubMed Central

    Sarker, Mohammad Abul Bashar; Harun-Or-Rashid, Md.; Hirosawa, Tomoya; Hai, Md. Shaheen Bin Abdul; Siddique, Md. Ruhul Furkan; Sakamoto, Junichi; Hamajima, Nobuyuki

    2014-01-01

    Background Improper handling of medical wastes, which is common in Bangladesh, could adversely affect the hospital environment and community at large, and poses a serious threat to public health. We aimed to assess the knowledge and practices regarding medical waste management (MWM) among healthcare providers (HCPs) and to identify possible barriers related to it. Material/Methods A cross-sectional study was carried out during June to September, 2012 including 1 tertiary, 3 secondary, and 3 primary level hospitals in Dhaka division, Bangladesh through 2-stage cluster sampling. Data were collected from 625 HCPs, including 245 medical doctors, 220 nurses, 44 technologists, and 116 cleaning staff who were directly involved in MWM using a self-administered (researcher-administered for cleaning staff), semi-structured questionnaire. Results Nearly one-third of medical doctors and nurses and two-thirds of technologists and cleaning staff had inadequate knowledge, and about half of medical doctors (44.0%) and cleaning staff (56.0%) had poor practices. HCPs without prior training on MWM were more likely to have poor practices compared to those who had training. Lack of personal protective equipment, equipment for final disposal, MWM-related staff, proper policy/guideline, and lack of incinerator were identified as the top 5 barriers. Conclusions Strengthening and expansion of ongoing educational programs/training is necessary to improve knowledge and practices regarding MWM. The government should take necessary steps and provide financial support to eliminate the possible barriers related to proper MWM. PMID:25488747

  19. Occurrence of urinary tract infection in adolescent and adult women of shanty town in Dhaka City, Bangladesh.

    PubMed

    Rahman, Sabita Rezwana; Ahmed, M Firoz; Begum, Aleya

    2014-04-01

    Urinary tract infection (UTI) is commonly experienced by women of various age groups especially elderly ones. We planned to find out the prevalent microbial strains causing UTI in slum inhabitant adolescent and adult women in Dhaka City, Bangladesh. Urine sample was collected from 462 UTI suspected female subjects. Pathogenic bacteria were identified using standard microbiological tests, and antimicrobial sensitivity profiles of the pathogens were determined. Bacteriuria was present in 9% of the subjects. A higher incidence (16.8%) of UTI was noted among adult women aged above 19 years. Escherichia coli (69%), Streptococcus spp. (15%) and Pseudomonas aeruginosa (7%) were more frequently isolated from the urine samples compared to Enterococcus faecalis (3%), Staphylococcus aureus (2%), Klebsiella pneumoniae (2%) and Hafnia alvei (2%). The E. coli isolates showed complete resistance to commonly used drugs, and 58% of these isolates were multidrug resistant (MDR). Minimum Inhibitory Concentration (MIC) values for ciprofloxacin ranged between 64µg/ml and 512µg/ml, and the Minimum Bactericidal Concentration (MBC) values against the isolates were 128µg/ml or above. Isolated strains of E. coli exhibited equal extent of ciprofloxacin resistance irrespective of the presence or absence of plasmid in them. The extent of drug resistance among the uropathogens if ignored may render them uncontrollable. This study suggests regular monitoring of drug resistance phenotype of the UTI pathogens to reduce the morbidity of female UTI patients and offer better treatment strategy in the healthcare sectors of Bangladesh.

  20. Diarrheal Illness and Healthcare Seeking Behavior among a Population at High Risk for Diarrhea in Dhaka, Bangladesh

    PubMed Central

    Chowdhury, Fahima; Khan, Iqbal Ansary; Patel, Sweta; Siddiq, Ashraf Uddin; Saha, Nirod Chandra; Khan, Ashraful I.; Saha, Amit; Cravioto, Alejandro; Clemens, John; Qadri, Firdausi; Ali, Mohammad

    2015-01-01

    Diarrhea remains one of the major causes of death in Bangladesh. We studied diarrheal disease risk and healthcare seeking behavior among populations at high risk for diarrhea in Dhaka, Bangladesh. Data were obtained from a cross-sectional survey conducted during April and September 2010. The prevalence of diarrhea was calculated by age-group and sex. A generalized estimating equation with logit link function was used to predict diarrheal disease risk and seeking care from a professional healthcare provider. Of 316,766 individuals, 10% were young children (<5 years). The prevalence of diarrhea was 16 per 1000 persons among all ages; young children accounted for 44 per 1000 persons. Prevalence of diarrhea was significantly higher (p=.003) among younger males (<15 years) compared to that among younger females. In contrast, prevalence of diarrhea was significantly higher (p<.0001) among older females (≥15 years) compared to that among older males. An increased risk for diarrhea was observed in young children, males, and those staying in rented houses, lower family members in the house, using non-sanitary toilets, living in the area for short times, living in a community with less educated persons, living in a community with less use of safe water source for drinking, or living close to the hospital. About 80% of those with diarrhea sought care initially from a non-professional healthcare provider. Choice of the professional healthcare provider was driven by age of the patient, educational status of the household head, and hygienic practices by the household. The study reaffirms that young children are at greater risk for diarrhea. Like other developing countries most people in this impoverished setting of Dhaka are less likely to seek care from a professional healthcare provider than from a non-professional healthcare provider, which could be attributed to a higher number of diarrheal deaths among young children in Bangladesh. Dissemination of information on health

  1. Diarrheal Illness and Healthcare Seeking Behavior among a Population at High Risk for Diarrhea in Dhaka, Bangladesh.

    PubMed

    Chowdhury, Fahima; Khan, Iqbal Ansary; Patel, Sweta; Siddiq, Ashraf Uddin; Saha, Nirod Chandra; Khan, Ashraful I; Saha, Amit; Cravioto, Alejandro; Clemens, John; Qadri, Firdausi; Ali, Mohammad

    2015-01-01

    Diarrhea remains one of the major causes of death in Bangladesh. We studied diarrheal disease risk and healthcare seeking behavior among populations at high risk for diarrhea in Dhaka, Bangladesh. Data were obtained from a cross-sectional survey conducted during April and September 2010. The prevalence of diarrhea was calculated by age-group and sex. A generalized estimating equation with logit link function was used to predict diarrheal disease risk and seeking care from a professional healthcare provider. Of 316,766 individuals, 10% were young children (<5 years). The prevalence of diarrhea was 16 per 1000 persons among all ages; young children accounted for 44 per 1000 persons. Prevalence of diarrhea was significantly higher (p=.003) among younger males (<15 years) compared to that among younger females. In contrast, prevalence of diarrhea was significantly higher (p<.0001) among older females (≥15 years) compared to that among older males. An increased risk for diarrhea was observed in young children, males, and those staying in rented houses, lower family members in the house, using non-sanitary toilets, living in the area for short times, living in a community with less educated persons, living in a community with less use of safe water source for drinking, or living close to the hospital. About 80% of those with diarrhea sought care initially from a non-professional healthcare provider. Choice of the professional healthcare provider was driven by age of the patient, educational status of the household head, and hygienic practices by the household. The study reaffirms that young children are at greater risk for diarrhea. Like other developing countries most people in this impoverished setting of Dhaka are less likely to seek care from a professional healthcare provider than from a non-professional healthcare provider, which could be attributed to a higher number of diarrheal deaths among young children in Bangladesh. Dissemination of information on health

  2. Sexual risk behaviour of rural-to-urban migrant taxi drivers in Dhaka, Bangladesh: a cross-sectional behavioural survey.

    PubMed

    Roy, T; Anderson, C; Evans, C; Rahman, M S

    2010-11-01

    Human immunodeficiency virus (HIV) research in Bangladesh has mainly focused on key vulnerable groups (e.g. sex workers, drug users). In order to develop appropriate HIV prevention strategies in an evolving epidemic, there is a need for evidence on sexual practices in other population groups. This research aims to describe the prevalence of risky behaviours and factors affecting sexual behaviour/practices among rural-to-urban migrant taxi drivers in Dhaka. Cross-sectional study. This paper reports on the cross-sectional survey component of a mixed methods research study amongst migrant workers in Bangladesh. The sample (n = 437) comprised rural-to-urban migrant taxi drivers in Dhaka (aged 18-35 years). The survey data were analysed statistically using Statistical Package for the Social Sciences. Very high levels of pre- and extramarital sexual behaviour were found (84% and 51%, respectively) amongst the sample (n = 437). The reported sexual activity included high levels of risky/unsafe sex in the past year: 64% of the sample reported sex with multiple commercial sex partners (mean = 13.21), and 21.7% reported sex with other males/transgenders (mean = 2.53). Protection against risk was low: 78.2% reported that their last commercial sexual encounter was unprotected, and only 5.6% used condoms consistently. Multivariate analysis revealed that the odds of risky sexual behaviour were higher in migrant men who were not married (odds ratio 35.3, P < 0.001) and married men who were living apart from their spouses (odds ratio 41.7, P < 0.001). Additionally, reported risk behaviours were significantly associated with frequency of home visits, duration of separation from spouse and alcohol consumption. Thus, male migration without family or spouse appears to be a key driver of risky sexual practices. This study provides important new information for understanding the dynamics of sexual behaviour in Bangladesh, and suggests that migrant men should be a key

  3. Prevalence and determinants of chronic malnutrition among preschool children: a cross-sectional study in Dhaka City, Bangladesh.

    PubMed

    Jesmin, Aklima; Yamamoto, Shelby Suzanne; Malik, Ahmad Azam; Haque, M Aminul

    2011-10-01

    Chronic malnutrition is one of the major causes of morbidity and mortality among preschool children and the future productivity of nations. To understand the prevalence of chronic malnutrition and to identify the factors affecting height-for-age z-score (HAZ) among preschool children, a cross-sectional study was conducted among 380 randomly-selected children aged less than five years in Dhaka city, Bangladesh. Results of analysis of this study data revealed that the prevalence of stunting among preschool children in Dhaka city was 39.5%, with 25% severely stunted and 14% moderately stunted (p<0.001). Results of bivariate analysis revealed that socioeconomic and demographic factors were most significantly associated with the stunting of children. Children were found to be well-nourished if their parents had a tertiary-level education or higher and if the mother held a job and had good knowledge of nutrition. Well-nourishment of the children were also associated with the height of mothers (above 148 cm), good family educational background, normal birthweight, greater frequency of food intake (more than six times/day), and fewer fever episodes in the last six months. Results of multivariate linear regression models showed that height of mothers, birthweight of children, education of fathers, knowledge of mothers on nutrition, and frequency of feeding were the most significant factors that had an independent and direct influence on the stunting of children. To achieve the Millennium Development Goal target of 34% malnutrition prevalence by 2015, it is important to have specific government intervention to focus on the causes that directly influence the stunting of children.

  4. Inequalities in Care-seeking for Febrile Illness of Under-five Children in Urban Dhaka, Bangladesh

    PubMed Central

    Bennett, Catherine M.; Luby, Stephen P.

    2011-01-01

    Fever is an easily-recognizable primary sign for many serious childhood infections. In Bangladesh, 31% of children aged less than five years (under-five children) die from serious infections, excluding confirmed acute respiratory infections or diarrhoea. Understanding healthcare-seeking behaviour for children with fever could provide insights on how to reduce this high rate of mortality. Data from a cross-sectional survey in the catchment areas of two tertiary-level paediatric hospitals in Dhaka, Bangladesh, were analyzed to identify the factors associated with the uptake of services from trained healthcare providers for under-five children with reported febrile illness. Health and demographic data were collected in a larger study of 7,865 children using structured questionnaires. Data were selected from 1,290 of these under-five children who were taken to any healthcare provider for febrile illness within two months preceding the date of visit by the study team. Certified doctors were categorized as ‘trained’, and other healthcare providers were categorized as ‘untrained’. Healthcare-seeking behaviours were analyzed in relation to these groups. A wealth index was constructed using principal component analysis to classify the households into socioeconomic groups. The odds ratios for factors associated with healthcare-seeking behaviours were estimated using logistic regression with adjustment for clustering. Forty-one percent of caregivers (n=529) did not seek healthcare from trained healthcare providers. Children from the highest wealth quintile were significantly more likely [odds ratio (OR)=5.6, 95% confidence interval (CI) 3.4-9.2] to be taken to trained healthcare providers compared to the poorest group. Young infants were more likely to be taken to trained healthcare providers compared to the age-group of 4-<5 years (OR=1.6, 95% CI 1.1-2.4). Male children were also more likely to be taken to trained healthcare providers (OR=1.5, 95% CI 1.2-1.9) as were

  5. Inequalities in care-seeking for febrile illness of under-five children in urban Dhaka, Bangladesh.

    PubMed

    Najnin, Nusrat; Bennett, Catherine M; Luby, Stephen P

    2011-10-01

    Fever is an easily-recognizable primary sign for many serious childhood infections. In Bangladesh, 31% of children aged less than five years (under-five children) die from serious infections, excluding confirmed acute respiratory infections or diarrhoea. Understanding healthcare-seeking behaviour for children with fever could provide insights on how to reduce this high rate of mortality. Data from a cross-sectional survey in the catchment areas of two tertiary-level paediatric hospitals in Dhaka, Bangladesh, were analyzed to identify the factors associated with the uptake of services from trained healthcare providers for under-five children with reported febrile illness. Health and demographic data were collected in a larger study of 7,865 children using structured questionnaires. Data were selected from 1,290 of these under-five children who were taken to any healthcare provider for febrile illness within two months preceding the date of visit by the study team. Certified doctors were categorized as 'trained', and other healthcare providers were categorized as 'untrained'. Healthcare-seeking behaviours were analyzed in relation to these groups. A wealth index was constructed using principal component analysis to classify the households into socioeconomic groups. The odds ratios for factors associated with healthcare-seeking behaviours were estimated using logistic regression with adjustment for clustering. Forty-one percent of caregivers (n=529) did not seek healthcare from trained healthcare providers. Children from the highest wealth quintile were significantly more likely [odds ratio (OR)=5.6, 95% confidence interval (CI) 3.4-9.2] to be taken to trained healthcare providers compared to the poorest group. Young infants were more likely to be taken to trained healthcare providers compared to the age-group of 4-<5 years (OR=1.6, 95% CI 1.1-2.4). Male children were also more likely to be taken to trained healthcare providers (OR=1.5, 95% CI 1.2-1.9) as were

  6. Evaluation of health risk and arsenic levels in vegetables sold in markets of Dhaka (Bangladesh) and Salamanca (Spain) by hydride generation atomic absorption spectroscopy.

    PubMed

    Anawar, Hossain Md; Garcia-Sanchez, A; Hossain, Md Nur; Akter, Shamima

    2012-09-01

    The main objective of this study was to determine arsenic (As) levels in vegetables collected from the markets of Dhaka, Bangladesh and for comparison from Salamanca, Spain by HGAAS under optimal conditions, and the potential health risk from consumption of these vegetables. The mean and range of the total As concentration in the vegetables from the markets of Dhaka, Bangladesh were 114 and 1.0-293 μg/kg, respectively. Total As concentration in 77% of Bangladesh vegetables measured was higher than that recommended by the standard. The mean and range of As concentrations for vegetables grown in Spain were 65 and bdl-130 μg/kg, respectively, for Salamanca, 102 and bdl-423 μg/kg, respectively, for Almeria. The As content of the Bangladesh vegetables was approximately twofold to threefold higher than those observed for the vegetables from Almeria and Salamanca (Spain), but in some cases, were similar or less. Daily consumption of As-rich vegetables may result in an additional source of As in the diet, based on the provisional tolerable intake of As for adults recommended by WHO.

  7. Observational study on the concentration distributions of SO{sub 2} and NO{sub 2} in Dhaka, Bangladesh under severe air pollution condition in winter

    SciTech Connect

    Azad, A.K.; Kitada, T.

    1996-12-31

    Dhaka is the capital and the biggest city of Bangladesh, and is expanding very rapidly. Emissions from heavy traffic and many small industries and commercial complexes, newly developed in and around the city, are polluting the air of Dhaka city. The air pollution is severe especially in winter due to adverse meteorological conditions such as low wind speed and dry, stably-stratified air, which restricts the mixing height to low levels and prevent dispersion of pollutants. But so far no study of air pollution of Dhaka city has been done. We have first measured SO{sub 2} and NO{sub 2} concentrations in Dhaka city in a large scale and derived their spatial distributions over Dhaka. Molecular diffusion tubes, which do not require power sources and are produced at low cost, have been used to measure the concentration distributions of SO{sub 2} and NO{sub 2} at 64 sites in Dhaka city and its suburbs during the period of December-January of 1995-96. The diffusion tube samplers were calibrated using 6 automated air pollution monitoring stations in Aichi-prefecture, Japan. The calibration curve and the distribution of the concentration data acquired by automatic measurement instrument at each location showed that the error range of measurements with the molecular diffusion tube samplers was 2-27%. The samples were analyzed using ion-chromatography and spectrophotometer to determine the concentrations of SO{sub 2} and NO{sub 2} respectively. The contamination of unexposed tubes under field conditions was determined and the value of the blank test was subtracted from the measurements of the diffusion tube samplers. The effects of wind turbulence and temperature were reduced using polyflon filters.

  8. Air quality and climate impacts due to CNG conversion of motor vehicles in Dhaka, Bangladesh.

    PubMed

    Wadud, Zia; Khan, Tanzila

    2013-12-17

    Dhaka had recently experienced rapid conversion of its motor vehicle fleet to run on compressed natural gas (CNG). This paper quantifies ex-post the air quality and climate benefits of the CNG conversion policy, including monetary valuations, through an impact pathway approach. Around 2045 (1665) avoided premature deaths in greater Dhaka (City Corporation) can be attributed to air quality improvements from the CNG conversion policy in 2010, resulting in a saving of around USD 400 million. Majority of these health benefits resulted from the conversion of high-emitting diesel vehicles. CNG conversion was clearly detrimental from climate change perspective using the changes in CO2 and CH4 only (CH4 emissions increased); however, after considering other global pollutants (especially black carbon), the climate impact was ambiguous. Uncertainty assessment using input distributions and Monte Carlo simulation along with a sensitivity analysis show that large uncertainties remain for climate impacts. For our most likely estimate, there were some climate costs, valued at USD 17.7 million, which is an order of magnitude smaller than the air quality benefits. This indicates that such policies can and should be undertaken on the grounds of improving local air pollution alone and that precautions should be taken to reduce the potentially unintended increases in GHG emissions or other unintended effects.

  9. Diabetes knowledge and utilization of healthcare services among patients with type 2 diabetes mellitus in Dhaka, Bangladesh.

    PubMed

    Siddique, Md Kaoser Bin; Islam, Sheikh Mohammed Shariful; Banik, Palash Chandra; Rawal, Lal B

    2017-08-22

    Diabetes is a significant global public health concern. Poor knowledge of disease and healthcare utilization is associated with worse health outcomes, leading to increasing burden of diabetes in many developing countries. This study aimed to determine diabetes related knowledge and factors affecting utilization of healthcare services among patients with type 2 diabetes mellitus in Bangladesh. This analytical study was conducted among 318 patients with type 2 diabetes (T2DM) attending two large tertiary hospitals in Dhaka, Bangladesh between August 2014 and January 2015. Interviewer assisted semi-structured survey questionnaire was used to collect data on diabetes knowledge (measured by a validated Likert scale) and self-reported utilization of service for diabetes. Univariate and bivariate analyses were conducted to determine the factors associated with diabetes knowledge and healthcare utilization. The mean (±SD) age of participants was 52 (±10) years. Majority of the participants were females (58%) and urban residents (74%). Almost two-third (66%) of the participants had an average level of knowledge of T2DM. One-fifth (21%) of the participants had poor knowledge which was significantly associated with gender (P < 0.002), education (P < 0 .001) and income (P < 0.001). The median travel and waiting time at the facility was 30 and 45 min respectively. More than one-third (37%) of the participants checked their blood glucose monthly. Most patients were satisfied regarding the family (55%) and hospital (67%) support. T2DM patients had average knowledge of diabetes which might affect the utilization of healthcare services for diabetes management. Innovations in increasing diabetes knowledge and health behavior change are recommended specially for females, those with lower education and less income.

  10. Cholera forecast for Dhaka, Bangladesh, with the 2015-2016 El Niño: Lessons learned.

    PubMed

    Martinez, Pamela P; Reiner, Robert C; Cash, Benjamin A; Rodó, Xavier; Shahjahan Mondal, Mohammad; Roy, Manojit; Yunus, Mohammad; Faruque, A S G; Huq, Sayeeda; King, Aaron A; Pascual, Mercedes

    2017-01-01

    A substantial body of work supports a teleconnection between the El Niño-Southern Oscillation (ENSO) and cholera incidence in Bangladesh. In particular, high positive anomalies during the winter (Dec-Feb) in sea surface temperatures (SST) in the tropical Pacific have been shown to exacerbate the seasonal outbreak of cholera following the monsoons from August to November. Climate studies have indicated a role of regional precipitation over Bangladesh in mediating this long-distance effect. Motivated by this previous evidence, we took advantage of the strong 2015-2016 El Niño event to evaluate the predictability of cholera dynamics for the city in recent times based on two transmission models that incorporate SST anomalies and are fitted to the earlier surveillance records starting in 1995. We implemented a mechanistic temporal model that incorporates both epidemiological processes and the effect of ENSO, as well as a previously published statistical model that resolves space at the level of districts (thanas). Prediction accuracy was evaluated with "out-of-fit" data from the same surveillance efforts (post 2008 and 2010 for the two models respectively), by comparing the total number of cholera cases observed for the season to those predicted by model simulations eight to twelve months ahead, starting in January each year. Although forecasts were accurate for the low cholera risk observed for the years preceding the 2015-2016 El Niño, the models also predicted a high probability of observing a large outbreak in fall 2016. Observed cholera cases up to Oct 2016 did not show evidence of an anomalous season. We discuss these predictions in the context of regional and local climate conditions, which show that despite positive regional rainfall anomalies, rainfall and inundation in Dhaka remained low. Possible explanations for these patterns are given together with future implications for cholera dynamics and directions to improve their prediction for the city.

  11. Cholera forecast for Dhaka, Bangladesh, with the 2015-2016 El Niño: Lessons learned

    PubMed Central

    Martinez, Pamela P.; Reiner, Robert C.; Cash, Benjamin A.; Rodó, Xavier; Shahjahan Mondal, Mohammad; Roy, Manojit; Yunus, Mohammad; Faruque, A. S. G.; Huq, Sayeeda; King, Aaron A.; Pascual, Mercedes

    2017-01-01

    A substantial body of work supports a teleconnection between the El Niño-Southern Oscillation (ENSO) and cholera incidence in Bangladesh. In particular, high positive anomalies during the winter (Dec-Feb) in sea surface temperatures (SST) in the tropical Pacific have been shown to exacerbate the seasonal outbreak of cholera following the monsoons from August to November. Climate studies have indicated a role of regional precipitation over Bangladesh in mediating this long-distance effect. Motivated by this previous evidence, we took advantage of the strong 2015–2016 El Niño event to evaluate the predictability of cholera dynamics for the city in recent times based on two transmission models that incorporate SST anomalies and are fitted to the earlier surveillance records starting in 1995. We implemented a mechanistic temporal model that incorporates both epidemiological processes and the effect of ENSO, as well as a previously published statistical model that resolves space at the level of districts (thanas). Prediction accuracy was evaluated with “out-of-fit” data from the same surveillance efforts (post 2008 and 2010 for the two models respectively), by comparing the total number of cholera cases observed for the season to those predicted by model simulations eight to twelve months ahead, starting in January each year. Although forecasts were accurate for the low cholera risk observed for the years preceding the 2015–2016 El Niño, the models also predicted a high probability of observing a large outbreak in fall 2016. Observed cholera cases up to Oct 2016 did not show evidence of an anomalous season. We discuss these predictions in the context of regional and local climate conditions, which show that despite positive regional rainfall anomalies, rainfall and inundation in Dhaka remained low. Possible explanations for these patterns are given together with future implications for cholera dynamics and directions to improve their prediction for the city

  12. Seasonal concentrations and determinants of indoor particulate matter in a low-income community in Dhaka, Bangladesh.

    PubMed

    Gurley, Emily S; Salje, Henrik; Homaira, Nusrat; Ram, Pavani K; Haque, Rashidul; Petri, William A; Bresee, Joseph; Moss, William J; Luby, Stephen P; Breysse, Patrick; Azziz-Baumgartner, Eduardo

    2013-02-01

    Indoor exposure to particulate matter (PM) increases the risk of acute lower respiratory tract infections, which are the leading cause of death in young children in Bangladesh. Few studies, however, have measured children's exposures to indoor PM over time. The World Health Organization recommends that daily indoor concentrations of PM less than 2.5μm in diameter (PM(2.5)) not exceed 25μg/m(3). This study aimed to describe the seasonal variation and determinants of concentrations of indoor PM(2.5) in a low-income community in urban Dhaka, Bangladesh. PM(2.5) was measured in homes monthly during May 2009 to April 2010. We calculated the time-weighted average, 90th percentile PM(2.5) concentrations and the daily hours PM(2.5) exceeded 100μg/m(3). Linear regression models were used to estimate the associations between fuel use, ventilation, indoor smoking, and season to each metric describing indoor PM(2.5) concentrations. Time-weighted average PM(2.5) concentrations were 190μg/m(3) (95% CI 170-210). Sixteen percent of 258 households primarily used biomass fuels for cooking and PM(2.5) concentrations in these homes had average concentrations 75μg/m(3) (95% CI 56-124) greater than other homes. PM(2.5) concentrations were also associated with burning both biomass and kerosene, indoor smoking, and ventilation, and were more than twice as high during winter than during other seasons. Young children in this community are exposed to indoor PM(2.5) concentrations 7 times greater than those recommended by World Health Organization guidelines. Interventions to reduce biomass burning could result in a daily reduction of 75μg/m(3) (40%) in time-weighted average PM(2.5) concentrations.

  13. Laboratory evaluation of selected larvicides and insect growth regulators against field-collected Culex quinquefasciatus larvae from urban Dhaka, Bangladesh.

    PubMed

    Ali, A; Chowdhury, M A; Hossain, M I; Mahmud-Ul-Ameen; Habiba, D B; Aslam, A F

    1999-03-01

    Five organophosphates (OPs) (chlorpyrifos, chlorpyrifos methyl, fenthion, malathion, and temephos), 3 pyrethroids (bifenthrin, cypermethrin, and permethrin), 1 phenyl pyrazole (fipronil), 2 microbial pesticides (Bacillus thuringiensis serovar. israelensis [B.t.i.] and Bacillus sphaericus), and 3 insect growth regulators (IGRs) (diflubenzuron, methoprene, and pyriproxyfen) were evaluated against field-collected Culex quinquefasciatus larvae from urban Dhaka, Bangladesh. The LC90 values of all OPs, except for temephos (LC90 = 0.0096 ppm), were high, ranging from 0.13 ppm (fenthion) to 2.882 ppm (chlorpyrifos methyl). Pyrethroid LC90 values were 0.021 ppm (bifenthrin), 0.00061 (cypermethrin), and 0.017 ppm (permethrin). Fipronil exhibited a superior activity with LC90 value of 0.000896 ppm. Technical powders of B.t.i. and B. sphaericus (VectoBac TP and VectoLex TP) were considered highly effective against the Cx. quinquefasciatus larvae. The IGRs also were effective with pyriproxyfen (LC90 = 0.0011 ppm), being 3 times and 47 times more active than diflubenzuron (LC90 = 0.0034 ppm) and methoprene (LC90 = 0.052 ppm), respectively. In general, toxicity ranking of chemicals and microbials tested was phenyl pyrazole > IGRs > pyrethroids > microbials > OPs.

  14. 'I won't be able to go home being pregnant': sex work and pregnancy in Dhaka, Bangladesh.

    PubMed

    Katz, Karen R; McDowell, Misti; Johnson, Laura; Aziz, Sultana

    2016-07-01

    Sex workers report high rates of unintended pregnancy that are inconsistent with widespread reports of condom use. Greater understanding of the implications of an unintended pregnancy and barriers to contraceptive use is needed to better meet the broader sexual and reproductive health needs of this population. We conducted in-depth interviews with 20 women sex workers in Dhaka, Bangladesh. Findings reveal that most women are trying to conform to societal norms and protect their reputations. They fear pregnancy would reveal that they are having unsanctioned sex and that they are sex workers. This could lead to ostracism from families and society, resulting in homelessness and abandonment by partners. Pregnancy may affect a sex worker's ability to work and leave her unable to meet financial obligations. All study participants were using condoms but most acknowledged they could not use them consistently. They had all tried other contraceptive methods, notably injectables and the pill, but some noted experience of side-effects, difficulties in adherence and the desire to use other methods. Understanding the context of sex workers' lives is an important step in informing stakeholders about the range of services needed to improve their sexual and reproductive health.

  15. Process assessment of a peer education programme for HIV prevention among sex workers in Dhaka, Bangladesh : a social support framework.

    PubMed

    Sarafian, Isabelle

    2012-08-01

    This study evaluated the process of a peer education program for hotel-based sex workers in Dhaka, Bangladesh, with social support proposed as an organizing framework. Programme outcomes were examined through baseline and follow-up assessments. Sex workers naïve to peer education were assessed on socio-cognitive and behavioural variables; a subsample was reassessed at follow-up 23 weeks later on average. Process was assessed in terms of the content of peer education sessions. These sessions were recorded and coded into percentages of social support types provided by the peer educator to her audience: informational, instrumental, appraisal, emotional, companionship, non-support. Peer educators were classified into three "social support profiles" based on average proportions of emotional and informational support they provided. Seeing more peer educators with a high informational support profile was related to higher sex worker self-efficacy, self-reported STI symptoms, and self-reported condom use at follow-up; the same was true for the high emotional support profile and treatment seeking. Social support constituted a useful framework, but needs further exploration. This study provided a direct, in-depth examination of the process of peer education based on a comprehensive theoretical framework. Copyright © 2011 Elsevier Ltd. All rights reserved.

  16. Impact of neighborhood biomass cooking patterns on episodic high indoor particulate matter concentrations in clean fuel homes in Dhaka, Bangladesh.

    PubMed

    Salje, H; Gurley, E S; Homaira, N; Ram, P K; Haque, R; Petri, W; Moss, W J; Luby, S P; Breysse, P; Azziz-Baumgartner, E

    2014-04-01

    Exposure to particulate matter (PM2.5 ) from the burning of biomass is associated with increased risk of respiratory disease. In Dhaka, Bangladesh, households that do not burn biomass often still experience high concentrations of PM2.5 , but the sources remain unexplained. We characterized the diurnal variation in the concentrations of PM2.5 in 257 households and compared the risk of experiencing high PM2.5 concentrations in biomass and non-biomass users. Indoor PM2.5 concentrations were estimated every minute over 24 h once a month from April 2009 through April 2010. We found that households that used gas or electricity experienced PM2.5 concentrations exceeding 1000 μg/m(3) for a mean of 35 min within a 24-h period compared with 66 min in biomass-burning households. In both households that used biomass and those that had no obvious source of particulate matter, the probability of PM2.5 exceeding 1000 μg/m(3) were highest during distinct morning, afternoon, and evening periods. In such densely populated settings, indoor pollution in clean fuel households may be determined by biomass used by neighbors, with the highest risk of exposure occurring during cooking periods. Community interventions to reduce biomass use may reduce exposure to high concentrations of PM2.5 in both biomass and non-biomass using households.

  17. Concurrent Pneumonia in Children Under 5 Years of Age Presenting to a Diarrheal Hospital in Dhaka, Bangladesh.

    PubMed

    Leung, Daniel T; Das, Sumon K; Malek, M A; Qadri, Firdausi; Faruque, A S G; Chisti, Mohammod J; Ryan, Edward T

    2015-10-01

    Respiratory and gastrointestinal infections are the top killers of children worldwide, and their co-occurrence is reported but not well understood. Our aim was to determine the risk factors for concurrent presentation of diarrhea and pneumonia (DP) in a resource-limited setting in Bangladesh. We used data from the Diarrheal Disease Surveillance System of the icddr,b Dhaka Hospital to identify children < 60 months of age with diarrhea and concurrent pneumonia, defined as a history of cough, an abnormal lung examination, and tachypnea. For the years 1996-2007, out of total 14,628 diarrheal patients surveyed, there were 607 (4%) patients who satisfied criteria for pneumonia. Those with DP had a higher mortality rate (4% versus 0.05%, odds ratio [OR] = 86, 95% confidence interval [CI] = 26-286) and a longer hospital stay (mean 84 versus 26 hours, difference 58 hours, 95% CI = 52-64 hours) than those with diarrhea (D) only. In multivariable logistic regression comparing cases (N = 607) with controls matched for month and year of admission at a ratio of 1:3 (N = 1,808), we found that DP was associated with younger age, male gender, severe acute malnutrition (SAM), less maternal education, lower family income, and lack of current breast-feeding history.

  18. Concurrent Pneumonia in Children under 5 Years of Age Presenting to a Diarrheal Hospital in Dhaka, Bangladesh

    PubMed Central

    Leung, Daniel T.; Das, Sumon K.; Malek, M. A.; Qadri, Firdausi; Faruque, A. S. G.; Chisti, Mohammod J.; Ryan, Edward T.

    2015-01-01

    Respiratory and gastrointestinal infections are the top killers of children worldwide, and their co-occurrence is reported but not well understood. Our aim was to determine the risk factors for concurrent presentation of diarrhea and pneumonia (DP) in a resource-limited setting in Bangladesh. We used data from the Diarrheal Disease Surveillance System of the icddr,b Dhaka Hospital to identify children < 60 months of age with diarrhea and concurrent pneumonia, defined as a history of cough, an abnormal lung examination, and tachypnea. For the years 1996–2007, out of total 14,628 diarrheal patients surveyed, there were 607 (4%) patients who satisfied criteria for pneumonia. Those with DP had a higher mortality rate (4% versus 0.05%, odds ratio [OR] = 86, 95% confidence interval [CI] = 26–286) and a longer hospital stay (mean 84 versus 26 hours, difference 58 hours, 95% CI = 52–64 hours) than those with diarrhea (D) only. In multivariable logistic regression comparing cases (N = 607) with controls matched for month and year of admission at a ratio of 1:3 (N = 1,808), we found that DP was associated with younger age, male gender, severe acute malnutrition (SAM), less maternal education, lower family income, and lack of current breast-feeding history. PMID:26149863

  19. Diagnosis and management of febrile children using the WHO/UNICEF guidelines for IMCI in Dhaka, Bangladesh.

    PubMed Central

    Factor, S. H.; Schillinger, J. A.; Kalter, H. D.; Saha, S.; Begum, H.; Hossain, A.; Hossain, M.; Dewitt, V.; Hanif, M.; Khan, N.; Perkins, B.; Black, R. E.; Schwartz, B.

    2001-01-01

    OBJECTIVE: To determine whether the fever module in the WHO/UNICEF guidelines for the integrated management of childhood illness (IMCI) identifies children with bacterial infections in an area of low malaria prevalence. METHODS: Physicians assessed a systematic sample of 669 sick children aged 2-59 months who presented to the outpatient department of Dhaka Shishu Hospital, Bangladesh. FINDINGS: Had IMCI guidelines been used to evaluate the children, 78% of those with bacterial infections would have received antibiotics: the majority of children with meningitis (100%), pneumonia (95%), otitis media (95%) and urinary tract infection (83%); and 50% or less of children with bacteraemia (50%), dysentery (48%), and skin infections (30%). The current fever module identified only one additional case of meningitis. Children with bacteraemia were more likely to be febrile, feel hot, and have a history of fever than those with dysentery and skin infections. Fever combined with parental perception of fast breathing provided a more sensitive fever module for the detection of bacteraemia than the current IMCI module. CONCLUSIONS: In an area of low malaria prevalence, the IMCI guidelines provide antibiotics to the majority of children with bacterial infections, but improvements in the fever module are possible. PMID:11799441

  20. Can you taste it? Taste detection and acceptability thresholds for chlorine residual in drinking water in Dhaka, Bangladesh.

    PubMed

    Crider, Yoshika; Sultana, Sonia; Unicomb, Leanne; Davis, Jennifer; Luby, Stephen P; Pickering, Amy J

    2017-09-20

    Chlorination is a low-cost, effective method for drinking water treatment, but aversion to the taste or smell of chlorinated water can limit use of chlorine treatment products. Forced choice triangle tests were used to evaluate chlorine detection and acceptability thresholds for two common types of chlorine among adults in Dhaka, Bangladesh, where previous studies have found low sustained uptake of chlorine water treatment products. The median detection threshold was 0.70mg/L (n=25, SD=0.57) for water dosed with liquid sodium hypochlorite (NaOCl) and 0.73mg/L (n=25, SD=0.83) for water dosed with solid sodium dichloroisocyanurate (NaDCC). Median acceptability thresholds (based on user report) were 1.16mg/L (SD=0.70) for NaOCl and 1.26mg/L (SD=0.67) for NaDCC. There was no significant difference in detection or acceptability thresholds for dosing with NaOCl versus NaDCC. Although users are willing to accept treated water in which they can detect the taste of chlorine, their acceptability limit is well below the 2.0mg/L that chlorine water treatment products are often designed to dose. For some settings, reducing dose may increase adoption of chlorinated water while still providing effective disinfection. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Early-onset neonatal sepsis in Dhaka, Bangladesh: risk associated with maternal bacterial colonisation and chorioamnionitis.

    PubMed

    Chan, Grace J; Baqui, Abdullah H; Modak, Joyanta K; Murillo-Chaves, Adriana; Mahmud, Abdullah A; Boyd, Theonia K; Black, Robert E; Saha, Samir K

    2013-09-01

    To estimate the risk of early-onset neonatal sepsis among newborns of mothers with chorioamnionitis and/or bacterial colonisation in Dhaka. We conducted a cohort study at a maternity centre following 600 mother-newborn pairs. Women with a positive bacterial vaginal culture or positive Group B streptococcus (GBS) rectal culture during labour were classified as colonised. Women with placental histopathology demonstrating signs of maternal or foetal inflammation were classified as having chorioamnionitis. Newborns were followed over the first 7 days of life. The primary outcome measure was physician or community health worker diagnosis of neonatal sepsis following modified World Health Organization Integrated Management of Childhood Illnesses criteria. Survival analysis was conducted with non-parametric, parametric and semiparametric models. Of the 600 mother-newborn pairs, 12.8% of newborns were diagnosed with early-onset sepsis. Five hundred and forty-three women had both colonisation and chorioamnionitis data, 55.4% of mothers were non-exposed, 31.7% were only colonised and 12.9% had chorioamnionitis regardless of colonisation status. After adjusting for birthweight, sex, maternal characteristics and wealth, newborns of only colonised mothers developed sepsis 63% faster and had a 71% higher risk of developing sepsis than their non-exposed counterparts (RT = 0.37, 95% CI 0.14-1.03; RH = 1.71, 95% CI 1.00-2.94). Newborns of mothers with chorioamnionitis developed sepsis 74% faster and had a 111% higher risk of developing sepsis (RT = 0.26, 95% CI 0.07-0.94; RH = 2.11, 95% CI 1.06-4.21). Newborns born to mothers with colonisation or chorioamnionitis developed sepsis faster and were at higher risk of developing sepsis in Dhaka. © 2013 John Wiley & Sons Ltd.

  2. Influence of gender roles and rising food prices on poor, pregnant women's eating and food provisioning practices in Dhaka, Bangladesh.

    PubMed

    Levay, Adrienne V; Mumtaz, Zubia; Faiz Rashid, Sabina; Willows, Noreen

    2013-09-26

    Maternal malnutrition in Bangladesh is a persistent health issue and is the product of a number of complex factors, including adherence to food 'taboos' and a patriarchal gender order that limits women's mobility and decision-making. The recent global food price crisis is also negatively impacting poor pregnant women's access to food. It is believed that those who are most acutely affected by rising food prices are the urban poor. While there is an abundance of useful quantitative research centered on maternal nutrition and food insecurity measurements in Bangladesh, missing is an understanding of how food insecurity is experienced by people who are most vulnerable, the urban ultra-poor. In particular, little is known of the lived experience of food insecurity among pregnant women in this context. This research investigated these lived experiences by exploring food provisioning strategies of urban, ultra-poor, pregnant women. This knowledge is important as discussions surrounding the creation of new development goals are currently underway. Using a focused-ethnographic approach, household food provisioning experiences were explored. Data from participant observation, a focus group discussion and semi-structured interviews were collected in an urban slum in Dhaka, Bangladesh. Interviews were undertaken with 28 participants including 12 pregnant women and new mothers, two husbands, nine non-pregnant women, and five health care workers. The key findings are: 1) women were aware of the importance of good nutrition and demonstrated accurate, biomedically-based knowledge of healthy eating practices during pregnancy; 2) the normative gender rules that have traditionally constrained women's access to nutritional resources are relaxing in the urban setting; however 3) women are challenged in accessing adequate quality and quantities of food due to the increase in food prices at the market. Rising food prices and resultant food insecurity due to insufficient incomes are

  3. Seasonal and Interannual Trends in Largest Cholera Endemic Megacity: Water Sustainability - Climate - Health Challenges in Dhaka, Bangladesh

    NASA Astrophysics Data System (ADS)

    Akanda, Ali S.; Jutla, Antarpreet; Faruque, Abu S. G.; Huq, Anwar; Colwell, Rita R.

    2014-05-01

    The last three decades of surveillance data shows a drastic increase of cholera prevalence in the largest cholera-endemic city in the world - Dhaka, Bangladesh. Emerging megacities in the region, especially those located in coastal areas also remain vulnerable to large scale drivers of cholera outbreaks. However, there has not been any systematic study on linking long-term disease trends with related changes in natural or societal variables. Here, we analyze the 30-year dynamics of urban cholera prevalence in Dhaka with changes in climatic or anthropogenic forcings: regional hydrology, flooding, water usage, changes in distribution systems, population growth and density in urban settlements, as well as shifting climate patterns and frequency of natural disasters. An interesting change is observed in the seasonal trends of cholera prevalence; while an endemic upward trend is seen in the dry season, the post-monsoon trend is epidemic in nature. In addition, the trend in the pre-monsoon dry season is significantly stronger than the post-monsoon wet season; and thus spring is becoming the dominant cholera season of the year. Evidence points to growing urbanization and rising population in unplanned settlements along the city peripheries. The rapid pressure of growth has led to an unsustainable and potentially disastrous situation with negligible-to-poor water and sanitation systems compounded by changing climatic patterns and increasing number of extreme weather events. Growing water scarcity in the dry season and lack of sustainable water and sanitation infrastructure for urban settlements have increased endemicity of cholera outbreaks in spring, while record flood events and prolonged post-monsoon inundation have contributed to increased epidemic outbreaks in fall. We analyze our findings with the World Health Organization recommended guidelines and investigate large scale water sustainability challenges in the context of climatic and anthropogenic changes in the

  4. Free-Roaming Dog Population Estimation and Status of the Dog Population Management and Rabies Control Program in Dhaka City, Bangladesh

    PubMed Central

    Tenzin, Tenzin; Ahmed, Rubaiya; Debnath, Nitish C.; Ahmed, Garba; Yamage, Mat

    2015-01-01

    Beginning January 2012, a humane method of dog population management using a Catch-Neuter-Vaccinate-Release (CNVR) program was implemented in Dhaka City, Bangladesh as part of the national rabies control program. To enable this program, the size and distribution of the free-roaming dog population needed to be estimated. We present the results of a dog population survey and a pilot assessment of the CNVR program coverage in Dhaka City. Free-roaming dog population surveys were undertaken in 18 wards of Dhaka City on consecutive days using mark-resight methods. Data was analyzed using Lincoln-Petersen index-Chapman correction methods. The CNVR program was assessed over the two years (2012–2013) whilst the coverage of the CNVR program was assessed by estimating the proportion of dogs that were ear-notched (processed dogs) via dog population surveys. The free-roaming dog population was estimated to be 1,242 (95 % CI: 1205–1278) in the 18 sampled wards and 18,585 dogs in Dhaka City (52 dogs/km2) with an estimated human-to-free-roaming dog ratio of 828:1. During the two year CNVR program, a total of 6,665 dogs (3,357 male and 3,308 female) were neutered and vaccinated against rabies in 29 of the 92 city wards. A pilot population survey indicated a mean CNVR coverage of 60.6% (range 19.2–79.3%) with only eight wards achieving > 70% coverage. Given that the coverage in many neighborhoods was below the WHO-recommended threshold level of 70% for rabies eradications and since the CNVR program takes considerable time to implement throughout the entire Dhaka City area, a mass dog vaccination program in the non-CNVR coverage area is recommended to create herd immunity. The findings from this study are expected to guide dog population management and the rabies control program in Dhaka City and elsewhere in Bangladesh. PMID:25978406

  5. Analysis of urban land use in the megacity of Dhaka, Bangladesh: Roof-top detection in the context of assessing solar photovoltaic potential

    NASA Astrophysics Data System (ADS)

    Jaegermeyr, J.; Kabir, H.; Endlicher, W.

    2009-12-01

    The megacity of Dhaka, Bangladesh is considered to be one of the world’s fastest growing urban centers. With nearly 14 million people Dhaka currently faces tremendous power crisis. The available power supply of Dhaka Megacity is currently 1000-1200 MW against the maximum demand of nearly 2000 MW. The objective of this study is to classify land cover of Dhaka to locate roof-top areas which are adequate for solar photovoltaic applications. Usually this task is performed with additional building-heights data. With lack of that, we present an object-based classification approach which is based on high resolution Quickbird data only. Extensive formal buildings in Dhaka mostly have flat roof-tops made from concrete which are well suited for PV applications. The classification is focused to detect these ‘Bright Roof-Tops’ to assess a lower limit for potential PV areas. With that conservative approach bright roof-top areas of 10.554 km2 out of the city’s 134.282 km2 could be found. The overall classification accuracy is 0.918, the producer’s accuracy of ‘Bright Roof-Tops’ is 0.833. Preliminary result of the PhD work of Humayun Kabir indicates that the application of only 75 Wp stand-alone solar modules on these available bright roof-tops can generate nearly 1,000 MW of electricity. The application of solar modules with high capacity (i.e., >200 Wp) preferably through grid-connected PV systems can substantially meet-up the city’s power demand, although several techno-economic and socio-political factors are certainly involved.

  6. Pregnant Women's and Community Health Workers' Perceptions of Root Causes of Malnutrition Among Infants and Young Children in the Slums of Dhaka, Bangladesh

    PubMed Central

    Faiz, Sabina; Bogin, Barry A.; Griffiths, Paula L.

    2011-01-01

    Research in Bangladesh shows that malnutrition among infants and young children is most severe in urban slums. We examined the root causes of malnutrition as perceived by pregnant women and community health workers. We conducted 10 focus group discussions in the slums of Dhaka in 2008 and 2009. Participants accurately perceived inappropriate care, inappropriate environment, inappropriate food, and flooding to be major causes. Recurrent flooding has not traditionally been identified by experts as a cause of malnutrition. We recommend further research to address the nutritional risks flooding creates for vulnerable slum populations. PMID:21653248

  7. Pregnant women's and community health workers' perceptions of root causes of malnutrition among infants and young children in the slums of Dhaka, Bangladesh.

    PubMed

    Goudet, Sophie M; Faiz, Sabina; Bogin, Barry A; Griffiths, Paula L

    2011-07-01

    Research in Bangladesh shows that malnutrition among infants and young children is most severe in urban slums. We examined the root causes of malnutrition as perceived by pregnant women and community health workers. We conducted 10 focus group discussions in the slums of Dhaka in 2008 and 2009. Participants accurately perceived inappropriate care, inappropriate environment, inappropriate food, and flooding to be major causes. Recurrent flooding has not traditionally been identified by experts as a cause of malnutrition. We recommend further research to address the nutritional risks flooding creates for vulnerable slum populations.

  8. Demographic correlates of constant condom use among sex workers in Tangail, Dhaka, Bangladesh.

    PubMed

    Eva, Nilufar Akter; Munakata, Tsunetsugu; Onuoha, Francis N

    2007-01-01

    Consistent condom use, particularly by promiscuous individuals, is a major safeguard against sexually transmitted diseases, including HIV/AIDS. This study examines some demographic factors that may affect such use among Bangladeshi female commercial sex workers at a brothel in Tangail (n = 196; mean age = 23.44 years), and the streets of Dhaka (n = 112; mean age = 25.92 years). The chi2 results indicated that sex workers over 19 years of age were 2.52 times more likely than adolescents under 19 to work on the street rather than at a brothel (chi2 = 8.73, p < .0.01, OR = 2.52, 95% CI = 1.35-4.72). Brothel sex workers aged over 19 years reported 3.26 probability to regularly use condom with clients than those adolescents aged below 19 years (chi2 = 6.23, p < 0.01, OR = 3.26, 95% CI = 1.25-8.53). This study found age to be a significant demographic correlate of regular condom use, particularly, among the brothel workers.

  9. Identification of Essential Containers for Aedes Larval Breeding to Control Dengue in Dhaka, Bangladesh

    PubMed Central

    Ferdousi, Farhana; Yoshimatsu, Shoji; Ma, Enbo; Sohel, Nazmul; Wagatsuma, Yukiko

    2015-01-01

    Dengue fever (DF), one of the most important emerging arboviral diseases, is transmitted through the bite of container breeding mosquitoes Aedes aegypti and Aedes albopictus. A household entomological survey was conducted in Dhaka from August through October 2000 to inspect water-holding containers in indoor, outdoor, and rooftop locations for Aedes larvae. The objective of this study was to determine mosquito productivity of each container type and to identify some risk factors of households infested with Aedes larvae. Of 9,222 households inspected, 1,306 (14.2%) were positive for Aedes larvae. Of 38,777 wet containers examined, 2,272 (5.8%) were infested with Aedes larvae. Containers used to hold water, such as earthen jars, tanks, and drums were the most common containers for larval breeding. Tires in outdoor and rooftop locations of the households were also important for larval breeding. Although present in abundance, buckets were of less importance. Factors such as independent household, presence of a water storage system in the house, and fully/partly shaded outdoors were found to be significantly associated with household infestation of Aedes larvae. Identification and subsequent elimination of the most productive containers in a given area may potentially reduce mosquito density to below a level at which dengue transmission may be halted. PMID:26865829

  10. Household-level risk factors for influenza among young children in Dhaka, Bangladesh: a case-control study.

    PubMed

    Doshi, Saumil; Silk, Benjamin J; Dutt, Dhiman; Ahmed, Moshtaq; Cohen, Adam L; Taylor, Thomas H; Brooks, W Abdullah; Goswami, Doli; Luby, Stephen P; Fry, Alicia M; Ram, Pavani K

    2015-06-01

    To identify household-level factors associated with influenza among young children in a crowded community in Dhaka, Bangladesh. We conducted a case-control study using existing active surveillance for respiratory illness. Cases were children aged 12-59 months with laboratory-confirmed influenza. Controls were children frequency-matched by age group with no respiratory illness in the prior 6 months. We interviewed caregivers and observed household handwashing behaviour. Soap consumption was estimated by summing weight differences of three bars of soap sequentially left in each household. We measured concentrations of airborne particulate matter <2.5 μg in diameter (PM2.5) in a subset of households. We used logistic regression to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI). We enrolled 145 cases and 341 controls between March 2009 and April 2010. Case and control household members were observed to wash hands with similar frequency during a 5-h period (mean, 0.64 events vs. 0.63, P = 0.87), and similar daily soap consumption per capita (mean 2.92 grams vs. 2.93, P = 0.92). Case households were more likely than controls to have crowded (≥4 persons) sleeping areas (aOR = 1.67, CI: 1.06-2.63) and cross-ventilated cooking spaces (aOR = 1.75, CI: 1.16-2.63). Case and control households had similar median 24-h geometric mean PM2.5 concentrations in the cooking (69.2 vs. 69.6 μg/m(3), P = 0.45) and sleeping (65.4 vs. 67.4 μg/m(3), P = 0.19) spaces. Handwashing with soap was practiced infrequently and was not associated with paediatric influenza in this community. Interventions aimed at crowded households may reduce influenza incidence in young children. © 2015 John Wiley & Sons Ltd.

  11. Effect of Active Case Finding on Prevalence and Transmission of Pulmonary Tuberculosis in Dhaka Central Jail, Bangladesh

    PubMed Central

    Banu, Sayera; Rahman, Md. Toufiq; Uddin, Mohammad Khaja Mafij; Khatun, Razia; Khan, Md. Siddiqur Rahman; Rahman, Md. Mojibur; Uddin, Syed Iftekhar; Ahmed, Tahmeed; Heffelfinger, James D.

    2015-01-01

    Background Understanding tuberculosis (TB) transmission dynamics is essential for establishing effective TB control strategies in settings where the burden and risk of transmission are high. The objectives of this study were to evaluate the effect of active screening on controlling TB transmission and also to characterize Mycobacterium tuberculosis strains for investigating transmission dynamics in a correctional setting. Methods The study was carried out in Dhaka Central Jail (DCJ), from October 2005 to February 2010. An active case finding strategy for pulmonary TB was established both at the entry point to the prison and inside the prison. Three sputum specimens were collected from all pulmonary TB suspects and subjected to smear microscopy, culture, and drug susceptibility testing as well as genotyping which included deletion analysis, spoligotyping and analysis of mycobacterial interspersed repetitive units (MIRU). Results A total of 60,585 inmates were screened during the study period. We found 466 inmates with pulmonary TB of whom 357 (77%) had positive smear microscopy results and 109 (23%) had negative smear microscopy results but had positive results on culture. The number of pulmonary TB cases declined significantly, from 49 cases during the first quarter to 8 cases in the final quarter of the study period (p=0.001). Deletion analysis identified all isolates as M. tuberculosis and further identified 229 (70%) strains as ‘modern’ and 100 (30%) strains as ‘ancestral’. Analysis of MIRU showed that 347 strains (85%) exhibited unique patterns, whereas 61 strains (15%) clustered into 22 groups. The largest cluster comprised eight strains of the Beijing M. tuberculosis type. The rate of recent transmission was estimated to be 9.6%. Conclusions Implementation of active screening for TB was associated with a decline in TB cases in DCJ. Implementation of active screening in prison settings might substantially reduce the national burden of TB in Bangladesh

  12. Barriers to sexual and reproductive healthcare services as experienced by female sex workers and service providers in Dhaka city, Bangladesh

    PubMed Central

    Alam, Anadil; Sultana, Salima; Rahman, Monjur; Alam, Nazmul; Martens, Monika; Somrongthong, Ratana

    2017-01-01

    Objectives This study aimed to identify the barriers female sex workers (FSWs) in Bangladesh face with regard to accessing sexual and reproductive health (SRH) care, and assess the satisfaction with the healthcare received. Methods Data were collected from coverage areas of four community-based drop-in-centers (DICs) in Dhaka where sexually transmitted infection (STI) and human immunovirus (HIV) prevention interventions have been implemented for FSWs. A total of 731 FSWs aged 15–49 years were surveyed. In addition, in-depth interviews (IDIs) were conducted with 14 FSWs and 9 service providers. Respondent satisfaction was measured based on recorded scores on dignity, privacy, autonomy, confidentiality, prompt attention, access to social support networks during care, basic amenities, and choice of institution/care provider. Results Of 731 FSWs, 353 (51%) reported facing barriers when seeking sexual and reproductive healthcare. Financial problems (72%), shame about receiving care (52.3%), unwillingness of service providers to provide care (39.9%), unfriendly behavior of the provider (24.4%), and distance to care (16.9%) were mentioned as barriers. Only one-third of the respondents reported an overall satisfaction score of more than fifty percent (a score of between 9 and16) with formal healthcare. Inadequacy or lack of SRH services and referral problems (e.g., financial charge at referral centers, unsustainable referral provision, or unknown location of referral) were reported by the qualitative FSWs as the major barriers to accessing and utilizing SRH care. Conclusions These findings are useful for program implementers and policy makers to take the necessary steps to reduce or remove the barriers in the health system that are preventing FSWs from accessing SRH care, and ultimately meet the unmet healthcare needs of FSWs. PMID:28759575

  13. Prevention and control of sexually transmissible infections among hotel-based female sex workers in Dhaka, Bangladesh.

    PubMed

    McCormick, Duncan F; Rahman, Motiur; Zadrozny, Sabrina; Alam, Anadil; Ashraf, Lutfa; Neilsen, Graham A; Kelly, Robert; Menezes, Prema; Miller, William C; Hoffman, Irving F

    2013-12-01

    Hotel-based sex workers in Bangladesh have high rates of sexually transmissible infections (STIs), high client turnover and low condom use. Two monthly clinic-based strategies were compared: periodic presumptive treatment (PPT) and enhanced syndromic management (ESM) - one round of presumptive treatment followed by treatment based on assessment and laboratory tests. A randomised controlled trial compared PPT and ESM by prevalence and incidence, behaviour, retention, cost and STI incidence and prevalence. Demographic, behavioural and clinical data were collected from women at two clinics in Dhaka. All women received presumptive treatment and were randomised to receive PPT or ESM at nine monthly visits. In total, 549 women (median age: <20 years) were enrolled. At baseline, the prevalence of chlamydia (Chlamydia trachomatis) and gonorrhoea (Neisseria gonorrhoeae) was 41% (ESM: 41%; PPT: 42%). After 9 months, chlamydia and gonorrhoea decreased to 7% overall, (ESM: 7.4%; PPT: 6.8%). At each visit, 98% of women receiving ESM met the therapy criteria and were treated. Retention was low (50%). Total costs were 50% lower per visit for each woman for PPT (ESM: $11.62 v. PPT: $5.80). The number of sex work sessions was reduced from 3.3 to 2.5 (P<0.001), but income did not change. Coercion was reduced but condom use at last sex did not change significantly. Monthly PPT and ESM were effective approaches for STI control. PPT offered a feasible, low-cost alternative to ESM. Educational aspects led to a reduction in coercion and fewer sessions. Implementation studies are needed to improve condom use and retention.

  14. Species composition and habitat characterization of mosquito (Diptera: Culicidae) larvae in semi-urban areas of Dhaka, Bangladesh

    PubMed Central

    Bashar, Kabirul; Rahman, Md. Sayfur; Nodi, Ila Jahan; Howlader, Abdul Jabber

    2016-01-01

    Mosquito larvae are purely aquatic and develop in water bodies, the type of which is more or less specific to each species. Therefore, a study was carried out to identify the habitat characters of different mosquito species along with their species composition in semi-urban area of Dhaka in Bangladesh during the month of May and June 2012. A total of 6088 mosquito larvae belonging to 12 species (Aedes aegypti, Aedes albopictus, Anopheles barbirostris, Anopheles peditaeniatus, Anopheles vagus, Culex gelidus, Culex hutchinsoni, Culex quinquefasciatus, Culex tritaeniorhynchus, Mansonia annulifera, Mansonia uniformis, and Toxorhynchites splendens) under 5 genera were collected from 14 different types of habitats. Culex quinquefsciatus was the dominant (21.7/500 ml) species followed by Cx. tritaeniorhynchus (10.53/500 ml). Dissolved oxygen and chlorophyll a were the preeminent predictors for the abundance of all collected mosquito larvae except Ae. aegypti. Water temperature was positively associated with the breeding of An. vagus (r = 0.421, p = <0.001), An. barbirostris (r = 0.489, p = <0.001) and An. peditaeniatus (r = 0.375, p = <0.001). Water depth, distance from nearest house, emergent plant coverage, and alkalinity were found as the basis of larval abundance. Every Culex species and Tx. splendens (r = 0.359, p = 0.001) were found positively associated with chemical oxygen demand, while Mn. annulifera showed negative association (r = −0.115, p = 0.0297). This study also highlighted that various physicochemical factors affect the presence or abundance of mosquito larvae. PMID:27241953

  15. Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh.

    PubMed

    Adams, Alayne M; Islam, Rubana; Ahmed, Tanvir

    2015-03-01

    In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of healthcare services proximate to where the poor reside. Three methods were employed: (1) Social mapping and listing of all Health Service Delivery Points (HSDPs); (2) Creation of a geospatial map including Global Positioning System (GPS) co-ordinates of all HSPDs in the six study areas and (3) Implementation of a facility survey of all HSDPs within six study areas. Descriptive statistics are used to examine the number, type and concentration of service provider types, as well as indicators of their accessibility in terms of location and hours of service. A total of 1041 HSDPs were mapped, of which 80% are privately operated and the rest by NGOs and the public sector. Phamacies and non-formal or traditional doctors make up 75% of the private sector while consultation chambers account for 20%. Most NGO and Urban Primary Health Care Project (UPHCP) static clinics are open 5-6 days/week, but close by 4-5 pm in the afternoon. Evening services are almost exclusively offered by private HSDPs; however, only 37% of private sector health staff possess some kind of formal medical qualification. This spatial analysis of health service supply in poor urban settlements emphasizes the importance of taking the informal private sector into account in efforts to increase effective coverage of quality services. Features of informal private sector service provision that have facilitated market penetration may be relevant in designing formal services that better meet the needs of the urban poor.

  16. Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh

    PubMed Central

    Adams, Alayne M; Islam, Rubana; Ahmed, Tanvir

    2015-01-01

    In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of healthcare services proximate to where the poor reside. Three methods were employed: (1) Social mapping and listing of all Health Service Delivery Points (HSDPs); (2) Creation of a geospatial map including Global Positioning System (GPS) co-ordinates of all HSPDs in the six study areas and (3) Implementation of a facility survey of all HSDPs within six study areas. Descriptive statistics are used to examine the number, type and concentration of service provider types, as well as indicators of their accessibility in terms of location and hours of service. A total of 1041 HSDPs were mapped, of which 80% are privately operated and the rest by NGOs and the public sector. Phamacies and non-formal or traditional doctors make up 75% of the private sector while consultation chambers account for 20%. Most NGO and Urban Primary Health Care Project (UPHCP) static clinics are open 5–6 days/week, but close by 4–5 pm in the afternoon. Evening services are almost exclusively offered by private HSDPs; however, only 37% of private sector health staff possess some kind of formal medical qualification. This spatial analysis of health service supply in poor urban settlements emphasizes the importance of taking the informal private sector into account in efforts to increase effective coverage of quality services. Features of informal private sector service provision that have facilitated market penetration may be relevant in designing formal services that better meet the needs of the urban poor. PMID:25759453

  17. Status of Serum Calcium, Vitamin D and Parathyroid Hormone and Hematological Indices Among Lead Exposed Jewelry Workers in Dhaka, Bangladesh.

    PubMed

    Mazumdar, I; Goswami, K; Ali, Md Suhrab

    2017-03-01

    Jewelry utilizes lead either directly or as a base metal. Costume jewelry requires lead before molding and plating the product with valuable metals. Therefore, such ornaments have a great potential to release heavy metals having health hazards. Also, jewelry makers engaged in preparing German silver, an alloy, apply lead in smelting, alloying, rolling and milling silver wires and pieces. The metal is taken up by blood, soft tissues and bone. The biological effects of lead are dependent upon the level and duration of exposure. Lead inhibits three enzymes of heme biosynthesis- δ-amino-levulinic-acid dehydratase (ALAD), coproporphyrin oxidase, and ferrochelatase, impairing heme synthesis and depressing serum level of erythropoietin resulting in decreased hemoglobin synthesis. Lead exposure also affects calcium metabolism and impair the synthesis of Calcitriol. In the present study, jewelry makers from Dhaka, Bangladesh, were shown to have significantly high levels of lead, protein, albumin, and parathormone in their blood, and significantly high amount of zinc-protoporphyrin and δ-amino-levulinic-acid in their urine. The control group, on the other hand showed significantly higher amounts of calcium (both total and ionized form) Vitamin D3 and non-activated erythrocyte ALAD in their blood, along with hemoglobin. It might be due to inhibition of 1-α-hydroxylase enzyme in renal tubules. Lead causes nephro-toxicity and inhibits 1-α- hydroxylase enzyme leading to decreased calcitriol synthesis resulting in impaired calcium absorption across gastro-intestinal tract and renal tubules. Low Vitamin D3 and significantly increased Parathyroid hormone (PTH) in study group has been found.

  18. Species composition and habitat characterization of mosquito (Diptera: Culicidae) larvae in semi-urban areas of Dhaka, Bangladesh.

    PubMed

    Bashar, Kabirul; Rahman, Md Sayfur; Nodi, Ila Jahan; Howlader, Abdul Jabber

    2016-03-01

    Mosquito larvae are purely aquatic and develop in water bodies, the type of which is more or less specific to each species. Therefore, a study was carried out to identify the habitat characters of different mosquito species along with their species composition in semi-urban area of Dhaka in Bangladesh during the month of May and June 2012. A total of 6088 mosquito larvae belonging to 12 species (Aedes aegypti, Aedes albopictus, Anopheles barbirostris, Anopheles peditaeniatus, Anopheles vagus, Culex gelidus, Culex hutchinsoni, Culex quinquefasciatus, Culex tritaeniorhynchus, Mansonia annulifera, Mansonia uniformis, and Toxorhynchites splendens) under 5 genera were collected from 14 different types of habitats. Culex quinquefsciatus was the dominant (21.7/500 ml) species followed by Cx. tritaeniorhynchus (10.53/500 ml). Dissolved oxygen and chlorophyll a were the preeminent predictors for the abundance of all collected mosquito larvae except Ae. aegypti. Water temperature was positively associated with the breeding of An. vagus (r = 0.421, p = <0.001), An. barbirostris (r = 0.489, p = <0.001) and An. peditaeniatus (r = 0.375, p = <0.001). Water depth, distance from nearest house, emergent plant coverage, and alkalinity were found as the basis of larval abundance. Every Culex species and Tx. splendens (r = 0.359, p = 0.001) were found positively associated with chemical oxygen demand, while Mn. annulifera showed negative association (r = -0.115, p = 0.0297). This study also highlighted that various physicochemical factors affect the presence or abundance of mosquito larvae.

  19. Hydrogeological analysis of the upper Dupi Tila Aquifer, towards the implementation of a managed aquifer-recharge project in Dhaka City, Bangladesh

    NASA Astrophysics Data System (ADS)

    Rahman, Mohammad Azizur; Wiegand, Bettina A.; Badruzzaman, A. B. M.; Ptak, Thomas

    2013-08-01

    A preliminary feasibility assessment of managed aquifer-recharge (MAR) techniques was undertaken for Dhaka City, Bangladesh. Considering the top impermeable-layer (TIL) thickness and the land-use classification, four primary MAR techniques have been suggested: (1) soil-aquifer treatment (SAT) for TIL thickness 0-8 m, (2) cascade-type recharge trenches/pits for TIL thickness 9-30 m, (3) aquifer storage, transfer and recovery (ASR/ASTR) for TIL thickness 31-52 m, and (4) use of natural wetlands to recharge water collected from open spaces. The study suggests that recharge trenches and pits will be the most appropriate MAR techniques, which can be implemented in most parts of the recharge area (ca. 277 km2). In case of a recharge trench, the lower parts (15-20 m) that are in direct contact with the aquifer can be backfilled with biosand filters with a reactive layer containing metallic iron (Fe0) to offer pre-treatment of the infiltrated water. In addition to the suggested four techniques, the regional groundwater flow direction, from the northwest and northeast towards Dhaka City, may allow use of the aquifer as a natural treatment and transport medium for groundwater, if spreading basins are installed in the greater Dhaka area.

  20. Heavy metal contamination in water, soil, and vegetables of the industrial areas in Dhaka, Bangladesh.

    PubMed

    Ahmad, Jasim Uddin; Goni, Md Abdul

    2010-07-01

    Concentrations of Cu, Zn, Pb, Cr, Cd, Fe, and Ni have been estimated in soils and vegetables grown in and around an industrial area of Bangladesh. The order of metal contents was found to be Fe > Cu > Zn > Cr > Pb > Ni > Cd in contaminated irrigation water, and a similar pattern Fe > Zn > Ni > Cr > Pb > Cu > Cd was also observed in arable soils. Metal levels observed in different sources were compared with WHO, SEPA, and established permissible levels reported by different authors. Mean concentration of Cu, Fe, and Cd in irrigation water and Cd content in soil were much above the recommended level. Accumulation of the heavy metals in vegetables studied was lower than the recommended maximum tolerable levels proposed by the Joint FAO/WHO Expert Committee on Food Additives (1999), with the exception of Cd which exhibited elevated content. Uptake and translocation pattern of metal from soil to edible parts of vegetables were quite distinguished for almost all the elements examined.

  1. Feeding difficulties in children with cerebral palsy: low-cost caregiver training in Dhaka, Bangladesh.

    PubMed

    Adams, M S; Khan, N Z; Begum, S A; Wirz, S L; Hesketh, T; Pring, T R

    2012-11-01

    The majority of children with cerebral palsy have feeding difficulties, which, if not managed, result in stressful mealtimes, chronic malnutrition, respiratory disease, reduced quality of life for caregiver and child, and early death. In well-resourced countries, high- and low-cost medical interventions, ranging from gastrostomy tube feeding to caregiver training, are available. In resource-poor countries such as Bangladesh, the former is not viable and the latter is both scarce and its effectiveness not properly evaluated. The aim of this study was to evaluate the effectiveness of a low-cost, low-technology intervention to improve the feeding practices of carers of children with moderate-severe cerebral palsy and feeding difficulties in Bangladesh. An opportunistic sample of 37 caregivers and their children aged 1-11 years were invited to a six-session training programme following an initial feeding assessment with brief advice. During home visits, pre- and post-measures of nutritional status, chest health and feeding-related stress were taken and feeding practices were observed. A control phase was evaluated for 20 of the participant pairs following initial assessment with advice, while awaiting full training. A minimum of four training sessions showed significant improvements in the children's respiratory health (P = 0.005), cooperation during mealtimes (P = 0.003) and overall mood (P < 0.001). Improvements in growth were inconsistent. Dramatic reductions were observed in caregiver stress (P < 0.001). A significant difference in the outcomes following advice only compared with advice plus training was also observed. In situations of poverty, compliance is restricted by lack of education, finances and time. Nonetheless, carers with minimal formal education, living in conditions of extreme poverty were able to change feeding practices after a short, low-cost training intervention, with highly positive consequences. The availability of affordable food

  2. Incidence and characteristics of early childhood wheezing, Dhaka, Bangladesh, 2004-2010.

    PubMed

    Dawood, Fatimah S; Fry, Alicia M; Goswami, Doli; Sharmeen, Amina; Nahar, Kamrun; Anjali, Bilkis Ara; Rahman, Mustafizur; Brooks, W Abdullah

    2016-06-01

    Early childhood wheezing substantially impacts quality of life in high-income countries, but data are sparse on early childhood wheezing in low-income countries. We estimate wheezing incidence, describe wheezing phenotypes, and explore the contribution of respiratory viral illnesses among children aged <5 years in urban Bangladesh. During 2004-2010, respiratory illness surveillance was conducted through weekly home visits. Children with fever or respiratory illness were referred for examination by study physicians including lung auscultation. During 2005-2007, every fifth referred child had nasal washes tested for human metapneumovirus, respiratory syncytial viruses, and influenza and parainfluenza viruses. During April 2004-July 2010, 23,609 children were enrolled in surveillance. Of these, 11,912 (50%) were male, median age at enrollment was 20 months (IQR 5-38), and 4,711 (20%) had ≥1 wheezing episode accounting for 8,901 episodes (733 [8%] associated with hospitalization); 25% wheezed at <1 year of age. Among children aged <5 years, incidences of wheezing and wheezing hospitalizations were 2,335/10,000 and 192/10,000 child-years. Twenty-eight percent had recurrent wheezing. Recurrent versus non-recurrent wheezing episodes were more likely to be associated with oxygen saturation <93% (OR 6.9, 95%CI 2.8-17.3), increased work of breathing (OR 1.6, 95%CI 1.4-1.8), and hospitalization (OR 2.0, 95%CI 1.6-2.4). Respiratory viruses were detected in 66% (578/873) of episodes with testing. In urban Bangladesh, early childhood wheezing is common and largely associated with respiratory virus infections. Recurrent wheezing is associated with more severe illness and may predict children who would benefit most from closer follow-up and targeted interventions. Pediatr Pulmonol. 2016;51:588-595. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  3. Coping with changing conditions: alternative strategies for the delivery of maternal and child health and family planning services in Dhaka, Bangladesh.

    PubMed Central

    Routh, S.; el Arifeen, S.; Jahan, S. A.; Begum, A.; Thwin, A. A.; Baqui, A. H.

    2001-01-01

    The door-to-door distribution of contraceptives and information on maternal and child health and family planning (MCH-FP) services, through bimonthly visits to eligible couples by trained fieldworkers, has been instrumental in increasing the contraceptive prevalence rate and immunization coverage in Bangladesh. The doorstep delivery strategy, however, is labour-intensive and costly. More cost-effective service delivery strategies are needed, not only for family planning services but also for a broader package of reproductive and other essential health services. Against this backdrop, operations research was conducted by the Centre for Health and Population Research at the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) from January 1996 to May 1997, in collaboration with government agencies and a leading national nongovernmental organization, with a view to developing and field-testing alternative approaches to the delivery of MCH-FP services in urban areas. Two alternative strategies featuring the withdrawal of home-based distribution and the delivery of basic health care from fixed-site facilities were tested in two areas of Dhaka. The clinic-based service delivery strategy was found to be a feasible alternative to the resource-intensive doorstep system in urban Dhaka. It did not adversely affect programme performance and it allowed the needs of clients to be addressed holistically through a package of essential health and family planning services. PMID:11242821

  4. Coping with changing conditions: alternative strategies for the delivery of maternal and child health and family planning services in Dhaka, Bangladesh.

    PubMed

    Routh, S; el Arifeen, S; Jahan, S A; Begum, A; Thwin, A A; Baqui, A H

    2001-01-01

    The door-to-door distribution of contraceptives and information on maternal and child health and family planning (MCH-FP) services, through bimonthly visits to eligible couples by trained fieldworkers, has been instrumental in increasing the contraceptive prevalence rate and immunization coverage in Bangladesh. The doorstep delivery strategy, however, is labour-intensive and costly. More cost-effective service delivery strategies are needed, not only for family planning services but also for a broader package of reproductive and other essential health services. Against this backdrop, operations research was conducted by the Centre for Health and Population Research at the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) from January 1996 to May 1997, in collaboration with government agencies and a leading national nongovernmental organization, with a view to developing and field-testing alternative approaches to the delivery of MCH-FP services in urban areas. Two alternative strategies featuring the withdrawal of home-based distribution and the delivery of basic health care from fixed-site facilities were tested in two areas of Dhaka. The clinic-based service delivery strategy was found to be a feasible alternative to the resource-intensive doorstep system in urban Dhaka. It did not adversely affect programme performance and it allowed the needs of clients to be addressed holistically through a package of essential health and family planning services.

  5. A Bayesian approach for estimating under-reported dengue incidence with a focus on non-linear associations between climate and dengue in Dhaka, Bangladesh.

    PubMed

    Sharmin, Sifat; Glass, Kathryn; Viennet, Elvina; Harley, David

    2016-05-13

    Determining the relation between climate and dengue incidence is challenging due to under-reporting of disease and consequent biased incidence estimates. Non-linear associations between climate and incidence compound this. Here, we introduce a modelling framework to estimate dengue incidence from passive surveillance data while incorporating non-linear climate effects. We estimated the true number of cases per month using a Bayesian generalised linear model, developed in stages to adjust for under-reporting. A semi-parametric thin-plate spline approach was used to quantify non-linear climate effects. The approach was applied to data collected from the national dengue surveillance system of Bangladesh. The model estimated that only 2.8% (95% credible interval 2.7-2.8) of all cases in the capital Dhaka were reported through passive case reporting. The optimal mean monthly temperature for dengue transmission is 29℃ and average monthly rainfall above 15 mm decreases transmission. Our approach provides an estimate of true incidence and an understanding of the effects of temperature and rainfall on dengue transmission in Dhaka, Bangladesh.

  6. HIV-related risk behaviours and the correlates among rickshaw pullers of Kamrangirchar, Dhaka, Bangladesh: a cross-sectional study using probability sampling.

    PubMed

    Hoque, Hafiz Ehsanul; Ono-Kihara, Masako; Zamani, Saman; Ravari, Shahrzad Mortazavi; Kihara, Masahiro

    2009-03-11

    National HIV serological and behavioural surveillance of Bangladesh repeatedly demonstrated a very high proportion of rickshaw pullers in Dhaka city, having sex with female sex workers (FSWs) and using illicit substances. However, no study has been conducted to identify the correlates of having sex with FSWs among this population. This study aimed to describe behavioural profile of rickshaw pullers in Dhaka city using probability samples and to identify the correlates for having sex with FSWs in order to focus HIV prevention intervention. Six hundred rickshaw pullers were randomly selected from rickshaw garages in the Kamrangirchar area, the single largest slum cluster of Dhaka, Bangladesh, during March-April 2008 using the Proportion Probability to Size method. Participants were interviewed, with a response rate of 99.2% (n = 595), using a structured questionnaire and asked about illicit substance use, sexual behaviour and risk perception for HIV and sexually transmitted diseases. Independent predictors of having sex with FSWs were analysed by multivariate analysis. A qualitative study was subsequently conducted with 30 rickshaw pullers to supplement the findings of the initial survey. The proportion of survey respondents who had sex with FSWs and those who used illicit substances in the previous 12 months period were 7.9% and 24.9%, respectively, much lower than the results achieved in the 2003-04 behavioural surveillance (72.8% and 89.9%, respectively). Multivariate analysis revealed the characteristics of younger age, being never married, living alone with family remaining in other districts and using illicit substances in the previous 12 months were significantly associated with having sex with FSWs. HIV-related risk behaviour of our study population of the rickshaw pullers was lower than what has been suggested by the results of behavioural surveillance. While this discrepancy should be addressed in further studies, our study emphasizes the importance of

  7. Measurement of the atmospheric aerosol particle size distribution in a highly polluted mega-city in Southeast Asia (Dhaka-Bangladesh)

    NASA Astrophysics Data System (ADS)

    Salam, Abdus; Mamoon, Hassan Al; Ullah, Md. Basir; Ullah, Shah M.

    2012-11-01

    Aerosol particle size distribution was measured with an aerodynamic particle sizer (APS) spectrometer continuously from January 21 to April 24, 2006 in Dhaka, Bangladesh. Particles number, surface and mass distributions data were stored automatically with Aerosol Instrument Manager (AIM) software on average every half an hour in a computer attached to the APS. The grand total average of number, surface and mass concentrations were 8.2 × 103 ± 7.8 × 103 particles cm-3, 13.3 × 103 ± 11.8 × 103 μm2 cm-3 and 3.04 ± 2.10 mg m-3, respectively. Fine particles with diameter smaller than 1.0 μm aerodynamic diameter (AD) dominated the number concentration, accounted for 91.7% of the total particles indicating vehicular emissions were dominating in Dhaka air either from fossil fuel burning or compressed natural gas (CNGs). The surface and mass concentrations between 0.5 and 1.0 μm AD were about 56.0% and 26.4% of the total particles, respectively. Remarkable seasonal differences were observed between winter and pre-monsoon seasons with the highest monthly average in January and the lowest in April. Aerosol particles in winter were 3.79 times higher for number, 3.15 times for surface and 2.18 times for mass distributions than during the pre-monsoon season. Weekends had lower concentrations than weekdays due to less vehicular traffic in the streets. Aerosol particles concentrations were about 15.0% (ranging from 9.4% to 17.3%) higher during traffic peak hours (6:00am-8:00pm) than off hours (8:00pm-6:00am). These are the first aerosol size distribution measurements with respect to number, surface and mass concentrations in real time at Dhaka, Bangladesh.

  8. Prevalence and risk factors of hepatitis B and C virus infections in an impoverished urban community in Dhaka, Bangladesh

    PubMed Central

    2010-01-01

    Background Viral hepatitis is a serious global public health problem affecting billions of people globally, and both hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are rapidly spreading in the developing countries including Bangladesh due to the lack of health education, poverty, illiteracy and lack of hepatitis B vaccination. Also there is lack of information on their prevalence among the general population. So, a population-based serological survey was conducted in Dhaka to determine the prevalence and risk factors of HBV and HCV infections. Methods Healthy individuals were selected for demographic and behavioural characteristics by stratified cluster sampling and blood tested for hepatitis B surface antigen (HBsAg), antibody to HBV core antigen (anti-HBc), and anti-HCV antibodies (anti-HCV). Results From June 2005-November 2006, 1997 participants were screened for HBsAg, anti-HBc and anti-HCV, 738 (37%) were males with mean (SD) age of 24 (14) years. HBV-seropositivity was documented in 582 (29%) participants: 14 (0.7%) were positive for HBsAg, 452 (22.6%) for anti-HBc and 116 (5.8%) for both HBsAg and anti-HBc. Four (0.2%) participants were positive for anti-HCV, and another five (0.3%) for both anti-HBc and anti-HCV. Ninety-six/246 (39%) family members residing at same households with HBsAg positive participants were also HBV-seropositive [74 (30.1%) for anti-HBc and 22 (8.9%) for both HBsAg and anti-HBc], which was significantly higher among family members (39%) than that of study participants (29%) (OR 1.56; p < 0.001). In bivariate analysis, HBV-seropositivity was significantly associated with married status (OR 2.27; p < 0.001), history of jaundice (OR 1.35; p = 0.009), surgical operations (OR 1.26; p = 0.04), needle-stick injuries (OR 2.09; p = 0.002), visiting unregistered health-care providers (OR 1.40; p = 0.008), receiving treatment for sexually transmitted diseases (STD) (OR 1.79; p = 0.001), animal bites (OR 1.73; p < 0.001); ear

  9. Prevalence and risk factors of hepatitis B and C virus infections in an impoverished urban community in Dhaka, Bangladesh.

    PubMed

    Ashraf, Hasan; Alam, Nur H; Rothermundt, Christian; Brooks, Abdullah; Bardhan, Pradip; Hossain, Lokman; Salam, Mohammed A; Hassan, Mohammed S; Beglinger, Christoph; Gyr, Niklaus

    2010-07-15

    Viral hepatitis is a serious global public health problem affecting billions of people globally, and both hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are rapidly spreading in the developing countries including Bangladesh due to the lack of health education, poverty, illiteracy and lack of hepatitis B vaccination. Also there is lack of information on their prevalence among the general population. So, a population-based serological survey was conducted in Dhaka to determine the prevalence and risk factors of HBV and HCV infections. Healthy individuals were selected for demographic and behavioural characteristics by stratified cluster sampling and blood tested for hepatitis B surface antigen (HBsAg), antibody to HBV core antigen (anti-HBc), and anti-HCV antibodies (anti-HCV). From June 2005-November 2006, 1997 participants were screened for HBsAg, anti-HBc and anti-HCV, 738 (37%) were males with mean (SD) age of 24 (14) years. HBV-seropositivity was documented in 582 (29%) participants: 14 (0.7%) were positive for HBsAg, 452 (22.6%) for anti-HBc and 116 (5.8%) for both HBsAg and anti-HBc. Four (0.2%) participants were positive for anti-HCV, and another five (0.3%) for both anti-HBc and anti-HCV. Ninety-six/246 (39%) family members residing at same households with HBsAg positive participants were also HBV-seropositive [74 (30.1%) for anti-HBc and 22 (8.9%) for both HBsAg and anti-HBc], which was significantly higher among family members (39%) than that of study participants (29%) (OR 1.56; p < 0.001). In bivariate analysis, HBV-seropositivity was significantly associated with married status (OR 2.27; p < 0.001), history of jaundice (OR 1.35; p = 0.009), surgical operations (OR 1.26; p = 0.04), needle-stick injuries (OR 2.09; p = 0.002), visiting unregistered health-care providers (OR 1.40; p = 0.008), receiving treatment for sexually transmitted diseases (STD) (OR 1.79; p = 0.001), animal bites (OR 1.73; p < 0.001); ear-nose-body piercing in females

  10. Pharmacokinetics of High-Dose Weekly Oral Vitamin D3 Supplementation during the Third Trimester of Pregnancy in Dhaka, Bangladesh

    PubMed Central

    Roth, Daniel E.; Al Mahmud, Abdullah; Raqib, Rubhana; Akhtar, Evana; Black, Robert E.; Baqui, Abdullah H.

    2013-01-01

    A pharmacokinetic study was conducted to assess the biochemical dose-response and tolerability of high-dose prenatal vitamin D3 supplementation in Dhaka, Bangladesh (23°N). Pregnant women at 27–30 weeks gestation (n = 28) were randomized to 70,000 IU once + 35,000 IU/week vitamin D3 (group PH: pregnant, higher dose) or 14,000 IU/week vitamin D3 (PL: pregnant, lower dose) until delivery. A group of non-pregnant women (n = 16) was similarly administered 70,000 IU once + 35,000 IU/week for 10 weeks (NH: non-pregnant, higher-dose). Rise (∆) in serum 25-hydroxyvitamin D concentration ([25(OH)D]) above baseline was the primary pharmacokinetic outcome. Baseline mean [25(OH)D] were similar in PH and PL (35 nmol/L vs. 31 nmol/L, p = 0.34). A dose-response effect was observed: ∆[25(OH)D] at modeled steady-state was 19 nmol/L (95% CI, 1 to 37) higher in PH vs. PL (p = 0.044). ∆[25(OH)D] at modeled steady-state was lower in PH versus NH but the difference was not significant (−15 nmol/L, 95% CI −34 to 5; p = 0.13). In PH, 100% attained [25(OH)D] ≥ 50 nmol/L and 90% attained [25(OH)D] ≥ 80 nmol/L; in PL, 89% attained [25(OH)D] ≥ 50 nmol/L but 56% attained [25(OH)D] ≥ 80 nmol/L. Cord [25(OH)D] (n = 23) was slightly higher in PH versus PL (117 nmol/L vs. 98 nmol/L; p = 0.07). Vitamin D3 was well tolerated; there were no supplement-related serious adverse clinical events or hypercalcemia. In summary, a regimen of an initial dose of 70,000 IU and 35,000 IU/week vitamin D3 in the third trimester of pregnancy was non-hypercalcemic and attained [25(OH)D] ≥ 80 nmol/L in virtually all mothers and newborns. Further research is required to establish the safety of high-dose vitamin D3 in pregnancy and to determine if supplement-induced [25(OH)D] elevations lead to maternal-infant health benefits. PMID:23482056

  11. Barriers to Timely and Safe Blood Transfusion for PPH Patients: Evidence from a Qualitative Study in Dhaka, Bangladesh

    PubMed Central

    Akhter, Sadika; Anwar, Iqbal; Akter, Rashida; Kumkum, Feroza Akhter; Nisha, Monjura Khatun; Ashraf, Fatema; Islam, Ferdousi; Begum, Nazneen; Chowdhury, Mahbub Elahi; Austin, Anne; Islam, Syed Shariful; Rahman, Aminur

    2016-01-01

    Background and Objectives In Bangladesh, postpartum hemorrhage (PPH) is the leading cause of maternal mortality accounting for 31% of all blood transfusions in the country. Although safe blood transfusion is one of the 8 signal functions of Comprehensive Emergency Obstetric Care (CEmOC) strategy, most of the designated public sector CEmOC facilities do not have on-site blood storage system. Emergent blood is mainly available from external blood banks. As a result, emergent patients are to rely on an unregulated network of brokers for blood which may raise question about blood safety. This study explored lived experiences of patients’ attendants, managers, providers, and blood brokers before and after the implementation of an on-line Blood Information and Management Application (BIMA) in regards to barriers and facilitators of blood transfusion for emergent patients. Methods Data were collected at Dhaka Medical College Hospital (DMCH), a tertiary-level teaching hospital before (January 2014) and after (March 2015) the introduction of an online BIMA system. Data collection methods included 24 key informant interviews (KIIs) and 40 in-depth interviews (IDIs). KIIs were conducted with formal health service providers, health managers and unlicensed blood brokers. IDIs were conducted with the relatives and husbands of women who suffered PPH, and needed emergency blood. Results Patients’ attendants were unaware of patients’ blood type and availability of blood in emergency situation. Newly introduced online BIMA system could facilitate blood transfusion process for poor patients at lower cost and during any time of day and night. However, service providers and service recipients were heavily dependent on a network of unlicensed blood brokers for required blood for emergent PPH patients. Blood collected through unlicensed blood brokers is un-screened, unregulated and probably unsafe. Blood brokers feel that they are providing a needed service, acknowledged a

  12. Modelling typhoid risk in Dhaka Metropolitan Area of Bangladesh: the role of socio-economic and environmental factors

    PubMed Central

    2013-01-01

    Background Developing countries in South Asia, such as Bangladesh, bear a disproportionate burden of diarrhoeal diseases such as Cholera, Typhoid and Paratyphoid. These seem to be aggravated by a number of social and environmental factors such as lack of access to safe drinking water, overcrowdedness and poor hygiene brought about by poverty. Some socioeconomic data can be obtained from census data whilst others are more difficult to elucidate. This study considers a range of both census data and spatial data from other sources, including remote sensing, as potential predictors of typhoid risk. Typhoid data are aggregated from hospital admission records for the period from 2005 to 2009. The spatial and statistical structures of the data are analysed and Principal Axis Factoring is used to reduce the degree of co-linearity in the data. The resulting factors are combined into a Quality of Life index, which in turn is used in a regression model of typhoid occurrence and risk. Results The three Principal Factors used together explain 87% of the variance in the initial candidate predictors, which eminently qualifies them for use as a set of uncorrelated explanatory variables in a linear regression model. Initial regression result using Ordinary Least Squares (OLS) were disappointing, this was explainable by analysis of the spatial autocorrelation inherent in the Principal factors. The use of Geographically Weighted Regression caused a considerable increase in the predictive power of regressions based on these factors. The best prediction, determined by analysis of the Akaike Information Criterion (AIC) was found when the three factors were combined into a quality of life index, using a method previously published by others, and had a coefficient of determination of 73%. Conclusions The typhoid occurrence/risk prediction equation was used to develop the first risk map showing areas of Dhaka Metropolitan Area whose inhabitants are at greater or lesser risk of typhoid

  13. Ferritin and Soluble Transferrin Receptors in Type 2 Diabetic and Non-diabetic Post-menopausal Women in Dhaka, Bangladesh.

    PubMed

    Md Ruhul, A; Sharmin, H; Luthfor, A; Farzana, S; Liaquat, A

    2010-12-01

    This cross-sectional comparative study was aimed at investigating the iron status of a group of post-menopausal women with and without diabetes. Thirty-five post-menopausal women in each group were selected purposively from among patients attending the out-patient department of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), a specialist hospital, and two of its satellite clinics, all in Dhaka. Patients were enrolled based on their existing records. The subjects were matched on age, menstrual status and fasting status at blood draw. Ferritin, serum soluble transferrin receptors (sTfR) and fasting plasma glucose were measured by standard methods. Dietary information was collected by a specific food frequency questionnaire. No significant difference in plasma ferritin [62.02 ng/ml, (range: 4.68-288.89) vs 54.25 ng/ml (range: 4.58-137.17); p=0.28] was observed between the groups. But a higher level of plasma sTfR was found in diabetic women [(21.12 nmol/l (range: 7.91-39.79) vs 17.63 nmol/l (range: 10.30-110.00); p<0.01]. TFR-F index showed no difference between diabetic and control (p=0.25). Significantly a lower hemoglobin level [10.58±0.67 g/dl vs11.76±1.5 g/dl; p<0.01] was detected in diabetic women. Plasma sTfR (log) did not show any significant association with the dietary parameters and iron indices. No significant association between fasting glucose, ferritin and sTfR was seen except for haemoglobin (r=0.39, p=0.05). Total iron intake recorded was more than the requirement, and was significantly higher in control group [38.11mg/day (range: 19.83-105.63) vs 56.65 mg/day (range: 29.75-109.54); p<0.01)]. More than 97 % of total iron was of plant origin. No differences in heme iron [0.85 mg/day (range: 0.09-4.07) vs. 0.96 mg/day (range: 0.04-4.34), p= 0.17] and vitamin C intake was observed between the groups. Iron indices of non-diabetic women were within the normal range. A higher level of sTfR and a

  14. Evidence of a dominant lineage of Vibrio cholerae-specific lytic bacteriophages shed by cholera patients over a 10-year period in Dhaka, Bangladesh.

    PubMed

    Seed, Kimberley D; Bodi, Kip L; Kropinski, Andrew M; Ackermann, Hans-Wolfgang; Calderwood, Stephen B; Qadri, Firdausi; Camilli, Andrew

    2011-01-01

    Lytic bacteriophages are hypothesized to contribute to the seasonality and duration of cholera epidemics in Bangladesh. However, the bacteriophages contributing to this phenomenon have yet to be characterized at a molecular genetic level. In this study, we isolated and sequenced the genomes of 15 bacteriophages from stool samples from cholera patients spanning a 10-year surveillance period in Dhaka, Bangladesh. Our results indicate that a single novel bacteriophage type, designated ICP1 (for the International Centre for Diarrhoeal Disease Research, Bangladesh cholera phage 1) is present in all stool samples from cholera patients, while two other bacteriophage types, one novel (ICP2) and one T7-like (ICP3), are transient. ICP1 is a member of the Myoviridae family and has a 126-kilobase genome comprising 230 open reading frames. Comparative sequence analysis of ICP1 and related isolates from this time period indicates a high level of genetic conservation. The ubiquitous presence of ICP1 in cholera patients and the finding that the O1 antigen of lipopolysaccharide (LPS) serves as the ICP1 receptor suggest that ICP1 is extremely well adapted to predation of human-pathogenic V. cholerae O1.

  15. Using remote sensing and GIS to detect and monitor land use and land cover change in Dhaka Metropolitan of Bangladesh during 1960-2005.

    PubMed

    Dewan, Ashraf M; Yamaguchi, Yasushi

    2009-03-01

    This paper illustrates the result of land use/cover change in Dhaka Metropolitan of Bangladesh using topographic maps and multi-temporal remotely sensed data from 1960 to 2005. The Maximum likelihood supervised classification technique was used to extract information from satellite data, and post-classification change detection method was employed to detect and monitor land use/cover change. Derived land use/cover maps were further validated by using high resolution images such as SPOT, IRS, IKONOS and field data. The overall accuracy of land cover change maps, generated from Landsat and IRS-1D data, ranged from 85% to 90%. The analysis indicated that the urban expansion of Dhaka Metropolitan resulted in the considerable reduction of wetlands, cultivated land, vegetation and water bodies. The maps showed that between 1960 and 2005 built-up areas increased approximately 15,924 ha, while agricultural land decreased 7,614 ha, vegetation decreased 2,336 ha, wetland/lowland decreased 6,385 ha, and water bodies decreased about 864 ha. The amount of urban land increased from 11% (in 1960) to 344% in 2005. Similarly, the growth of landfill/bare soils category was about 256% in the same period. Much of the city's rapid growth in population has been accommodated in informal settlements with little attempt being made to limit the risk of environmental impairments. The study quantified the patterns of land use/cover change for the last 45 years for Dhaka Metropolitan that forms valuable resources for urban planners and decision makers to devise sustainable land use and environmental planning.

  16. Using artificial neural network and satellite data to predict rice yield in Bangladesh

    NASA Astrophysics Data System (ADS)

    Akhand, Kawsar; Nizamuddin, Mohammad; Roytman, Leonid; Kogan, Felix; Goldberg, Mitch

    2015-09-01

    Rice production in Bangladesh is a crucial part of the national economy and providing about 70 percent of an average citizen's total calorie intake. The demand for rice is constantly rising as the new populations are added in every year in Bangladesh. Due to the increase in population, the cultivation land decreases. In addition, Bangladesh is faced with production constraints such as drought, flooding, salinity, lack of irrigation facilities and lack of modern technology. To maintain self sufficiency in rice, Bangladesh will have to continue to expand rice production by increasing yield at a rate that is at least equal to the population growth until the demand of rice has stabilized. Accurate rice yield prediction is one of the most important challenges in managing supply and demand of rice as well as decision making processes. Artificial Neural Network (ANN) is used to construct a model to predict Aus rice yield in Bangladesh. Advanced Very High Resolution Radiometer (AVHRR)-based remote sensing satellite data vegetation health (VH) indices (Vegetation Condition Index (VCI) and Temperature Condition Index (TCI) are used as input variables and official statistics of Aus rice yield is used as target variable for ANN prediction model. The result obtained with ANN method is encouraging and the error of prediction is less than 10%. Therefore, prediction can play an important role in planning and storing of sufficient rice to face in any future uncertainty.

  17. The use of vouchers in HIV prevention, referral treatment, and care for young MSM and young transgender people in Dhaka, Bangladesh: experience from ‘HIM’ initiative

    PubMed Central

    Oyewale, Tajudeen O.; Ahmed, Shale; Ahmed, Farid; Tazreen, Mona; Uddin, Ziya; Rahman, Anisur; Oyediran, Kola A.

    2016-01-01

    Introduction The study described the effectiveness of a voucher scheme to access sexual and reproductive health and HIV services among young MSM and transgender people aged 15–24 years in Dhaka, Bangladesh, a country with HIV prevalence of less than 0.1%. Methods Descriptive and analytical methods were used to assess the net effects of biodemographic factors of the respondents on the voucher scheme. Effectiveness of the scheme was contextualized as target population coverage, and turnaround time of voucher redemption to access services. Results and discussion A total of 210 (87.9%) out of the 239 vouchers distributed were redeemed. The mean age of the identified young people was 19.6 years (SD = +2.6 years). The coverage of the scheme against the target population of 200 young MSM and 936 young transgender people was 88% (n = 175) and 4% (n = 35) respectively, with P < 0.001. The median turnaround time for voucher redemption was 7 days. The predictors of voucher turnaround time were age, education, and population group (P < 0.001). HIV testing and counselling was accessed by 160 (76%) respondents, one was positive and linked to antiretroviral treatment and 110 (52%) were diagnosed and treated for sexually transmitted infections. Conclusion The voucher scheme was effective in linking young MSM with sexual and reproductive health and HIV services in Dhaka, Bangladesh. The findings are consistent with the low HIV prevalence in the country. The scheme is, however, not optimal for linking young transgender people with services. PMID:26945145

  18. HIV-related risk behaviours and the correlates among rickshaw pullers of Kamrangirchar, Dhaka, Bangladesh: a cross-sectional study using probability sampling

    PubMed Central

    Hoque, Md Hafiz Ehsanul; Ono-Kihara, Masako; Zamani, Saman; Ravari, Shahrzad Mortazavi; Kihara, Masahiro

    2009-01-01

    Background National HIV serological and behavioural surveillance of Bangladesh repeatedly demonstrated a very high proportion of rickshaw pullers in Dhaka city, having sex with female sex workers (FSWs) and using illicit substances. However, no study has been conducted to identify the correlates of having sex with FSWs among this population. This study aimed to describe behavioural profile of rickshaw pullers in Dhaka city using probability samples and to identify the correlates for having sex with FSWs in order to focus HIV prevention intervention. Methods Six hundred rickshaw pullers were randomly selected from rickshaw garages in the Kamrangirchar area, the single largest slum cluster of Dhaka, Bangladesh, during March–April 2008 using the Proportion Probability to Size method. Participants were interviewed, with a response rate of 99.2% (n = 595), using a structured questionnaire and asked about illicit substance use, sexual behaviour and risk perception for HIV and sexually transmitted diseases. Independent predictors of having sex with FSWs were analysed by multivariate analysis. A qualitative study was subsequently conducted with 30 rickshaw pullers to supplement the findings of the initial survey. Results The proportion of survey respondents who had sex with FSWs and those who used illicit substances in the previous 12 months period were 7.9% and 24.9%, respectively, much lower than the results achieved in the 2003–04 behavioural surveillance (72.8% and 89.9%, respectively). Multivariate analysis revealed the characteristics of younger age, being never married, living alone with family remaining in other districts and using illicit substances in the previous 12 months were significantly associated with having sex with FSWs. Conclusion HIV-related risk behaviour of our study population of the rickshaw pullers was lower than what has been suggested by the results of behavioural surveillance. While this discrepancy should be addressed in further studies

  19. Hydrogeological evaluation of an over-exploited aquifer in Dhaka, Bangladesh towards the implementation of groundwater artificial recharge

    NASA Astrophysics Data System (ADS)

    Azizur Rahman, M.; Rusteberg, Bernd; Sauter, Martin

    2010-05-01

    The population of Dhaka City is presently about 12 million and according to present trends in population growth, that number will most likely increase to 17.2 million by the year 2025. A serious water crisis is expected due to the extremely limited quality and quantity of water resources in the region. Previous studies have shown that the current trend in groundwater resource development is non-sustainable due to over-exploitation of the regional aquifer system, resulting in rapidly decreasing groundwater levels of about 2 to 3 meters per year. Today, annual groundwater extraction clearly exceeds natural groundwater recharge. New water management strategies are needed to guarantee future generations of Dhaka City a secured and sustained water supply as well as sustainable development of the city. The implementation of groundwater artificial recharge (AR) is one potential measure. As the first step towards a new water management strategy for Dhaka City, the authors report on the hydrogeological conditions of the greater Dhaka region and from this are able to present the location of potential recharge sites and identify appropriate recharge technologies for AR implementation. The aquifers of greater Dhaka can be grouped in three major categories: Holocene Deposit, Pleistocene Deposit and Plio-Pleistocene Deposit. The aquifers are generally thick and multilayered with relatively high transmissivity and storage coefficients. AR is considered feasible due to the fact these aquifers are alluvium deposit aquifers which characteristically have moderate to high hydraulic conductivity. Low costs for recovery of recharged water and large recharge volume capacity are generally associated with aquifers of unconsolidated sediments. Spatial analysis of the region has shown that Karaniganj, Kotoali, Savar, Dhamrai, Singair upazila, which are situated in greater Dhaka region and close to Dhaka City, could serve as recharge sites to the subsurface by pond infiltration technique. A

  20. Shifting Prevalence of Major Diarrheal Pathogens in Patients Seeking Hospital Care during Floods in 1998, 2004, and 2007 in Dhaka, Bangladesh

    PubMed Central

    Harris, Aaron M.; Chowdhury, Fahima; Begum, Yasmin Ara; Khan, Ashraful Islam; Faruque, Abu S. G.; Svennerholm, Ann-Mari; Harris, Jason B.; Ryan, Edward T.; Cravioto, Alejandro; Calderwood, Stephen B.; Qadri, Firdausi

    2009-01-01

    Bangladesh experienced severe flooding and diarrheal epidemics in 2007. We compared flood data from 2007 with 2004 and 1998 for diarrheal patients attending the ICDDR,B hospital in Dhaka. In 2007, Vibrio cholerae O1 (33%), rotavirus (12%), and enterotoxigenic Escherichia coli (ETEC) (12%) were most prevalent. More severe dehydration was seen in 2007 compared with 2004 and 1998 (P < 0.001). In 2007, V. cholerae O1 Inaba (52%) and Ogawa (48%) were seen, whereas in 2004 and 1998 it was primarily Inaba and the Ogawa types, respectively (P < 0.001). In 2007, 51% of ETEC produced the heat labile toxin (LT) (P < 0.001 compared with 2004), 22% expressed the heat stable (ST) (P < 0.001), and 27% were ST/LT positive (P = 0.231). The CS7 colonization factor (CF) was the most prevalent in 2007 (20% compared with 6% in 2004; P = 0.05). Our findings demonstrate alterations in clinical features and phenotypic changes of major bacterial pathogens in the recent Bangladesh flood. PMID:18981509

  1. Shifting prevalence of major diarrheal pathogens in patients seeking hospital care during floods in 1998, 2004, and 2007 in Dhaka, Bangladesh.

    PubMed

    Harris, Aaron M; Chowdhury, Fahima; Begum, Yasmin Ara; Khan, Ashraful Islam; Faruque, Abu S G; Svennerholm, Ann-Mari; Harris, Jason B; Ryan, Edward T; Cravioto, Alejandro; Calderwood, Stephen B; Qadri, Firdausi

    2008-11-01

    Bangladesh experienced severe flooding and diarrheal epidemics in 2007. We compared flood data from 2007 with 2004 and 1998 for diarrheal patients attending the ICDDR,B hospital in Dhaka. In 2007, Vibrio cholerae O1 (33%), rotavirus (12%), and enterotoxigenic Escherichia coli (ETEC) (12%) were most prevalent. More severe dehydration was seen in 2007 compared with 2004 and 1998 (P < 0.001). In 2007, V. cholerae O1 Inaba (52%) and Ogawa (48%) were seen, whereas in 2004 and 1998 it was primarily Inaba and the Ogawa types, respectively (P < 0.001). In 2007, 51% of ETEC produced the heat labile toxin (LT) (P < 0.001 compared with 2004), 22% expressed the heat stable (ST) (P < 0.001), and 27% were ST/LT positive (P = 0.231). The CS7 colonization factor (CF) was the most prevalent in 2007 (20% compared with 6% in 2004; P = 0.05). Our findings demonstrate alterations in clinical features and phenotypic changes of major bacterial pathogens in the recent Bangladesh flood.

  2. The perspectives of clients and unqualified allopathic practitioners on the management of delivery care in urban slums, Dhaka, Bangladesh - a mixed method study

    PubMed Central

    2010-01-01

    Background BRAC is implementing a program to improve maternal and newborn health among the urban poor in the slums of Bangladesh (Mansohi), funded by the Bill & Melinda Gates Foundation. Formative research has demonstrated that unqualified allopathic practitioners (UAPs) are commonly assisting home-delivery. The objective of this study was to explore the role of unqualified allopathic practitioners during home delivery in urban slums of Dhaka. Methods This cross-sectional study was conducted between September 2008 and June 2009 in Kamrangirchar slum in Dhaka, Bangladesh, using both qualitative and quantitative research methods. Through a door-to-door household survey, quantitative data were collected from 463 women with a home birth and/or trial of labor at home. We also conducted seven in-depth interviews with the UAPs to explore their practices. Results About one-third (32%) of the 463 women interviewed sought delivery care from a UAP. We did not find an association between socio-demographic characteristics and care-seeking from a UAP, except for education of women. Compared to women with three or more pregnancies, the highest odds ratio was found in the primi-gravidity group [odds ratio (OR): 3.46; 95% confidence interval (CI): 1.65-7.25)], followed by women with two pregnancies (OR: 2.54; 95% CI: 1.36-4.77) to use a UAP. Of women who reported at least one delivery-related complication, 45.2% received care from the UAPs. Of 149 cases where the UAP was involved with delivery care, 133 (89.3%) received medicine to start or increase labor with only 6% (9 of 149) referred by a UAP to any health facility. The qualitative findings showed that UAPs provided a variety of medicines to manage excessive bleeding immediately after childbirth. Conclusion There is demand among slum women for delivery-related care from UAPs during home births in Bangladesh. Some UAPs' practices are contrary to current World Health Organization recommendations and could be harmful. Programs

  3. Estimation of diarrhoea incidence through flooding simulation in low-income community areas in Dhaka City, Bangladesh

    NASA Astrophysics Data System (ADS)

    Hashimoto, M.; Suetsugi, T.; Sunada, K.; Ichikawa, Y.; Kondo, N.; Nishida, K.

    2012-12-01

    An increase in waterborne illnesses related to floodings has been reported all over the world, especially in developing countries. In Dhaka City, floodings occur almost every year due to severe rainfall compounded by inadequate sewerage systems. Waterborne illnesses spread easily in an unhygienic environment. This study develops a method to estimate the incidences of diarrhoea associated with floodings using a flooding analysis. We performed a flooding analysis using a numerical flooding simulation model and investigated the relationship between floodwater depth and diarrhoea incidence. The incidence of diarrhoea was assessed through a mortality and morbidity survey conducted in 10 low-income communities in flood-prone areas of Dhaka City. The results revealed that there is a positive correlation between floodwater depth and indices of diarrhoea incidence. This indicates that a flooding analysis method can be used to estimate diarrhoea incidence.

  4. Factors driving customers to seek health care from pharmacies for acute respiratory illness and treatment recommendations from drug sellers in Dhaka city, Bangladesh

    PubMed Central

    Chowdhury, Fahmida; Sturm-Ramirez, Katharine; Mamun, Abdullah Al; Iuliano, A Danielle; Bhuiyan, Mejbah Uddin; Chisti, Mohammod Jobayer; Ahmed, Makhdum; Haider, Sabbir; Rahman, Mahmudur; Azziz-Baumgartner, Eduardo

    2017-01-01

    Background Pharmacies in Bangladesh serve as an important source of health service. A survey in Dhaka reported that 48% of respondents with symptoms of acute respiratory illness (ARI) identified local pharmacies as their first point of care. This study explores the factors driving urban customers to seek health care from pharmacies for ARI, their treatment adherence, and outcome. Methods A cross-sectional study was conducted among 100 selected pharmacies within Dhaka from June to December 2012. Study participants were patients or patients’ relatives aged >18 years seeking care for ARI from pharmacies without prescription. Structured interviews were conducted with customers after they sought health service from drug sellers and again over phone 5 days postinterview to discuss treatment adherence and outcome. Results We interviewed 302 customers patronizing 76 pharmacies; 186 (62%) sought care for themselves and 116 (38%) sought care for a sick relative. Most customers (215; 71%) were males. The majority (90%) of customers sought care from the study pharmacy as their first point of care, while 18 (6%) had previously sought care from another pharmacy and 11 (4%) from a physician for their illness episodes. The most frequently reported reasons for seeking care from pharmacies were ease of access to pharmacies (86%), lower cost (46%), availability of medicine (33%), knowing the drug seller (20%), and convenient hours of operation (19%). The most commonly recommended drugs were acetaminophen dispensed in 76% (228) of visits, antihistamine in 69% (208), and antibiotics in 42% (126). On follow-up, most (86%) of the customers had recovered and 12% had sought further treatment. Conclusion People with ARI preferred to seek care at pharmacies rather than clinics because these pharmacies were more accessible and provided prompt treatment and medicine with no service charge. We recommend raising awareness among drug sellers on proper dispensing practices and enforcement of

  5. Meso-scale on-road vehicle emission inventory approach: a study on Dhaka City of Bangladesh supporting the 'cause-effect' analysis of the transport system.

    PubMed

    Iqbal, Asif; Allan, Andrew; Zito, Rocco

    2016-03-01

    The study aims to develop an emission inventory (EI) approach and conduct an inventory for vehicular sources in Dhaka City, Bangladesh. A meso-scale modelling approach was adopted for the inventory; the factors that influence the emissions and the magnitude of emission variation were identified and reported on, which was an innovative approach to account emissions unlike the conventional inventory approaches. Two techniques for the emission inventory were applied, viz. (i) a combined top-down and bottom-up approach that considered the total vehicle population and the average diurnal on-road vehicle speed profile in the city and (ii) a bottom-up approach that accounted for road link-specific emissions of the city considering diurnal traffic volume and speed profiles of the respective roads. For the bottom-up approach, road link-specific detailed data were obtained through field survey in 2012, where mid-block traffic count of the day, vehicle speed profile, road network and congestion data were collected principally. The emission variances for the change in transport system characteristics (like change in fuel type, AC usage pattern, increased speed and reduced congestion/stopping) were predicted and analysed in this study; congestion influenced average speed of the vehicles, and fuel types in the vehicles were identified as the major stressors. The study performance was considered reasonable when comparing with the limited number of similar studies conducted earlier. Given the increasing trend of private vehicles each year coupled with increasing traffic congestion, the city is under threat of increased vehicular emissions unless a good management strategy is implemented. Although the inventory is conducted for Dhaka and the result may be important locally, the approach adopted in this research is innovative in nature to be followed for conducting research on other urban transport systems.

  6. Chlorination of Household Drinking Water Among Cholera Patients' Households to Prevent Transmission of Toxigenic Vibrio cholerae in Dhaka, Bangladesh: CHoBI7 Trial.

    PubMed

    Rashid, Mahamud-Ur; George, Christine Marie; Monira, Shirajum; Mahmud, Toslim; Rahman, Zillur; Mustafiz, Munshi; Saif-Ur-Rahman, K M; Parvin, Tahmina; Bhuyian, Sazzadul Islam; Zohura, Fatema; Begum, Farzana; Biswas, Shwapon Kumar; Akhter, Shamima; Zhang, Xiaotong; Sack, David; Sack, R Bradley; Alam, Munirul

    2016-12-07

    Household members of cholera patients are at a 100 times higher risk of cholera infections than the general population because of shared contaminated drinking water sources and secondary transmission through poor household hygiene practices. In this study, we investigated the bactericidal concentration of free chlorine required to inactivate Vibrio cholerae in household drinking water in Dhaka, Bangladesh. In laboratory experiments, we found that the concentrations of free chlorine required to inactivate 10(5) colony-forming units (CFU)/mL of V. cholerae serogroups O1 and O139 were 0.1 mg/L and 0.2 mg/L, respectively. The concentration of free chlorine generated by a single chlorine tablet (sodium dichloroisocyanurate [33 mg]) after a 30-minute reaction time in a 10-L sealed vessel containing Dhaka city municipal supply water was 1.8 mg/L; and the concentration declined to 0.26 mg/L after 24 hours. In field measurements, water collected from 165 households enrolled in a randomized controlled trial (RCT) of a chlorine and handwashing with soap intervention (Cholera-Hospital-Based-Intervention-for-7-Days [CHoBI7]), we observed significantly higher free chlorine concentrations in the 82 intervention arm households (mean = 1.12 mg/L, standard deviation [SD] = 0.52, range = 0.07-2.6 mg/L) compared with the 83 control households (0.017 mg/L, SD = 0.01, range = 0-0.06 mg/L) (P < 0.001) during spot check visits. These findings suggest that point-of-use chlorine tablets present an effective approach to inactivate V. cholerae from drinking water in households of cholera patients in Dhaka city. This result is consistent with the findings from the RCT of CHoBI7 which found that this intervention led to a significant reduction in symptomatic cholera infections among household members of cholera patients and no stored drinking water samples with detectable V. cholerae. © The American Society of Tropical Medicine and Hygiene.

  7. Integrated multi-criteria decision making techniques AHP with Geographic Information System for Modelling of suitable Landfill location: a case study in Keraniganj of Dhaka city, Bangladesh.

    NASA Astrophysics Data System (ADS)

    Iqbal, M.

    2015-12-01

    This study is approaches a GIS based multi-criteria decision making technique to select potential land fill in Keraniganj of Dhaka city in Bangladesh. Site selection of landfill for Municipal solid waste is an important concern for the urban government in whole world. Dhaka city is highly dense populated city in Bangladesh and municipal solid waste generation rate is increase rapidly day by day. These large amount of generated municipal waste needs appropriate landfill considering environmental, geological, social and technical aspect of the region. The traditional process of site selection process is much difficult, time consuming and costly and needs to replace by a new approaches. An integration of Geographical Information System (GIS) and Multi-criteria Evaluation (MCE) method is best combination to solve complex decision and used to select suitable site. Analytical Hierarchy process (AHP) is world widely most popular decision making MCE technique. In this study AHP used as a multi-criteria decision making to compare five suitability attributes with each other and evaluate weight according to attributes potentiality. Various type raster map layer created using GIS tool for this study. Five suitability raster was assigned with the AHP calculated weight value. A combined weighted spatial layer obtained name as suitability map which is overlapped with a restriction raster map, as result a final suitable map was obtained. The result shows that 12.2% of the area is suitable for constructing landfill site where 4.9% is very high suitable, 2.6% is moderate suitable and 4.7% is low suitable. The final site is constructed after detail field investigation, other technical investigation, land ownership status and public acceptancy. Suitable site selection for non-hazardous landfill is not easy and its needs to consider many environmental factor at time. GIS tool combining with many decision making tool such as multi-criteria evaluation can solve this problem. A combining

  8. Investigation of the possible sources of heavy metal contamination in lagoon and canal water in the tannery industrial area in Dhaka, Bangladesh.

    PubMed

    Bhuiyan, Mohammad Amir Hossain; Suruvi, Nahid I; Dampare, Samuel B; Islam, M A; Quraishi, Shamshad B; Ganyaglo, Samuel; Suzuki, Shigeyuki

    2011-04-01

    This study evaluated the heavy metal pollution level of tannery effluent-affected lagoon and canal water in the southwestern Dhaka, Bangladesh. The measured physicochemical parameters (electrical conductivity, chemical oxygen demand, pH, SO²⁻₄, PO³⁻₄, Cl-, and NO⁻₃) and metals (As, Ca, Cd, Co, Cr, Cu, Fe, K, Mn, Ni, Pb, and Zn) were subjected to principal component (PCA) and hierarchical cluster analyses, and examining correlation matrix as well in order to explain the behavior and sources of the parameters/metals. The mean concentrations of the heavy metals in the lagoon and canal water were very high and, in most cases, exceeded the standard limits recommended by the Bangladesh Government. The following elemental associations were obtained from PCA and CA: Ca-Cd-Cr-Fe-K-Mn-Pb-Zn, Co-Cu-Ni, and As, which could be linked to anthropogenic sources (i.e., processes of the tannery and paint industries with some contributions from the municipal waste system). Potassium, Ca, Cr, Mn, Fe, Zn, As, and Cd occurred as important anthropogenic markers in the lagoons and lower part of the canal. Copper, Co, and Ni were importantly distributed in the lower part of the canal, which also received metal inputs from the municipal waste and other industrial sources, including paint industry. GIS-based factor score maps, generated to show the spatial controls of the major processes affecting surface water hydrochemistry, suggest that the activities of paint and tannery industries and municipal sewage are pervasive processes in the area, whereas the contribution from pesticides (used for tanning and disinfecting hides) has localized effects. This study has provided the evidence that effluents discharged from the tannery and auxiliary industries and urban sewage system are the main sources of heavy metal pollution in the lagoon and canal water systems in the Hazaribagh area of southwestern Dhaka. The high mean concentrations (in mg/l) of Cr (5.27), Pb (0.81), As (0.59), and

  9. Mental health, quality of life, and nutritional status of adolescents in Dhaka, Bangladesh: comparison between an urban slum and a non-slum area.

    PubMed

    Izutsu, Takashi; Tsutsumi, Atsuro; Islam, Akramul Md; Kato, Seika; Wakai, Susumu; Kurita, Hiroshi

    2006-09-01

    This study aims to clarify the quality of life (QOL), mental health, and nutritional status of adolescents in Dhaka city, Bangladesh by comparing non-slum areas and slums, and to find the factors associated with their mental health problems. A sample of 187 boys and 137 girls from non-slum areas, and 157 boys and 121 girls from slums, between 11-18 years old were interviewed with a questionnaire consisting of a Bangla translation of the World Health Organization Quality of Life Assessment Instrument (WHOQOL-BREF), Self Reporting Questionnaire (SRQ), Youth Self-Report (YSR) and other questions. The height and weight of the respondents were measured. All significant differences in demographic characteristics, anthropometric measures, and WHOQOL-BREF were found to reflect worse conditions in slum than in non-slum areas. Contrarily, all differences in SRQ and YSR were worse in non-slum areas for both genders, except that the "conduct problems" score for YSR was worse for slum boys. Mental states were mainly associated with school enrollment and working status. Worse physical environment and QOL were found in slums, along with gender and area specific mental health difficulties. The results suggest gender specific needs and a requirement for area sensitive countermeasures.

  10. Differences in field effectiveness and adoption between a novel automated chlorination system and household manual chlorination of drinking water in Dhaka, Bangladesh: a randomized controlled trial.

    PubMed

    Pickering, Amy J; Crider, Yoshika; Amin, Nuhu; Bauza, Valerie; Unicomb, Leanne; Davis, Jennifer; Luby, Stephen P

    2015-01-01

    The number of people served by networked systems that supply intermittent and contaminated drinking water is increasing. In these settings, centralized water treatment is ineffective, while household-level water treatment technologies have not been brought to scale. This study compares a novel low-cost technology designed to passively (automatically) dispense chlorine at shared handpumps with a household-level intervention providing water disinfection tablets (Aquatab), safe water storage containers, and behavior promotion. Twenty compounds were enrolled in Dhaka, Bangladesh, and randomly assigned to one of three groups: passive chlorinator, Aquatabs, or control. Over a 10-month intervention period, the mean percentage of households whose stored drinking water had detectable total chlorine was 75% in compounds with access to the passive chlorinator, 72% in compounds receiving Aquatabs, and 6% in control compounds. Both interventions also significantly improved microbial water quality. Aquatabs usage fell by 50% after behavioral promotion visits concluded, suggesting intensive promotion is necessary for sustained uptake. The study findings suggest high potential for an automated decentralized water treatment system to increase consistent access to clean water in low-income urban communities.

  11. Differences in Field Effectiveness and Adoption between a Novel Automated Chlorination System and Household Manual Chlorination of Drinking Water in Dhaka, Bangladesh: A Randomized Controlled Trial

    PubMed Central

    Pickering, Amy J.; Crider, Yoshika; Amin, Nuhu; Bauza, Valerie; Unicomb, Leanne; Davis, Jennifer; Luby, Stephen P.

    2015-01-01

    The number of people served by networked systems that supply intermittent and contaminated drinking water is increasing. In these settings, centralized water treatment is ineffective, while household-level water treatment technologies have not been brought to scale. This study compares a novel low-cost technology designed to passively (automatically) dispense chlorine at shared handpumps with a household-level intervention providing water disinfection tablets (Aquatab), safe water storage containers, and behavior promotion. Twenty compounds were enrolled in Dhaka, Bangladesh, and randomly assigned to one of three groups: passive chlorinator, Aquatabs, or control. Over a 10-month intervention period, the mean percentage of households whose stored drinking water had detectable total chlorine was 75% in compounds with access to the passive chlorinator, 72% in compounds receiving Aquatabs, and 6% in control compounds. Both interventions also significantly improved microbial water quality. Aquatabs usage fell by 50% after behavioral promotion visits concluded, suggesting intensive promotion is necessary for sustained uptake. The study findings suggest high potential for an automated decentralized water treatment system to increase consistent access to clean water in low-income urban communities. PMID:25734448

  12. Influence of gender roles and rising food prices on poor, pregnant women’s eating and food provisioning practices in Dhaka, Bangladesh

    PubMed Central

    2013-01-01

    Background Maternal malnutrition in Bangladesh is a persistent health issue and is the product of a number of complex factors, including adherence to food 'taboos’ and a patriarchal gender order that limits women’s mobility and decision-making. The recent global food price crisis is also negatively impacting poor pregnant women’s access to food. It is believed that those who are most acutely affected by rising food prices are the urban poor. While there is an abundance of useful quantitative research centered on maternal nutrition and food insecurity measurements in Bangladesh, missing is an understanding of how food insecurity is experienced by people who are most vulnerable, the urban ultra-poor. In particular, little is known of the lived experience of food insecurity among pregnant women in this context. This research investigated these lived experiences by exploring food provisioning strategies of urban, ultra-poor, pregnant women. This knowledge is important as discussions surrounding the creation of new development goals are currently underway. Methods Using a focused-ethnographic approach, household food provisioning experiences were explored. Data from participant observation, a focus group discussion and semi-structured interviews were collected in an urban slum in Dhaka, Bangladesh. Interviews were undertaken with 28 participants including 12 pregnant women and new mothers, two husbands, nine non-pregnant women, and five health care workers. Results The key findings are: 1) women were aware of the importance of good nutrition and demonstrated accurate, biomedically-based knowledge of healthy eating practices during pregnancy; 2) the normative gender rules that have traditionally constrained women’s access to nutritional resources are relaxing in the urban setting; however 3) women are challenged in accessing adequate quality and quantities of food due to the increase in food prices at the market. Conclusions Rising food prices and resultant food

  13. Cost of behavior change communication channels of Manoshi -a maternal, neonatal and child health (MNCH) program in urban slums of Dhaka, Bangladesh

    PubMed Central

    2013-01-01

    Background The cost of behavior change communication (BCC) interventions has not been rigorously studied in Bangladesh. This study was conducted to assess the implementation costs of a BCC intervention in a maternal, neonatal and child health program (Manoshi) run by BRAC, which has been operating in the urban slums of Dhaka since 2007. The study estimates the costs of BCC tools per exposure among the different types of BCC channels: face-to-face, group counseling, and mass media. Methods The study was conducted from November 2010 to April 2011 in the Dhaka urban slum area. A micro-costing approach was applied using primary and secondary data sources to estimate the cost of BCC tools. Primary data were collected through interviews with service-providers and managers from the Manoshi program, observations of group counseling, and mass media events. Results Per exposure, the cost of face-to-face counseling was found to be 3.08 BDT during pregnancy detection, 3.11 BDT during pregnancy confirmation, 12.42 BDT during antenatal care, 18.96 BDT during delivery care and 22.65 BDT during post-natal care. The cost per exposure of group counseling was 22.71 BDT (95% CI 21.30-24.87) for Expected Date of Delivery (EDD) meetings, 14.25 BDT (95% CI 12.37-16.12) for Women Support Group meetings, 17.83 BDT (95% CI 14.90-20.77) for MNCH committee meetings and 6.62 BDT (95% CI 5.99-7.26) for spouse forum meetings. We found the cost per exposure for mass media interventions was 9.54 BDT (95% CI 7.30-12.53) for folk songs, 26.39 BDT (95% CI 23.26-32.56) for street dramas, 0.39 BDT for TV-broadcasting and 7.87 BDT for billboards. Considering all components reaching the target audience under each broader type of channel, the total cost per exposure was found to be 60.22 BDT (0.82 USD) for face-to-face counseling, 61.40 BDT (0.82 USD) for group counseling and 44.19 BDT (0.61 USD) for mass media. Conclusions The total cost for group counseling was the highest per exposure, followed by face

  14. Using NOAA/AVHRR based remote sensing data and PCR method for estimation of Aus rice yield in Bangladesh

    NASA Astrophysics Data System (ADS)

    Nizamuddin, Mohammad; Akhand, Kawsar; Roytman, Leonid; Kogan, Felix; Goldberg, Mitch

    2015-06-01

    Rice is a dominant food crop of Bangladesh accounting about 75 percent of agricultural land use for rice cultivation and currently Bangladesh is the world's fourth largest rice producing country. Rice provides about two-third of total calorie supply and about one-half of the agricultural GDP and one-sixth of the national income in Bangladesh. Aus is one of the main rice varieties in Bangladesh. Crop production, especially rice, the main food staple, is the most susceptible to climate change and variability. Any change in climate will, thus, increase uncertainty regarding rice production as climate is major cause year-to-year variability in rice productivity. This paper shows the application of remote sensing data for estimating Aus rice yield in Bangladesh using official statistics of rice yield with real time acquired satellite data from Advanced Very High Resolution Radiometer (AVHRR) sensor and Principal Component Regression (PCR) method was used to construct a model. The simulated result was compared with official agricultural statistics showing that the error of estimation of Aus rice yield was less than 10%. Remote sensing, therefore, is a valuable tool for estimating crop yields well in advance of harvest, and at a low cost.

  15. Site Suitability Analysis for Dissemination of Salt-tolerant Rice Varieties in Southern Bangladesh

    NASA Astrophysics Data System (ADS)

    Sinha, D. D.; Singh, A. N.; Singh, U. S.

    2014-11-01

    Bangladesh is a country of 14.4 million ha geographical area and has a population density of more than 1100 persons per sq. km. Rice is the staple food crop, growing on about 72 % of the total cultivated land and continues to be the most important crop for food security of the country. A project "Sustainable Rice Seed Production and Delivery Systems for Southern Bangladesh" has been executed by the International Rice Research Institute (IRRI) in twenty southern districts of Bangladesh. These districts grow rice in about 2.9 million ha out of the country's total rice area of 11.3 million ha. The project aims at contributing to the Government of Bangladesh's efforts in improving national and household food security through enhanced and sustained productivity by using salinity-, submergence- and drought- tolerant and high yielding rice varieties. Out of the 20 project districts, 12 coastal districts are affected by the problem of soil salinity. The salt-affected area in Bangladesh has increased from about 0.83 million ha in 1973 to 1.02 million ha in 2000, and 1.05 million ha in 2009 due to the influence of cyclonic storms like "Sidr", "Laila" and others, leading to salt water intrusion in croplands. Three salinity-tolerant rice varieties have recently been bred by IRRI and field tested and released by the Bangladesh Rice Research Institute (BRRI) and Bangladesh Institute of Nuclear Agriculture (BINA). These varieties are BRRI dhan- 47 and Bina dhan-8 and - 10. However, they can tolerate soil salinity level up to EC 8-10 dSm-1, whereas the EC of soils in several areas are much higher. Therefore, a large scale dissemination of these varieties can be done only when a site suitability analysis of the area is carried out. The present study was taken up with the objective of preparing the site suitability of the salt-tolerant varieties for the salinity-affected districts of southern Bangladesh. Soil salinity map prepared by Soil Resources Development Institute of

  16. Impact of rapid urbanization on the rates of infection by Vibrio cholerae O1 and enterotoxigenic Escherichia coli in Dhaka, Bangladesh.

    PubMed

    Chowdhury, Fahima; Rahman, Mohammad Arif; Begum, Yasmin A; Khan, Ashraful I; Faruque, Abu S G; Saha, Nirod Chandra; Baby, Nabilah Ibnat; Malek, M A; Kumar, Anisha Rajeev; Svennerholm, Ann-Mari; Pietroni, Mark; Cravioto, Alejandro; Qadri, Firdausi

    2011-04-05

    In Bangladesh, increases in cholera epidemics are being documented with a greater incidence and severity. The aim of this prospective study was to identify the prevalence and importance of V. cholerae O1 and enterotoxigenic Escherichia coli (ETEC) as causal agents of severe diarrhea in a high diarrhea prone urban area in Dhaka city. Systematic surveillance was carried out on all diarrheal patients admitted from Mirpur between March 2008 to February 2010 at the ICDDR, B hospital. Stool or rectal swabs were collected from every third diarrheal patient for microbiological evaluation. Of diarrheal patients attending the hospital from Mirpur, 41% suffered from severe dehydration with 39% requiring intravenous rehydration therapy. More diarrheal patients were above five years of age (64%) than those below five years of age (36%). About 60% of the patients above five years of age had severe dehydration compared with only 9% of patients under five years of age. The most prevalent pathogen isolated was Vibrio cholerae O1 (23%) followed by ETEC (11%). About 8% of cholera infection was seen in infants with the youngest children being one month of age while in the case of ETEC the rate was 11%. Of the isolated ETEC strains, the enterotoxin type were almost equally distributed; ST accounted for 31% of strains; LT/ST for 38% and LT for 31%. V. cholerae O1 is the major bacterial pathogen and a cause of severe cholera disease in 23% of patients from Mirpur. This represents a socioeconomic group that best reflects the major areas of high cholera burden in the country. Vaccines that can target such high risk groups in the country and the region will hopefully be able to reduce the disease morbidity and the transmission of pathogens that impact the life and health of people.

  17. Piloting a low-cost hardware intervention to reduce improper disposal of solid waste in communal toilets in low-income settlements in Dhaka, Bangladesh.

    PubMed

    Yeasmin, Farzana; Luby, Stephen P; Saxton, Ronald E; Nizame, Fosiul A; Alam, Mahbub-Ul; Dutta, Notan Chandra; Masud, Abdullah-Al; Yeasmin, Dalia; Layden, Anita; Rahman, Habibur; Abbott, Rachel; Unicomb, Leanne; Winch, Peter J

    2017-08-29

    Bangladesh faces daunting challenges in addressing the sanitation needs of its urban poor. Maintaining the cleanliness and functionality of communal toilets is dependent upon periodic emptying of fecal sludge, and cooperation between users of communal toilets. Trash disposal into latrines can block the outflow pipes, rendering the toilets non-functional. Pre-intervention: We conducted in-depth interviews with five operators of fecal sludge emptying equipment and five adult residents who were also caregivers of children. We identified factors contributing to improper disposal of trash into communal toilets, a barrier to operation of the equipment, in low-income communities of Dhaka, Bangladesh. Intervention design: We developed behavior change communication materials to discourage waste disposal in toilets, and promote use of waste bins. We conducted six focus group discussions with adult male, female, landlord and children to select the preferred design for waste bins to be placed inside toilets, and finalize communication materials. Post-intervention: We then pilot-tested an intervention package to promote appropriate trash disposal practices and thus facilitate periodic removal of fecal sludge when the latrine pits become full. We conducted 20 in-depth interviews and four focus group discussions with community residents, landlords and cleaners of communal toilets. Barriers to appropriate waste disposal included lack of private location for disposal of menstrual hygiene products, limited options for formal trash collection and disposal, and the use of plastic bags for disposing children's feces. A pilot intervention including behavior change communication and trash bins was implemented in two urban slum communities. Spot checks confirmed that the bins were in place and used. Respondents described positive improvements in the appearance of the toilet and surrounding environment. The current practice on the part of local residents of disposing of waste into toilets

  18. Sexually transmitted infections and sexual behaviour among youth clients of hotel-based female sex workers in Dhaka, Bangladesh.

    PubMed

    Haseen, F; Chawdhury, F A H; Hossain, M E; Huq, M; Bhuiyan, M U; Imam, H; Rahman, D M M; Gazi, R; Khan, S I; Kelly, R; Ahmed, J; Rahman, M

    2012-08-01

    A cross-sectional study was conducted among youth clients of hotel-based female sex workers (YCHBFSWs) in nine randomly selected hotels in Bangladesh to examine sexual-risk behaviour, condom use and determinants of condom use in last sex, knowledge of HIV, sexually transmitted infection (STI) prevalence and STI care-seeking behaviour. A prestructured questionnaire was used to collect sociodemographic, behavioural, clinical information; urine specimens (before sex) and blood were collected for diagnosis of Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, syphilis and herpes simplex virus 2 (HSV2) infection. One thousand and thirteen participants were enroled in the study. Approximately half of them reported visiting female sex workers (FSWs) at least once a month and 25% visited FSWs at least once a week. Only 12% of participants reported regular condom use. The prevalence of N. gonorrhoeae, C. trachomatis, T. vaginalis, syphilis and HSV2 was 2.2%, 3.9%, 7.2%, 2.6% and 12.9%, respectively. Only 15.3% of the YCHBFSW sought STI care in the past year. Negotiation of condom use with FSWs was the main determinant (odds ratio = 17.95) for condom use at last sex. Male clients of FSWs, including YCHBFSW, are an important bridge population for HIV transmission in Bangladesh and HIV interventions should be designed and implemented for them.

  19. Tablets are preferred and more acceptable than powdered prenatal calcium supplements among pregnant women in Dhaka, Bangladesh.

    PubMed

    Baxter, Jo-Anna B; Roth, Daniel E; Al Mahmud, Abdullah; Ahmed, Tahmeed; Islam, Munirul; Zlotkin, Stanley H

    2014-07-01

    Prenatal calcium supplementation is recommended by the WHO to decrease the risk of preeclampsia in women with low dietary calcium intake; yet, this recommendation has not been successfully implemented to date. One component of an effective population-based prenatal calcium intervention will be the selection of a widely accepted calcium vehicle to promote consistent, long-term consumption of the supplement. We aimed to evaluate preference and acceptability of 4 different options for delivering prenatal calcium (conventional tablets, chewable tablets, unflavored powder, and flavored powder) to pregnant women in urban Bangladesh. In a modified discrete-choice trial, pregnant women (n = 132) completed a 4-d "run-in period" in which each delivery vehicle was sampled once, followed by a 21-d "selection period" during which participants were instructed to freely select a single delivery vehicle of their choice each day. Preference was empirically defined as the probability that each delivery vehicle was selected on a given day, and measured from participants' daily delivery vehicle selections; acceptability was assessed by using mid- and post-trial questionnaires. Conventional tablets demonstrated the highest probability of selection (62%); the probability of selection of chewable tablets (19%), flavored powder (12%), and unflavored powder (5%) were all significantly lower than for conventional tablets (P < 0.001). The palatability and product characteristics of the conventional tablets were more acceptable than for the other 3 delivery vehicles. Our rigorous methodologic approach used both quantitative and self-reported measures that consistently identified the most preferred and accepted prenatal calcium delivery form. Through observation of pregnant women's actual supplement use, and perceptions of acceptability (i.e., ease of use, palatability), we demonstrated that conventional tablets are likely to be the most accepted and successful calcium delivery vehicle in

  20. Knowledge and awareness of children's food safety among school-based street food vendors in Dhaka, Bangladesh.

    PubMed

    Al Mamun, Mohammad; Rahman, Shah Md Mahfuzur; Turin, Tanvir Chowdhury

    2013-04-01

    We carried out a cross-sectional study to determine the level of knowledge and awareness regarding children's food safety issues among the school-based street food vendors in Dhaka city. A total of 250 school-based street food vendors were interviewed employing a pre-tested structured questionnaire comprising foodborne illness and food hygiene-related questions. We used a scoring system based on the responses obtained from them, and categorized the overall level of knowledge and awareness into "adequate" and "inadequate." Multivariable logistic regression was used to explore the association between selected sociodemographic characteristics and the level of knowledge and awareness. The most common food item vended by school-based street food vendors was chotpoti/fuchka (37.2%). The median number of schoolchildren customers was 120 per vendor per day. All (100%) vendors were male with a mean age of 30.95±8.8 years, and their mean daily income was 131.16±62.54 Bangladeshi Taka (1.97±0.94 USD). Most (40.1%) of the respondents belonged to the age group 25-34 years, and the majority (43.6%) did not have any formal education. More than two-thirds (68%) vendors could not show adequate level of knowledge and awareness of children's food safety issues. The most common source of obtaining food safety information by vendors was electronic media (91.8%). Elderly (≥45 years) vendors were 17.73 times more likely to have adequate level of knowledge and awareness than the vendors belonging to age group 15-24 years (p<0.001; adjusted OR=17.73; 95% CI=4.38-71.73). Individuals who had an education of higher than primary level were 9.87 times more likely to possess adequate level of knowledge and awareness than those who did not have any formal education (p<0.01; adjusted OR=9.87; 95% CI=2.07-46.93). The majority of school-based street food vendors showed an inadequate level of knowledge and awareness of children's food safety issues.

  1. Rice fortification with zinc during parboiling may improve the adequacy of zinc intakes in Bangladesh.

    PubMed

    Hotz, Christine; Kabir, Khandaker A; Dipti, Sharifa S; Arsenault, Joanne E; Bipul, Moniruzzaman

    2015-01-01

    Zinc deficiency is prevalent among children and women in Bangladesh and parboiled rice is the major staple food consumed. Parboiling offers an opportunity to increase the zinc and iron content of rice by adding fortificants to the soaking water. Rice zinc content increased with increasing amounts of zinc sulfate added to the parboil soaking water. Addition of 1300 mg zinc L(-1) increased raw polished rice zinc content from 16.6 to 44.9 mg kg(-1) and from 12.6 to 32.9 mg kg(-1) in the open and closed parboiling systems, equivalent to 170% and 161% increases, respectively. Retention of zinc after washing and cooking was 70-81% across all concentrations tested. Addition of iron-ethylenediaminetetraacetic acid and zinc sulfate together increased zinc, but not iron, content of polished rice. The simulated prevalence of inadequate zinc intake was reduced by more than half among children and nearly two-thirds among women if 50% of the population were to consume the 1300 mg zinc L(-1) parboiled fortified rice. Addition of zinc sulfate to soaking water during parboiling increases the zinc content of rice and, if found to be bioavailable, could substantially reduce the prevalence of inadequate zinc intake by children and women in Bangladesh. © 2014 Society of Chemical Industry.

  2. Frequency of extensively drug-resistant tuberculosis (XDR-TB) among re-treatment cases in NIDCH, Dhaka, Bangladesh.

    PubMed

    Noor, Rashed; Akhter, Safia; Rahman, Farjana; Munshi, Saurab Kishore; Kamal, S M Mostofa; Feroz, Farahnaaz

    2013-04-01

    Emergence of extensively drug-resistant (XDR) tuberculosis (TB) in Bangladesh has increased as a result of the inadequate management of TB-infected individuals. The present study attempted to detect the frequency of multidrug resistance (MDR) among the TB patients categorically from relapse, category I failure, category II failure, and return after default category I and II cases, using the conventional drug susceptibility test. Among 100 sputum specimens from all four categories, 81 and 84 positive cases were identified under light-emitting diode fluorescence microscope and the Lowenstein-Jensen (L-J) culture method, respectively. Of 84 culture-positive cases, elevated resistance was observed against isoniazid (89.3 %) and rifampicin (91.7 %) compared to that against streptomycin (53.6 %) and ethambutol (47.7 %). Resistance against ofloxacin, gatifloxacin, and kanamycin was 8.3, 5.9, and 2.4 %, consecutively. Fifty-nine cases were found to be MDR-TB. Two of these cases, which showed resistance against kanamycin and ofloxacin, were further identified as XDR. The proportion of XDR cases was more likely to be in the return after default category I and II cases.

  3. Ponds and Rice Fields: The Hydrology and Chemistry of Aquifer Recharge in Bangladesh

    NASA Astrophysics Data System (ADS)

    Neumann, R. B.; Harvey, C. F.

    2007-12-01

    The shallow aquifer in Bangladesh, which provides drinking water for millions and irrigation water for innumerable rice fields, is severely contaminated with naturally occurring arsenic. Water balance calculations show that surface ponds and irrigated rice fields are the primary sources of recharge to this contaminated aquifer. Recharge from an individual rice field is both temporally and spatially heterogeneous, whereas flow from a pond is more constant and uniform through the pond sediments. Rice field recharge is focused through bunds (the berms surrounding the field), and depends on irrigation intervals. Field flow patterns are controlled by cracks and the development of an unsaturated zone. The water chemistry of these two recharge sources is distinctly different. Compared to the rice fields, ponds contribute recharge with a higher organic carbon load and increased concentrations of solutes associated with anoxic microbial respiration. The differences in the recharge behavior and solute loads of these two sources may explain the spatial patterns of groundwater chemistry that control arsenic concentrations.

  4. An economic appraisal of alternative strategies for the delivery of MCH-FP services in urban Dhaka, Bangladesh.

    PubMed

    Routh, S; Barkat-e-Khuda

    2000-01-01

    The strategy of distributing maternal and child health and family planning (MCH-FP) services at the doorsteps of the clients--through routine visits to the eligible couples by trained fieldworkers--has been instrumental in increasing the contraceptive prevalence rate (CPR), reducing fertility and attaining a considerably high immunization coverage of children and women in Bangladesh. The doorstep strategy, however, appeared to be labour-intensive and costly. With the maturity of the programme, priorities of the national MCH-FP programme have shifted to a stage that calls for more cost-effective service-delivery strategies, capable of offering a broader package of reproductive and other essential health services. The main objective of the present study was to examine the cost and effectiveness implications of the alternative strategies of delivering services from fixed sites--field-tested within an ICDDR,B operations research--in comparison to the conventional (existing) doorstep strategy. The key findings of the economic appraisal indicated that, at the end of the operations research intervention, both cost per birth averted and cost per QALY gained were lowest for the option of delivering services from static (fixed-site) clinics: US$13 and US$17 compared with the corresponding values of US$18 and US$42 for the doorstep strategy. Provision of health and family planning services from clinics--complemented with a reduced system of outreach workers to inform and target the hard-to-reach clients--was found to be the most cost-effective service-delivery alternative.

  5. Vulnerability to HIV infection among sex worker and non-sex worker female injecting drug users in Dhaka, Bangladesh: evidence from the baseline survey of a cohort study

    PubMed Central

    Azim, Tasnim; Chowdhury, Ezazul I; Reza, Masud; Ahmed, Munir; Uddin, Mohammed T; Khan, Repon; Ahmed, Giasuddin; Rahman, Motiur; Khandakar, Irona; Khan, Sharful I; Sack, David A; Strathdee, Steffanie A

    2006-01-01

    Background: Very little is known about female injecting drug users (IDU) in Bangladesh but anecdotal evidence suggests that they are hidden and very vulnerable to HIV through both their injection sharing and sexual risk behaviors. In order to better understand the risks and vulnerability to HIV of female IDU, a cohort study was initiated through which HIV prevalence and risk behaviors was determined. Methods: All female IDU (those who had injected in the last six months and were 15 years or older) who could be identified from three cities in the Dhaka region were enrolled at the baseline of a cohort study. The study was designed to determine risk behaviors through interviews using a semi-structured questionnaire and measure prevalence of HIV, hepatitis C and syphilis semiannually. At the baseline of the cohort study 130 female IDU were recruited and female IDU selling sex in the last year (sex workers) versus those not selling sex (non-sex workers) were compared using descriptive statistics and logistic regression. Results: Of the 130 female IDU enrolled 82 were sex workers and 48 were non-sex workers. None had HIV but more sex workers (60%) had lifetime syphilis than non-sex workers (37%). Fewer sex worker than non-sex worker IDU lived with families (54.9% and 81.3% respectively), but more reported lending needles/syringes (29.3% and 14.6% respectively) and sharing other injection paraphernalia (74.4% and 56.3% respectively) in the past six months. Although more sex workers used condoms during last sex than non-sex workers (74.4% and 43.3% respectively), more reported anal sex (15.9% and 2.1% respectively) and serial sex with multiple partners (70.7% and 0% respectively). Lifetime sexual violence and being jailed in the last year was more common in sex workers. Conclusion: Female IDU are vulnerable to HIV through their injection and sexual risk behaviors and sex worker IDU appear especially vulnerable. Services such as needle exchange programs should become more

  6. Vulnerability to HIV infection among sex worker and non-sex worker female injecting drug users in Dhaka, Bangladesh: evidence from the baseline survey of a cohort study.

    PubMed

    Azim, Tasnim; Chowdhury, Ezazul I; Reza, Masud; Ahmed, Munir; Uddin, Mohammed T; Khan, Repon; Ahmed, Giasuddin; Rahman, Motiur; Khandakar, Irona; Khan, Sharful I; Sack, David A; Strathdee, Steffanie A

    2006-11-17

    Very little is known about female injecting drug users (IDU) in Bangladesh but anecdotal evidence suggests that they are hidden and very vulnerable to HIV through both their injection sharing and sexual risk behaviors. In order to better understand the risks and vulnerability to HIV of female IDU, a cohort study was initiated through which HIV prevalence and risk behaviors was determined. All female IDU (those who had injected in the last six months and were 15 years or older) who could be identified from three cities in the Dhaka region were enrolled at the baseline of a cohort study. The study was designed to determine risk behaviors through interviews using a semi-structured questionnaire and measure prevalence of HIV, hepatitis C and syphilis semiannually. At the baseline of the cohort study 130 female IDU were recruited and female IDU selling sex in the last year (sex workers) versus those not selling sex (non-sex workers) were compared using descriptive statistics and logistic regression. Of the 130 female IDU enrolled 82 were sex workers and 48 were non-sex workers. None had HIV but more sex workers (60%) had lifetime syphilis than non-sex workers (37%). Fewer sex worker than non-sex worker IDU lived with families (54.9% and 81.3% respectively), but more reported lending needles/syringes (29.3% and 14.6% respectively) and sharing other injection paraphernalia (74.4% and 56.3% respectively) in the past six months. Although more sex workers used condoms during last sex than non-sex workers (74.4% and 43.3% respectively), more reported anal sex (15.9% and 2.1% respectively) and serial sex with multiple partners (70.7% and 0% respectively). Lifetime sexual violence and being jailed in the last year was more common in sex workers. Female IDU are vulnerable to HIV through their injection and sexual risk behaviors and sex worker IDU appear especially vulnerable. Services such as needle exchange programs should become more comprehensive to address the needs of

  7. Prevalence of depression and its associated factors in patients with type 2 diabetes: A cross-sectional study in Dhaka, Bangladesh.

    PubMed

    Islam, Sheikh Mohammed Shariful; Rawal, Lal B; Niessen, Louis W

    2015-10-01

    Depression is a common feature in patients with type 2 diabetes and often remains undetected and untreated, causing increased morbidity and mortality. We explored the prevalence of co-morbid depression and its associated factors, including major life-events among patients with type 2 diabetes in Bangladesh. We conducted a cross-sectional study among 515 patients with type 2 diabetes between September 2013 and July 2014 in a tertiary hospital in Dhaka city. We assessed depression using Patient Health Questionnaire-9 (PHQ-9) with predefined cut-off scores of 5, 10, 15 and 20 to indicate minimal, mild, moderate, moderately-severe, and severe depression. Associations between depression and its associated factors were explored using univariate and multivariate regression. Overall, 61.9% participants had depressive symptoms, and the prevalence was higher among females (70.9%) compared to males (50.6%). One-third (35.7%) of participants had mild depression and 36.2% had moderate to severe depression. In the multivariate analysis, factors significantly associated with depression were: age≤60 years (OR: 2.1, 95% CI=1.2-3.6; p≤0.006), female gender (OR=1.9, 95% CI=1.3-3.0; p≤0.002), those having 1-3 complications (OR=2.3, 95% CI=1.2-4.3; p=0.010), experienced loss of business or crop failure (OR=2.1, 95% CI=1.2-3.6; p=0.006), major family conflicts (OR=2.2, 95% CI=1.4-3.5; p≤0.001), separation or deaths of family members or divorce (OR=2.2, 95% CI=1.4-3.5; p≤0.001), and those who experienced unavailability of food or medicines (OR=2.2, 95% CI=1.0-4.5; p=0.038). Patients with diabetes, especially females, those having other complications, and major life-events should routinely be screened for symptoms of depression with adequate management of these conditions.

  8. Observational follow-up study following two cohorts of children with severe pneumonia after discharge from day care clinic/hospital in Dhaka, Bangladesh

    PubMed Central

    Alam, Nur H; Chisti, Mohammod Jobayer; Salam, Mohammed Abdus; Ahmed, Tahmeed; Gyr, Niklaus

    2012-01-01

    Objectives To compare the features of relapse, morbidity, mortality and re-hospitalisation following successful discharge after severe pneumonia in children between a day care group and a hospital group and to explore the predictors of failures during 3 months of follow-up. Design An observational study following two cohorts of children with severe pneumonia for 3 months after discharge from hospital/clinic. Setting Day care was provided at the Radda Clinic and hospital care at a hospital in Dhaka, Bangladesh. Participants Children aged 2–59 months with severe pneumonia attending the clinic/hospital who survived to discharge. Intervention No intervention was done except providing some medications for minor illnesses, if indicated. Primary outcome measures The primary outcome measures were the proportion of successes and failures of day care at follow-up visits as determined by estimating the OR with 95% CI in comparison to hospital care. Results The authors enrolled 360 children with a mean (SD) age of 8 (7) months, 81% were infants and 61% were men. The follow-up compliance dropped from 95% at first to 85% at sixth visit. The common morbidities during the follow-up period included cough (28%), fever (17%), diarrhoea (9%) and rapid breathing (7%). During the follow-up period, significantly more day care children (n=22 (OR 12.2 (95% CI 8.2–17.8))) required re-hospitalisation after completion of initial day care compared with initial hospital care group (n=11 (OR 6.1 (95% CI 3.4–10.6))). The predictors for failure were associated with tachycardia, tachypnoea and hypoxaemia on admission and prolonged duration of stay. Conclusions There are considerable morbidities in children discharged following treatment of severe pneumonia like cough, fever, rapid breathing and diarrhoea during 3-month period. The findings indicate the importance of follow-up for early detection of medical problems and their management to reduce the risk of death. Establishment of an

  9. Typhoid Fever and Its Association with Environmental Factors in the Dhaka Metropolitan Area of Bangladesh: A Spatial and Time-Series Approach

    PubMed Central

    Dewan, Ashraf M.; Corner, Robert; Hashizume, Masahiro; Ongee, Emmanuel T.

    2013-01-01

    Typhoid fever is a major cause of death worldwide with a major part of the disease burden in developing regions such as the Indian sub-continent. Bangladesh is part of this highly endemic region, yet little is known about the spatial and temporal distribution of the disease at a regional scale. This research used a Geographic Information System to explore, spatially and temporally, the prevalence of typhoid in Dhaka Metropolitan Area (DMA) of Bangladesh over the period 2005–9. This paper provides the first study of the spatio-temporal epidemiology of typhoid for this region. The aims of the study were: (i) to analyse the epidemiology of cases from 2005 to 2009; (ii) to identify spatial patterns of infection based on two spatial hypotheses; and (iii) to determine the hydro-climatological factors associated with typhoid prevalence. Case occurrences data were collected from 11 major hospitals in DMA, geocoded to census tract level, and used in a spatio-temporal analysis with a range of demographic, environmental and meteorological variables. Analyses revealed distinct seasonality as well as age and gender differences, with males and very young children being disproportionately infected. The male-female ratio of typhoid cases was found to be 1.36, and the median age of the cases was 14 years. Typhoid incidence was higher in male population than female (χ2 = 5.88, p<0.05). The age-specific incidence rate was highest for the 0–4 years age group (277 cases), followed by the 60+ years age group (51 cases), then there were 45 cases for 15–17 years, 37 cases for 18–34 years, 34 cases for 35–39 years and 11 cases for 10–14 years per 100,000 people. Monsoon months had the highest disease occurrences (44.62%) followed by the pre-monsoon (30.54%) and post-monsoon (24.85%) season. The Student's t test revealed that there is no significant difference on the occurrence of typhoid between urban and rural environments (p>0.05). A statistically significant inverse

  10. Typhoid Fever and its association with environmental factors in the Dhaka Metropolitan Area of Bangladesh: a spatial and time-series approach.

    PubMed

    Dewan, Ashraf M; Corner, Robert; Hashizume, Masahiro; Ongee, Emmanuel T

    2013-01-01

    Typhoid fever is a major cause of death worldwide with a major part of the disease burden in developing regions such as the Indian sub-continent. Bangladesh is part of this highly endemic region, yet little is known about the spatial and temporal distribution of the disease at a regional scale. This research used a Geographic Information System to explore, spatially and temporally, the prevalence of typhoid in Dhaka Metropolitan Area (DMA) of Bangladesh over the period 2005-9. This paper provides the first study of the spatio-temporal epidemiology of typhoid for this region. The aims of the study were: (i) to analyse the epidemiology of cases from 2005 to 2009; (ii) to identify spatial patterns of infection based on two spatial hypotheses; and (iii) to determine the hydro-climatological factors associated with typhoid prevalence. Case occurrences data were collected from 11 major hospitals in DMA, geocoded to census tract level, and used in a spatio-temporal analysis with a range of demographic, environmental and meteorological variables. Analyses revealed distinct seasonality as well as age and gender differences, with males and very young children being disproportionately infected. The male-female ratio of typhoid cases was found to be 1.36, and the median age of the cases was 14 years. Typhoid incidence was higher in male population than female (χ(2) = 5.88, p<0.05). The age-specific incidence rate was highest for the 0-4 years age group (277 cases), followed by the 60+ years age group (51 cases), then there were 45 cases for 15-17 years, 37 cases for 18-34 years, 34 cases for 35-39 years and 11 cases for 10-14 years per 100,000 people. Monsoon months had the highest disease occurrences (44.62%) followed by the pre-monsoon (30.54%) and post-monsoon (24.85%) season. The Student's t test revealed that there is no significant difference on the occurrence of typhoid between urban and rural environments (p>0.05). A statistically significant inverse association was

  11. Estimation of the rice-planting field in Bangladesh by satellite remote sensing

    NASA Astrophysics Data System (ADS)

    Furuta, E.; Suzuki, G.; Yamassaki, M.; Teraoka, T.; Fujiwara, H.; Ogino, Y.; Akashi, M.; Lahrita, L.; Naruse, N.; Takahashi, Y.

    2016-12-01

    In Bangladesh, price of rice has been unstable due to a large increase in production. To control the price can become a political issue, because rice agriculture is one of the most important industries in Bangladesh, whereas the total area of the paddy field is accurately unknown, owing to unsustainable and on-site surveys for the area (1). Satellite remote sensing is an effective solution to research the all area of domestic paddy field. Microwave satellite imaging has a large merit to be observable regardless of the weather conditions, however, research institutions have been limited to observing continuously since the cost is high for developing countries, such as Bangladesh. This study aims to establish the way to grasp the paddy field using optical satellite images for free of charge (Landsat-8). We have focused on seasonal changes in the water and the vegetation indices obtained from paddy fields. We have performed image calculations of Normalized Difference Vegetation Index (NDVI) and Normalized Difference Water Index (NDWI) of the well-known paddy field in Bangladesh Rice Research Institute. We found that there are seasonal changes of NDVI and NDWI calculated from paddy field. The characteristics are as follows; the NDVI and the NDWI values varies by 0.17-0.25 up and 0.11-0.19 down, respectively, at the transition from the dry to the rainy season, on the other hand, the NDVI and the NDWI changes by 0.21-0.29 down and 0.09-0.17 up from the rainy to the dry season. These features make us to distinguish the paddy field from the other cultivated area. The decrease of NDVI means that rice bares, The increase of NDWI can be interpreted that the paddy field is covered with water for the preparation for planting it. Our estimated area of paddy field in Bangladesh (85,900km ) corresponds well with the previous reported value of 117,700km (1). We have established the way to grasp the paddy field using optical satellite images for free of charge, on the bases of the

  12. Spatial distribution and temporal variability of arsenic in irrigated rice fields in Bangladesh. 2. Paddy soil.

    PubMed

    Dittmar, Jessica; Voegelin, Andreas; Roberts, Linda C; Hug, Stephan J; Saha, Ganesh C; Ali, M Ashraf; Badruzzaman, A Borhan M; Kretzschmar, Ruben

    2007-09-01

    Arsenic-rich groundwater from shallow tube wells is widely used for the irrigation of boro rice in Bangladesh and West Bengal. In the long term this may lead to the accumulation of As in paddy soils and potentially have adverse effects on rice yield and quality. In the companion article in this issue, we have shown that As input into paddy fields with irrigation water is laterally heterogeneous. To assess the potential for As accumulation in soil, we investigated the lateral and vertical distribution of As in rice field soils near Sreenagar (Munshiganj, Bangladesh) and its changes over a 1 year cycle of irrigation and monsoon flooding. At the study site, 18 paddy fields are irrigated with water from a shallow tube well containing 397 +/- 7 microg L(-1) As. The analysis of soil samples collected before irrigation in December 2004 showed that soil As concentrations in paddy fields did not depend on the length of the irrigation channel between well and field inlet. Within individual fields, however, soil As contents decreased with increasing distance to the water inlet, leading to highly variable topsoil As contents (11-35 mg kg(-1), 0-10 cm). Soil As contents after irrigation (May 2005) showed that most As input occurred close to the water inlet and that most As was retained in the top few centimeters of soil. After monsoon flooding (December 2005), topsoil As contents were again close to levels measured before irrigation. Thus, As input during irrigation was at least partly counteracted by As mobilization during monsoon flooding. However, the persisting lateral As distribution suggests net arsenic accumulation over the past 15 years. More pronounced As accumulation may occur in regions with several rice crops per year, less intense monsoon flooding, or different irrigation schemes. The high lateral and vertical heterogeneity of soil As contents must be taken into account in future studies related to As accumulation in paddy soils and potential As transfer into rice.

  13. Accumulation of heavy metals in soil and their transfer to leafy vegetables in the region of Dhaka Aricha Highway, Savar, Bangladesh.

    PubMed

    Aktaruzzaman, M; Fakhruddin, A N M; Chowdhury, M A Z; Fardous, Z; Alam, M K

    2013-04-01

    Accumulation of heavy metals in environmental matrices is a potential risk to living system due to their uptake by plants and subsequent introduction into the food chain. A study was conducted to investigate the heavy metals concentration in soils and leafy vegetables samples along the Dhaka Aricha Road to assess their potential ecological risk. Heavy metals concentration was analyzed by Atomic Absorption Spectroscopy. Concentrations ofallthetestedheavy metals except Cd in soil samples were below the permissible level. The mean concentration of Cd was found 3.99 +/- 1.85 mg kg(-1). Concentrations of all the tested heavy metals except Cd and Cr in vegetables samples were lower than recommended level. Mean concentration of Cd and Cr were found 1.00 +/- 0.68 mg kg(-1) and 2.32 +/- 0.84 mg kg(-1), respectively. Based on the Potential Ecological Risk Index, Cd posed very high risk to the local ecosystem due to its higher Risk Factor, > 320 and based on Transfer Factor of Pb and Cd were found higher accumulator among the tested metals. The results of present study revealed that the bioconcentration of heavy metals along the Dhaka Aricha Road posed high risk to the ecosystem. Considering the Transfer Factor of Cd and Pb it can be suggested that plants and leafy vegetables grow in the soil near Dhaka Aricha Road should not be used as food or feed.

  14. GIS-based geomorphological mapping using remote sensing data and supplementary geoinformation. A case study of the Dhaka city area, Bangladesh

    NASA Astrophysics Data System (ADS)

    Maksud Kamal, A. S. M.; Midorikawa, Saburoh

    2004-12-01

    This study aims to prepare a detailed GIS-based geomorphological map accompanied with landfill sites of Dhaka city area which can be used for multipurpose functionality. Attainment of the geomorphological map is based upon interpretation of the oldest available aerial photographs (1:40,000) and contemporary topographic maps (1:8000) which reflect almost pre-urban ground of Dhaka. Randomly distributed 160 boreholes have been used to prepare representative soil profiles (RSP) to identify the near-surface lithology of the geomorphological units. The study reveals that 13 out of 18 low-lying geomorphic units, comprising 65% of the total area demand landfill practices for urban development. Landfill sites have been merged with urban growth on each low-lying geomorphic unit using a spatially enhanced fused image of IRS-1D PAN and ETM+ bands 5, 4 and 3, acquired February 2000 and 2002, respectively. We found that 43% area of the total low-lying geomorphic units experience fill practices so far. The fill sites have been differentiated into four classes based on their relative thickness. Integration of fill classes with geomorphological map shows the urban dynamics of Dhaka city area till 2002. Due to GIS integration, this map can be rapidly updated to demonstrate temporal modifications in urban ground. It can be used effectively in different geomorphological hazard mapping and urban land-use practices.

  15. Hydrology of a groundwater-irrigated rice field in Bangladesh: Seasonal and daily mechanisms of infiltration

    NASA Astrophysics Data System (ADS)

    Neumann, Rebecca B.; Polizzotto, Matthew L.; Badruzzaman, A. Borhan M.; Ali, M. Ashraf; Zhang, Zhongyuan; Harvey, Charles F.

    2009-09-01

    Flow through a groundwater-irrigated rice field in Bangladesh was characterized with data collected from a transect of tensiometers and time domain reflectometry sensors, novel tracer tests, infiltration tests, soil core analyses, and calculated water budgets. The combined data captured the dynamic hydrologic behavior of the rice field over an entire growing season, which included many irrigation events. Recharge to the aquifer flowed from the surface of the rice field through preferential flow paths located in the subsoil beneath the plowed surface of the field and in the bunds, the raised boundaries around the perimeter of the field. Water that remained within the soil matrix did not recharge the aquifer. Bund flow was the dominant loss for the field because the bulk hydraulic conductivity of the soil beneath the bunds was greater than that in the plowed and planted region of the rice field. Each year, farmers plow the rice fields, destroying cracks and decreasing the conductivity of the shallow soil, but leave the bunds unplowed because they follow property boundaries. We determined bund flow with a daily water balance and confirmed its importance by comparing irrigation losses among fields of different sizes and geometries and hence different ratios of perimeter to area. The perimeter-to-area ratio predicted the fraction of water lost down the bunds for these and other fields located throughout Southeast Asia. Finally, we determined the economic and environmental benefits of reducing bund flow.

  16. Arsenic levels in rice grain and assessment of daily dietary intake of arsenic from rice in arsenic-contaminated regions of Bangladesh--implications to groundwater irrigation.

    PubMed

    Rahman, Mohammad Mahmudur; Owens, Gary; Naidu, Ravi

    2009-04-01

    Chronic exposure to arsenic (As) causes significant human health effects, including various cancers and skin disorders. Naturally elevated concentrations of As have been detected in the groundwater of Bangladesh. Dietary intake and drinking water are the major routes of As exposure for humans. The objectives of this study were to measure As concentrations in rice grain collected from households in As-affected villages of Bangladesh where groundwater is used for agricultural irrigation and to estimate the daily intake of As consumed by the villagers from rice. The median and mean total As contents in 214 rice grain samples were 131 and 143 microg/kg, respectively, with a range of 2-557 microg/kg (dry weight, dw). Arsenic concentrations in control rice samples imported from Pakistan and India and on sale in Australian supermarkets were significantly lower (p < 0.001) than in rice from contaminated areas. Daily dietary intake of As from rice was 56.4 microg for adults (males and females) while the total daily intake of As from rice and from drinking water was 888.4 and 706.4 microg for adult males and adult females, respectively. From our study, it appears that the villagers are consuming a significant amount of As from rice and drinking water. The results suggest that the communities in the villages studied are potentially at risk of suffering from arsenic-related diseases.

  17. Factors associated with relapse into drug use among male and female attendees of a three-month drug detoxification–rehabilitation programme in Dhaka, Bangladesh: a prospective cohort study

    PubMed Central

    2013-01-01

    Background To determine relapse rates and associated factors among people who use drugs (PWUDs) attending abstinence-oriented drug treatment clinics in Dhaka, Bangladesh. Methods A cohort of male and female PWUDs admitted to the 3-month drug detoxification-rehabilitation treatment programmes of three non-governmental organisation-run drug treatment clinics in Dhaka, Bangladesh were interviewed on admission and over the following 5 months, which included the first 2 months after discharge. The study subjects comprised 150 male and 110 female PWUDs who had been taking opiates/opioids, cannabis or other drugs (including sedatives) before admission, had provided informed consent and were aged ≥16 years. Interviews were conducted using semi-structured questionnaires at four time points; on admission, at discharge and at 1 and 2 months after discharge. Relapse rates were assessed by the Kaplan–Meier method. Factors associated with relapse on enrolment and after discharge were determined using the Cox proportional hazards regression model. Results A greater proportion of female than male subjects relapsed over the study period (71.9% versus 54.5%, p < 0.01). For men, baseline factors associated with relapse were living with other PWUDs (relative hazard ratio [RHR] = 2.27), living alone (RHR = 2.35) and not having sex with non-commercial partners (RHR = 2.27); whereas for women these were previous history of drug treatment (RHR = 1.94), unstable housing (RHR = 2.44), higher earnings (RHR = 1.89), preferring to smoke heroin (RHR = 3.62) and injecting buprenorphine/pethidine (RHR = 3.00). After discharge, relapse for men was associated with unstable housing (RHR = 2.78), living alone (RHR = 3.69), higher earnings (RHR = 2.48) and buying sex from sex workers (RHR = 2.29). Women’ relapses were associated with not having children to support (RHR = 3.24) and selling sex (RHR = 2.56). Conclusions The relapse rate was higher for female PWUDs. For both male and female

  18. Knowledge of, attitudes toward, and preventive practices relating to cholera and oral cholera vaccine among urban high-risk groups: findings of a cross-sectional study in Dhaka, Bangladesh

    PubMed Central

    2013-01-01

    Background In endemic countries such as Bangladesh, consequences of cholera place an enormous financial and social burden on patients and their families. Cholera vaccines not only provide health benefits to susceptible populations but also have effects on the earning capabilities and financial stability of the family. Community-based research and evaluations are necessary to understand perceptions about and practices of the community relating to cholera and oral cholera vaccines. This may help identify the ways in which such vaccines may be successfully introduced, and other preventive measures can be implemented. The present study assessed the knowledge of, attitudes toward, and preventive practices relating to cholera and oral cholera vaccine among an urban population residing in a high cholera-prone setting in Dhaka, Bangladesh. Methods This cross-sectional study was conducted in an area of high cholera prevalence in 15 randomly-selected clusters in Mirpur, Dhaka city. A study team collected data through a survey and in-depth interviews during December 2010–February 2011. Results Of 2,830 families included in the final analysis, 23% could recognize cholera as acute watery diarrhea and 16% had ever heard of oral cholera vaccine. About 54% of the respondents had poor knowledge about cholera-related issues while 97% had a positive attitude toward cholera and oral cholera vaccine. One-third showed poor practice relating to the prevention of cholera. The findings showed a significant (p < 0.05) association between the respondents’ knowledge and sex, education, occupation, monthly overall household expenditure, attitudes and practice. In the adjusted model, male sex, having a lower monthly overall household expenditure, and having a less positive attitude toward cholera were the significant predictors to having poor knowledge. Conclusions The findings suggest the strengthening of health education activities to improve knowledge on cholera, its prevention and

  19. Traditional medicinal plants used for the treatment of diabetes in rural and urban areas of Dhaka, Bangladesh – an ethnobotanical survey

    PubMed Central

    2013-01-01

    Background The usage of medicinal plants is traditionally rooted in Bangladesh and still an essential part of public healthcare. Recently, a dramatically increasing prevalence brought diabetes mellitus and its therapy to the focus of public health interests in Bangladesh. We conducted an ethnobotanical survey to identify the traditional medicinal plants being used to treat diabetes in Bangladesh and to critically assess their anti-diabetic potentials with focus on evidence-based criteria. Methods In an ethnobotanical survey in defined rural and urban areas 63 randomly chosen individuals (health professionals, diabetic patients), identified to use traditional medicinal plants to treat diabetes, were interviewed in a structured manner about their administration or use of plants for treating diabetes. Results In total 37 medicinal plants belonging to 25 families were reported as being used for the treatment of diabetes in Bangladesh. The most frequently mentioned plants were Coccinia indica, Azadirachta indica, Trigonella foenum-graecum, Syzygium cumini, Terminalia chebula, Ficus racemosa, Momordica charantia, Swietenia mahagoni. Conclusion Traditional medicinal plants are commonly used in Bangladesh to treat diabetes. The available data regarding the anti-diabetic activity of the detected plants is not sufficient to adequately evaluate or recommend their use. Clinical intervention studies are required to provide evidence for a safe and effective use of the identified plants in the treatment of diabetes. PMID:23800215

  20. Household rice expenditure and maternal and child nutritional status in Bangladesh.

    PubMed

    Campbell, Ashley A; de Pee, Saskia; Sun, Kai; Kraemer, Klaus; Thorne-Lyman, Andrew; Moench-Pfanner, Regina; Sari, Mayang; Akhter, Nasima; Bloem, Martin W; Semba, Richard D

    2010-01-01

    In Bangladesh, poor rural families often deal with high food costs by purchasing primarily rice. Our objective was to characterize the relationship between household expenditure on rice and nonrice foods with maternal and child malnutrition. Food expenditure data and anthropometry were obtained in a population-based sample of 304,856 households in the Bangladesh Nutrition Surveillance Project, 2000-2005. Food expenditures were categorized as rice and nonrice foods and expressed as quintiles of proportional food expenditure. Of children aged 6-11, 12-23, and 24-59 mo, the prevalence of stunting was 33.5, 56.3, and 53.1%, respectively. The prevalence of maternal underweight (BMI < 18.5 kg/m(2)) was 37.3%. Among children aged 6-11, 12-23, and 24-59 mo, rice expenditures were associated with stunting [odds ratio (OR) 1.11, 95% CI 1.02-1.20, P = 0.01; OR 1.09, 95% CI 1.04-1.13, P < 0.0001; OR 1.13, 95% CI 1.08-1.18, P < 0.0001), respectively, among families in the highest compared with the lowest quintile, adjusting for potential confounders, and nonrice food expenditures were associated with stunting (OR 0.87, 95% CI 0.80-0.95, P = 0.002; OR 0.86, 95% CI 0.83-0.90, P < 0.0001; OR 0.89, 95% CI 0.85-0.94, P < 0.0001) among families in the highest compared with the lowest quintile, adjusting for potential confounders. In the highest compared with the lowest quintile, rice expenditures (OR 1.12, 95% CI 1.08-1.15, P < 0.0001) and nonrice food expenditures (OR 0.93, 95% CI 0.90-0.96, P < 0.0001) were associated with maternal underweight. Households that spent a greater proportion on nonrice foods and less on rice had a lower prevalence of maternal and child malnutrition.

  1. Are children living on dead-end streets more active? Near-home street patterns and school-going children's time spent outdoors in Dhaka, Bangladesh.

    PubMed

    Monsur, Muntazar; Mansur, Mohaimen; Islam, Mohammed Zakiul

    2016-12-06

    This study aimed to investigate relationships between near-home street patterns and children's time spent outdoors (TSO). Participants were 60 (n=60) school-age Dhaka children, 7-11years old (16 girls and 44 boys) selected by a two-phase cluster sampling method. Data were collected from September 2010 to June 2011 by visiting each of 60 children's homes. Children's mean TSOs (in minutes) were reported by parents' face-to-face interviews, and near-home street pattern data were collected by systematic direct observations. The researchers also collected data on seven socio-demographic variables and three neighborhood built-environment variables. A backward selection based multiple linear regression was used to examine association between children's TSO and near-home street patterns. Results (adjusted R(2)=0.66 for weekdays and 0.68 for weekend) suggested that children's TSO were significantly associated with near-home street type: dead-end instead of through streets (28min on weekdays, p<0.01 and 66min on weekend, p<0.01). The width of the street, level of its branching and availability of an open space or playground near the house are also positively associated with TSO. Near-home street features significantly contribute to TSO in school-going children of Dhaka. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Faecal contamination of drinking water sources of Dhaka city during the 2004 flood in Bangladesh and use of disinfectants for water treatment.

    PubMed

    Sirajul Islam, M; Brooks, A; Kabir, M S; Jahid, I K; Shafiqul Islam, M; Goswami, D; Nair, G B; Larson, C; Yukiko, W; Luby, S

    2007-07-01

    To describe the extent of faecal pollution and point of use water treatment strategy during and after the 2004 flood in Dhaka. A total of 300 water samples were collected from 20 different drinking water sources in Kamalapur, Dhaka city from August 2004 to January 2005. The level of faecal contamination was estimated using measurements of faecal indicator bacteria (total coliforms, faecal coliforms and faecal streptococci) and isolation of Vibrio cholerae was carried out following standard procedures. Total dissolved solids, dissolved oxygen, hardness, chloride and pH were also monitored. The efficacy of four disinfectants including Halotab, Zeoline-200, alum potash and bleaching powder were tested as point of use water treatment agents. The unacceptable level of contamination of total coliforms (TC), faecal coliforms (FC) and faecal streptococci (FS) ranged from 23.8% to 95.2%, 28.6% to 95.2% and 33.3% to 90.0%, respectively. The isolation rates of V. cholerae O1 and O139 were both 0.33%, and non-O1/non-O139 was 7.0%. Water collected during and after floods was contaminated with TC, FC, FS and V. cholerae. Although alum potash, bleaching powder, Halotab and Zeoline-200 were all effective general disinfectants, Halotab and Zeoline-200 were superior to bleaching powder and alum potash against FC. During and after floods, point of use water treatment could reduce waterborne diseases among flood-affected people.

  3. Shelter-Based Community Libraries: In Search of Alternative Livelihoods for Pavement Dwellers in Dhaka City

    ERIC Educational Resources Information Center

    Nasiruddin, Md.

    2013-01-01

    Each night, around 20,000 people--both adults and children--make the streets of Dhaka (the capital city of Bangladesh) their home. Living amongst the noise, rubbish, and traffic, thousands of families walk down the streets of Dhaka, looking for a safe place to rest for just a few hours each night. Trapped in a vicious cycle of poverty, the…

  4. Increased severity in patients presenting to hospital with diarrhea in Dhaka, Bangladesh Since emergence of the hybrid strain of Vibrio cholerae O1 is not unique to cholera patients

    PubMed Central

    Chowdhury, Fahima; Kuchta, Alison; Khan, Ashraful Islam; Faruque, ASG; Calderwood, Stephen B.; Ryan, Edward T.; Qadri, Firdausi

    2015-01-01

    In 2001, a hybrid strain of Vibrio cholerae O1 El Tor that expresses a classical cholera toxin (CT) emerged and this hybrid variant rapidly replaced the previous El Tor strain around the world. The global emergence of this variant coincided with anecdotal reports that cholera patients were presenting with more severe dehydration and disease in many locations. We compared severity of disease in cholera patients from before and after emergence of the hybrid strain at a diarrheal hospital in Dhaka, Bangladesh. We did indeed find that cholera patients presented with more severe dehydration and severe disease in the latter period; however, this was also true for “all non-cholera patients” as well. In addition, in sub-analyses of patients who presented with rotavirus and enterotoxigenic E. coli (ETEC), we found similar results. Comparing the two periods for differences in patient characteristics, nutritional status, vaccination status and income, we were unable to detect a plausible cause for patients presenting with more severe disease in the latter period. Because we observed a shift in severity for both cholera and non-cholera, our results indicate that the altered El Tor strain cannot fully explain the differences in cholera severity before and after 2001 PMID:26409202

  5. The increased severity in patients presenting to hospital with diarrhea in Dhaka, Bangladesh since the emergence of the hybrid strain of Vibrio cholerae O1 is not unique to cholera patients.

    PubMed

    Chowdhury, Fahima; Kuchta, Alison; Khan, Ashraful Islam; Faruque, A S G; Calderwood, Stephen B; Ryan, Edward T; Qadri, Firdausi

    2015-11-01

    A hybrid strain of Vibrio cholerae O1 El Tor that expresses a classical cholera toxin (CT) emerged in 2001. This hybrid variant rapidly replaced the previous El Tor strain around the world. The global emergence of this variant coincided with anecdotal reports that cholera patients were presenting with more severe dehydration and disease in many locations. A comparison was made of the severity of disease before and after the emergence of the hybrid strain in cholera patients attending an icddr,b hospital in Dhaka, Bangladesh. It was found that cholera patients presented with more severe dehydration and severe disease in the later period. However, this was also true for all non-cholera patients as well. In addition, in sub-analyses of patients who presented with rotavirus and enterotoxigenic Escherichia coli (ETEC), similar results were found. Comparing the two periods for differences in patient characteristics, nutritional status, vaccination status, and income, no plausible cause for patients presenting with more severe disease was identified in the later period. As a shift in severity for both cholera and non-cholera was observed, these results indicate that the altered El Tor strain cannot fully explain the difference in cholera severity before and after 2001. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  6. Durbolota (weakness), chinta rog (worry illness), and poverty: explanations of white discharge among married adolescent women in an urban slum in Dhaka, Bangladesh.

    PubMed

    Rashid, Sabina Faiz

    2007-03-01

    I carried out ethnographic fieldwork among 153 married adolescent girls, aged 15-19, in a Dhaka slum from December 2001 to January 2003, including 50 in-depth interviews and eight case studies. I also held discussions with family and community members. In this article, I focus on popular understandings of vaginal discharge being caused by durbolota (weakness) and chinta rog (worry illness), as mentioned by young women. Eighty-eight young women reported that they had experienced white discharge, blaming it on a number of factors such as stress and financial hardships, tensions in the household, marital instability, hunger anxiety, and reproductive burdens. For married adolescent women in the urban slum, white discharge has many levels of meaning linked to the broader social, political, and material inequalities in their everyday lives.

  7. Experimental magnetism research in Dhaka, Hanoi and Uppsala

    NASA Astrophysics Data System (ADS)

    Nordblad, Per

    2015-04-01

    Promoting basic science in developing countries is the aim of the International Science Program at Uppsala University, Sweden. This program, that some years ago celebrated its 50th anniversary, has been the main supporting agency of my more than 30 years of collaboration with research groups in Dhaka at Bangladesh University of Engineering and Technology and the Atomic Energy Commission, and research groups in Hanoi at the Vietnamese Academy of Science. Our common research on magnetism and magnetic materials has been built upon: (i) Longer visits (about half of their total PhD studies) by PhD students from Hanoi and Dhaka at Uppsala University that ends by PhD exams from their home Universities; (ii) short time visits (up to 2 months) by senior scientists to Uppsala for discussions and measurements; (iii) short visits by me and colleagues from Uppsala in Hanoi and Dhaka for discussions, workshops and conferences; (iv) mutual visits of scientists from Bangladesh and Vietnam to each other and neighboring countries (mostly India) for specific experiments and learning new methods and (v) some support for purchase of research equipment. The work with Dhaka and Hanoi and other countries has resulted in: development of internationally competitive research groups in Hanoi and Dhaka that independently publish in international journals, several PhDs that continue their work at the home institutes, numerous common publications in international scientific journals and not the least lasting professional and personal connections between scientists in Bangladesh, Vietnam, Thailand, Eritrea, India and Sweden.

  8. Living on the Edge of Stagnant Water: An Assessment of Environmental Impacts of Construction-Phase Drainage Congestion Along Dhaka City Flood Control Embankment, Bangladesh

    NASA Astrophysics Data System (ADS)

    Rasid, Harun; Mallsk, Azim U.

    1996-01-01

    Environmental impacts of the construction-phase drainage congestion along the Dhaka City Flood Control Embankment were assessed by a pilot questionnaire survey (in 1991) among the target population adjacent to the embankment. The results of the survey indicated that, despite significant alleviation of river flooding, the majority of the respondents experienced a new type of flood problem in the form of stagnant water inside the embankment, immediately following its construction. Not only had this stagnant water flooded and damaged their property, it had exposed them to a number of other environmental problems, such as accumulation of municipal sewage, foul odors, mosquitoes, and growth of water hyacinth. The study found that the respondents’ assessments of these environmental problems differed significantly according to the magnitude of the impact of stagnant water upon two subgroups within the target population. A postsurvey follow-up in 1994 indicated that this problem of drainage congestion had largely been alleviated by completing the construction of a number of drainage regulators. The study concludes by stressing the importance of synchronizing the construction of drainage structures with that of the embankment systems and by underlining policy implications for flood-vulnerable land use adjacent to embankments.

  9. Bangladesh.

    PubMed

    1987-04-01

    The population of Bangladesh was 104 million in 1986, with an annual growth rate of 2.6%. The country's infant mortality rate is 12.1%, and life expectancy stands at 54 years. The literacy rate is 29%. The work force of 34.1 million is distributed among agriculture (74%), industry (11%), and services (15%). The gross domestic product (GDP) is US$15.3 billion, with a real annual growth rate of 3.6% and a per capita GDP of $151. As one of the world's poorest and most densely populated countries, Bangladesh must struggle to produce domestically and import enough food to feed its rapidly increasing population. The country's transportation, communications, and power infrastructure is relatively poorly developed. Since 1971, an emphasis has been placed on developing new industrial capacity and rehabilitating the economy. The statist economic model, including nationalization of the key jute industry, had resulted in inefficiency and economic stagnation. At present, rapid population growth, inefficiency in the public sector, and restricted natural resources and capital continue to impede economic development. On the other hand, economic policies aimed at encouraging private enterprise and investment, denationalizing public industries, reinstating budgetary discipline, and mobilizing domestic resources are beginning to have an impact. Underemployment remains a serious problem, and there are growing concerns regarding the ability of the agricultural sector to absorb additional manpower. To reach the goal of 10% annual industrial growth for the 1986-89 period, the government is aggressively seeking foreign investment.

  10. Impact of adding hand-washing and water disinfection promotion to oral cholera vaccination on diarrhoea-associated hospitalization in Dhaka, Bangladesh: evidence from a cluster randomized control trial.

    PubMed

    Najnin, Nusrat; Leder, Karin; Qadri, Firdausi; Forbes, Andrew; Unicomb, Leanne; Winch, Peter J; Ram, Pavani K; Leontsini, Elli; Nizame, Fosiul A; Arman, Shaila; Begum, Farzana; Biswas, Shwapon K; Clemens, John D; Ali, Mohammad; Cravioto, Alejandro; Luby, Stephen P

    2017-09-02

    Information on the impact of hygiene interventions on severe outcomes is limited. As a pre-specified secondary outcome of a cluster-randomized controlled trial among >400 000 low-income residents in Dhaka, Bangladesh, we examined the impact of cholera vaccination plus a behaviour change intervention on diarrhoea-associated hospitalization. Ninety neighbourhood clusters were randomly allocated into three areas: cholera-vaccine-only; vaccine-plus-behaviour-change (promotion of hand-washing with soap plus drinking water chlorination); and control. Study follow-up continued for 2 years after intervention began. We calculated cluster-adjusted diarrhoea-associated hospitalization rates using data we collected from nearby hospitals, and 6-monthly census data of all trial households. A total of 429 995 people contributed 500 700 person-years of data (average follow-up 1.13 years).Vaccine coverage was 58% at the start of analysis but continued to drop due to population migration. In the vaccine-plus-behaviour-change area, water plus soap was present at 45% of hand-washing stations; 4% of households had detectable chlorine in stored drinking water. Hospitalization rates were similar across the study areas [events/1000 person-years, 95% confidence interval (CI), cholera-vaccine-only: 9.4 (95% CI: 8.3-10.6); vaccine-plus-behaviour-change: 9.6 (95% CI: 8.3-11.1); control: 9.7 (95% CI: 8.3-11.6)]. Cholera cases accounted for 7% of total number of diarrhoea-associated hospitalizations. Neither cholera vaccination alone nor cholera vaccination combined with behaviour-change intervention efforts measurably reduced diarrhoea-associated hospitalization in this highly mobile population, during a time when cholera accounted for a small fraction of diarrhoea episodes. Affordable community-level interventions that prevent infection from multiple pathogens by reliably separating faeces from the environment, food and water, with minimal behavioural demands on impoverished communities

  11. Mild Respiratory Illness Among Young Children Caused by Highly Pathogenic Avian Influenza A (H5N1) Virus Infection in Dhaka, Bangladesh, 2011.

    PubMed

    Chakraborty, Apurba; Rahman, Mahmudur; Hossain, M Jahangir; Khan, Salah Uddin; Haider, M Sabbir; Sultana, Rebeca; Ali Rimi, Nadia; Islam, M Saiful; Haider, Najmul; Islam, Ausraful; Sultana Shanta, Ireen; Sultana, Tahmina; Al Mamun, Abdullah; Homaira, Nusrat; Goswami, Doli; Nahar, Kamrun; Alamgir, A S M; Rahman, Mustafizur; Mahbuba Jamil, Khondokar; Azziz-Baumgartner, Eduardo; Simpson, Natosha; Shu, Bo; Lindstrom, Stephen; Gerloff, Nancy; Davis, C Todd; Katz, Jaqueline M; Mikolon, Andrea; Uyeki, Timothy M; Luby, Stephen P; Sturm-Ramirez, Katharine

    2017-09-15

    In March 2011, a multidisciplinary team investigated 2 human cases of highly pathogenic avian influenza A(H5N1) virus infection, detected through population-based active surveillance for influenza in Bangladesh, to assess transmission and contain further spread. We collected clinical and exposure history of the case patients and monitored persons coming within 1 m of a case patient during their infectious period. Nasopharyngeal wash specimens from case patients and contacts were tested with real-time reverse-transcription polymerase chain reaction, and virus culture and isolates were characterized. Serum samples were tested with microneutralization and hemagglutination inhibition assays. We tested poultry, wild bird, and environmental samples from case patient households and surrounding areas for influenza viruses. Two previously healthy case patients, aged 13 and 31 months, had influenzalike illness and fully recovered. They had contact with poultry 7 and 10 days before illness onset, respectively. None of their 57 contacts were subsequently ill. Clade 2.2.2.1 highly pathogenic avian influenza H5N1 viruses were isolated from the case patients and from chicken fecal samples collected at the live bird markets near the patients' dwellings. Identification of H5N1 cases through population-based surveillance suggests possible additional undetected cases throughout Bangladesh and highlights the importance of surveillance for mild respiratory illness among populations frequently exposed to infected poultry.

  12. Antimicrobial Susceptibilities and Plasmid Contents of Neisseria gonorrhoeae Isolates from Commercial Sex Workers in Dhaka, Bangladesh: Emergence of High-Level Resistance to Ciprofloxacin

    PubMed Central

    Bhuiyan, Bahar Uddin; Rahman, Motiur; Miah, Mohammed Ruhul Amin; Nahar, Shamsun; Islam, Nazrul; Ahmed, Monira; Rahman, Kazi Masihur; Albert, M. John

    1999-01-01

    Commercial sex workers (CSWs) serve as the most important reservoir of sexually transmitted diseases (STD), including gonorrhea. Periodic monitoring of the antimicrobial susceptibility profile of Neisseria gonorrhoeae in a high-risk population provides essential clues regarding the rapidly changing pattern of antimicrobial susceptibilities. A study concerning the prevalence of gonococcal infection among CSWs was conducted in Bangladesh. The isolates were examined with regards to their antimicrobial susceptibility to, and the MICs of, penicillin, tetracycline, ciprofloxacin, cefuroxime, ceftriaxone, and spectinomycin by disk diffusion and agar dilution methods. The total plasmid profile of the isolates was also analyzed. Of the 224 CSWs, 94 (42%) were culture positive for N. gonorrhoeae. There was a good correlation between the results of the disk diffusion and agar dilution methods. Some 66% of the isolates were resistant to penicillin, and 34% were moderately susceptible to penicillin. Among the resistant isolates, 23.4% were penicillinase-producing N. gonorrhoeae (PPNG). 60.6% of the isolates were resistant and 38.3% were moderately susceptible to tetracycline, 17.5% were tetracycline-resistant N. gonorrhoeae, 11.7% were resistant and 26.6% had reduced susceptibility to ciprofloxacin, 2.1% were resistant and 11.7% had reduced susceptibility to cefuroxime, and 1% were resistant to ceftriaxone. All PPNG isolates contained a 3.2-MDa African type of plasmid, and a 24.2-MDa conjugative plasmid was present in 34.1% of the isolates. Since quinolones such as ciprofloxacin are recommended as the first line of therapy for gonorrhea, the emergence of significant resistance to ciprofloxacin will limit the usefulness of this drug for treatment of gonorrhea in Bangladesh. PMID:10074537

  13. Cultivation of different strains of king oyster mushroom (Pleurotus eryngii) on saw dust and rice straw in Bangladesh.

    PubMed

    Moonmoon, Mahbuba; Uddin, Md Nazim; Ahmed, Saleh; Shelly, Nasrat Jahan; Khan, Md Asaduzzaman

    2010-10-01

    Pleurotus eryngii is a popular mushroom due to its excellent consistency of cap and stem, culinary qualities and longer shelf life. In Bangladesh, where Pleurotus mushrooms are very popular, P. eryngii may take position among the consumers, but currently this mushroom is not cultivated in large scale there. In this study, 3 strains of P. eryngii such as Pe-1 (native to Bangladesh), Pe-2 (germplasm collected from China) and Pe-3 (germplasm collected from Japan) were cultivated on saw dust and rice straw and their growth and yield parameters were investigated. Pe-1 on saw dust showed the highest biological yield and efficiency (73.5%) than other strains. Also, the mycelium run rate and number of fruiting bodies were higher in Pe-1 than other two strains. The quality of mushroom strains was near about similar. On saw dust, the yield and efficiency were better than those cultivated on rice straw, however, on straw; the mushroom fruiting bodies were larger in size. This study shows the prospects of P. eryngii cultivation in Bangladesh and suggests further study in controlled environment for higher yield and production.

  14. Failure to detect Helicobacter pylori DNA in drinking and environmental water in Dhaka, Bangladesh, using highly sensitive real-time PCR assays.

    PubMed

    Janzon, Anders; Sjöling, Asa; Lothigius, Asa; Ahmed, Dilruba; Qadri, Firdausi; Svennerholm, Ann-Mari

    2009-05-01

    The main transmission pathway of Helicobacter pylori has not been determined, but several reports have described detection of H. pylori DNA in drinking and environmental water, suggesting that H. pylori may be waterborne. To address this possibility, we developed, tested, and optimized two complementary H. pylori-specific real-time PCR assays for quantification of H. pylori DNA in water. The minimum detection level of the assays including collection procedures and DNA extraction was shown to be approximately 250 H. pylori genomes per water sample. Using our assays, we then analyzed samples of drinking and environmental water (n = 75) and natural water biofilms (n = 21) from a high-endemicity area in Bangladesh. We could not identify H. pylori DNA in any of the samples, even though other pathogenic bacteria have been found previously in the same water samples by using the same methodology. A series of control experiments were performed to ensure that the negative results were not falsely caused by PCR inhibition, nonspecific assays, degradation of template DNA, or low detection sensitivity. Our results suggest that it is unlikely that the predominant transmission route of H. pylori in this area is waterborne.

  15. Performance of different herbicides in dry-seeded rice in Bangladesh.

    PubMed

    Ahmed, Sharif; Chauhan, Bhagirath Singh

    2014-01-01

    A field study was conducted in the boro season of 2011-12 and aman season of 2012 at Jessore, Bangladesh, to evaluate the performance of sequential applications of preemergence herbicides (oxadiargyl 80 g ai ha(-1), pendimethalin 850 g ai ha(-1), acetachlor + bensulfuranmethyl 240 g ai ha(-1), and pyrazosulfuron 15 g ai ha(-1)) followed by a postemergence herbicide (ethoxysulfuron 18 g ai ha(-1)) in dry-seeded rice. All evaluated herbicides reduced weed density and biomass by a significant amount. Among herbicides, pendimethalin, oxadiargyl, and acetachlor + bensulfuranmethyl performed very well against grasses; pyrazosulfuron, on the other hand, was not effective. The best herbicide for broadleaf weed control was oxadiargyl (65-85% control); pendimethalin and acetachlor + bensulfuraonmethyl were not effective for this purpose. The best combination for weed control was oxadiargyl followed by ethoxysulfuron in the boro season and oxadiargyl followed by a one-time hand weeding in the aman season. Compared with the partial weedy plots (hand weeded once), oxadiargyl followed by ethoxysulfuron (4.13 t ha(-1)) provided a 62% higher yield in the boro season while oxadiargyl followed by a one-time hand weeding (4.08 t ha(-1)) provided a 37% higher yield in the aman season.

  16. Performance of Different Herbicides in Dry-Seeded Rice in Bangladesh

    PubMed Central

    Ahmed, Sharif; Chauhan, Bhagirath Singh

    2014-01-01

    A field study was conducted in the boro season of 2011-12 and aman season of 2012 at Jessore, Bangladesh, to evaluate the performance of sequential applications of preemergence herbicides (oxadiargyl 80 g ai ha−1, pendimethalin 850 g ai ha−1, acetachlor + bensulfuranmethyl 240 g ai ha−1, and pyrazosulfuron 15 g ai ha−1) followed by a postemergence herbicide (ethoxysulfuron 18 g ai ha−1) in dry-seeded rice. All evaluated herbicides reduced weed density and biomass by a significant amount. Among herbicides, pendimethalin, oxadiargyl, and acetachlor + bensulfuranmethyl performed very well against grasses; pyrazosulfuron, on the other hand, was not effective. The best herbicide for broadleaf weed control was oxadiargyl (65–85% control); pendimethalin and acetachlor + bensulfuraonmethyl were not effective for this purpose. The best combination for weed control was oxadiargyl followed by ethoxysulfuron in the boro season and oxadiargyl followed by a one-time hand weeding in the aman season. Compared with the partial weedy plots (hand weeded once), oxadiargyl followed by ethoxysulfuron (4.13 t ha−1) provided a 62% higher yield in the boro season while oxadiargyl followed by a one-time hand weeding (4.08 t ha−1) provided a 37% higher yield in the aman season. PMID:24688423

  17. Interferon-γ and proliferation responses to Salmonella enterica Serotype Typhi proteins in patients with S. Typhi Bacteremia in Dhaka, Bangladesh.

    PubMed

    Sheikh, Alaullah; Khanam, Farhana; Sayeed, Md Abu; Rahman, Taibur; Pacek, Marcin; Hu, Yanhui; Rollins, Andrea; Bhuiyan, Md Saruar; Rollins, Sean; Kalsy, Anuj; Arifuzzaman, Mohammad; Leung, Daniel T; Sarracino, David A; Krastins, Bryan; Charles, Richelle C; Larocque, Regina C; Cravioto, Alejandro; Calderwood, Stephen B; Brooks, W Abdullah; Harris, Jason B; Labaer, Joshua; Qadri, Firdausi; Ryan, Edward T

    2011-06-01

    Salmonella enterica serotype Typhi is a human-restricted intracellular pathogen and the cause of typhoid fever. Cellular immune responses are required to control and clear Salmonella infection. Despite this, there are limited data on cellular immune responses in humans infected with wild type S. Typhi. For this work, we used an automated approach to purify a subset of S. Typhi proteins identified in previous antibody-based immuno-affinity screens and antigens known to be expressed in vivo, including StaF-putative fimbrial protein-STY0202, StbB-fimbrial chaperone-STY0372, CsgF-involved in curli production-STY1177, CsgD- putative regulatory protein-STY1179, OppA-periplasmic oligopeptide binding protein precursor-STY1304, PagC-outer membrane invasion protein-STY1878, and conserved hypothetical protein-STY2195; we also generated and analyzed a crude membrane preparation of S. Typhi (MP). In comparison to samples collected from uninfected Bangladeshi and North American participants, we detected significant interferon-γ responses in PBMCs stimulated with MP, StaF, StbB, CsgF, CsgD, OppA, STY2195, and PagC in patients bacteremic with S. Typhi in Bangladesh. The majority of interferon-γ expressing T cells were CD4 cells, although CD8 responses also occurred. We also assessed cellular proliferation responses in bacteremic patients, and confirmed increased responses in infected individuals to MP, StaF, STY2195, and PagC in convalescent compared to acute phase samples and compared to controls. StaF is a fimbrial protein homologous to E. coli YadK, and contains a Pfam motif thought to be involved in cellular adhesion. PagC is expressed in vivo under the control of the virulence-associated PhoP-regulon required for intra-macrophage survival of Salmonella. STY2195 is a conserved hypothetical protein of unknown function. This is the first analysis of cellular immune responses to purified S. Typhi antigens in patients with typhoid fever. These results indicate that patients

  18. Rice Field Geochemistry and Hydrology: An Explanation for Why Groundwater Irrigated Fields in Bangladesh are Net Sinks of Arsenic from Groundwater

    PubMed Central

    Neumann, Rebecca B.; St. Vincent, Allison P.; Roberts, Linda C.; Badruzzaman, A. Borhan M.; Ali, M. Ashraf; Harvey, Charles F.

    2011-01-01

    Irrigation of rice fields in Bangladesh with arsenic-contaminated groundwater transfers tens of cubic kilometers of water and thousands of tons of arsenic from aquifers to rice fields each year. Here we combine observations of infiltration patterns with measurements of porewater chemical composition from our field site in Munshiganj Bangladesh to characterize the mobility of arsenic in soils beneath rice fields. We find that very little arsenic delivered by irrigation returns to the aquifer, and that recharging water mobilizes little, if any, arsenic from rice field subsoils. Arsenic from irrigation water is deposited on surface soils and sequestered along flow paths that pass through bunds, the raised soil boundaries around fields. Additionally, timing of flow into bunds limits the transport of biologically available organic carbon from rice fields into the subsurface where it could stimulate reduction processes that mobilize arsenic from soils and sediments. Together, these results explain why groundwater irrigated rice fields act as net sinks of arsenic from groundwater. PMID:21332196

  19. Greenhouse gas emission and mitigation potential of changes in water management for two rice sites in Bangladesh

    NASA Astrophysics Data System (ADS)

    Begum, Khadiza; Kuhnert, Matthias; Yeluripati, Jagadeesh; Smith, Pete; Ogle, Stephen; Parton, William; Kader, Abdul; Sleutel, Steven

    2017-04-01

    Agriculture is one of the main contributors to greenhouse gas (GHG) emissions in Bangladesh and rice production is one of the largest sources of GHG emissions. This study considers measurements from two test sites, situated in Mymensingh (Bangladesh), to calibrate and validate the biogeochemical model DailyDayCent and estimate the mitigation potential of alternative management practices at the sites. There are two different N application treatments on the two test sites, which are on the first site a control with no N application and a mineral fertilizer application (120 kg N ha-1) and on the second site only a mineral fertilizer application (110 kg N ha-1). For mitigation, the water management is modified in a modelling approach to estimate the mitigation potential for reducing GHG emissions. The model shows partial agreement with the observations. The modifications to the water management, by changing from permanent wetting to alternate wetting, shows a decrease in GHG emissions of up to 46 % and 37 % for the two test sites, respectively. These tests enable an optimization of the management options to reduce the GHG emissions while maintaining yields.

  20. Forensic medicine in Bangladesh.

    PubMed

    Islam, Muhammad Nurul; Islam, Mohammed Nasimul

    2003-03-01

    In this paper, we discuss the current medico-legal practice and future plan to improve the medico-legal service of Bangladesh which is rooted in the remnants of British medical jurisprudence. It includes clinical forensic medicine and forensic pathology. In Bangladesh all unnatural deaths are to be reported at the nearest police station and an appointed police officer should visit the scene of crime for investigation and to arrange postmortem if required. The forensic services of the country are delivered partly by academic staffs of Government Medical Colleges and the rest by the Civil Surgeons. Sometimes, residential medical officers in the district hospitals perform the medico-legal work. Most of them have no forensic qualifications except a long exposure in the medico-legal field. Currently academic and professional postgraduate courses are available. The chemical examiner's laboratory is situated at Dhaka with the facility of quantitative tests only. The Government of Bangladesh is trying to standardize the existing system. A Workshop on medico-legal services has been organized regularly by The Medico-legal Society of Bangladesh. A DNA profiling laboratory at the Dhaka Medical College is in the process of being set up. Such progress will be a milestone in the development of the medico-legal service in Bangladesh. However, with a few exceptions, teaching and training facilities are still lacking.

  1. Food chain aspects of arsenic contamination in Bangladesh: effects on quality and productivity of rice.

    PubMed

    Duxbury, J M; Mayer, A B; Lauren, J G; Hassan, N

    2003-01-01

    The total arsenic content of 150 paddy rice samples collected from Barisal, Comilla, Dinajpur, Kaunia, and Rajshahi districts, and from the BRRI experimental station at Rajshahi city in the boro and aman seasons of 2000 was determined by hydride generation-inductively coupled plasma emission spectroscopy (ICP). Arsenic concentrations varied from 10 to 420 microg/kg at 14% moisture content. Rice yields and grain arsenic concentrations were 1.5 times higher in the boro (winter) than the summer (monsoon) season, consistent with the much greater use of groundwater for irrigation in the boro season. Mean values for the boro and aman season rices were 183 and 117 microg/kg, respectively. The variation in arsenic concentrations in rice was only partially consistent with the pattern of arsenic concentrations in drinking water tube wells. There was no evidence from yield or panicle sterility data of arsenic toxicity to rice. Processing of rice (parboiling and milling) reduced arsenic concentrations in rice by an average of 19% in 21 samples collected from households. Human exposure to arsenic through rice would be equivalent to half of that in water containing 50 microg/kg for 14% of the paddy rice samples at rice and water intake levels of 400 g and 4 L/cap/day, respectively.

  2. Effect of weed management and seed rate on crop growth under direct dry seeded rice systems in Bangladesh.

    PubMed

    Ahmed, Sharif; Salim, Muhammad; Chauhan, Bhagirath S

    2014-01-01

    Weeds are a major constraint to the success of dry-seeded rice (DSR). The main means of managing these in a DSR system is through chemical weed control using herbicides. However, the use of herbicides alone may not be sustainable in the long term. Approaches that aim for high crop competitiveness therefore need to be exploited. One such approach is the use of high rice seeding rates. Experiments were conducted in the aman (wet) seasons of 2012 and 2013 in Bangladesh to evaluate the effect of weed infestation level (partially-weedy and weed-free) and rice seeding rate (20, 40, 60, 80, and 100 kg ha(-1)) on weed and crop growth in DSR. Under weed-free conditions, higher crop yields (5.1 and 5.2 t ha(-1) in the 2012 and 2013 seasons, respectively) were obtained at the seeding rate of 40 kg ha(-1) and thereafter, yield decreased slightly beyond 40 kg seed ha(-1). Under partially-weedy conditions, yield increased by 30 to 33% (2.0-2.2 and 2.9-3.2 t ha(-1) in the 2012 and 2013 seasons, respectively) with increase in seeding rate from 20 to 100 kg ha(-1). In the partially-weedy plots, weed biomass decreased by 41-60% and 54-56% at 35 days after sowing and at crop anthesis, respectively, when seeding rate increased from 20 to 100 kg ha(-1). Results from our study suggest that increasing seeding rates in DSR can suppress weed growth and reduce grain yield losses from weed competition.

  3. Effect of Weed Management and Seed Rate on Crop Growth under Direct Dry Seeded Rice Systems in Bangladesh

    PubMed Central

    Ahmed, Sharif; Salim, Muhammad; Chauhan, Bhagirath S.

    2014-01-01

    Weeds are a major constraint to the success of dry-seeded rice (DSR). The main means of managing these in a DSR system is through chemical weed control using herbicides. However, the use of herbicides alone may not be sustainable in the long term. Approaches that aim for high crop competitiveness therefore need to be exploited. One such approach is the use of high rice seeding rates. Experiments were conducted in the aman (wet) seasons of 2012 and 2013 in Bangladesh to evaluate the effect of weed infestation level (partially-weedy and weed-free) and rice seeding rate (20, 40, 60, 80, and 100 kg ha−1) on weed and crop growth in DSR. Under weed-free conditions, higher crop yields (5.1 and 5.2 t ha−1 in the 2012 and 2013 seasons, respectively) were obtained at the seeding rate of 40 kg ha−1 and thereafter, yield decreased slightly beyond 40 kg seed ha−1. Under partially-weedy conditions, yield increased by 30 to 33% (2.0–2.2 and 2.9–3.2 t ha−1 in the 2012 and 2013 seasons, respectively) with increase in seeding rate from 20 to 100 kg ha−1. In the partially-weedy plots, weed biomass decreased by 41–60% and 54–56% at 35 days after sowing and at crop anthesis, respectively, when seeding rate increased from 20 to 100 kg ha−1. Results from our study suggest that increasing seeding rates in DSR can suppress weed growth and reduce grain yield losses from weed competition. PMID:25000520

  4. Use of rice-based oral rehydration solution in a large diarrhoea treatment centre in Bangladesh: in-house production, use and relative cost.

    PubMed

    Islam, M A; Mahalanabis, D; Majid, N

    1994-12-01

    Glucose-based oral rehydration salt (ORS) is an appropriate and cost-effective tool to treat diarrhoeal dehydration. In patients with a high purging rate, particularly due to cholera, rice-based ORS has been shown to substantially reduce stool output compared to glucose ORS. However, it is not used in the hospitals or diarrhoea treatment centres largely because of the non-availability of a ready-to-use inexpensive packaged product and because of the problem of cooking. In a large diarrhoea treatment centre in Bangladesh (with an annual ORS consumption of approximately 140,000 litres), we have maintained in-house production of rice ORS and used it routinely for more than 600,000 patients over the last nine years. Semi-literate health workers cook rice ORS and supervise mothers in its use. Rice ORS is less costly (US $0.15 per patient treated compared with US $0.37 for glucose ORS) and is well accepted. It is an attractive alternative to glucose ORS in many fixed facility treatment centres in countries where rice is a staple and cholera is endemic. The process of its in-house preparation and use is described in this report which may assist hospitals wishing to use rice ORS in treating diarrhoea patients. Availability of a low cost ready-to-use rice ORS packet (which needs no cooking) with adequate shelf-life will increase its use at fixed facilities.

  5. Bangladesh: Political and Strategic Developments and U.S. Interests

    DTIC Science & Technology

    2010-04-01

    Investment Framework Agreement ( TIFA ), Bangladeshi concerns over environment, labor, and intellectual property provisions have made Bangladesh reluctant to...move forward with a TIFA . Bangladesh announced in March 2010 that it would welcome any proposed alternative. U.S. Ambassador James Moriarty has...Dhaka Open to Any Move ‘Alternative to TIFA ,” The Financial Express, March 13, 2010. 4 Secretary of State Hillary Clinton, “Remarks with Bangladesh

  6. Effectiveness of harm reduction programmes for injecting drug users in Dhaka city.

    PubMed

    Azim, Tasnim; Hussein, Najmul; Kelly, Robert

    2005-10-25

    This paper provides a brief overview of the harm reduction programme for injecting drug users (IDU) of CARE, Bangladesh in Dhaka city and uses data from surveillance and a focussed research study on a cohort of IDU, to evaluate the programme. The harm reduction programme in Dhaka is run by CARE, Bangladesh and includes needle/syringe exchange, awareness raising on HIV/STI, abscess management, condom distribution and advocacy with different groups of people. The needle/syringe exchange programme (NEP) has been in place since 1998, the 2nd Generation Surveillance in Bangladesh is being conducted since 1998, and an in-depth cohort study, started in 2002, is being conducted in two areas of Dhaka city with approximately 500 IDU under CARE's NEP who are being followed bi-annually to assess risk behaviour, incidence of HIV, hepatitis C and syphilis. As the surveillance and the cohort study are both closely associated with the NEP of CARE, Bangladesh, these data can be used to monitor the NEP.

  7. Modeling of urban solid waste management system: the case of Dhaka city.

    PubMed

    Sufian, M A; Bala, B K

    2007-01-01

    This paper presents a system dynamics computer model to predict solid waste generation, collection capacity and electricity generation from solid waste and to assess the needs for waste management of the urban city of Dhaka, Bangladesh. Simulated results show that solid waste generation, collection capacity and electricity generation potential from solid waste increase with time. Population, uncleared waste, untreated waste, composite index and public concern are projected to increase with time for Dhaka city. Simulated results also show that increasing the budget for collection capacity alone does not improve environmental quality; rather an increased budget is required for both collection and treatment of solid wastes of Dhaka city. Finally, this model can be used as a computer laboratory for urban solid waste management (USWM) policy analysis.

  8. Modeling of urban solid waste management system: The case of Dhaka city

    SciTech Connect

    Sufian, M.A.; Bala, B.K.

    2007-07-01

    This paper presents a system dynamics computer model to predict solid waste generation, collection capacity and electricity generation from solid waste and to assess the needs for waste management of the urban city of Dhaka, Bangladesh. Simulated results show that solid waste generation, collection capacity and electricity generation potential from solid waste increase with time. Population, uncleared waste, untreated waste, composite index and public concern are projected to increase with time for Dhaka city. Simulated results also show that increasing the budget for collection capacity alone does not improve environmental quality; rather an increased budget is required for both collection and treatment of solid wastes of Dhaka city. Finally, this model can be used as a computer laboratory for urban solid waste management (USWM) policy analysis.

  9. Fighting poverty: the economic adjustment of female migrants in Dhaka.

    PubMed

    Huq-hussain, S

    1995-10-01

    Data from a field survey of slum and squatter settlements in Dhaka, Bangladesh, are used to examine the social adjustment of poor, female migrants to work, occupational choice, work satisfaction, income, control over income, and women's role in the family economy. A "poor household," defined in terms of nutritional intake, included those families receiving under 2122 cal/person/day. 44% of the urban population in Bangladesh do not obtain the daily nutritional requirement. Findings indicate that 61% of all female migrants expected to find work on arrival in the city. 44% of female migrants were willing to take any kind of work available at the time of arrival. Over 66% of all females found work in less than 6 months. Almost 25% took 6 months to a year to find a job, and 15% found work after a year's time. Recent migrants, who were older, found work quicker. 16% of female migrants found their job with help from relatives and friends (23% of recent migrants and 14% of long-term migrants). Among female migrants who sought a job on their own, 14% found work within 6 months. 3% found work between 6 months and a year. The rest were engaged in family and home-based work or found a job much later. In Dhaka, most women migrants worked in the service or informal sector. 40% of the sample worked as domestics, 38% worked in the informal sector, 16% worked in other informal work, and 5% worked in export-based garment industries. Most female migrants lived in the British Dhaka zone and the post-British Dhaka zone. Those living in the Mughal Dhaka zone tended to work in home-based informal activities. Garment industry workers tended to have more education. Women in the informal sector did not receive cash income. Just over 33% received income in kind, about 25% received a low income, and another 25% received a moderate income. In 71% of cases, husbands or fathers handled the money. 29% handled income on their own. Their own earnings went mostly for survival needs. Over 70% changed

  10. Effect of rice-cooking water to the daily arsenic intake in Bangladesh: results of field surveys and rice-cooking experiments.

    PubMed

    Ohno, K; Matsuo, Y; Kimura, T; Yanase, T; Rahman, M H; Magara, Y; Matsushita, T; Matsui, Y

    2009-01-01

    The effect of rice-cooking water to the daily arsenic intake of Bangladeshi people was investigated. At the first field survey, uncooked rice and cooked rice of 29 families were collected. Their arsenic concentrations were 0.22+/-0.11 and 0.26+/-0.15 mg/kg dry wt, respectively. In 15 families, arsenic concentration in rice increased after cooking. Good correlation (R(2)=0.89) was observed between arsenic in rice-cooking water and the difference of arsenic concentration in rice by cooking. In the second survey, we collected one-day duplicated food of 18 families. As a result, we estimated that six of 18 families likely used the arsenic contaminated water for cooking rice even they drank less arsenic-contaminated water for drinking purpose. We also conducted rice-cooking experiments in the laboratory, changing arsenic concentration in rice-cooking water. Clear linear relationships were obtained between the arsenic in rice-cooking water and the difference of arsenic concentration in rice by cooking. Factors that affect arsenic concentration in cooked rice are suggested as follows: (1) arsenic concentration in uncooked rice, (2) that in rice-cooking water, (3) difference in water content of rice before and after cooking, and (4) types of rice, especially, the difference between parboiled and non-parboiled rice.

  11. Speech intelligibility in the community mosques of Dhaka City

    NASA Astrophysics Data System (ADS)

    Najmul Imam, Sheikh Muhammad

    2002-11-01

    A mosque facilitates a Muslim community through different religious activities like congregational prayers, recitation and theological education. Speech in a mosque usually generates through bare voice though sound amplification system is also applied. Since no musical instrument is used in any liturgy, a mosque involves only speech acoustics. The community mosques of Dhaka city, the densely populated capital of Bangladesh, are usually designed and constructed by common people inspired from religious virtues. Seeking consultancy for acoustical design is almost never done. As an obvious consequence, there is a common crisis of speech intelligibility in different mosques, except those saved for their smaller volume and other parameters generated by chance. In a very few cases, a trial and error method is applied to solve the problem. But in most of the cases, the problem remains unsolved, putting the devotees in endless sufferings. This paper identifies the type and magnitudes of the prevailing crisis of speech intelligibility of these community mosques through instrumental measurements and questionnaire survey. This paper is also intended to establish certain research rationale and hypothesis for further research, which will propose certain parameters in acoustical design for mosques of Dhaka city in particular and of Bangladesh in general.

  12. Sealing rice field boundaries in Bangladesh: a pilot study demonstrating reductions in water use, arsenic loading to field soils, and methane emissions from irrigation water.

    PubMed

    Neumann, Rebecca B; Pracht, Lara E; Polizzotto, Matthew L; Badruzzaman, A Borhan M; Ali, M Ashraf

    2014-08-19

    Irrigation of rice fields in Bangladesh with arsenic-contaminated and methane-rich groundwater loads arsenic into field soils and releases methane into the atmosphere. We tested the water-savings potential of sealing field bunds (raised boundaries around field edges) as a way to mitigate these negative outcomes. We found that, on average, bund sealing reduced seasonal water use by 52 ± 17% and decreased arsenic loading to field soils by 15 ± 4%; greater savings in both water use and arsenic loading were achieved in fields with larger perimeter-to-area ratios (i.e., smaller fields). Our study is the first to quantify emission of methane from irrigation water in Bangladesh, a currently unaccounted-for methane source. Irrigation water applied to unsealed fields at our site emits 18 to 31 g of methane per square-meter of field area per season, potentially doubling the atmospheric input of methane from rice cultivation. Bund sealing reduced the emission of methane from irrigation water by 4 to 19 g/m(2). While the studied outcomes of bund sealing are positive and compelling, widespread implementation of the technique should consider other factors, such as effect on yields, financial costs, and impact on the hydrologic system. We provide an initial and preliminary assessment of these implementation factors.

  13. Food adulteration and consumer awareness in Dhaka City, 1995-2011.

    PubMed

    Nasreen, Sharifa; Ahmed, Tahmeed

    2014-09-01

    We conducted this study to investigate the magnitude of food adulteration during 1995-2011 and consumer awareness in Dhaka city. We reviewed results of food sample testing by Public Health Food Laboratory of Dhaka City Corporation, Bangladesh Standards and Testing Institution, Consumers Association of Bangladesh publications, reports from lay press, including those on mobile magistrate court operations. We conducted a cross-sectional survey among 96 residents of Dhaka city, using a structured questionnaire in 2006. The overall proportion of food samples adulterated decreased during 2001-2005, and 40-54% of daily-consumed food was adulterated during 1995-2011. More than 35 food items were commonly adulterated. Consumers considered expiry date and quality or freshness as the best criteria while buying packaged and open food items respectively; only 11 (12%) respondents considered approval of regulatory authority for buying packaged food items. More than half of the food consumed in Dhaka city is adulterated, which warrants actions by the Government, the industry, and the consumers.

  14. Food Adulteration and Consumer Awareness in Dhaka City, 1995-2011

    PubMed Central

    Ahmed, Tahmeed

    2014-01-01

    ABSTRACT We conducted this study to investigate the magnitude of food adulteration during 1995–2011 and consumer awareness in Dhaka city. We reviewed results of food sample testing by Public Health Food Laboratory of Dhaka City Corporation, Bangladesh Standards and Testing Institution, Consumers Association of Bangladesh publications, reports from lay press, including those on mobile magistrate court operations. We conducted a cross-sectional survey among 96 residents of Dhaka city, using a structured questionnaire in 2006. The overall proportion of food samples adulterated decreased during 2001-2005, and 40-54% of daily-consumed food was adulterated during 1995-2011. More than 35 food items were commonly adulterated. Consumers considered expiry date and quality or freshness as the best criteria while buying packaged and open food items respectively; only 11 (12%) respondents considered approval of regulatory authority for buying packaged food items. More than half of the food consumed in Dhaka city is adulterated, which warrants actions by the Government, the industry, and the consumers. PMID:25395908

  15. Naturally acquired picornavirus infections in primates at the Dhaka zoo.

    PubMed

    Oberste, M Steven; Feeroz, Mohammed M; Maher, Kaija; Nix, W Allan; Engel, Gregory A; Begum, Sajeda; Hasan, Kamrul M; Oh, Gunwha; Pallansch, Mark A; Jones-Engel, Lisa

    2013-01-01

    The conditions in densely populated Bangladesh favor picornavirus transmission, resulting in a high rate of infection in the human population. Data suggest that nonhuman primates (NHP) may play a role in the maintenance and transmission of diverse picornaviruses in Bangladesh. At the Dhaka Zoo, multiple NHP species are caged in close proximity. Their proximity to other species and to humans, both zoo workers and visitors, provides the potential for cross-species transmission. To investigate possible interspecies and intraspecies transmission of picornaviruses among NHP, we collected fecal specimens from nine NHP taxa at the Dhaka Zoo at three time points, August 2007, January 2008, and June 2008. Specimens were screened using real-time PCR for the genera Enterovirus, Parechovirus, and Sapelovirus, and positive samples were typed by VP1 sequencing. Fifty-two picornaviruses comprising 10 distinct serotypes were detected in 83 fecal samples. Four of these serotypes, simian virus 19 (SV19), baboon enterovirus (BaEV), enterovirus 112 (EV112), and EV115, have been solely associated with infection in NHP. EV112, EV115, and SV19 accounted for 88% of all picornaviruses detected. Over 80% of samples from cages housing rhesus macaques, olive baboons, or hamadryas baboons were positive for a picornavirus, while no picornaviruses were detected in samples from capped langurs or vervet monkeys. In contrast to our findings among synanthropic NHP in Bangladesh where 100% of the picornaviruses detected were of human serotypes, in the zoo population, only 15% of picornaviruses detected in NHP were of human origin. Specific serotypes tended to persist over time, suggesting either persistent infection of individuals or cycles of reinfection.

  16. Homeless in Dhaka: violence, sexual harassment, and drug-abuse.

    PubMed

    Koehlmoos, Tracey Pérez; Uddin, Md Jasim; Ashraf, Ali; Rashid, Mashida

    2009-08-01

    Bangladesh has experienced one of the highest urban population growth rates (around 7% per year) over the past three decades. Dhaka, the capital city, attracts approximately 320,000 migrants from rural areas every year. The city is unable to provide shelter, food, education, healthcare, and employment for its rapidly-expanding population. An estimated 3.4 million people live in the overcrowded slums of Dhaka, and many more live in public spaces lacking the most basic shelter. While a small but growing body of research describes the lives of people who live in urban informal settlements or slums, very little research describes the population with no housing at all. Anecdotally, the homeless population in Dhaka is known to face extortion, erratic unemployment, exposure to violence, and sexual harassment and to engage in high-risk behaviours. However, this has not been systematically documented. This cross-sectional, descriptive study was conducted to better understand the challenges in the lives of the homeless population in 11 areas of Dhaka during a 13-month period from June 2007 to June 2008. A modified cluster-sampling method was used for selecting 32 clusters of 14 female and male respondents, for a sample of 896. In addition to sociodemographic details, this paper focuses specifically on violence, drug-abuse, and sexual harassment. The findings showed that physical assaults among the homeless, particularly among women, were a regular phenomenon. Eighty-three percent of female respondents (n=372) were assaulted by their husbands, station masters, and male police officers. They were subjected to lewd gestures, unwelcome advances, and rape. Male respondents reported being physically assaulted while trying to collect food, fighting over space, or while stealing, by police officers, miscreants, or other homeless people. Sixty-nine percent of the male respondents (n=309) used locally-available drugs, such as marijuana and heroin, and two-thirds of injecting drug

  17. Biofortified β-carotene rice improves vitamin A intake and reduces the prevalence of inadequacy among women and young children in a simulated analysis in Bangladesh, Indonesia, and the Philippines1

    PubMed Central

    Angeles-Agdeppa, Imelda; Atmarita, Atmarita; Gironella, Glen M; Muslimatun, Siti; Carriquiry, Alicia

    2016-01-01

    Background: Vitamin A deficiency continues to be a major public health problem affecting developing countries where people eat mostly rice as a staple food. In Asia, rice provides up to 80% of the total daily energy intake. Objective: We used existing data sets from Bangladesh, Indonesia, and the Philippines, where dietary intakes have been quantified at the individual level to 1) determine the rice and vitamin A intake in nonpregnant, nonlactating women of reproductive age and in nonbreastfed children 1–3 y old and 2) simulate the amount of change that could be achieved in the prevalence of inadequate intake of vitamin A if rice biofortified with β-carotene were consumed instead of the rice consumed at present. Design: We considered a range of 4–20 parts per million (ppm) of β-carotene content and 10–70% substitution levels for the biofortified rice. Software was used to estimate usual rice and vitamin A intake for the simulation analyses. Results: In an analysis by country, the substitution of biofortified rice for white rice in the optimistic scenario (20 ppm and 70% substitution) decreased the prevalence of vitamin A inadequacy from baseline 78% in women and 71% in children in Bangladesh. In Indonesia and the Philippines, the prevalence of inadequacy fell by 55–60% in women and dropped by nearly 30% in children from baseline. Conclusions: The results of the simulation analysis were striking in that even low substitution levels and modest increases in the β-carotene of rice produced a meaningful decrease in the prevalence of inadequate intake of vitamin A. Increasing the substitution levels had a greater impact than increasing the β-carotene content by >12 ppm. PMID:27510534

  18. Biofortified β-carotene rice improves vitamin A intake and reduces the prevalence of inadequacy among women and young children in a simulated analysis in Bangladesh, Indonesia, and the Philippines.

    PubMed

    De Moura, Fabiana F; Moursi, Mourad; Donahue Angel, Moira; Angeles-Agdeppa, Imelda; Atmarita, Atmarita; Gironella, Glen M; Muslimatun, Siti; Carriquiry, Alicia

    2016-09-01

    Vitamin A deficiency continues to be a major public health problem affecting developing countries where people eat mostly rice as a staple food. In Asia, rice provides up to 80% of the total daily energy intake. We used existing data sets from Bangladesh, Indonesia, and the Philippines, where dietary intakes have been quantified at the individual level to 1) determine the rice and vitamin A intake in nonpregnant, nonlactating women of reproductive age and in nonbreastfed children 1-3 y old and 2) simulate the amount of change that could be achieved in the prevalence of inadequate intake of vitamin A if rice biofortified with β-carotene were consumed instead of the rice consumed at present. We considered a range of 4-20 parts per million (ppm) of β-carotene content and 10-70% substitution levels for the biofortified rice. Software was used to estimate usual rice and vitamin A intake for the simulation analyses. In an analysis by country, the substitution of biofortified rice for white rice in the optimistic scenario (20 ppm and 70% substitution) decreased the prevalence of vitamin A inadequacy from baseline 78% in women and 71% in children in Bangladesh. In Indonesia and the Philippines, the prevalence of inadequacy fell by 55-60% in women and dropped by nearly 30% in children from baseline. The results of the simulation analysis were striking in that even low substitution levels and modest increases in the β-carotene of rice produced a meaningful decrease in the prevalence of inadequate intake of vitamin A. Increasing the substitution levels had a greater impact than increasing the β-carotene content by >12 ppm.

  19. The role of negative affect and message credibility in perceived effectiveness of smokeless tobacco health warning labels in Navi Mumbai, India and Dhaka, Bangladesh: A moderated-mediation analysis.

    PubMed

    Mutti-Packer, Seema; Reid, Jessica L; Thrasher, James F; Romer, Daniel; Fong, Geoffrey T; Gupta, Prakash C; Pednekar, Mangesh S; Nargis, Nigar; Hammond, David

    2017-10-01

    There is strong evidence showing that pictorial health warnings are more effective than text-only warnings. However, much of this evidence comes from high-income countries and is limited to cigarette packaging. Moreover, few studies have identified mechanisms that might explain the impact of warnings. The current study examined the potential mediating role of negative affect and the moderating influence of message credibility in perceived effectiveness of smokeless tobacco warnings in two low- and middle-income countries (LMICs). Field interviews were conducted in India and Bangladesh, with adult (19+ years) smokeless tobacco users (n=1053), and youth (16-18years) users (n=304) and non-users (n=687). Respondents were randomly assigned to view warnings in one of four conditions: (1) Text-only, (2) pictorial with symbolic imagery, (3) pictorial with graphic images of health effects, or (4) pictorial with personalized graphic images plus a personal testimonial. The findings provide support for the mediating influence of negative affect in perceived effectiveness, for adult and youth smokeless tobacco users who viewed pictorial warnings (vs. text-only), and graphic health warnings (vs. personal testimonials). Among adults, message credibility moderated the indirect effect; the association was stronger when credibility was high and weaker when it was low. Among youth users and non-users, message credibility did not moderate the indirect effect. Consistent with research from high-income countries, these findings highlight the importance of selecting imagery that will elicit negative emotional reactions and be perceived as credible. Differential effects among adults and youth highlight the importance of pre-testing images. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Plasmid-Mediated Sulfamethoxazole Resistance Encoded by the sul2 Gene in the Multidrug-Resistant Shigella flexneri 2a Isolated from Patients with Acute Diarrhea in Dhaka, Bangladesh

    PubMed Central

    Iqbal, Mohd S.; Rahman, Mostafizur; Islam, Rafiad; Banik, Atanu; Amin, M. Badrul; Akter, Fatema; Talukder, Kaisar Ali

    2014-01-01

    In this study, mechanisms of plasmid-mediated sulfamethoxazole resistances in the clinical strains of multi-drug resistant (MDR) Shigella flexneri 2a were elucidated for the first time in Bangladesh. From 2006 to 2011, a total of 200 S. flexneri 2a strains were randomly selected from the stock of the Enteric and Food Microbiology Laboratory of icddr,b. Antimicrobial susceptibility of the strains showed 73%, 98%, 93%, 58%, 98%, 64% and 4% resistance to trimethoprim-sulfamethoxazole, nalidixic acid, ampicillin, erythromycin, tetracycline, ciprofloxacin and ceftriaxone respectively. Plasmid profiling revealed heterogeneous patterns and interestingly, all the trimethoprim-sulfamethoxazole resistant (SXTR) strains yielded a distinct 4.3 MDa plasmid compared to that of the trimethoprim-sulfamethoxazole susceptible (SXTS) strains. Curing of this 4.3 MDa plasmid resulted in the susceptibility to sulfamethoxazole alone suggesting the involvement of this plasmid in the resistance of sulfamethoxazole. Moreover, PCR analysis showed the presence of sul2 gene in SXTR strains which is absent in SXTS strains as well as in the 4.3 MDa plasmid-cured derivatives, confirming the involvement of sul2 in the resistance of sulfamethoxazole. Furthermore, pulsed-field gel electrophoresis (PFGE) analysis revealed that both the SXTR and SXTS strains were clonal. This study will significantly contributes to the knowledge on acquired drug resistance of the mostly prevalent S. flexneri 2a and further warrants continuous monitoring of the prevalence and correlation of this resistance determinants amongst the clinical isolates of Shigella and other enteric pathogens around the world to provide effective clinical management of the disease. PMID:24416393

  1. Long-term comparison of antibiotic resistance in Vibrio cholerae O1 and Shigella species between urban and rural Bangladesh.

    PubMed

    Klontz, Erik H; Das, Sumon Kumar; Ahmed, Dilruba; Ahmed, Shahnawaz; Chisti, Mohammod Jobayer; Malek, Mohammad Abdul; Faruque, Abu Syed Golam; Klontz, Karl C

    2014-05-01

    From 2000 to 2012, Vibrio cholerae O1 and Shigella species isolates from urban Dhaka and rural Matlab were tested for resistance to all clinically relevant antibiotics in Bangladesh. Resistances in urban and rural Bangladesh tended to rise and fall together, especially a few years after the introduction of new resistance.

  2. Geographical diversity in seasonality of major diarrhoeal pathogens in Bangladesh observed between 2010 and 2012.

    PubMed

    Das, S K; Begum, D; Ahmed, S; Ferdous, F; Farzana, F D; Chisti, M J; Latham, J R; Talukder, K A; Rahman, M M; Begum, Y A; Faruque, A S G; Malek, M A; Qadri, F; Ahmed, T; Alam, N

    2014-12-01

    The study aimed to determine the geographical diversity in seasonality of major diarrhoeal pathogens among 21 138 patients enrolled between 2010 and 2012 in two urban and two rural sites in Bangladesh under the surveillance system of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b). Distinct patterns in seasonality were found for rotavirus diarrhoea which peaked in winter across the sites (December and January) and dipped during the rainy season (May) in urban Dhaka, August in Mirpur and July in Matlab, equated by time-series analysis using quasi-Poisson regression model. Significant seasonality for shigellosis was observed in Dhaka and rural Mirzapur. Cholera had robust seasonality in Dhaka and Matlab in the hot and rainy seasons. For enterotoxogenic Escherichia coli (ETEC) diarrhoea, clearly defined seasonality was observed in Dhaka (summer). Understanding the seasonality of such pathogens can improve case management with appropriate therapy, allowing policy-makers to identify periods of high disease burden.

  3. Managing burn patients in a fire disaster: Experience from a burn unit in Bangladesh.

    PubMed

    Mashreky, S R; Bari, S; Sen, S L; Rahman, A; Khan, T F; Rahman, F

    2010-09-01

    Although burn disaster is not a frequent event, with urbanisation and industrialisation, burn disaster is becoming an emerging problem in Bangladesh. On 3 June 2010, a fire disaster killed 124 people in Neemtali, Dhaka, Bangladesh. This paper narrates the management of burn patients of this disaster in the burn unit of Dhaka Medical College Hospital. The burn unit managed 192 burn victims of the disaster. Forty-two victims were admitted and 150 of them received primary care at the emergency room and were sent back home. Ten patients among 42 in-patients died. The in-patient mortality was 23.8%. Burn unit in Dhaka Medical College Hospital is the only burn management centre in Bangladesh. Proper planning and coordinated effort by all sectors and persons concerned were the key elements in this successful management.

  4. Effect of arsenic on photosynthesis, growth and yield of five widely cultivated rice (Oryza sativa L.) varieties in Bangladesh.

    PubMed

    Azizur Rahman, M; Hasegawa, H; Mahfuzur Rahman, M; Nazrul Islam, M; Majid Miah, M A; Tasmen, A

    2007-04-01

    A glass house experiment was conducted to investigate the effect of soil arsenic on photosynthetic pigments, chlorophyll-a and -b, and their correlations with rice yield and growth. The experiment was designed with three replications of six arsenic treatments viz. control, 10, 20, 30, 60, 90 mg of As kg(-1) soil. Arsenic concentration in initial soil, to which the above mentioned concentrations of arsenic were added, was 6.44+/-0.24 mg kg(-1). Both chlorophyll-a and -b contents in rice leaf decreased significantly (p<0.05) with the increase of soil arsenic concentrations. No rice plant survived up to maturity stage in soil treated with 60 and 90 mg of As kg(-1). The highest chlorophyll-a and -b contents were observed in control treatment (2.62+/-0.24 and 2.07+/-0.14 mg g(-1) were the average values of chlorophyll-a and -b, respectively of the five rice varieties) while 1.50+/-0.20 and 1.04+/-0.08 mg g(-1) (average of five rice varieties) of chlorophyll-a and -b, respectively were the lowest. The content of photosynthetic pigments in these five rice varieties did not differ significantly (p>0.05) from each other in control treatment though they differed significantly (p<0.05) from each other in 30 mg of As kg(-1) soil treatment. Among the five rice varieties, chlorophyll content in BRRI dhan 35 was found to be mostly affected with the increase of soil arsenic concentration while BRRI hybrid dhan 1 was least affected. Well correlations were observed between chlorophyll content and rice growth and yield suggesting that arsenic toxicity affects the photosynthesis which ultimately results in the reduction of rice growth and yield.

  5. Microfinance Participation and Marital Violence in Bangladesh: A Qualitative Inquiry.

    PubMed

    Murshid, Nadine Shaanta; Zippay, Allison

    2016-09-15

    This study explores the experiences of marital violence within the context of microfinance participation among a sample of women living in poverty in Bangladesh. Status inconsistency theory suggests that the higher incomes and female independence that may occur with microfinance participation may threaten or destabilize marital norms in Bangladesh, and have implications in terms of increased violence. We use qualitative data from in-depth interviews with 30 women residing in a slum in Dhaka, Bangladesh, to assess the circumstances in which there may be an association between microfinance participation and marital violence and elucidate the context in which this interaction occurs.

  6. Presence of enterotoxigenic Escherichia coli in biofilms formed in water containers in poor households coincides with epidemic seasons in Dhaka.

    PubMed

    Ahmed, D; Islam, M S; Begum, Y A; Janzon, A; Qadri, F; Sjöling, A

    2013-04-01

    The objective of this study was to investigate if biofilms may be potential reservoirs for the waterborne pathogen enterotoxigenic Escherichia coli (ETEC) in household water in Dhaka, Bangladesh. Biofilms formed on submerged glass slides. Mature biofilms were found significantly more often on glass slides collected in the monsoon period between the two annual ETEC peaks in Bangladesh, that is, between May and August than the rest of the year (P < 0.03). Sixty-four per cent (49/77) of all biofilms analysed by quantitative real-time PCR were positive for ETEC. Significantly more ETEC-PCR positive biofilms were found during the epidemic peaks and during flooding periods than the rest of the year (P < 0.008). Planktonic ETEC was present in the household water during all seasons, but there was no correlation between presence or numbers of ETEC in water and the epidemic peaks. We conclude that ETEC is continuously present in water and biofilms in household water reservoirs in Dhaka, which has a high prevalence of ETEC diarrhoea. The frequency of biofilms with ETEC was significantly associated (P < 0.008) with seasonal epidemic peaks of ETEC diarrhoea. We show for the first time that enterotoxigenic Escherichia coli (ETEC), the causative agent of acute watery diarrhoea and travellers' diarrhoea is present in biofilms in household water tanks in Dhaka, Bangladesh. © 2012 The Society for Applied Microbiology.

  7. HIV and AIDS in Bangladesh

    PubMed Central

    Azim, Tasnim; Khan, Sharful Islam; Haseen, Fariha; Huq, Nafisa Lira; Henning, Lars; Pervez, Md. Moshtaq; Chowdhury, Mahbub Elahi; Sarafian, Isabelle

    2008-01-01

    Bangladesh initiated an early response to the HIV epidemic starting in the mid-1980s. Since then, the res-ponse has been enhanced considerably, and many HIV-prevention interventions among the most at-risk populations and the general youth are being undertaken. Alongside prevention activities, gathering of data has been a key activity fostered by both the Government and individual development partners. This paper reviews available sources of data, including routine surveillance (HIV and behavioural among most at-risk populations), general population surveys, and various research studies with the aim to understand the dynamics of the HIV epidemic in Bangladesh. Available data show that the HIV epidemic is still at relatively low levels and is concentrated mainly among injecting drug users (IDUs) in Dhaka city. In addition, when the passively-reported cases were analyzed, another population group that appears to be especially vulnerable is migrant workers who leave their families and travel abroad for work. However, all sources of data confirm that risk behaviours that make individuals vulnerable to HIV are high—this is apparent within most at-risk populations and the general population (adult males and youth males and females). Based on the current activities and the sources of data, modelling exercises of the future of the HIV epidemic in Dhaka suggest that, if interventions are not enhanced further, Bangladesh is likely to start with an IDU-driven epidemic, similar to other neighbouring countries, which will then move to other population groups, including sex workers, males who have sex with males, clients of sex workers, and ultimately their families. This review reiterates the often repeated message that if Bangladesh wants to be an example of how to avert an HIV epidemic, it needs to act now using evidence-based programming. PMID:18831227

  8. Acceptability of the rainwater harvesting system to the slum dwellers of Dhaka City.

    PubMed

    Islam, M M; Chou, F N-F; Kabir, M R

    2010-01-01

    Urban area like Dhaka City, in Bangladesh, has scarcity of safe drinking water which is one of the prominent basic needs for human kind. This study explored the acceptability of harvested rainwater in a densely populated city like Dhaka, using a simple and low cost technology. A total of 200 random people from four slums of water-scarce Dhaka City were surveyed to determine the dwellers' perception on rainwater and its acceptability as a source of drinking water. The questionnaire was aimed at finding the socio-economic condition and the information on family housing, sanitation, health, existing water supply condition, knowledge about rainwater, willingness to accept rainwater as a drinking source etc. A Yield before Spillage (YBS) model was developed to know the actual rainwater availability and storage conditions which were used to justify the effective tank size. Cost-benefit analysis and feasibility analysis were performed using the survey results and the research findings. The survey result and overall study found that the low cost rainwater harvesting technique was acceptable to the slum dwellers as only the potential alternative source of safe drinking water.

  9. Stable Isotope (18O, 2H) and Arsenic Distribution in the Shallow Aquifers in Araihazar, Bangladesh

    NASA Astrophysics Data System (ADS)

    Zheng, Y.; Datta, S.; Stute, M.; Dhar, R.; Hoque, M. A.; Rahman, M. W.; Ahmed, K. M.; Schlosser, P.; van Geen, A.

    2005-12-01

    Recent estimates indicate that in Bangladesh alone, an estimated 50 million people have been exposed to Arsenic levels that exceed the WHO guideline of 10 μgL-1 for drinking water by up to two orders of magnitude. There is still debate on what processes control the spatial heterogeneity of dissolved As concentrations. One recent suggestion has been that surface waters enriched in labile organic matter and transferred to greater depths by irrigation pumping may be an important factor. We have monitored for a year the oxygen and hydrogen isotopic composition of precipitation in Dhaka, Bangladesh, and of surface waters and groundwaters in a 25 km2 study area in Araihazar, 20 km east of Dhaka. The data show a large spatial and temporal heterogeneity, with δ18O covering a range of up to 12 ‰. The isotopic composition of precipitation falls on the global meteoric water line (GMWL), while most surface waters collected from rivers, ponds and irrigated rice fields plot below and to the right of the meteoric water line, suggesting that evaporation is an important mechanism in this system. Surface waters show a strong evaporative enrichment during the dry season of up to 10 ‰ in δ18O and then show increased mixing with precipitation during the wet season. The groundwater isotopic composition obtained at 6 multi level well sites covers the range between the GMWL and moderately evaporated surface waters. These data indicate that some groundwaters are recharged directly by precipitation while others show evidence of recharge from evaporated surface waters during the wet and at the beginning of the dry season. For several well nests, the sources of groundwater vary in a systematic way as a function of depth. Highly evaporated irrigation water from rice fields in the dry season does not seem to contribute much to groundwater recharge. The degree of evaporation expressed as deuterium excess does not correlate with As concentrations in the groundwater samples. This finding

  10. A New Species of Frog (Anura: Dicroglossidae) Discovered from the Mega City of Dhaka.

    PubMed

    Howlader, Mohammad Sajid Ali; Nair, Abhilash; Merilä, Juha

    2016-01-01

    We describe a new species of frog of the genus Zakerana discovered from the urban core of Dhaka, Bangladesh, one of the most densely populated cities in the world. Although the new species is morphologically similar to the geographically proximate congeners in the Bangladeshi cricket frog group, we show that it can be distinguished from all congeners on the basis of morphological characters, advertisement calls and variation in two mitochondrial DNA genes (12S rRNA and 16S rRNA). Apart from several diagnostic differences in body proportions, the new species differs from other Zakerana species in having a flattened snout (from ventral view) projecting over the lower jaw, and diagnostic trapezoid-shaped red markings on the vocal sac in males. Molecular genetic analyses show that the new species is highly divergent (3.1-20.1% sequence divergence) from all congeneric species, and forms a well-supported clade with its sister species, Zakerana asmati. The discovery of a new amphibian species from the urban core of Dhaka together with several recent descriptions of new amphibian species from Bangladesh may indicate that more amphibian species remain to be discovered from this country.

  11. A New Species of Frog (Anura: Dicroglossidae) Discovered from the Mega City of Dhaka

    PubMed Central

    Howlader, Mohammad Sajid Ali; Nair, Abhilash; Merilä, Juha

    2016-01-01

    We describe a new species of frog of the genus Zakerana discovered from the urban core of Dhaka, Bangladesh, one of the most densely populated cities in the world. Although the new species is morphologically similar to the geographically proximate congeners in the Bangladeshi cricket frog group, we show that it can be distinguished from all congeners on the basis of morphological characters, advertisement calls and variation in two mitochondrial DNA genes (12S rRNA and 16S rRNA). Apart from several diagnostic differences in body proportions, the new species differs from other Zakerana species in having a flattened snout (from ventral view) projecting over the lower jaw, and diagnostic trapezoid-shaped red markings on the vocal sac in males. Molecular genetic analyses show that the new species is highly divergent (3.1–20.1% sequence divergence) from all congeneric species, and forms a well-supported clade with its sister species, Zakerana asmati. The discovery of a new amphibian species from the urban core of Dhaka together with several recent descriptions of new amphibian species from Bangladesh may indicate that more amphibian species remain to be discovered from this country. PMID:26934699

  12. Climatic factors influencing dengue cases in Dhaka city: A model for dengue prediction

    PubMed Central

    Karim, Md. Nazmul; Munshi, Saif Ullah; Anwar, Nazneen; Alam, Md. Shah

    2012-01-01

    Background & objectives: Transmission of dengue virus depends on the presence of Aedes mosquito. Mosquito generation and development is known to be influenced by the climate. This study was carried out to examine whether the climatic factors data can be used to predict yearly dengue cases of Dhaka city, Bangladesh. Methods: Monthly reported dengue cases and climate data for the years 2000–2008 were obtained from the Directorate General of Health Services (DGHS) and Meteorological Department of Dhaka, Bangladesh, respectively. Data for the period 2000 to 2007 were used for development of a model through multiple linear regressions. Retrospective validation of the model was done with 2001, 2003, 2005 and 2008 data. Log transformation of the dependent variable was done to normalize data for linear regression. Average monthly humidity, rainfall, minimum and maximum temperature were used as independent variables and number of dengue cases reported monthly was used as dependent variable. Accuracy of the model for predicting outbreak was assessed through receiver operative characteristics (ROC) curve. Results: Climatic factors, i.e. rainfall, maximum temperature and relative humidity were significantly correlated with monthly reported dengue cases. The model incorporating climatic data of two-lag month explained 61 per cent of variation in number of reported dengue cases and this model was found to predict dengue outbreak (≥ 200 cases) with considerable accuracy [area under ROC curve = 0.89, 95%CI = (0.89-0.98)]. Interpretation & conclusions: Our results showed that the climate had a major effect on the occurrence of dengue infection in Dhaka city. Though the prediction model had some limitations in predicting the monthly number of dengue cases, it could forecast possible outbreak two months in advance with considerable accuracy. PMID:22885261

  13. Natural hazards and climate change in Dhaka: future trends, social adaptation and informal dynamics

    NASA Astrophysics Data System (ADS)

    Thiele-Eich, I.; Aßheuer, T.; Simmer, C.; Braun, B.

    2009-04-01

    Similar to many megacities in the world, Dhaka is regularly threatened by natural hazards. Risks associated with floods and cyclones in particular are expected to increase in the years to come because of global climate change and rapid urbanization. Greater Dhaka is expected to grow from 13.5 million inhabitants in 2007 to 22 million inhabitants by 2025. The vast majority of this growth will take place in informal settlements. Due to the setting of Greater Dhaka in a deltaic plain, the sprawl of slums is primarily taking place in wetlands, swamps and other flood-prone areas. Slum dwellers and informal businesses are vulnerable, but have somehow learned to cope with seasonal floods and developed specific adaptation strategies. An increase of precipitation extremes and tropical cyclones, however, would put considerable stress on the adaptability of the social and economic system. DhakaHazard, a joint research project of the Department of Meteorology at the University of Bonn and the Department of Geography at the University of Cologne, takes up these issues in an interdisciplinary approach. The project, which begun in November 2008, aims to achieve two main objectives: To link analyses of informal social and economic adaptation strategies to models on future climate change and weather extremes. To estimate more accurately the future frequency and magnitude of weather extremes and floods which are crucial for the future adaptability of informal systems. To fulfill these objectives, scientists at the Meteorological Institute are studying the evolution of natural hazards in Bangladesh, while researchers at the Department of Geography are undertaking the task of assessing these hazards from a social point of view. More specifically, the meteorologists are identifying global and regional weather conditions resulting in flooding of the Greater Dhaka region, while possible variations in flood-inducing weather patterns are analyzed by evaluating their frequency and magnitude

  14. Renewable energy and rural development activities experience in Bangladesh

    SciTech Connect

    Barua, D.C.

    1997-12-01

    The per capita per year fuel consumption in Bangladesh is only 56 kg oil equivalent. The supply of electricity by Bangladesh power development board (BPDB) and Dhaka electricity supply authority (DESA) is mainly confined to cities and towns. Rural Electrification Board (REB) distributes electricity to the rural people through cooperatives. The rural cooperatives cover only 10% of the total population. Only about 15% of the total population is directly connected to the electricity. In order to meet the increasing energy demand for development of agriculture and industry and for the generation of better employment opportunities, it will be necessary to harness all the available alternative sources of energy immediately.

  15. Women's empowerment and regional variation of contraceptive norms in Bangladesh.

    PubMed

    Deb, Suman; Kabir, Ahmad; Kawsar, L A

    2010-01-01

    Using data derived from the 2007 Bangladesh Demographic and Health Survey (BDHS), this study investigates the regional variation of contraceptive norms according to the empowerment status of women in Bangladesh. The result suggests that contraceptive norms vary from region to region. Logistic regression analysis suggests that there exists a positive relationship between women's empowerment and use of contraceptive methods in all regions except Barisal and Chittagong. The result also indicates that women's empowerment has a significant positive effect on contraceptive norms in the Dhaka, Khulna, and Rajshahi regions.

  16. Helicobacter pylori antibiotic susceptibility patterns in Bangladesh: Emerging levofloxacin resistance.

    PubMed

    Aftab, Hafeza; Miftahussurur, Muhammad; Subsomwong, Phawinee; Ahmed, Faruque; Khan, A K Azad; Yamaoka, Yoshio

    2016-03-31

    The most recent study to report Helicobacter pylori antibiotic resistance rates in Bangladesh was published 15 years ago and did not include levofloxacin. We therefore aimed to determine the current antibiotic susceptibility of H. pylori to amoxicillin, clarithromycin, metronidazole, tetracycline and levofloxacin in Bangladesh. This study included 133 consecutive patients who underwent endoscopy examination at Dhaka Medical College in November 2014. The serial two-fold agar dilution method was used to determine the minimum inhibitory concentrations of the five antibiotics. Among 56 cultured strains, H. pylori showed high rates of resistance to clarithromycin and metronidazole (39.3% and 94.6%, respectively). Moreover, levofloxacin showed an emerging antimicrobial resistance pattern (66.1%), which was higher in patients with gastritis than that in those with peptic ulcers (p = 0.02). The resistance rate of levofloxacin was significantly higher in patients living in Dhaka city compared to those living in the village (p = 0.049). However, amoxicillin and tetracycline resistance rates were very low. Resistance to both metronidazole and levofloxacin was most commonly observed. The rates of resistance to clarithromycin, metronidazole, and levofloxacin were high in Bangladesh, which suggests that triple therapy based on these drugs may not be useful as first-line therapies in Bangladesh. Alternative strategies such as furazolidone-based triple therapy, bismuth-based quadruple therapies, or sequential therapy may be more effective for patients in in Bangladesh.

  17. Spotlight: Bangladesh.

    PubMed

    1984-06-01

    Bangladesh, formally known as East Pakistan and a country that achieved independence in 1971, is the most densely populated nation (1800/sq mile) in the world (excluding small city states and islands). The population is about 85% Muslim with the balance chiefly Hindu. About 90% of the population depends either directly of indirectly upon agriculture for subsistence. About 3/4 of the cultivated land is used for rice production and much of the remainder for jute. Jute, used for carpet backings and sacks is Bangladesh's most important means of raising export capital. There has been a decline in world demand for jute. Fertile soil holds promise of future increases in food production, but very serious shortages persist. The agricultural situation will only improve when a rural network of fertilizer distribution facilities, extension services, dikes, and irrigation can be established. Such a program would require large capital outlays which are not likely to be available. At this time about 60% of the country's import requirements must be funded by foreign aid. Much of this aid is provided to help fill existing food gaps. Another problem is that about half of the rural population is landless. This means that a large number of persons must attempt to subsist by such activities as selling water or firewood. Population growth, identified as an urgent national priority, has been an important factor in Five Year Plans since the early 1960s. A major policy goal is to extend family planning services to the rural areas more effectively. Several fertility surveys, conducted since 1975, indicate a low, although rising, level of contraceptive use. In 1975, 5% of married women were using a modern contraceptive method and another 3% a traditional method. A 1981 government survey shows that 11% were using an efficient method and 8% traditional methods. A total fertility rate of about 7 was estimated based upon a 1979 survey. World Bank projections show an eventual population exceeding

  18. Water, climate change and society in Bangladesh

    NASA Astrophysics Data System (ADS)

    Thiele-Eich, Insa; Aßheuer, Tibor; Simmer, Clemens

    2017-04-01

    Due to its location in the extensive Ganges-Brahmaputra-Meghna river delta, Bangladesh faces multiple natural hazards, in particular flooding, droughts and sea-level rise. In addition to climate change, transboundary water sharing issues resulting from dam structures such as Farakka Barrage complicate a prognosis on how the rapidly growing population will be affected in the 21st century. This is particularly important as our previous research suggests that the Greater Dhaka population already experiences a significant increase in mortality during droughts (Thiele-Eich et al., 2015). We attempt to explore the complex interactions between the hydrological system under climate change and anthropogenic impacts due to dams as well as a growing population. Our approach consists of a quantitative assessment of climate change using over fourty years of meteorological data (Bangladesh Meteorological Department) and hydrological data (Bangladesh Water Development Board), and CCSM4 climate model output (NCAR, 1950-2100). In addition to an extensive literature review, we also conducted qualitative interviews with slum dwellers in the megacity Dhaka, the capital of Bangladesh. Results show that significant changes in flood characteristics are expected for the later part of the 21st century, although they are difficult to quantify down to exact numbers due to large uncertainties. These changes take place over longer stretches of time and thus enable the population of Bangladesh to adapt slowly. Resources such as social capital, which is one of the main tools for slum dwellers to be able to cope with flooding can be altered over time, and as such the system can be considered overall stable and resilient. The presented results will also focus on how the riparian and coastal population is impacted by the interplay of natural changes such as sea-level rise and anthropogenic changes such as Farakka Barrage and the associated reduction in dry season flow. Thiele-Eich, I.; Burkart, K

  19. Groundwater arsenic contamination in Bangladesh-21 Years of research.

    PubMed

    Chakraborti, Dipankar; Rahman, Mohammad Mahmudur; Mukherjee, Amitava; Alauddin, Mohammad; Hassan, Manzurul; Dutta, Rathindra Nath; Pati, Shymapada; Mukherjee, Subhash Chandra; Roy, Shibtosh; Quamruzzman, Quazi; Rahman, Mahmuder; Morshed, Salim; Islam, Tanzima; Sorif, Shaharir; Selim, Md; Islam, Md Razaul; Hossain, Md Monower

    2015-01-01

    Department of Public Health Engineering (DPHE), Bangladesh first identified their groundwater arsenic contamination in 1993. But before the international arsenic conference in Dhaka in February 1998, the problem was not widely accepted. Even in the international arsenic conference in West-Bengal, India in February, 1995, representatives of international agencies in Bangladesh and Bangladesh government attended the conference but they denied the groundwater arsenic contamination in Bangladesh. School of Environmental Studies (SOES), Jadavpur University, Kolkata, India first identified arsenic patient in Bangladesh in 1992 and informed WHO, UNICEF of Bangladesh and Govt. of Bangladesh from April 1994 to August 1995. British Geological Survey (BGS) dug hand tube-wells in Bangladesh in 1980s and early 1990s but they did not test the water for arsenic. Again BGS came back to Bangladesh in 1992 to assess the quality of the water of the tube-wells they installed but they still did not test for arsenic when groundwater arsenic contamination and its health effects in West Bengal in Bengal delta was already published in WHO Bulletin in 1988. From December 1996, SOES in collaboration with Dhaka Community Hospital (DCH), Bangladesh started analyzing hand tube-wells for arsenic from all 64 districts in four geomorphologic regions of Bangladesh. So far over 54,000 tube-well water samples had been analyzed by flow injection hydride generation atomic absorption spectrometry (FI-HG-AAS). From SOES water analysis data at present we could assess status of arsenic groundwater contamination in four geo-morphological regions of Bangladesh and location of possible arsenic safe groundwater. SOES and DCH also made some preliminary work with their medical team to identify patients suffering from arsenic related diseases. SOES further analyzed few thousands biological samples (hair, nail, urine and skin scales) and foodstuffs for arsenic to know arsenic body burden and people sub

  20. Waste Management in Greater Dhaka City.

    ERIC Educational Resources Information Center

    Rahman, M. H.

    1993-01-01

    This study focuses on the environmental degradation of Greater Dhaka City (GDC) resulting from pollution created by the indiscriminate disposal of industrial wastes, open dumping of solid wastes, inadequate treatment and disposal of domestic sewage, and unplanned disposal of leachate from agricultural land. Measures to protect the GDC environment…

  1. Waste Management in Greater Dhaka City.

    ERIC Educational Resources Information Center

    Rahman, M. H.

    1993-01-01

    This study focuses on the environmental degradation of Greater Dhaka City (GDC) resulting from pollution created by the indiscriminate disposal of industrial wastes, open dumping of solid wastes, inadequate treatment and disposal of domestic sewage, and unplanned disposal of leachate from agricultural land. Measures to protect the GDC environment…

  2. One Year Audit of In Patient Department of Oral and Maxillofacial Surgery, Dhaka Dental College Hospital.

    PubMed

    Islam, Md Ariful; Haider, Ismat Ara; Uzzaman, Md Helal; Tymur, Fazla Rubby; Ali, Md Shahjahan

    2016-06-01

    Oral and Maxillofacial Surgery, Dhaka Dental College Hospital is a busy centre for specialized maxillofacial services in Bangladesh. A good number of patients with a wide range of oral and maxillofacial surgical conditions are managed here. Maxillofacial injury and oral cancer are the two most common conditions encountered here.

  3. Using lot quality assurance sampling to improve immunization coverage in Bangladesh.

    PubMed Central

    Tawfik, Y.; Hoque, S.; Siddiqi, M.

    2001-01-01

    OBJECTIVE: To determine areas of low vaccination coverage in five cities in Bangladesh (Chittagong, Dhaka, Khulna, Rajshahi, and Syedpur). METHODS: Six studies using lot quality assurance sampling were conducted between 1995 and 1997 by Basic Support for Institutionalizing Child Survival and the Bangladesh National Expanded Programme on Immunization. FINDINGS: BCG vaccination coverage was acceptable in all lots studied; however, the proportion of lots rejected because coverage of measles vaccination was low ranged from 0% of lots in Syedpur to 12% in Chittagong and 20% in Dhaka's zones 7 and 8. The proportion of lots rejected because an inadequate number of children in the sample had been fully vaccinated varied from 11% in Syedpur to 30% in Dhaka. Additionally, analysis of aggregated, weighted immunization coverage showed that there was a high BCG vaccination coverage (the first administered vaccine) and a low measles vaccination coverage (the last administered vaccine) indicating a high drop-out rate, ranging from 14% in Syedpur to 36% in Dhaka's zone 8. CONCLUSION: In Bangladesh, where resources are limited, results from surveys using lot quality assurance sampling enabled managers of the National Expanded Programme on Immunization to identify areas with poor vaccination coverage. Those areas were targeted to receive focused interventions to improve coverage. Since this sampling method requires only a small sample size and was easy for staff to use, it is feasible for routine monitoring of vaccination coverage. PMID:11436470

  4. External validation of the DHAKA score and comparison with the current IMCI algorithm for the assessment of dehydration in children with diarrhoea: a prospective cohort study

    PubMed Central

    Levine, Adam C; Glavis-Bloom, Justin; Modi, Payal; Nasrin, Sabiha; Atika, Bita; Rege, Soham; Robertson, Sarah; Schmid, Christopher H; Alam, Nur H

    2016-01-01

    Summary Background Dehydration due to diarrhoea is a leading cause of child death worldwide, yet no clinical tools for assessing dehydration have been validated in resource-limited settings. The Dehydration: Assessing Kids Accurately (DHAKA) score was derived for assessing dehydration in children with diarrhoea in a low-income country setting. In this study, we aimed to externally validate the DHAKA score in a new population of children and compare its accuracy and reliability to the current Integrated Management of Childhood Illness (IMCI) algorithm. Methods DHAKA was a prospective cohort study done in children younger than 60 months presenting to the International Centre for Diarrhoeal Disease Research, Bangladesh, with acute diarrhoea (defined by WHO as three or more loose stools per day for less than 14 days). Local nurses assessed children and classified their dehydration status using both the DHAKA score and the IMCI algorithm. Serial weights were obtained and dehydration status was established by percentage weight change with rehydration. We did regression analyses to validate the DHAKA score and compared the accuracy and reliability of the DHAKA score and IMCI algorithm with receiver operator characteristic (ROC) curves and the weighted κ statistic. This study was registered with ClinicalTrials.gov, number NCT02007733. Findings Between March 22, 2015, and May 15, 2015, 496 patients were included in our primary analyses. On the basis of our criterion standard, 242 (49%) of 496 children had no dehydration, 184 (37%) of 496 had some dehydration, and 70 (14%) of 496 had severe dehydration. In multivariable regression analyses, each 1-point increase in the DHAKA score predicted an increase of 0·6% in the percentage dehydration of the child and increased the odds of both some and severe dehydration by a factor of 1·4. Both the accuracy and reliability of the DHAKA score were significantly greater than those of the IMCI algorithm. Interpretation The DHAKA score

  5. Fuel properties and engine performance of biodiesel from waste cooking oil collected in Dhaka city

    NASA Astrophysics Data System (ADS)

    Islam, R. B.; Islam, R.; Uddin, M. N.; Ehsan, Md.

    2016-07-01

    Waste cooking oil can be a potential source of biodiesel that has least effect on the edible oil consumption. Increasing number of hotel-restaurants and more active monitoring by health authorities have increased the generation of waste cooking oil significantly in densely populated cities like Dhaka. If not used or disposed properly, waste cooking oil itself may generate lot of environmental issues. In this work, waste cooking oils from different restaurants within Dhaka City were collected and some relevant properties of these waste oils were measured. Based on the samples studied one with the highest potential as biodiesel feed was identified and processed for engine performance. Standard trans-esterification process was used to produce biodiesel from the selected waste cooking oil. Biodiesel blends of B20 and B40 category were made and tested on a single cylinder direct injection diesel engine. Engine performance parameters included - bhp, bsfc and exhaust emission for rated and part load conditions. Results give a quantitative assessment of the potential of using biodiesel from waste cooking oil as fuel for diesel engines in Bangladesh.

  6. Evaluation of aquifer environment under Hazaribagh leather processing zone of Dhaka city

    NASA Astrophysics Data System (ADS)

    Zahid, Anwar; Balke, K.-D.; Hassan, M. Qumrul; Flegr, Matthias

    2006-07-01

    Hazaribagh is a densely populated area of Dhaka city where about 185 leather processing industries have been operating and discharging solid and liquid wastes directly to the low-lying areas, river and natural canals without proper treatment. The area is covered by alluvial deposits of Holocene age and is underlain by Pleistocene Madhupur clay. The Dupi Tila Formation of Mio-Pliocene age underlain by this yellowish gray to brick red clay bed serves as the main water-bearing aquifer of Dhaka city. To assess the environmental degradation as well as the groundwater environment, major anions, cations and heavy metals of water samples, heavy metals and organic carbon content of sediment samples were analyzed in this study. Analyses of tannery effluent detect high concentration of Na+, Mg2+, Cl- and SO{4/2-} followed by Ca2+, NH{4/+} and K+ with remarkable contents of some trace elements, mainly Cr, Fe, Mn, S, Ni and Pb. Higher accumulations of Cr, Al and Fe are observed in topsoil samples with significant amounts of Mn, Zn, Ni and Cu. Concentrations of ions and all the investigated trace elements of sampled groundwater were within the maximum allowable limit for drinking water of the Department of Environment, Bangladesh (DoE), and World Health Organization (WHO). However, excessive concentrations of Cr, Pb, etc., have already been reported in the shallow groundwater (10-20 m) of the area. Due to excessive withdrawal the vulnerability of groundwater contamination in deeper parts cannot be avoided for the future.

  7. Prevalence and risk factors of chronic obstructive pulmonary disease (COPD) in Dhaka city population.

    PubMed

    Islam, M S; Hossain, M M; Pasha, M M; Azad, A K; Murshed, K M

    2013-07-01

    This prospective, cross-sectional population based survey was carried out in the Respiratory wing, Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh to see the prevalence and risk factors of chronic obstructive pulmonary disease (COPD) among Dhaka City Population in Bangladesh. The total sample size was 900 at the age of 35 years or above. Spirometry was performed according to ATS criteria. Data related to smoking history, respiratory symptoms, co-morbidities, physical examination findings, spirometry values and other investigation reports were noted in the questionnaire. The mean age was 45.26±10.08 (Mean±SD); of them, male 76.9% and female 23.1%. Among them, smoker was 481 with a smoking duration of 10 pack year 27.8% and non smoker were 419. Spirometric screening yielded diagnosis of COPD in 11.4% (103/900). Using operational severity criteria adopted from Global Initiative for Obstructive Lung Disease (GOLD) mild, moderate, severe and very severe COPD were found in 42.7%, 27.2%, 20.4% and 9.7% respectively. The hall mark symptom of COPD exertional dyspnea was seen in 10.4%, non-specific symptoms like cough and sputum were found in 40% and 19% respectively. Physical sign like vesicular breath sound with prolonged expiration and ronchi were found in 6.1% and 4.1% respectively. In this study, age (Mean±SD in years) (57.34±11.74), Sex (Male: Female = 4:1), low BMI (Mean±SD) (21.56±3.83), Smoker 56(20.2%) and low Socio-economic condition 54(13.6%) found to be risk factor of COPD. Regression analysis revealed that age (p<0.001), sex (p<0.001), smoking duration (p<0.001) and low socioeconomic condition (p<0.05) as independent risk factors for COPD.

  8. Recognizing child maltreatment in Bangladesh.

    PubMed

    Khan, N Z; Lynch, M A

    1997-08-01

    Concern is increasing in Bangladesh over child abuse, neglect, and exploitation. Children from all walks of life are being treated at the Child Development Center (CDC) Dhaka Shishu Hospital for neurodevelopmental problems resulting from abuse and neglect. Efforts to protect children from sexual harassment result in girls being isolated at home or married at an early age. Some young brides are eventually abandoned and forced into prostitution. Early marriage reflects the lack of acknowledgement of a period of adolescence and the belief that puberty is a marker of adulthood. Many girls aged 8-16 are employed as live-in domestic servants, and many suffer sexual as well as emotional abuse. Garment factories, on the other hand, offer girls an escape from extreme poverty, domestic service, and early marriage but are threatened by forces that condemn child labor. Rather than ending such opportunities, employers should be encouraged to provide employees with educational and welfare facilities. The CDC seeks to explore the extent and depth of the problem of child abuse while recognizing the special circumstances at work in Bangladesh. It is also necessary to raise awareness of these issues and of the discrepancies between the law and cultural practices. For example, the legal marriage age of 18 years for a woman and 21 years for a man is often ignored. Additional forms of abuse receiving the attention of women's organizations and human rights groups include the trafficking of children. A network of concerned organizations should be created to work against the child abuse, neglect, and exploitation that Bangladesh has pledged to overcome by signing the UN Convention on the Rights of the Child.

  9. Vaccination coverage survey in Dhaka District.

    PubMed

    Khan, M N A; Rahman, M L; Awal Miah, A; Islam, M S; Musa, S A J M; Tofail, F

    2005-08-01

    A survey was conducted in Dhaka District to measure the level of routine immunization coverage of children (12-23 months), to assess the tetanus toxoid (TT) immunization coverage among mothers of children (12-23 month), to evaluate EPI program continuity (dropout rates) and quality (percent of Invalid doses, vaccination card availability etc.) For this purpose, a thirty cluster cross-sectional survey was conducted in October 2002 to assess the immunization coverage in Dhaka. In this survey 30 clusters were randomly selected from a list of villages in 63 Unions of Dhaka following probability proportion to size (PPS) sampling procedure. A total of 210 children was studied using pre-tested structured questionnaire. Descriptive statistics was employed using software SPSS package for data analysis. The study showed that the routine immunization coverage in Dhaka among children by 12 months of age by card + history was 97% for BCG, 97% for Diphtheria, Pertussis Tetanus (DPT 1) and Oral Polio Vaccine (OPV 1), 75% for DPT3 and OPV3 and 67% for measles. Sixty six percent of all children surveyed had received valid doses of all vaccines by 12 months (fully immunized child). Programme access as measured by crude DPT1 coverage was better in Keranigonj (97%). Vaccination cards retention rate for children was 84%. Invalid DPT (1,2 or 3) doses were given to 25% of vaccinated children; 18% of measles doses were invalid. Surprisingly, major cause for invalid doses were not due to early immunizations or due to card lost but for giving tick in the card, instead of writing a valid date. DPT1 and DPT3 and DPT1- Measles drop out rates were 5% and 13% respectively. Major reason parents gave for never vaccinating their children (zero dose children) was (43%), major reasons for incomplete vaccination was lack of knowledge regarding subsequent doses (46%). TT surveys were also conducted for mothers of the children surveyed for vaccination coverage (mothers between 15-49 year old). Valid TT

  10. Profile of lichen planus in Bangladesh.

    PubMed

    Khondker, L; Wahab, M A; Khan, S I

    2010-04-01

    Lichen planus is one of the common inflammatory disorders of skin, mucous membrane, nail and hair characterized by violaceous, polish, pruritic, polygonal, flat-topped papules usually distributed bilaterally symmetrically over the extremities. Our objectives in this study were to explore the prevalence of lichen planus in large area of Dhaka in Bangladesh and to establish the clinical characteristics of lichen planus. This descriptive type of cross sectional study was carried out from September 2006 to August 2008 in the Department of Dermatology and Venereology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Medical College Hospital (DMCH) and Combined Military Hospital (CMH) in Dhaka. Patients suffering from lichen planus were selected as study population. By face to face interview and clinical observations, data were collected from sample. A total 120 patients of lichen planus were selected, on the basis of age, 30(25%) were 10-30 years of age, 75(62.56%) were 30-50 years and 16(13.33%) were over 50 years of age. The mean age of the patient was 40+/-4 years. Out of 120 patients, 80(66.66%) were male and 60(33.33%) were female and eight patients (6.67%) had positive family history among highest age group (30 to 50 years). In case of duration of disease, highest percentage (68%) of cases was 15 days to 6 months and considering clinical sign, koebnerization was present 45(37.5%) cases and Wickhams striae 22(18.33%) cases. Regarding site of onset of lesion, lesions were highest 100(83.33%) in upper limbs, next lower limbs, trunk, oral mucosa etc. The distribution of clinical pattern of lichen planus showing classic pattern (68.33%) was the most common type, followed by hypertrophic, actinic, ashy dermatoses, lichen plano-pilaris, erosive or ulcerative etc. This clinico-epidemiological study of lichen planus attending in the different hospital in Dhaka, Bangladesh has shown that lichen planus is usually associated with 30 to 50 years of age group, with

  11. Subtypes of dissociative (conversion) disorder in two tertiary hospitals in Bangladesh.

    PubMed

    Ahsan, M S; Mullick, S I; Sobhan, M A; Khanam, M; Nahar, J S; Salam, M A; Ali, R; Islam, M; Kabir, M S

    2010-01-01

    Dissociative (conversion) disorders are common among the patients attending in and out patients of Psychiatry Department of tertiary hospitals in Bangladesh. This study was done to see the subtypes of dissociative (conversion) disorder according to International Classification of Diseases, Tenth Revision (ICD-10). This is a descriptive, cross sectional study done on 100 consecutive patients from the Departments of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka and Dhaka Medical College Hospital (DMCH). Study period was July 2005 to June 2006. Among the patients of dissociative (conversion) disorder, mixed dissociative (conversion) disorder was found highest 34%, followed by dissociative convulsion 33%, dissociative motor disorders 19%, dissociative anaesthesia and sensory loss 5%, dissociative amnesia 4%, dissociative fugue 3%. However, the researcher did not find any multiple personality disorder which is relatively common in North America. This finding reflected that there are differences in prevalence of sub types of dissociative disorders in Bangladesh and Western countries.

  12. Poverty, violence, and family disorganization: Three "Hydras" and their role in children's street movement in Bangladesh.

    PubMed

    Reza, Md Hasan

    2016-05-01

    The increasing number of children running away from home in Bangladesh is a major concern, and in need of critical attention. This yearlong study explores why children leave home with a sample of street children in Dhaka, Bangladesh. Purposive sampling from three locations in Dhaka yielded a sample of 75 homeless children aged 10-17. For each participant, a 60-90min in-depth qualitative interview was conducted multiple times. While the dominant explanations rely on poverty or abuse, the findings of this study reveal that the cause is actually three heads of a Hydra monster: poverty, abuse, and family disorganization and their interactions. It shows that the primary reasons for children breaking from their family are all interrelated. The findings from this study are likely to add knowledge regarding the issues and may lead to preventative interventions for street children and their families. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. VULNERABILITY OF LOW-ARSENIC AQUIFERS TO MUNICIPAL PUMPING IN BANGLADESH

    PubMed Central

    Knappett, P. S. K.; Mailloux, B. J.; Choudhury, I.; Khan, M. R.; Michael, H. A.; Barua, S.; Mondal, D. R.; Steckler, M. S.; Akhter, S. H.; Ahmed, K. M.; Bostick, B.; Harvey, C. F.; Shamsudduha, M.; Shuai, P.; Mihajlov, I.; Mozumder, R.; van Geen, A.

    2017-01-01

    Sandy aquifers deposited >12,000 years ago, some as shallow as 30 m, have provided a reliable supply of low-arsenic (As) drinking water in rural Bangladesh. This study concerns the potential risk of contaminating these aquifers in areas surrounding the city of Dhaka where hydraulic heads in aquifers >150 m deep have dropped by 70 m in a few decades due to municipal pumping. Water levels measured continuously from 2012 to 2014 in 12 deep (>150m), 3 intermediate (90–150 m) and 6 shallow (<90 m) community wells, 1 shallow private well, and 1 river piezometer show that the resulting drawdown cone extends 15–35 km east of Dhaka. Water levels in 4 low-As community wells within the 62–147 m depth range closest to Dhaka were inaccessible by suction for up to a third of the year. Lateral hydraulic gradients in the deep aquifer system ranged from 1.7×10−4 to 3.7×10−4 indicating flow towards Dhaka throughout 2012–2014. Vertical recharge on the edge of the drawdown cone was estimated at 0.21±0.06 m/yr. The data suggest that continued municipal pumping in Dhaka could eventually contaminate some relatively shallow community wells. PMID:28966395

  14. Vulnerability of low-arsenic aquifers to municipal pumping in Bangladesh

    NASA Astrophysics Data System (ADS)

    Knappett, P. S. K.; Mailloux, B. J.; Choudhury, I.; Khan, M. R.; Michael, H. A.; Barua, S.; Mondal, D. R.; Steckler, M. S.; Akhter, S. H.; Ahmed, K. M.; Bostick, B.; Harvey, C. F.; Shamsudduha, M.; Shuai, P.; Mihajlov, I.; Mozumder, R.; van Geen, A.

    2016-08-01

    Sandy aquifers deposited >12,000 years ago, some as shallow as 30 m, have provided a reliable supply of low-arsenic (As) drinking water in rural Bangladesh. This study concerns the potential risk of contaminating these aquifers in areas surrounding the city of Dhaka where hydraulic heads in aquifers >150 m deep have dropped by 70 m in a few decades due to municipal pumping. Water levels measured continuously from 2012 to 2014 in 12 deep (>150 m), 3 intermediate (90-150 m) and 6 shallow (<90 m) community wells, 1 shallow private well, and 1 river piezometer show that the resulting drawdown cone extends 15-35 km east of Dhaka. Water levels in 4 low-As community wells within the 62-147 m depth range closest to Dhaka were inaccessible by suction for up to a third of the year. Lateral hydraulic gradients in the deep aquifer system ranged from 1.7 × 10-4 to 3.7 × 10-4 indicating flow towards Dhaka throughout 2012-2014. Vertical recharge on the edge of the drawdown cone was estimated at 0.21 ± 0.06 m/yr. The data suggest that continued municipal pumping in Dhaka could eventually contaminate some relatively shallow community wells.

  15. Aerosol Optical Depth (AOD) Trends Over Bangladesh

    NASA Astrophysics Data System (ADS)

    Salam, A.

    2016-12-01

    An important omission in the Southeast Asian observing network is the border region with the Indian subcontinent. Significant amounts of pollution are generated and transported down the Indo-Gangenic Plain into the Bay of Bengal. High population density in a semi-arid region leads to the development of a complex mixture of absorbing pollution coupled with dust. Transport patterns of this mixture takes pollutants into Bangladesh, where more pollution is added to the atmosphere-leading to what is one of the highest non urban emission loading in the world (AOD500= 0.75 during the premonsoon season). Bangladesh is essentially a riverine country, and atmospheric outflow is over delta regions fed by over 500 rivers, including the Ganges, Bramaputra, Jamuna, and Padma systems forming the massive Meghna river. This combination of atmospheric and riverine components makes for an optically complex littoral region which challenges a host of environmental sensors and modeling systems. Data is needed to understand the sources, transport and optical characteristics of aerosol particles in the region. Dhaka (23.8103° N, 90.4125° E) is the capital of Bangladesh with a population of about 16 million. It has been growing rapidly with all the problem of a mega city. We have installed a sun photometer with NASA Aeronet project at the roof of the Chemistry Department, Dhaka University with other aerosol particles and gas measuring instruments. Bhola is an Island of the Bay of Bengal. It is surrounded by the Meghna River on the north and east, the Tatulia River on the west and the Bay of Bengal on the south. The observatory is located at Charfashion Bazar, Bhola (N 22o10´01″, E 90o45´00″, 3m asl). There is very little influence from traffic and industrial emissions. A Cimel sunphotometer (NASA AERONET) was installed for AOD measurements at this locations since 2013. Aerosol optical depth (AOD) trends between 2012 and 2016 at two different locations (Dhaka and Bhola) will be

  16. Countrywide radiation dose in different locations, dwellings and free spaces of Bangladesh.

    PubMed

    Chakraborty, Shyamal Ranjan; Alam, Md Kowsar

    2014-12-01

    The research work was aimed to determine the fatal cancer risk due to the radiation exposure on population of Bangladesh. The total risk is somewhat higher. However, the average total fatal probability coefficient was found to be 101 cases per million people, the range of which was from 78 to 144 per million people. The lowest risk was found for the people of Srimangal (Maulavibazar) and Sandweep, while the risk was highest for the people of Nachole (Chapai Nawabgonj) and Badalgachhi (Naogaon), the two locations are in the Borendra region. The risk factors were found to be around average level for the people of Dhaka, Chittagong and Rajshahi. Since a very significant portion of people of Bangladesh live in these areas, the calculated average risk factor become more meaningful. Moreover, as both the average effective dose equivalents and the population density in Bangladesh are higher than those of the countries compared, the people of Bangladesh are in more risk than those countries.

  17. History and Perspectives of Nuclear Medicine in Bangladesh.

    PubMed

    Hussain, Raihan

    2016-01-01

    Bangladesh is one of the smaller states in Asia. But it has a long and rich history of nuclear medicine for over sixty years. The progress in science and technology is always challenging in a developing country. In 1958, work for the first Nuclear Medicine facility was commenced in Dhaka in a tin-shed known as 'Radioisotope Centre' and was officially inaugurated in 1962. Since the late 50s of the last century nuclear medicine in Bangladesh has significantly progressed through the years in its course of development, but still the facilities are inadequate. At present there are 20 nuclear medicine establishments with 3 PET-CTs, 42 gamma camera/SPECTs with 95 physicians, 20 physicists, 10 radiochemists and 150 technologists. The Society of Nuclear Medicine, Bangladesh (SNMB) was formed in 1993 and publishing its official journal since 1997. Bangladesh also has close relationships with many international organizations like IAEA, ARCCNM, AOFNMB, ASNM, WFNMB and WARMTH. The history and the present scenario of the status of nuclear medicine in Bangladesh are being described here.

  18. History and Perspectives of Nuclear Medicine in Bangladesh

    PubMed Central

    Hussain, Raihan

    2016-01-01

    Bangladesh is one of the smaller states in Asia. But it has a long and rich history of nuclear medicine for over sixty years. The progress in science and technology is always challenging in a developing country. In 1958, work for the first Nuclear Medicine facility was commenced in Dhaka in a tin-shed known as ‘Radioisotope Centre’ and was officially inaugurated in 1962. Since the late 50s of the last century nuclear medicine in Bangladesh has significantly progressed through the years in its course of development, but still the facilities are inadequate. At present there are 20 nuclear medicine establishments with 3 PET-CTs, 42 gamma camera/SPECTs with 95 physicians, 20 physicists, 10 radiochemists and 150 technologists. The Society of Nuclear Medicine, Bangladesh (SNMB) was formed in 1993 and publishing its official journal since 1997. Bangladesh also has close relationships with many international organizations like IAEA, ARCCNM, AOFNMB, ASNM, WFNMB and WARMTH. The history and the present scenario of the status of nuclear medicine in Bangladesh are being described here. PMID:27904875

  19. Characteristics of Multidrug Resistant Shigella and Vibrio cholerae O1 Infections in Patients Treated at an Urban and a Rural Hospital in Bangladesh

    PubMed Central

    Das, Sumon Kumar; Klontz, Erik H.; Azmi, Ishrat J.; Ud-Din, Abu I. M. S.; Chisti, Mohammod Jobayer; Afrad, Mokibul Hassan; Malek, Mohammad Abdul; Ahmed, Shahnawaz; Das, Jui; Talukder, Kaisar Ali; Salam, Mohammed Abdus; Bardhan, Pradip Kumar; Faruque, Abu Syed Golam; Klontz, Karl C.

    2013-01-01

    We determined the frequency of multidrug resistant (MDR) infections with Shigella spp. and Vibrio cholerae O1 at an urban (Dhaka) and rural (Matlab) hospital in Bangladesh. We also compared sociodemographic and clinical features of patients with MDR infections to those with antibiotic-susceptible infections at both sites. Analyses were conducted using surveillance data from the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), for the years 2000–2012. Compared to patients with antibiotic-susceptible for Shigella infections, those in Dhaka with MDR shigellosis were more likely to experience diarrhea for >24 hours, while, in Matlab, they were more likely to stay inhospital >24 hours. For MDR shigellosis, Dhaka patients were more likely than those in Matlab to have dehydration, stool frequency >10/day, and diarrheal duration >24 hours. Patients with MDR Vibrio cholerae O1 infections in Dhaka were more likely than those in Matlab to experience dehydration and stool frequency >10/day. Thus, patients with MDR shigellosis and Vibrio cholerae O1 infection exhibited features suggesting more severe illness than those with antibiotic-susceptible infections. Moreover, Dhaka patients with MDR shigellosis and Vibrio cholerae O1 infections exhibited features indicating more severe illness than patients in Matlab. PMID:24455398

  20. Peptic Ulcer Disease in Bangladesh: A Multi-centre Study.

    PubMed

    Ghosh, C K; Khan, M R; Alam, F; Shil, B C; Kabir, M S; Mahmuduzzaman, M; Das, S C; Masud, H; Roy, P K

    2017-01-01

    The incidence of peptic ulcer has steadily declined through out the world. This decreasing trend is also noticeable in this subcontinent. The point prevalence of peptic ulcer (PUD) in Bangladesh was around 15% in eighties. The aim of this study was to see the present prevalence of peptic ulcer at endoscopy and to identify changing trends in the occurrence of peptic ulcer in Bangladesh. This retrospective analysis of the endoscopic records of multiple tertiary referral centres of Dhaka city were done from January 2012 to July 2013. A total of 5608 subjects were the study samples. We included those patients having peptic ulcer in the form of duodenal ulcer, benign gastric ulcer including pre-pyloric ulcer and gastric outlet obstruction due to peptic ulcer. Duodenal ulcer and benign gastric ulcer were found in 415(7.4%) and 184(3.28%) patients respectively and gastric outlet obstruction due to peptic ulcer was found in 23(0.40%) patients.

  1. Genetic characteristics of drug-resistant Vibrio cholerae O1 causing endemic cholera in Dhaka, 2006-2011.

    PubMed

    Rashed, Shah M; Mannan, Shahnewaj B; Johura, Fatema-Tuz; Islam, M Tarequl; Sadique, Abdus; Watanabe, Haruo; Sack, R Bradley; Huq, Anwar; Colwell, Rita R; Cravioto, Alejandro; Alam, Munirul

    2012-12-01

    Vibrio cholerae O1 biotype El Tor (ET), causing the seventh cholera pandemic, was recently replaced in Bangladesh by an altered ET possessing ctxB of the Classical (CL) biotype, which caused the first six cholera pandemics. In the present study, V. cholerae O1 strains associated with endemic cholera in Dhaka between 2006 and 2011 were analysed for major phenotypic and genetic characteristics. Of 54 representative V. cholerae isolates tested, all were phenotypically ET and showed uniform resistance to trimethoprim/sulfamethoxazole (SXT) and furazolidone (FR). Resistance to tetracycline (TE) and erythromycin (E) showed temporal fluctuation, varying from year to year, while all isolates were susceptible to gentamicin (CN) and ciprofloxacin (CIP). Year-wise data revealed erythromycin resistance to be 33.3 % in 2006 and 11 % in 2011, while tetracycline resistance accounted for 33, 78, 0, 100 and 27 % in 2006, 2007, 2008, 2009 and 2010, respectively; interestingly, all isolates tested were sensitive to TE in 2011, as observed in 2008. All V. cholerae isolates tested possessed genetic elements such as SXT, ctxAB, tcpA(ET), rstR(ET) and rtxC; none had IntlI (Integron I). Double mismatch amplification mutation assay (DMAMA)-PCR followed by DNA sequencing and analysis of the ctxB gene revealed a point mutation at position 58 (C→A), which has resulted in an amino acid substitution from histidine (H) to asparagine (N) at position 20 (genotype 7) since 2008. Although the multi-resistant strains having tetracycline resistance showed minor genetic divergence, V. cholerae strains were clonal, as determined by a PFGE (NotI)-based dendrogram. This study shows 2008-2010 to be the time of transition from ctxB genotype 1 to genotype 7 in V. cholerae ET causing endemic cholera in Dhaka, Bangladesh.

  2. Patterns and Predictors of Smokeless Tobacco Use among Adults in Bangladesh: Findings from the International Tobacco Control (ITC) Bangladesh Survey

    PubMed Central

    Abdullah, Abu S.; Driezen, Pete; Ruthbah, Ummul H.; Nargis, Nigar; Quah, Anne C. K.; Fong, Geoffrey T.

    2014-01-01

    Background Although smokeless tobacco (SLT) use is prevalent in South Asian countries including Bangladesh, information about the pattern and correlates of SLT use is scarce. This study described the pattern and predictors of SLT use among Bangladeshi adults. Methods The data for this study were derived from the International Tobacco Control Policy Evaluation Bangladesh (ITC BD) Survey, a prospective cohort survey of a nationally representative sample of smokers and non-smokers, conducted during November 2011 and May 2012. The study included 5522 adults aged 15 or above. We used multiple logistic regression models to identify predictors of SLT use. Results Of the respondents (N = 5522), 20% were SLT users. In general, SLT use was significantly higher among women, the illiterate and residents of the Dhaka slums or non-tribal/non-border areas outside Dhaka; SLT use increased with age. Several attitudinal factors were also associated with SLT use. Multivariable logistic regression analyses revealed several predictors of SLT use: being female (OR = 1.96, 95% confidence interval, CI: 1.18–3.24), an increasing age, being a resident of a Dhaka slum (OR = 5.86; 95% CI: 3.73–9.21) or non-tribal/non-border areas outside Dhaka (OR = 3.42; 95% CI: 1.94–6.03), being illiterate (OR = 3.37; 95% CI: 1.99–5.71), holding positive opinion towards societal approval of SLT use (OR = 5.84; 95% CI: 3.38–10.09), holding positive opinion towards SLT use by women (OR = 2.63; 95% CI: 1.53–4.54), believing that SLT is addictive (OR = 2.96; 95% CI: 1.51–5.81), and believing SLT is less harmful than bidi (OR = 2.22; 95% CI: 1.36–3.62). Conclusion The findings suggest that coordinated efforts of governmental and non-governmental organizations, targeting both smoked tobacco and SLT use reduction and cessation, could be modified to reach each level of population including those who are marginalized, female, less educated and elderly. As most

  3. Simulation of urban and regional air pollution in Bangladesh

    NASA Astrophysics Data System (ADS)

    Muntaseer Billah Ibn Azkar, M. A.; Chatani, Satoru; Sudo, Kengo

    2012-04-01

    We have developed a regional scale air quality simulation using the Weather Research and Forecasting (WRF) - Community Multiscale Air Quality Model (CMAQ) to assess the suitability of such an advanced modeling system for predicting the air quality of Bangladesh and its surrounding region. The Regional Emission Inventory in Asia (REAS) was used as the emission input in this modeling approach. Both meteorological and chemical model performance were evaluated with observations including satellite data. Comparison between simulated and observed meteorological parameters revealed that the WRF can generate the necessary meteorological inputs for CMAQ. Comparison of observed and simulated concentrations of different air pollutants revealed that CMAQ greatly underestimates the concentrations of key pollutants. Comparison with satellite observations revealed that CMAQ reproduces the spatial distribution of NO2with some underestimation in Bangladesh and India. The simulated AOD and satellite-retrieved AOD showed good temporal and spatial agreement mutually, with a correlation coefficient of 0.58. Sensitivity simulation using higher horizontal resolution emission data made by re-gridding the REAS inventory with the population distribution improved the CMAQ performance. Nevertheless, CMAQ underestimated the pollutant concentrations in Dhaka. Uncertainties in the emission inventory and in the lack of time variation in emissions input mainly contributed to the model underestimation. Model predictions show that 36-72% PM10 and 15-60% PM2.5 in Dhaka might be contributed from brick kiln emissions in monthly average of January 2004. The chemical composition of PM2.5showed that the considerable amounts of secondary aerosols in Dhaka and carbonaceous components (particularly organic carbon) are most responsible for the model underestimation. Results suggest that improvements of emission inputs and more detailed sensitivity analysis of CMAQ model are important to assess the reliability

  4. Clonal transmission, dual peak, and off-season cholera in Bangladesh

    PubMed Central

    Alam, Munirul; Islam, Atiqul; Bhuiyan, Nurul A.; Rahim, Niaz; Hossain, Anowar; Khan, G. Yeahia; Ahmed, Dilruba; Watanabe, Haruo; Izumiya, Hidemasa; Faruque, Abu S. G.; Akanda, Ali S.; Islam, Shafiqul; Sack, R. Bradley; Huq, Anwar; Colwell, Rita R.; Cravioto, Alejandro

    2011-01-01

    Vibrio cholerae is an estuarine bacterium associated with a single peak of cholera (March–May) in coastal villages of Bangladesh. For an unknown reason, however, cholera occurs in a unique dual peak (March–May and September–November) pattern in the city of Dhaka that is bordered by a heavily polluted freshwater river system and flood embankment. In August 2007, extreme flooding was accompanied by an unusually severe diarrhea outbreak in Dhaka that resulted in a record high illness. This study was aimed to understand the unusual outbreak and if it was related to the circulation of a new V. cholerae clone. Nineteen V. cholerae isolated during the peak of the 2007 outbreak were subjected to extensive phenotypic and molecular analyses, including multi-locus genetic screening by polymerase chain reaction (PCR), sequence-typing of the ctxB gene, and pulsed-field gel electrophoresis (PFGE). Factors associated with the unusual incidence of cholera were determined and analysis of the disease severity was done. Overall, microbiological and molecular data confirmed that the hypervirulent V. cholerae was O1 biotype El Tor (ET) that possessed cholera toxin (CT) of the classical biotype. The PFGE (NotI) and dendrogram clustering confirmed that the strains were clonal and related to the pre-2007 variant ET from Dhaka and Matlab and resembled one of two distinct clones of the variant ET confirmed to be present in the estuarine ecosystem of Bangladesh. Results of the analyses of both diarrheal case data for three consecutive years (2006–2008) and regional hydroclimatology over three decades (1980–2009) clearly indicate that the pattern of cholera occurring in Dhaka, and not seen at other endemic sites, was associated with flood waters transmitting the infectious clone circulating via the fecal-oral route during and between the dual seasonal cholera peaks in Dhaka. Circular river systems and flood embankment likely facilitate transmission of infectious V. cholerae

  5. Clonal transmission, dual peak, and off-season cholera in Bangladesh.

    PubMed

    Alam, Munirul; Islam, Atiqul; Bhuiyan, Nurul A; Rahim, Niaz; Hossain, Anowar; Khan, G Yeahia; Ahmed, Dilruba; Watanabe, Haruo; Izumiya, Hidemasa; Faruque, Abu S G; Akanda, Ali S; Islam, Shafiqul; Sack, R Bradley; Huq, Anwar; Colwell, Rita R; Cravioto, Alejandro

    2011-01-01

    Vibrio cholerae is an estuarine bacterium associated with a single peak of cholera (March-May) in coastal villages of Bangladesh. For an unknown reason, however, cholera occurs in a unique dual peak (March-May and September-November) pattern in the city of Dhaka that is bordered by a heavily polluted freshwater river system and flood embankment. In August 2007, extreme flooding was accompanied by an unusually severe diarrhea outbreak in Dhaka that resulted in a record high illness. This study was aimed to understand the unusual outbreak and if it was related to the circulation of a new V. cholerae clone. Nineteen V. cholerae isolated during the peak of the 2007 outbreak were subjected to extensive phenotypic and molecular analyses, including multi-locus genetic screening by polymerase chain reaction (PCR), sequence-typing of the ctxB gene, and pulsed-field gel electrophoresis (PFGE). Factors associated with the unusual incidence of cholera were determined and analysis of the disease severity was done. Overall, microbiological and molecular data confirmed that the hypervirulent V. cholerae was O1 biotype El Tor (ET) that possessed cholera toxin (CT) of the classical biotype. The PFGE (NotI) and dendrogram clustering confirmed that the strains were clonal and related to the pre-2007 variant ET from Dhaka and Matlab and resembled one of two distinct clones of the variant ET confirmed to be present in the estuarine ecosystem of Bangladesh. Results of the analyses of both diarrheal case data for three consecutive years (2006-2008) and regional hydroclimatology over three decades (1980-2009) clearly indicate that the pattern of cholera occurring in Dhaka, and not seen at other endemic sites, was associated with flood waters transmitting the infectious clone circulating via the fecal-oral route during and between the dual seasonal cholera peaks in Dhaka. Circular river systems and flood embankment likely facilitate transmission of infectious V. cholerae throughout the

  6. Feeding a Hungry World: Focus on Rice in Asia and the Pacific.

    ERIC Educational Resources Information Center

    Mukai, Gary; And Others

    This unit introduces students to the diversity of rice culture and rice-based farming systems in Asia and the Pacific. Students examine issues related to the needs of the future global population. Six rice-producing countries are under study: Bangladesh, China, Indonesia, Japan, Philippines, and Thailand. The lessons include: (1) "Rice in…

  7. Genetic and field management strategies to for limiting accumulation of arsenic in rice grains

    USDA-ARS?s Scientific Manuscript database

    In 2002, high levels of arsenic were reported in rice produced in Bangladesh using soil and water naturally high in arsenic. Study of arsenic in rice produced in additional countries, including the USA, soon followed. Grain-arsenic is higher in rice than other crops because the flooding of rice pa...

  8. Development and acceptability testing of ready-to-use supplementary food made from locally available food ingredients in Bangladesh

    PubMed Central

    2014-01-01

    Background Inadequate energy and micronutrient intake during childhood is a major public health problem in developing countries. Ready-to-use supplementary food (RUSF) made of locally available food ingredients can improve micronutrient status and growth of children. The objective of this study was to develop RUSF using locally available food ingredients and test their acceptability. Methods A checklist was prepared of food ingredients available and commonly consumed in Bangladesh that have the potential of being used for preparing RUSF. Linear programming was used to determine possible combinations of ingredients and micronutrient premix. To test the acceptability of the RUSF compared to Pushti packet (a cereal based food-supplement) in terms of amount taken by children, a clinical trial was conducted among 90 children aged 6–18 months in a slum of Dhaka city. The mothers were also asked to rate the color, flavor, mouth-feel, and overall liking of the RUSF by using a 7-point Hedonic Scale (1 = dislike extremely, 7 = like extremely). Results Two RUSFs were developed, one based on rice-lentil and the other on chickpea. The total energy obtained from 50 g of rice-lentil, chickpea-based RUSF and Pushti packet were 264, 267 and 188 kcal respectively. Children were offered 50 g of RUSF and they consumed (mean ± SD) 23.8 ± 14 g rice-lentil RUSF, 28.4 ± 15 g chickpea based RUSF. Pushti packet was also offered 50 g but mothers were allowed to add water, and children consumed 17.1 ± 14 g. Mean feeding time for two RUSFs and Pushti packet was 20.9 minutes. Although the two RUSFs did not differ in the amount consumed, there was a significant difference in consumption between chickpea-based RUSF and Pushti packet (p = 0.012). Using the Hedonic Scale the two RUSFs were more liked by mothers compared to Pushti packet. Conclusions Recipes of RUSF were developed using locally available food ingredients. The study results suggest that rice

  9. Development and acceptability testing of ready-to-use supplementary food made from locally available food ingredients in Bangladesh.

    PubMed

    Ahmed, Tahmeed; Choudhury, Nuzhat; Hossain, M Iqbal; Tangsuphoom, Nattapol; Islam, M Munirul; de Pee, Saskia; Steiger, Georg; Fuli, Rachel; Sarker, Shafiqul A M; Parveen, Monira; West, Keith P; Christian, Parul

    2014-06-27

    Inadequate energy and micronutrient intake during childhood is a major public health problem in developing countries. Ready-to-use supplementary food (RUSF) made of locally available food ingredients can improve micronutrient status and growth of children. The objective of this study was to develop RUSF using locally available food ingredients and test their acceptability. A checklist was prepared of food ingredients available and commonly consumed in Bangladesh that have the potential of being used for preparing RUSF. Linear programming was used to determine possible combinations of ingredients and micronutrient premix. To test the acceptability of the RUSF compared to Pushti packet (a cereal based food-supplement) in terms of amount taken by children, a clinical trial was conducted among 90 children aged 6-18 months in a slum of Dhaka city. The mothers were also asked to rate the color, flavor, mouth-feel, and overall liking of the RUSF by using a 7-point Hedonic Scale (1 = dislike extremely, 7 = like extremely). Two RUSFs were developed, one based on rice-lentil and the other on chickpea. The total energy obtained from 50 g of rice-lentil, chickpea-based RUSF and Pushti packet were 264, 267 and 188 kcal respectively. Children were offered 50 g of RUSF and they consumed (mean ± SD) 23.8 ± 14 g rice-lentil RUSF, 28.4 ± 15 g chickpea based RUSF. Pushti packet was also offered 50 g but mothers were allowed to add water, and children consumed 17.1 ± 14 g. Mean feeding time for two RUSFs and Pushti packet was 20.9 minutes. Although the two RUSFs did not differ in the amount consumed, there was a significant difference in consumption between chickpea-based RUSF and Pushti packet (p = 0.012). Using the Hedonic Scale the two RUSFs were more liked by mothers compared to Pushti packet. Recipes of RUSF were developed using locally available food ingredients. The study results suggest that rice-lentil and chickpea-based RUSF are well accepted

  10. The urban poor in Dhaka City: their struggles and coping strategies during the floods of 1998.

    PubMed

    Rashid, S F

    2000-09-01

    Bangladesh experienced one of the worst floods in recorded history in 1998. This paper focuses on the needs and coping strategies of the urban poor in Dhaka City, which had been very badly affected. The city's roads were completely under water, and most areas were water-logged with drainage and sewage systems blocked. Rising water levels compelled many slum dwellers to move to temporary shelters and relief camps. Women and children were the worst affected. The lack of sanitation facilities and privacy forced women and children to defecate in their own homes. There was an acute scarcity of safe drinking-water, and food prices rose dramatically. Diarrhoea, fever and colds were the most common illnesses affecting the poor. The floods left many of them unemployed, and in some families, the result was increased tension and incidents of domestic violence. In some areas, members felt pressured to repay micro-credit loans. Most NGOs, however, suspended loan repayments. During this period, a committee was set up to co-ordinate and work towards addressing some of the main post-flood problems.

  11. Work stress: its components and its association with self-reported health outcomes in a garment factory in Bangladesh-Findings from a cross-sectional study.

    PubMed

    Steinisch, Maria; Yusuf, Rita; Li, Jian; Rahman, Omar; Ashraf, Hasan M; Strümpell, Christian; Fischer, Joachim E; Loerbroks, Adrian

    2013-11-01

    Bangladesh is one of the leading exporters of ready-made garments (RMG) worldwide producing at very low cost almost exclusively for Western markets. Empirical evidence on psychologically adverse working conditions and their association with health in the RMG setting remains sparse. Drawing on insights from previous ethnographic research, we conducted a cross-sectional epidemiological study among 332 RMG workers in Dhaka, Bangladesh. High work-related demands and poor interpersonal resources represented key components of work stress and were important determinants of poor health. The key work stress components observed in this study partly differed from those identified in Western work place settings.

  12. A pilot study of faecal volatile organic compounds in faeces from cholera patients in Bangladesh to determine their utility in disease diagnosis.

    PubMed

    Garner, C E; Smith, S; Bardhan, P K; Ratcliffe, N M; Probert, C S J

    2009-11-01

    The aim of this pilot study was to analyse the volatile organic compounds in faecal samples collected from cholera patients in Bangladesh to determine biomarkers that could be used for disease diagnosis. Samples were collected from patients at the International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh and also from healthy controls at the same institution. The volatile organic compounds were extracted from the headspace above the sample using solid phase microextraction and analysed using gas chromatography-mass spectrometry. A biomarker was identified in the cholera samples that could be used for disease diagnosis.

  13. Antimicrobial susceptibility pattern of clinical isolates of Burkholderia pseudomallei in Bangladesh.

    PubMed

    Dutta, Subarna; Haq, Sabah; Hasan, Mohammad Rokibul; Haq, Jalaluddin Ashraful

    2017-07-20

    Melioidosis an infectious disease, caused by a Gram negative bacterium called Burkholderia pseudomallei, is endemic in Bangladesh. This organism is sensitive to limited number of antimicrobial agents and need prolonged treatment. There is no comprehensive data on the antimicrobial susceptibility profile of B. pseudomallei isolated in Bangladesh over last several years. The present study aimed to determine the antimicrobial susceptibility pattern of B. pseudomallei isolated in a tertiary care hospital of Dhaka city from 2009 to 2015. All B. pseudomallei isolated from melioidosis patients over a period of 7 years (2009-2015) in the Department of Microbiology of a 725-bed tertiary care referral hospital in Dhaka city, Bangladesh were included in the study. B. pseudomallei was identified by Gram stain, culture, specific biochemical tests, serology and PCR using specific primers constructed from 16s rRNA region of B. pseudomallei. Antimicrobial susceptibility to specific agents was determined by disk diffusion and minimum inhibitory concentration methods. A total of 20 isolates of B. pseudomallei which were isolated from patients coming from different geographic locations of Bangladesh were included in the study. All the isolates were uniformly sensitive (100%) to ceftazidime, imipenem, piperacillin-tazobactam, amoxicillin-clavulanic acid and tetracycline by both disk diffusion and MIC methods. Two strains were resistant to trimethoprim-sulfamethoxazole by disk diffusion method but were sensitive by MIC method. The MIC50 and MIC90 values of the above antimicrobial agents were almost similar. All the isolates were resistant to amikacin by both MIC and disk diffusion methods. The results of the study suggest that B. pseudomallei prevalent in Bangladesh were still susceptible to all recommended antimicrobial agents used for the treatment of melioidosis. However, regular monitoring is needed to detect any emergence of resistance and shifting of MIC50 and MIC90 values.

  14. The Indian Ocean dipole and cholera incidence in Bangladesh: a time-series analysis.

    PubMed

    Hashizume, Masahiro; Faruque, A S G; Terao, Toru; Yunus, Md; Streatfield, Kim; Yamamoto, Taro; Moji, Kazuhiko

    2011-02-01

    It has been reported that the El Niño-Southern Oscillation (ENSO) influences the interannual variation of endemic cholera in Bangladesh. There is increased interest in the influence of the Indian Ocean dipole (IOD), a climate mode of coupled ocean-atmosphere variability, on regional ocean climate in the Bay of Bengal and on Indian monsoon rainfall. We explored the relationship between the IOD and the number of cholera patients in Bangladesh, controlling for the effects of ENSO. Time-series regression was performed. Negative binomial models were used to estimate associations between the monthly number of hospital visits for cholera in Dhaka and Matlab (1993-2007) and the dipole mode index (DMI) controlling for ENSO index [NINO3, a measure of the average sea surface temperature (SST) in the Niño 3 region], seasonal, and interannual variations. Associations between cholera cases and SST and sea surface height (SSH) of the northern Bay of Bengal were also examined. A 0.1-unit increase in average DMI during the current month through 3 months before was associated with an increase in cholera incidence of 2.6% [(95% confidence interval (CI), 0.0-5.2; p = 0.05] in Dhaka and 6.9% (95% CI, 3.2-10.8; p < 0.01) in Matlab. Cholera incidence in Dhaka increased by 2.4% (95% CI, 0.0-5.0; p = 0.06) after a 0.1-unit decrease in DMI 4-7 months before. Hospital visits for cholera in both areas were positively associated with SST 0-3 months before, after adjusting for SSH (p < 0.01). These findings suggest that both negative and positive dipole events are associated with an increased incidence of cholera in Bangladesh with varying time lags.

  15. Neonatal mortality of low-birth-weight infants in Bangladesh.

    PubMed Central

    Yasmin, S.; Osrin, D.; Paul, E.; Costello, A.

    2001-01-01

    OBJECTIVE: To ascertain the role of low birth weight (LBW) in neonatal mortality in a periurban setting in Bangladesh. METHODS: LBW neonates were recruited prospectively and followed up at one month of age. The cohort of neonates were recruited after delivery in a hospital in Dhaka, Bangladesh, and 776 were successfully followed up either at home or, in the event of early death, in hospital. FINDINGS: The neonatal mortality rate (NMR) for these infants was 133 per 1000 live births (95% confidence interval: 110-159). The corresponding NMRs (and confidence intervals) for early and late neonates were 112 (91-136) and 21 (12-33) per thousand live births, respectively. The NMR for infants born after fewer than 32 weeks of gestation was 769 (563-910); and was 780 (640-885) for infants whose birth weights were under 1500 g. Eighty-four per cent of neonatal deaths occurred in the first seven days; half within 48 hours. Preterm delivery was implicated in three-quarters of neonatal deaths, but was associated with only one-third of LBW neonates. CONCLUSION: Policy-relevant findings were: that LBW approximately doubles the NMR in a periurban setting in Bangladesh; that neonatal mortality tends to occur early; and that preterm delivery is the most important contributor to the NMR. The group of infants most likely to benefit from improvements in low-cost essential care for the newborn accounted for almost 61% of neonatal mortalities in the cohort. PMID:11477963

  16. NASA/NOAA implementation of the USAID-sponsored satellite ground station and data processing facility for Bangladesh

    NASA Technical Reports Server (NTRS)

    Dodge, J. C.; Vermillion, C. H.

    1983-01-01

    A description is given of a project to transfer multiple environmental satellite data reception, processing, and interpretation capabilities from the U.S. to Bangladesh. The goal of the project is to improve the management of resources related primarily to agriculture, water development, forestry, and fisheries. It is also hoped to improve the existing cyclone/storm surge warning system. An account is given of the interagency and international cooperation underlying the project. The remote-sensing installation in Dhaka, Bangladesh, is described, and the most likely system applications are summarized. Attention is also given to the special requirements concerning this type of technology transfer, and an assessment is made of the project's practical value to Bangladesh.

  17. NASA/NOAA implementation of the USAID-sponsored satellite ground station and data processing facility for Bangladesh

    NASA Technical Reports Server (NTRS)

    Dodge, J. C.; Vermillion, C. H.

    1983-01-01

    A description is given of a project to transfer multiple environmental satellite data reception, processing, and interpretation capabilities from the U.S. to Bangladesh. The goal of the project is to improve the management of resources related primarily to agriculture, water development, forestry, and fisheries. It is also hoped to improve the existing cyclone/storm surge warning system. An account is given of the interagency and international cooperation underlying the project. The remote-sensing installation in Dhaka, Bangladesh, is described, and the most likely system applications are summarized. Attention is also given to the special requirements concerning this type of technology transfer, and an assessment is made of the project's practical value to Bangladesh.

  18. Paying for Sex by Young Men Who Live on the Streets in Dhaka City: Compounded Sexual Risk in a Vulnerable Migrant Community.

    PubMed

    McClair, Tracy L; Hossain, Tarik; Sultana, Nargis; Burnett-Zieman, Brady; Yam, Eileen A; Hossain, Sharif; Yasmin, Reena; Sadiq, Najmus; Decker, Michele R; Ahmed, Saifuddin

    2017-02-01

    Dhaka City is home to thousands of migrants from Bangladesh's rural areas who often live in the streets. Prior studies examine street youth's practice of selling sex as a survival mechanism. We assess their less-studied practice of paying for sex and its association with sexual risk behaviors and outcomes. As part of the global Link Up project, trained interviewers recruited 447 young men who live on the streets, ages 15-24, from seven Dhaka City "hotspots" to participate in a survey about sexual health. Among those who ever had sex, we examined frequencies and conducted bivariate analyses of sociodemographic characteristics by paying for sex status. We then conducted bivariate and multivariate logistic regression analyses of paying for sex in the last 12 months and sexual health behaviors and outcomes. Median participant age was 18 years. Among those who ever had sex (N = 321), 80% reported paying for sex in the last 12 months and 15% reported selling sex in the last 12 months. In multivariate analyses, those who paid for sex had significantly increased odds of reporting sexually transmitted infection-related symptoms in the last six months (adjusted odds ratio = 1.76, 95% confidence interval [CI] = 1.17-2.64) and engaging in unprotected last sex with a nonprimary partner (adjusted odds ratio = 2.19, CI = 1.58-3.03). The adverse factors associated with paying for sex among young men who live on the streets in Dhaka City highlight the need for programs to educate on HIV/sexually transmitted infection prevention and promote condom use, STI screening/treatment, and HIV testing in this population. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  19. Housing Satisfaction Related to Health and Importance of Services in Urban Slums: Evidence from Dhaka, Bangladesh

    ERIC Educational Resources Information Center

    Zanuzdana, Arina; Khan, Mobarak; Kraemer, Alexander

    2013-01-01

    Quality of housing plays one of the key roles in a public health research, since inadequate housing may have direct or indirect negative impact on health. Higher satisfaction with housing was shown to be associated with higher income, higher age, a smaller family, higher education, being female and being an owner of a dwelling. The aim of our…

  20. Planning Meeting on Community Learning Centres (Dhaka, Bangladesh, September 21-26, 1998). Final Report (APPEAL).

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    The Community Learning Centre Project has been approved within the framework of UNESCO's Asia-Pacific Programme of Education for All (APPEAL), and supports one of APPEAL's priority areas, community participation and ownership. Community learning centers, managed by local institutions outside the formal school system, provide literacy and learning…

  1. Bacterial Shedding in Household Contacts of Cholera Patients in Dhaka, Bangladesh

    PubMed Central

    Weil, Ana A.; Begum, Yasmin; Chowdhury, Fahima; Khan, Ashraful I.; Leung, Daniel T.; LaRocque, Regina C.; Charles, Richelle C.; Ryan, Edward T.; Calderwood, Stephen B.; Qadri, Firdausi; Harris, Jason B.

    2014-01-01

    Multiple Vibrio cholerae infections within the same household are common. Household contacts of patients with cholera were observed with daily clinical assessments and collection of rectal swab cultures for nine days after presentation of the index case. During the follow-up period, 71 (24%) of 294 household contacts developed a positive V. cholerae rectal swab, signifying bacterial shedding. The average length of bacterial shedding was 2.0 days (95% confidence interval 1.7–2.4). However, 16 (5%) of 294 contacts shed V. cholerae for ≥ 4 days. In a multivariate analysis, malnutrition was predictive of long-term shedding (odds ratio = 1.4, 95% confidence interval = 1.3–13, P = 0.02). High rates of V. cholerae infection and bacterial shedding among household contacts of cholera patients represent an opportunity for intervention to reduce V. cholerae transmission. PMID:25114012

  2. Housing Satisfaction Related to Health and Importance of Services in Urban Slums: Evidence from Dhaka, Bangladesh

    ERIC Educational Resources Information Center

    Zanuzdana, Arina; Khan, Mobarak; Kraemer, Alexander

    2013-01-01

    Quality of housing plays one of the key roles in a public health research, since inadequate housing may have direct or indirect negative impact on health. Higher satisfaction with housing was shown to be associated with higher income, higher age, a smaller family, higher education, being female and being an owner of a dwelling. The aim of our…

  3. Multiple outbreaks of puffer fish intoxication in Bangladesh, 2008.

    PubMed

    Homaira, Nusrat; Rahman, Mahmudur; Luby, Stephen P; Rahman, Mostafizur; Haider, Mohammad Sabbir; Faruque, Labib Imran; Khan, Dawlat; Parveen, Shahana; Gurley, Emily S

    2010-08-01

    During April and June 2008, we investigated three outbreaks of marine puffer fish intoxication in three districts of Bangladesh (Narshingdi, Natore, and Dhaka). We also explored trade of marine puffer fish in Cox's Bazaar, a coastal area of the country. We identified 95 people who had consumed puffer fish; 63 (66%) developed toxicity characterized by tingling sensation in the body, perioral numbness, dizziness, and weakness, 14 of them died. All three outbreaks were caused by consumption of large (0.2-1.5 kg) marine puffer fish, sold in communities where people were unfamiliar with the marine variety of the fish and its toxicity. Coastal fishermen reported that some local businessmen distributed the fresh fish to non-coastal parts of the country, where people were unfamiliar with the larger variety, to make a quick profit. Lack of knowledge about marine puffer toxicity contributed to the outbreaks. Health communication campaigns will enhance people's knowledge and may prevent future outbreaks.

  4. Rescue and emergency management of a man-made disaster: lesson learnt from a collapse factory building, Bangladesh.

    PubMed

    Biswas, Animesh; Rahman, Aminur; Mashreky, Saidur Rahman; Humaira, Tasnuva; Dalal, Koustuv

    2015-01-01

    A tragic disaster occurred on April 24, 2013, in Bangladesh, when a nine storied building in a suburban area collapsed and killed 1115 people and injured many more. The study describes the process of rescue operation and emergency management services provided in the event. Data were collected using qualitative methods including in-depth interviews and a focus group discussion with the involved medical students, doctors, volunteers, and local people. Immediately after the disaster, rescue teams came to the place from Bangladesh Armed Forces, Bangladesh Navy, Bangladesh Air Force, and Dhaka Metropolitan and local Police and doctors, medical students, and nurses from nearby medical college hospitals and private hospitals and students from colleges and universities including local civil people. Doctors and medical students provided 24-hour services at the disaster place and in hospitals. Minor injured patients were treated at health camps and major injured patients were immediately carried to nearby hospital. Despite the limitations of a low resource setting, Bangladesh faced a tremendous challenge to manage the man-made disaster and experienced enormous support from different sectors of society to manage the disaster carefully and saved thousands of lives. This effort could help to develop a standard emergency management system applicable to Bangladesh and other counties with similar settings.

  5. Rescue and Emergency Management of a Man-Made Disaster: Lesson Learnt from a Collapse Factory Building, Bangladesh

    PubMed Central

    Biswas, Animesh; Mashreky, Saidur Rahman; Humaira, Tasnuva; Dalal, Koustuv

    2015-01-01

    A tragic disaster occurred on April 24, 2013, in Bangladesh, when a nine storied building in a suburban area collapsed and killed 1115 people and injured many more. The study describes the process of rescue operation and emergency management services provided in the event. Data were collected using qualitative methods including in-depth interviews and a focus group discussion with the involved medical students, doctors, volunteers, and local people. Immediately after the disaster, rescue teams came to the place from Bangladesh Armed Forces, Bangladesh Navy, Bangladesh Air Force, and Dhaka Metropolitan and local Police and doctors, medical students, and nurses from nearby medical college hospitals and private hospitals and students from colleges and universities including local civil people. Doctors and medical students provided 24-hour services at the disaster place and in hospitals. Minor injured patients were treated at health camps and major injured patients were immediately carried to nearby hospital. Despite the limitations of a low resource setting, Bangladesh faced a tremendous challenge to manage the man-made disaster and experienced enormous support from different sectors of society to manage the disaster carefully and saved thousands of lives. This effort could help to develop a standard emergency management system applicable to Bangladesh and other counties with similar settings. PMID:25954767

  6. Inclusive Education in Bangladesh

    ERIC Educational Resources Information Center

    Ahsan, Mohammad Tariq; Burnip, Lindsay

    2007-01-01

    This article reports on inclusive education in Bangladesh for children with special needs. Bangladesh is not behind other developed countries in enacting laws and declarations in favour of inclusive education, but a lack of resources is the main barrier in implementing inclusive education. Special education and integrated education models exist in…

  7. Inclusive Education in Bangladesh

    ERIC Educational Resources Information Center

    Ahsan, Mohammad Tariq; Burnip, Lindsay

    2007-01-01

    This article reports on inclusive education in Bangladesh for children with special needs. Bangladesh is not behind other developed countries in enacting laws and declarations in favour of inclusive education, but a lack of resources is the main barrier in implementing inclusive education. Special education and integrated education models exist in…

  8. Management of acid burns: experience from Bangladesh.

    PubMed

    Das, Kishore Kumar; Olga, Loren; Peck, Michael; Morselli, Paolo G; Salek, A J M

    2015-05-01

    Acid burn injuries in Bangladesh primarily occur as a result of intentional attacks although there are incidences of accidental acid burns in industry, on the street, and at home. A total of 126 patients with acid burns, 95 from attacks and 31 from accidents, were studied from July 2004 to December 2012. A diagnosis of acid burn was made from history, physical examination and in some cases from chemical analysis of the patients' clothing. Alkali burns were excluded from the study. In the burn unit of Dhaka Medical College Hospital, we applied a slightly different protocol for management of acid burns, beginning with plain water irrigation of the wound, which effectively reduced burn depth and the requirement of surgical treatment. Application of hydrocolloid dressing for 48-72 h helped with the assessment of depth and the course of treatment. Early excision and grafting gives good results but resultant acid trickling creates a marble cake-like appearance of the wound separated by the vital skin. Excision with a scalpel and direct stitching of the wounds are often a good option. Observation of patients on follow-up revealed that wounds showed a tendency for hypertrophy. Application of pressure garments and other scar treatments were given in all cases unless the burn was highly superficial.

  9. Economic and Environmental Assessment of a 1 MW Grid Connected Rooftop Solar PV System for Energy Efficient Building in Bangladesh

    NASA Astrophysics Data System (ADS)

    Chakraborty, Sanjib; Hosain, Rubayet; Rahman, Toufiqur; Rabbi, Ahmead Fazle

    This paper evaluates the potentiality of a 1 MW grid connected rooftop solar PV system for an Energy Efficient Building in Bangladesh, which was estimated by utilizing NASA SSE solar radiation data, PVsyst simulation software and RETScreen simulation software. Economic and environmental viability for a ten-storied building with roof area of 6,500 m2 in the Capital City of Bangladesh, Dhaka was assessed by using the RETScreen simulation software. The yearly electricity production of the proposed system was 1,581 MWh estimated by PVsyst where the technical prospective of gird-connected solar PV in Bangladesh was calculated as about 50,174 MW. The economic assessments were determined the simple payback in such a way that the generated electricity first fulfills the demand of the building, and then the rest of the energy is supplied to the grid. The result indicates that the roof top solar PV system for an Energy efficient building in Dhaka city has a favorable condition for development both in economic and environmental point of view.

  10. Prevalence of musculoskeletal symptoms and associated factors: A cross-sectional study of metal workers in Bangladesh.

    PubMed

    Akter, Shamima; Maruf, Md Zia Uddin; Chowdhury, Suman Kanti

    2015-01-01

    There is a scarcity of evidence regarding musculoskeletal symptoms prevalence among metal workers at different worksites in Bangladesh. To determine the prevalence of musculoskeletal symptoms and associated factors among metal workers in Dhaka, Bangladesh. This cross-sectional study was performed in 5 out of 12 randomly selected metal tools manufacturing factories in Dhaka, Bangladesh. A total of 60 eligible participants (45 male and 15 female) were asked to complete the short Bengali version of the Dutch Musculoskeletal Questionnaire. In addition, observations within the workplace were performed using a predesigned checklist for identifying ergonomic risk factors. Prevalence of musculoskeletal symptoms during the last 12 months preceding data collection was reportedly 85%. Body regions reported to be most affected were upper back and lower back, then the wrist. Socio-demographic factors were not found to be significantly associated with musculoskeletal symptoms. In contrast, awkward posture and repetitive movement were significantly related to reports of musculoskeletal symptoms for the last 12 months preceding data collection. Results conclude that there is a high reported prevalence of musculoskeletal symptoms among metal workers, calling for an action on prevention and promotion in the work environment.

  11. Greenhouse gas footprint and the carbon flow associated with different solid waste management strategy for urban metabolism in Bangladesh.

    PubMed

    Islam, K M Nazmul

    2017-02-15

    Greenhouse gas (GHG) emissions from municipal solid waste (MSW) and associated climate change consequences are gripping attention globally, while MSW management as a vital subsystem of urban metabolism significantly influences the urban carbon cycles. This study evaluates the GHG emissions and carbon flow of existing and proposed MSW management in Bangladesh through scenario analysis, including landfill with landfill gas (LFG) recovery, waste to energy (WtE), and material recovery facility (MRF). The analysis indicates that, scenario H2 and H5 emitted net GHGs -152.20kg CO2 eq. and -140.32kg CO2 eq., respectively, in comparison with 420.88kg CO2 eq. of scenario H1 for managing per ton of wastes during the reference year 2015. The annual horizontal carbon flux of the waste input was 319Gg and 158Gg during 2015 in Dhaka and Chittagong, respectively. An integrated strategy of managing the wastes in the urban areas of Bangladesh involving WtE incineration plant and LFG recovery to generate electricity as well as MRF could reverse back 209.46Gg carbon and 422.29Gg carbon to the Chittagong and Dhaka urban system, respectively. This study provides valuable insights for the MSW policy framework and revamp of existing MSW management practices with regards to reduction of GHGs emissions from the waste sector in Bangladesh.

  12. Monitoring of metal pollution in waterways across Bangladesh and ecological and public health implications of pollution.

    PubMed

    Kibria, Golam; Hossain, Md Maruf; Mallick, Debbrota; Lau, T C; Wu, Rudolf

    2016-12-01

    Using innovative artificial mussels technology for the first time, this study detected eight heavy metals (Cd, Cu, Fe, Mn, Ni, Pb, U, Zn) on a regular basis in waterways across Bangladesh (Chittagong, Dhaka and Khulna). Three heavy metals, viz. Co, Cr and Hg were always below the instrumental detection levels in all the sites during the study period. Through this study, seven metal pollution "hot spots" have been identified, of which, five "hot spots" (Cu, Fe, Mn, Ni, Pb) were located in the Buriganga River, close to the capital Dhaka. Based on this study, the Buriganga River can be classified as the most polluted waterway in Bangladesh compared to waterways monitored in Khulna and Chittagong. Direct effluents discharged from tanneries, textiles are, most likely, reasons for elevated concentrations of heavy metals in the Buriganga River. In other areas (Khulna), agriculture and fish farming effluents may have caused higher Cu, U and Zn in the Bhairab and Rupsa Rivers, whereas untreated industrial discharge and ship breaking activities can be linked to elevated Cd in the coastal sites (Chittagong). Metal pollution may cause significant impacts on water quality (irrigation, drinking), aquatic biodiversity (lethal and sub-lethal effects), food contamination/food security (bioaccumulation of metals in crops and seafood), human health (diseases) and livelihoods of people associated with wetlands. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. MICROBIAL CONTAMINATION OF STREET VENDED FOODS FROM A UNIVERSITY CAMPUS IN BANGLADESH.

    PubMed

    Islam, Sufia; Nasrin, Nishat; Rizwan, Farhana; Nahar, Lutfun; Bhowmik, Adity; Esha, Sayma Afrin; Talukder, Kaisar Ali; Akter, Mahmuda; Roy, Ajoy; Ahmed, Muniruddin

    2015-05-01

    The microbiological quality of street vended food samples from Dhaka, Bangladesh was evaluated. The objective of the study was to identify the presence of common pathogens (Escherichia coli, Shigella spp, Salmonella and Vibrio spp) and to describe the molecular characterization of E coli, a commonly found pathogen in various street foods. Fifty food samples were collected from fixed and mobile vendors from two sampling locations (Mohakhali and Aftabnagar) in Dhaka city, Bangladesh. The tested samples included deep fried and fried snacks; quick lunch items; pickles; fruit chutney; baked items; spicy, sour and hot snacks etc: Juices, tamarind water and plain drinking water were also tested. Sterile polythene bags were used for collecting 200 g of each category of samples. They were tested for the presence of microorganisms following conventional microbiological processes. Biochemical tests followed by serology were done for the confirmation of Shigella and Salmonella. Serological reaction was carried out for confirmation of Vibrio spp. DNA was isolated for the molecular characterization to detect the pathogenic E. coli by polymerase chain reaction (PCR). Out of 50 food samples, six (12%) were confirmed to contain different species of E. coli and Shigella. Molecular characterization of E. coli revealed that three samples were contaminated with enteroaggregative E. coli (EAEC) and one was contaminated with enterotoxigenic E. coli (ETEC). Shigellaflexneri X variant was detected in one food item and Shigella flexneri 2a was found in drinking water. All these enteric pathogens could be the potential cause for foodborne illnesses.

  14. Changing Emergence of Shigella Sero-Groups in Bangladesh: Observation from Four Different Diarrheal Disease Hospitals

    PubMed Central

    Das, Sumon Kumar; Ahmed, Shahnawaz; Ferdous, Farzana; Farzana, Fahmida Dil; Chisti, Mohammod Jobayer; Leung, Daniel T.; Malek, Mohammad Abdul; Talukder, Kaisar Ali; Bardhan, Pradip Kumar; Salam, Mohammed Abdus; Faruque, Abu Syed Golam; Raqib, Rubhana

    2013-01-01

    Background Shigellosis continues to be a public health challenge for developing countries, including Bangladesh. The aim of the study is to demonstrate recent changes in Shigella sero-groups and their geographical diversity. Methods Data were extracted from data archive of four diarrheal disease surveillance systems. A 2% sub sample from urban Dhaka Hospital (2008–2011; n = 10,650), and 10% from urban Mirpur Treatment Centre (2009–2011; n = 3,585), were enrolled systematically; whereas, all patients coming from the Health and Demographic Surveillance System area in rural Matlab (2008–2011; n = 6,399) and rural Mirzapur (2010–2011; n = 2,812) were included irrespective of age, sex, and disease severity. A fresh stool specimen was collected for identification of Shigella spp. Of them, 315 (3%) were positive for Shigella in Dhaka, 490 (8%) from Matlab, 109 (3%) from Mirpur and 369 (13%) from Mirzapur and considered as analyzable sample size. Results Among all Shigella isolates regardless of age, significant decreases in percentage of S. flexneri over time was observed in Mirpur (55→29%; p value of χ2-for trend = 0.019) and Mirzapur (59→47%; p = 0.025). A non-significant decrease was also seen in Dhaka (58→48%), while in Matlab there was a non-significant increase (73→81%). Similar patterns were observed among under-5 children at all sites. Emergence of S. sonnei was found in Dhaka (8→25%; p<0.001) and Mirpur (10→33%; p = 0.015), whereas it decreased in Mirzapur (32→23%; p = 0.056). The emergence of S. boydii was seen in all ages in Mirzapur [(3→28%; p<0.001); (3→27%; p<0.001)]. On the other hand, we saw non-significant percent reductions in S. boydii in Dhaka [overall (25→16%); under-5 (16→9%)]. Decreasing rates of Shigella dysenteriae were observed in Matlab, Mirpur and Mirzapur; whereas, in Dhaka it remained unchanged. Conclusion and Significance Emergence of S. sonnei and S. boydii as important

  15. Searching for an optimum solution to the Bangladesh arsenic crisis.

    PubMed

    Caldwell, Bruce K; Caldwell, John C; Mitra, S N; Smith, Wayne

    2003-05-01

    Searching for an optimum solution to the Bangladesh arsenic crisis: Thirty years ago Bangladesh experienced very high levels of infant and child mortality, much of it due to water-borne disease in deltaic conditions where surface water was highly polluted. In what appeared to be one of the great public health achievements, 95% of the population were converted to drinking bacteria-free tubewell water from underground aquifers. Recently, it has been shown that perhaps 20% of this water is arsenic contaminated and alternatives to tubewell water have been sought. This paper reports on two national surveys collaboratively carried out in 2000 by the Health Transition Centre, Australian National University and Mitra and Associates, Dhaka: A census of tubewells and a household survey of tubewell use and arseniosis. The study found that the tubewell revolution has been promoted not only by health considerations but also by the demand for a household water facility and the desire by women to reduce workloads associated with using surface water. Because of this, and because the population had absorbed the message about safe tubewell water, it is argued that the movement away from the use of tubewell water should be as limited as possible, even if this means using safe tubewells which are often found in the neighbourhood. To enable such a move the most urgent need is not changing the source of water but comprehensive national water testing providing essential information to households about which wells are safe and which are not.

  16. [Bacteriological survey of diarrheal epidemics in the 1998 Bangladesh floods].

    PubMed

    Tanabe, K; Nakamura, S; Kunii, O

    1999-09-01

    In 1998, the worst flood disaster in Bangladesh ravaged more than half of its land and diarrheal epidemics broke out. We examined fecal specimens of diarrheal patients at rural hospitals in Chandpor district located 140 km southeast of Dhaka to analyze the enteric bacterial pathogens in post-flood period October. Of the 76 patients stools examined, Vibrio cholerae O1 biotype El Tor, serotype Ogawa, and Vibrio cholerae O139 Bengal were detected in 25 (33%) and in 14 (18%) respectively. Other enteropathogenic bacteria confirmed were Vibrio cholerae O5, Vibrio fluvialis and Enteropathogenic Escherichia coli O44. Neither Shigella nor Salmonella species was detected in this study. A drug susceptibility test was performed using TC, DOXY, CPFX, NA, and AMPC disks to cholera Vibrios. The O1 Vibrios showed the same susceptible pattern as O139 excluding NA susceptibility. TC resistant strain among the Vibrios was not detected though TC is a common therapeutic drug for diarrhea in this area. Our result clearly suggested that the epidemic potentiality of O139 still existed in rural Bangladesh.

  17. Cancer control in Bangladesh.

    PubMed

    Hussain, Syed Akram; Sullivan, Richard

    2013-12-01

    Cancer is predicted to be an increasingly important cause of morbidity and mortality in Bangladesh in the next few decades. The estimated incidence of 12.7 million new cancer cases will rise to 21.4 million by 2030. More than two-thirds of the total expenditure on health is through out-of-pocket payments. According to the Bangladesh Bureau of Statistics, cancer is the sixth leading cause of death. International Agency for Research on Cancer has estimated cancer-related death rates in Bangladesh to be 7.5% in 2005 and 13% in 2030. The two leading causes are in males are lung and oral cancer and in females are breast cancer and cervical cancer. Bangladesh is now in severe shortage of radiation therapy machines, hospital bed, trained oncologists, medical radiation physicists and technologists. Bangladesh having different cancers associated with smoking and smokeless tobacco use, Human papilloma virus infection, Hepatitis B and C infection, Helicobacter Pylori infection, arsenic contaminated groundwater, availability of chemical carcinogens mainly formalin treated fruits, fish and vegetables at open market, tannery waste contaminated with chromium (which is used for poultry feed and fish feed preparation). A World Health Organization study revealed the annual cost of illnesses in Bangladesh attributable to tobacco usage is US$ 500 million and the total annual benefit from the tobacco sector is US$ 305 million as tax revenue. Bangladesh has developed a National Cancer Control Strategy and Action Plan with the aim of delivering a universal, quality-based and timely service. Cancer prevention through tobacco control, health promotion and vaccination program, cancer early detection program for oral cavity, breast and cervix has initiated. Cancer detection and diagnostic facilities will be made available at medical colleges and district- hospitals and establish a referral chain. National capacity development, more cancer research will allow Bangladesh to deal effectively

  18. Cancer Control in Bangladesh

    PubMed Central

    Hussain, Syed Akram; Sullivan, Richard

    2013-01-01

    Cancer is predicted to be an increasingly important cause of morbidity and mortality in Bangladesh in the next few decades. The estimated incidence of 12.7 million new cancer cases will rise to 21.4 million by 2030. More than two-thirds of the total expenditure on health is through out-of-pocket payments. According to the Bangladesh Bureau of Statistics, cancer is the sixth leading cause of death. International Agency for Research on Cancer has estimated cancer-related death rates in Bangladesh to be 7.5% in 2005 and 13% in 2030. The two leading causes are in males are lung and oral cancer and in females are breast cancer and cervical cancer. Bangladesh is now in severe shortage of radiation therapy machines, hospital bed, trained oncologists, medical radiation physicists and technologists. Bangladesh having different cancers associated with smoking and smokeless tobacco use, Human papilloma virus infection, Hepatitis B and C infection, Helicobacter Pylori infection, arsenic contaminated groundwater, availability of chemical carcinogens mainly formalin treated fruits, fish and vegetables at open market, tannery waste contaminated with chromium (which is used for poultry feed and fish feed preparation). A World Health Organization study revealed the annual cost of illnesses in Bangladesh attributable to tobacco usage is US$ 500 million and the total annual benefit from the tobacco sector is US$ 305 million as tax revenue. Bangladesh has developed a National Cancer Control Strategy and Action Plan with the aim of delivering a universal, quality-based and timely service. Cancer prevention through tobacco control, health promotion and vaccination program, cancer early detection program for oral cavity, breast and cervix has initiated. Cancer detection and diagnostic facilities will be made available at medical colleges and district- hospitals and establish a referral chain. National capacity development, more cancer research will allow Bangladesh to deal effectively

  19. Serum lipid profile and its association with hypertension in Bangladesh

    PubMed Central

    Choudhury, Kamrun Nahar; Mainuddin, AKM; Wahiduzzaman, Mohammad; Islam, Sheikh Mohammed Shariful

    2014-01-01

    Background Hypertension and dyslipidemia are major risk factors for cardiovascular disease, accounting for the highest morbidity and mortality among the Bangladeshi population. The objective of this study was to determine the association between serum lipid profiles in hypertensive patients with normotensive control subjects in Bangladesh. Methods A cross-sectional study was carried out among 234 participants including 159 hypertensive patients and 75 normotensive controls from January to December 2012 in the National Centre for Control of Rheumatic Fever and Heart Disease in Dhaka, Bangladesh. Data were collected on sociodemographic factors, anthropometric measurements, blood pressure, and lipid profile including total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), and high density lipoprotein (HDL). Results The mean (± standard deviation) systolic blood pressure and diastolic blood pressure of the participants were 137.94±9.58 and 94.42±8.81, respectively, which were higher in the hypertensive patients (P<0.001). The serum levels of TC, TG, and LDL were higher while HDL levels were lower in hypertensive subjects compared to normotensives, which was statistically significant (P<0.001). Age, waist circumference, and body mass index showed significant association with hypertensive patients (P<0.001) but not with normotensives. The logistic regression analysis showed that hypertensive patients had 1.1 times higher TC and TG, 1.2 times higher LDL, and 1.1 times lower HDL than normotensives, which was statistically significant (P<0.05). Conclusion Hypertensive patients in Bangladesh have a close association with dyslipidemia and need measurement of blood pressure and lipid profile at regular intervals to prevent cardiovascular disease, stroke, and other comorbidities. PMID:25061312

  20. Public policy, risk and fertility in Bangladesh: a comment.

    PubMed

    Robinson, W C

    1983-09-01

    In their report for the Planning Commission and the US Agency for International Development (USAID), Dhaka, Cain and Lieberman argue that Bangladesh's present family planning program efforts will be fruitless until some minimum level of economic security is provided for the nation's households. They specifically propose an employment guarantee scheme, but other approaches are also possible. The author estimates exactly how such an "economic risk" reducing scheme might be implemented by the government, how much it would cost, and its logical and empirical foundations. He offers 4 reasons for rejecting the idea. 1) The level of economic well being which would reduce fertility is unclear in their model, and it would not be a moderate income; at 250 Taka a month would a man feel secure, even if this were guaranteed to him and he believed the guarantee? 2) The cost to the government of even raising all presently unemployed, disabled, or aged indigent persons to slightly above the poverty level would be several times the yearly development budget. 3) The logical and theoretical underpinnings of the model appear confused and questionable. Cain's model of children as insurance against risk by guaranteeing future family income labor supply is not borne out by the historical evidence. The latter shows fertility has fallen slightly in response to growing economic pressure, not risen; that land owners have higher fertility than non-owners; that there is a substantial volume of unwanted fertility--not all births are viewed as functional or valuable; and that contraceptive rates are as high as 40% in parts of rural Bangladesh. 4) The following 2 data sets show that the empirical evidence for such a link between risk and fertility is negative: a) district level fertility data from the 1981 Census in conjunction with an index of "famine proneness" prepared by the Ministry of Food, and b) the Bangladesh Fertility Survey fertility and community characteristics data. The author

  1. Mental health in the slums of Dhaka - a geoepidemiological study

    PubMed Central

    2012-01-01

    Background Urban health is of global concern because the majority of the world's population lives in urban areas. Although mental health problems (e.g. depression) in developing countries are highly prevalent, such issues are not yet adequately addressed in the rapidly urbanising megacities of these countries, where a growing number of residents live in slums. Little is known about the spectrum of mental well-being in urban slums and only poor knowledge exists on health promotive socio-physical environments in these areas. Using a geo-epidemiological approach, the present study identified factors that contribute to the mental well-being in the slums of Dhaka, which currently accommodates an estimated population of more than 14 million, including 3.4 million slum dwellers. Methods The baseline data of a cohort study conducted in early 2009 in nine slums of Dhaka were used. Data were collected from 1,938 adults (≥ 15 years). All respondents were geographically marked based on their households using global positioning systems (GPS). Very high-resolution land cover information was processed in a Geographic Information System (GIS) to obtain additional exposure information. We used a factor analysis to reduce the socio-physical explanatory variables to a fewer set of uncorrelated linear combinations of variables. We then regressed these factors on the WHO-5 Well-being Index that was used as a proxy for self-rated mental well-being. Results Mental well-being was significantly associated with various factors such as selected features of the natural environment, flood risk, sanitation, housing quality, sufficiency and durability. We further identified associations with population density, job satisfaction, and income generation while controlling for individual factors such as age, gender, and diseases. Conclusions Factors determining mental well-being were related to the socio-physical environment and individual level characteristics. Given that mental well-being is

  2. FAST implementation in Bangladesh: high frequency of unsuspected tuberculosis justifies challenges of scale-up.

    PubMed

    Nathavitharana, R R; Daru, P; Barrera, A E; Mostofa Kamal, S M; Islam, S; Ul-Alam, M; Sultana, R; Rahman, M; Hossain, Md S; Lederer, P; Hurwitz, S; Chakraborty, K; Kak, N; Tierney, D B; Nardell, E

    2017-09-01

    National Institute of Diseases of the Chest and Hospital, Dhaka; Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders, Dhaka; and Chittagong Chest Disease Hospital, Chittagong, Bangladesh. To present operational data and discuss the challenges of implementing FAST (Find cases Actively, Separate safely and Treat effectively) as a tuberculosis (TB) transmission control strategy. FAST was implemented sequentially at three hospitals. Using Xpert® MTB/RIF, 733/6028 (12.2%, 95%CI 11.4-13.0) patients were diagnosed with unsuspected TB. Patients with a history of TB who were admitted with other lung diseases had more than twice the odds of being diagnosed with unsuspected TB as those with no history of TB (OR 2.6, 95%CI 2.2-3.0, P < 0.001). Unsuspected multidrug-resistant TB (MDR-TB) was diagnosed in 89/1415 patients (6.3%, 95%CI 5.1-7.7). Patients with unsuspected TB had nearly five times the odds of being diagnosed with MDR-TB than those admitted with a known TB diagnosis (OR 4.9, 95%CI 3.1-7.6, P < 0.001). Implementation challenges include staff shortages, diagnostic failure, supply-chain issues and reliance on external funding. FAST implementation revealed a high frequency of unsuspected TB in hospitalized patients in Bangladesh. Patients with a previous history of TB have an increased risk of being diagnosed with unsuspected TB. Ensuring financial resources, stakeholder engagement and laboratory capacity are important for sustainability and scalability.

  3. Prevalence and Determinants of the Gender Differentials Risk Factors of Child Deaths in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey, 2011

    PubMed Central

    Hossain, Md. Mosharaf; Mani, Kulanthayan K. C.; Islam, Md. Rafiqul

    2015-01-01

    Background The number of child deaths is a potential indicator to assess the health condition of a country, and represents a major health challenge in Bangladesh. Although the country has performed exceptionally well in decreasing the mortality rate among children under five over the last few decades, mortality still remains relatively high. The main objective of this study is to identify the prevalence and determinants of the risk factors of child mortality in Bangladesh. Methods The data were based on a cross-sectional study collected from the Bangladesh Demographic and Health Survey (BDHS), 2011. The women participants numbered 16,025 from seven divisions of Bangladesh – Rajshahi, Dhaka, Chittagong, Barisal, Khulna, Rangpur and Sylhet. The 𝟀2 test and logistic regression model were applied to determine the prevalence and factors associated with child deaths in Bangladesh. Results In 2011, the prevalence of child deaths in Bangladesh for boys and girls was 13.0% and 11.6%, respectively. The results showed that birth interval and birth order were the most important factors associated with child death risks; mothers’ education and socioeconomic status were also significant (males and females). The results also indicated that a higher birth order (7 & more) of child (OR=21.421 & 95%CI=16.879-27.186) with a short birth interval ≤ 2 years was more risky for child mortality, and lower birth order with longer birth interval >2 were significantly associated with child deaths. Other risk factors that affected child deaths in Bangladesh included young mothers of less than 25 years (mothers’ median age (26-36 years): OR=0.670, 95%CI=0.551-0.815), women without education compared to those with secondary and higher education (OR =0 .711 & .628, 95%CI=0.606-0.833 & 0.437-0.903), mothers who perceived their child body size to be larger than average and small size (OR= 1.525 & 1.068, 95%CI=1.221-1.905 & 0.913-1.249), and mothers who delivered their child by non

  4. Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from the Bangladesh demographic and health survey, 2011.

    PubMed

    Hossain, Md Mosharaf; Mani, Kulanthayan K C; Islam, Md Rafiqul

    2015-03-01

    The number of child deaths is a potential indicator to assess the health condition of a country, and represents a major health challenge in Bangladesh. Although the country has performed exceptionally well in decreasing the mortality rate among children under five over the last few decades, mortality still remains relatively high. The main objective of this study is to identify the prevalence and determinants of the risk factors of child mortality in Bangladesh. The data were based on a cross-sectional study collected from the Bangladesh Demographic and Health Survey (BDHS), 2011. The women participants numbered 16,025 from seven divisions of Bangladesh - Rajshahi, Dhaka, Chittagong, Barisal, Khulna, Rangpur and Sylhet. The 2 test and logistic regression model were applied to determine the prevalence and factors associated with child deaths in Bangladesh. In 2011, the prevalence of child deaths in Bangladesh for boys and girls was 13.0% and 11.6%, respectively. The results showed that birth interval and birth order were the most important factors associated with child death risks; mothers' education and socioeconomic status were also significant (males and females). The results also indicated that a higher birth order (7 & more) of child (OR=21.421 & 95%CI=16.879-27.186) with a short birth interval ≤ 2 years was more risky for child mortality, and lower birth order with longer birth interval >2 were significantly associated with child deaths. Other risk factors that affected child deaths in Bangladesh included young mothers of less than 25 years (mothers' median age (26-36 years): OR=0.670, 95%CI=0.551-0.815), women without education compared to those with secondary and higher education (OR =0 .711 & .628, 95%CI=0.606-0.833 & 0.437-0.903), mothers who perceived their child body size to be larger than average and small size (OR= 1.525 & 1.068, 95%CI=1.221-1.905 & 0.913-1.249), and mothers who delivered their child by non-caesarean (OR= 1.687, 95%CI=1

  5. Burkholderia pseudomallei: Its Detection in Soil and Seroprevalence in Bangladesh.

    PubMed

    Jilani, Md Shariful Alam; Robayet, Jamshedul Alam Mohammad; Mohiuddin, Md; Hasan, Md Rokib; Ahsan, Chowdhury Rafiqul; Haq, Jalaluddin Ashraful

    2016-01-01

    Melioidosis, caused by Burkholderia pseudomallei, is an endemic disease in Bangladesh. No systematic study has yet been done to detect the environmental source of the organism and its true extent in Bangladesh. The present study attempted to isolate B. pseudomallei in soil samples and to determine its seroprevalence in several districts in Bangladesh. Soil samples were collected from rural areas of four districts of Bangladesh from where culture confirmed melioidosis cases were detected earlier. Multiple soil samples, collected from 5-7 sampling points of 3-5 sites of each district, were cultured in Ashdown selective media. Suspected colonies of B. pseudomallei were identified by biochemical and serological test, and by polymerase chain reaction (PCR) using 16s rRNA specific primers. Blood samples were collected from 940 healthy individuals of four districts to determine anti- B. pseudomallei IgG antibody levels by indirect enzyme linked immunosorbent assay (ELISA) using sonicated crude antigen. Out of 179 soil samples, B. pseudomallei was isolated from two samples of Gazipur district which is located 58 km north of capital Dhaka city. Both the isolates were phenotypically identical, arabinose negative and showed specific 550bp band in PCR. Out of 940 blood samples, anti- B. pseudomallei IgG antibody, higher than the cut-off value (>0.8), was detected in 21.5% individuals. Seropositivity rate was 22.6%-30.8% in three districts from where melioidosis cases were detected earlier, compared to 9.8% in a district where no melioidosis case was either detected or reported (p<0.01). Seropositivity increased with the advancement of age from 5.3% to 30.4% among individuals aged 1-10 years and > 50 years respectively. The seropositivity rates were 26.0% and 20.6% in male and female respectively, while it was 20-27% among different occupational groups. No significant association was observed with gender (χ2 = 3.441, p = 0.064) or any occupational group (χ2 = 3.835, p = 0

  6. Teacher Perceptions of Inquiry and STEM Education in Bangladesh

    NASA Astrophysics Data System (ADS)

    Shahidullah, Kazi K.

    This dissertation reports lower secondary science teachers perceptions of current practice in Dhaka, Bangladesh concerning inquiry and STEM Education in order to establish a baseline of data for reform of science education in Bangladesh. Bangladesh has been trying to incorporate inquiry-based science curricula since the 1970s. Over time, the science curricula also aligned with different international science education movements such as Science for All, Scientific Literacy, Science, Technology, and Society. Science, Technology, Engineering, and Mathematics (STEM) is the most recent science education movement in international science education. This study explored current practices and perceptions of lower secondary science teachers in order to establish a baseline of current practice so that future reform recommendations may be pursued and recommendations made for Bangladesh to overcome the inquiry-based challenges and to incorporate new STEM-based science education trends happening in the US and throughout the world. The study explored science teachers perceptions and readiness to transform their science classrooms based on self-reported survey. The survey utilized Likert-type scale with range 1 (very strongly disagree) to 6 (very strongly agree) among four hundred lower secondary science teachers, teacher training college faculty, and university faculty. The data is presented in four different categories: curriculum, instruction, assessment, and professional development. Results indicated that the participants understand and practice a certain level of inquiry in their science classrooms, though they do not have adequate professional development. Participants also stated that they do not have sufficient instructional materials and the curriculum is not articulated enough to support inquiry. On the other hand, the participants reported that they understand and practice a certain degree of inquiry and STEM-based science education, but they also state that the

  7. Burkholderia pseudomallei: Its Detection in Soil and Seroprevalence in Bangladesh

    PubMed Central

    Robayet, Jamshedul Alam Mohammad; Mohiuddin, Md.; Hasan, Md. Rokib

    2016-01-01

    Background Melioidosis, caused by Burkholderia pseudomallei, is an endemic disease in Bangladesh. No systematic study has yet been done to detect the environmental source of the organism and its true extent in Bangladesh. The present study attempted to isolate B. pseudomallei in soil samples and to determine its seroprevalence in several districts in Bangladesh. Methodology and Results Soil samples were collected from rural areas of four districts of Bangladesh from where culture confirmed melioidosis cases were detected earlier. Multiple soil samples, collected from 5–7 sampling points of 3–5 sites of each district, were cultured in Ashdown selective media. Suspected colonies of B. pseudomallei were identified by biochemical and serological test, and by polymerase chain reaction (PCR) using 16s rRNA specific primers. Blood samples were collected from 940 healthy individuals of four districts to determine anti- B. pseudomallei IgG antibody levels by indirect enzyme linked immunosorbent assay (ELISA) using sonicated crude antigen. Out of 179 soil samples, B. pseudomallei was isolated from two samples of Gazipur district which is located 58 km north of capital Dhaka city. Both the isolates were phenotypically identical, arabinose negative and showed specific 550bp band in PCR. Out of 940 blood samples, anti- B. pseudomallei IgG antibody, higher than the cut-off value (>0.8), was detected in 21.5% individuals. Seropositivity rate was 22.6%-30.8% in three districts from where melioidosis cases were detected earlier, compared to 9.8% in a district where no melioidosis case was either detected or reported (p<0.01). Seropositivity increased with the advancement of age from 5.3% to 30.4% among individuals aged 1–10 years and > 50 years respectively. The seropositivity rates were 26.0% and 20.6% in male and female respectively, while it was 20–27% among different occupational groups. No significant association was observed with gender (χ2 = 3.441, p = 0.064) or any

  8. A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka

    PubMed Central

    2011-01-01

    Background The deprived physical environments present in slums are well-known to have adverse health effects on their residents. However, little is known about the health effects of the social environments in slums. Moreover, neighbourhood quantitative spatial analyses of the mental health status of slum residents are still rare. The aim of this paper is to study self-rated mental health data in several slums of Dhaka, Bangladesh, by accounting for neighbourhood social and physical associations using spatial statistics. We hypothesised that mental health would show a significant spatial pattern in different population groups, and that the spatial patterns would relate to spatially-correlated health-determining factors (HDF). Methods We applied a spatial epidemiological approach, including non-spatial ANOVA/ANCOVA, as well as global and local univariate and bivariate Moran's I statistics. The WHO-5 Well-being Index was used as a measure of self-rated mental health. Results We found that poor mental health (WHO-5 scores < 13) among the adult population (age ≥15) was prevalent in all slum settlements. We detected spatially autocorrelated WHO-5 scores (i.e., spatial clusters of poor and good mental health among different population groups). Further, we detected spatial associations between mental health and housing quality, sanitation, income generation, environmental health knowledge, education, age, gender, flood non-affectedness, and selected properties of the natural environment. Conclusions Spatial patterns of mental health were detected and could be partly explained by spatially correlated HDF. We thereby showed that the socio-physical neighbourhood was significantly associated with health status, i.e., mental health at one location was spatially dependent on the mental health and HDF prevalent at neighbouring locations. Furthermore, the spatial patterns point to severe health disparities both within and between the slums. In addition to examining health

  9. Impact of dropout of female volunteer community health workers: An exploration in Dhaka urban slums

    PubMed Central

    2012-01-01

    Background The model of volunteer community health workers (CHWs) is a common approach to serving the poor communities in developing countries. BRAC, a large NGO in Bangladesh, is a pioneer in this area, has been using female CHWs as core workers in its community-based health programs since 1977. After 25 years of implementing of the CHW model in rural areas, BRAC has begun using female CHWs in urban slums through a community-based maternal health intervention. However, BRAC experiences high dropout rates among CHWs suggesting a need to better understand the impact of their dropout which would help to reduce dropout and increase program sustainability. The main objective of the study was to estimate impact of dropout of volunteer CHWs from both BRAC and community perspectives. Also, we estimated cost of possible strategies to reduce dropout and compared whether these costs were more or less than the costs borne by BRAC and the community. Methods We used the ‘ingredient approach’ to estimate the cost of recruiting and training of CHWs and the so-called ‘friction cost approach’ to estimate the cost of replacement of CHWs after adapting. Finally, we estimated forgone services in the community due to CHW dropout applying the concept of the friction period. Results In 2009, average cost per regular CHW was US$ 59.28 which was US$ 60.04 for an ad-hoc CHW if a CHW participated a three-week basic training, a one-day refresher training, one incentive day and worked for a month in the community after recruitment. One month absence of a CHW with standard performance in the community meant substantial forgone health services like health education, antenatal visits, deliveries, referrals of complicated cases, and distribution of drugs and health commodities. However, with an additional investment of US$ 121 yearly per CHW BRAC could save another US$ 60 invested an ad-hoc CHW plus forgone services in the community. Conclusion Although CHWs work as volunteers in Dhaka

  10. Impact of dropout of female volunteer community health workers: an exploration in Dhaka urban slums.

    PubMed

    Alam, Khurshid; Khan, Jahangir A M; Walker, Damian G

    2012-08-17

    The model of volunteer community health workers (CHWs) is a common approach to serving the poor communities in developing countries. BRAC, a large NGO in Bangladesh, is a pioneer in this area, has been using female CHWs as core workers in its community-based health programs since 1977. After 25 years of implementing of the CHW model in rural areas, BRAC has begun using female CHWs in urban slums through a community-based maternal health intervention. However, BRAC experiences high dropout rates among CHWs suggesting a need to better understand the impact of their dropout which would help to reduce dropout and increase program sustainability. The main objective of the study was to estimate impact of dropout of volunteer CHWs from both BRAC and community perspectives. Also, we estimated cost of possible strategies to reduce dropout and compared whether these costs were more or less than the costs borne by BRAC and the community. We used the 'ingredient approach' to estimate the cost of recruiting and training of CHWs and the so-called 'friction cost approach' to estimate the cost of replacement of CHWs after adapting. Finally, we estimated forgone services in the community due to CHW dropout applying the concept of the friction period. In 2009, average cost per regular CHW was US$ 59.28 which was US$ 60.04 for an ad-hoc CHW if a CHW participated a three-week basic training, a one-day refresher training, one incentive day and worked for a month in the community after recruitment. One month absence of a CHW with standard performance in the community meant substantial forgone health services like health education, antenatal visits, deliveries, referrals of complicated cases, and distribution of drugs and health commodities. However, with an additional investment of US$ 121 yearly per CHW BRAC could save another US$ 60 invested an ad-hoc CHW plus forgone services in the community. Although CHWs work as volunteers in Dhaka urban slums impact of their dropout is immense

  11. Country watch: Bangladesh.

    PubMed

    Haque, M E

    1998-01-01

    Since students in Bangladesh receive no formal sex education in school and cultural norms constrain the discussion of sex and sexuality between adolescents and their older friends and family, there is considerable misinformation and misconception in Bangladesh upon sex and reproductive health, especially among adolescents. The success of a highly popular, 15-episode weekly radio program on sexuality broadcast in 1996 shed light upon the need in Bangladesh for sex and reproductive health education, and led the Family Planning Association of Bangladesh (FPAB) to develop and produce a television talk show series on the issue. Once Bangladesh Television (BTV) was convinced to air the program with sex as a component, in each of 5 episodes, boys and girls gave their perspectives on growing up, gender discrimination, teasing girls, boy-girl relationships, and drug abuse. During each show, parents, teachers, and psychiatrists discussed the young people's comments. The ability of the participating adolescents, young adults, and others to share their fears, concerns, opinions, and other feelings on television should have a major impact upon Bangladeshi society.

  12. New Management Strategies of Oral Tongue Cancer in Bangladesh.

    PubMed

    Sultana, Jachmen; Bashar, Abul; Molla, Motiur Rahman

    2014-12-01

    Malignancies of the tongue represent one of the greatest management challenges for the maxillofacial surgeons as well as oncologists, because of the adverse effects of treatment on oral and pharyngeal function, the eventual quality of life, and the poor prognosis of advanced disease. Therefore, it is important to use judgment and experience in determining the best method of treatment. We reviewed forty cases of oral tongue cancer patients admitted in the Dental and Facio-Maxillary Surgical Oncology department in National Institute of Cancer Research and Hospital, and department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Dhaka, Bangladesh, during the past four years and followed till the lesion healed or recurred and followed later on upto two years. All cases were thoroughly examined, investigated with routine blood examinations and radiography of the involved region. Preoperative biopsy of the lesion and staging was done in each and every case. Postoperative biopsy was taken where there was a doubt about the possibility of recurrence. Squamous cell carcinoma (well differentiated) is by far the most common malignancy of the oral tongue. Generally a correlation is recognized between tumor size, nodal presence, metastasis, and eventual prognosis. When surgeons detect oral tongue cancer at an early stage, they can often treat it with surgery or can, often treat it with surgery or radiation. In later stages the cancer may require a combination of surgery, radiation and chemotherapy. Standard and uniform protocol has not been explored till now for the practice in our country. So current management strategies of oral tongue cancer cannot be underestimated.

  13. Nutrition: basis for healthy children and mothers in Bangladesh.

    PubMed

    Faruque, A S G; Ahmed, A M Shamsir; Ahmed, Tahmeed; Islam, M Munirul; Hossain, Md Iqbal; Roy, S K; Alam, Nurul; Kabir, Iqbal; Sack, David A

    2008-09-01

    UNICEF respectively. Since most (87-91%) deliveries take place in home, the BFHI has a limited impact on the breastfeeding practices. Results of a few studies done at ICDDR,B and elsewhere in developing countries showed that the breastfeeding peer-counselling method could substantially increase the rates of exclusive breastfeeding. Results of a study in urban Dhaka showed that the rate of exclusive breastfeeding was 70% among mothers who were counselled compared to only 6% who were not counselled. Results of another study in rural Bangladesh showed that peer-counselling given either individually or in a group improved the rate of exclusive breastfeeding from 89% to 81% compared to those mothers who received regular health messages only. This implies that scaling up peer-counselling methods and incorporation of breastfeeding counselling in the existing maternal and child heath programme is needed to achieve the Millennium Development Goal of improving child survival. The recent data showed that the prevalence of starting complementary food among infants aged 6-9 months had increased substantially with 76% in the current dataset. However, the adequacy, frequency, and energy density of the complementary food are in question. Remarkable advances have been made in the hospital management of severely-malnourished children. The protocolized management of severe protein-energy malnutrition at the Dhaka hospital of ICDDR,B has reduced the rate of hospital mortality by 50%. A recent study at ICDDR,B has also documented that home-based management of severe protein-energy malnutrition without follow-up was comparable with a hospital-based protocolized management. Although the community nutrition centres of the NNP have been providing food supplementation and performing growth monitoring of children with protein-energy malnutrition, the referral system and management of complicated severely-malnourished children are still not in place.

  14. Nutrition: Basis for Healthy Children and Mothers in Bangladesh

    PubMed Central

    Faruque, A.S.G.; Ahmed, A.M. Shamsir; Ahmed, Tahmeed; Islam, M. Munirul; Hossain, Md. Iqbal; Roy, S.K.; Alam, Nurul; Kabir, Iqbal; Sack, David A.

    2008-01-01

    and UNICEF respectively. Since most (87-91%) deliveries take place in home, the BFHI has a limited impact on the breastfeeding practices. Results of a few studies done at ICDDR, B and elsewhere in developing countries showed that the breastfeeding peer-counselling method could substantially increase the rates of exclusive breastfeeding. Results of a study in urban Dhaka showed that the rate of exclusive breastfeeding was 70% among mothers who were counselled compared to only 6% who were not counselled. Results of another study in rural Bangladesh showed that peer-counselling given either individually or in a group improved the rate of exclusive breastfeeding from 89% to 81% compared to those mothers who received regular health messages only. This implies that scaling up peer-counselling methods and incorporation of breastfeeding counselling in the existing maternal and child heath programme is needed to achieve the Millennium Development Goal of improving child survival. The recent data showed that the prevalence of starting complementary food among infants aged 6-9 months had increased substantially with 76% in the current dataset. However, the adequacy, frequency, and energy density of the complementary food are in question. Remarkable advances have been made in the hospital management of severely-malnourished children. The protocolized management of severe protein-energy malnutrition at the Dhaka hospital of ICDDR, B has reduced the rate of hospital mortality by 50%. A recent study at ICDDR, B has also documented that home-based management of severe protein-energy malnutrition without follow-up was comparable with a hospital-based protocolized management. Although the community nutrition centres of the NNP have been providing food supplementation and performing growth monitoring of children with protein-energy malnutrition, the referral system and management of complicated severely-malnourished children are still not in place. PMID:18831228

  15. A new micro-chamber method for selecting sheath blight tolerant rice

    USDA-ARS?s Scientific Manuscript database

    Dr. Shannon Pinson’s role as an applied Plant Geneticist is to develop new knowledge and techniques that allow breeders to be more efficient and successful at developing improved rice varieties. While visiting various rice researchers in Bangladesh in 2002, Dr. Pinson gained some knowledge and ideas...

  16. Speciation And Localization Of Arsenic In White And Brown Rice Grains

    EPA Science Inventory

    Synchrotron-based X-ray fluorescence (S-XRF) was utilized to locate arsenic (As) in polished (white) and unpolished (brown) rice grains from the United States, China, and Bangladesh. In white rice As was generally dispersed throughout the grain, the bulk of which constitutes the...

  17. Speciation And Localization Of Arsenic In White And Brown Rice Grains

    EPA Science Inventory

    Synchrotron-based X-ray fluorescence (S-XRF) was utilized to locate arsenic (As) in polished (white) and unpolished (brown) rice grains from the United States, China, and Bangladesh. In white rice As was generally dispersed throughout the grain, the bulk of which constitutes the...

  18. Arsenic and cadmium in food-chain in Bangladesh--an exploratory study.

    PubMed

    Khan, Shafiqul Islam; Ahmed, A K Mottashir; Yunus, Mohammad; Rahman, Mahfuzar; Hore, Samar Kumar; Vahter, Marie; Wahed, M A

    2010-12-01

    Arsenic contamination of tubewell water is a major public-health problem in Bangladesh. In the recent years, the use of shallow and deep tubewell water for irrigation and the use of excess amount of cheap fertilizers and pesticides containing cadmium pose a serious threat of contamination of arsenic and cadmium in food. In an exploratory study, arsenic and cadmium were measured in foods from Matlab, a rural area in Bangladesh, that is extensively affected by arsenic and the economy is agriculture-based. Raw and cooked food samples were collected from village homes (households, n=13) and analyzed to quantify concentrations of arsenic and cadmium using atomic absorption spectrophotometry. Washing rice with water before cooking reduced the concentration of arsenic in raw rice by 13-15%. Rice, when cooked with excess water discarded, showed a significant decrease in arsenic concentration compared to that cooked without discarding the water (p<0.001). In contrast, concentration of cadmium did not decrease in cooked rice after discarding water. Cooked rice with discarded water had significantly lower concentration of arsenic compared to raw rice (p=0.002). Raw rice had higher concentration of arsenic compared to raw vegetables (p<0.001); however, no such difference was found for cadmium. Compared to raw vegetables (e.g. arum), concentration of arsenic increased significantly (p=0.024) when cooked with arsenic-contaminated water. Thus, the practice of discarding excess water while cooking rice reduces the concentration of arsenic but not of cadmium in cooked rice. However, water generally not discarded when cooking vegetables to avoid loss of micronutrients consequently retains arsenic. The results suggest that arsenic and cadmium have entered the food-chain of Bangladesh, and the cooking practices influence the concentration of arsenic but not of cadmium in cooked food.

  19. A Differential Effect of Indian Ocean Dipole and El Niño on Cholera Dynamics in Bangladesh

    PubMed Central

    Hashizume, Masahiro; Chaves, Luis Fernando; Faruque, A. S. G.; Yunus, Md; Streatfield, Kim; Moji, Kazuhiko

    2013-01-01

    Background A stationary (i.e., constant through time) association between El Niño Southern Oscillation (ENSO), the Indian Ocean Dipole (IOD) and epidemics of cholera in Bangladesh has been widely assumed. However, whether or not elements of the local climate that are relevant for cholera transmission have stationary signatures of the IOD on their dynamics over different time scales is still not clear. Here we report results on the time-varying relationships between the various remote and local environmental drivers and cholera incidence in Bangladesh. Methodology/Principal Findings We performed a cross wavelet coherency analysis to examine patterns of association between monthly cholera cases in the hospitals in Dhaka and Matlab (1983–2008) and indices for both IOD and ENSO. Our results showed that the strength of both the IOD and ENSO associations with cholera hospitalizations changed across time scales during the study period. In Dhaka, 4-year long coherent cycles were observed between cholera and the index of IOD in 1988–1997. In Matlab, the effect of ENSO was more dominant while there was no evidence for an IOD effect on cholera hospitalizations. Conclusions/Significance Our results call for the consideration of non-stationary, possibly non-linear, patterns of association between cholera hospitalizations and climatic factors in cholera epidemic early warning systems. PMID:23555861

  20. Determinants of Salivary Cotinine among Smokeless Tobacco Users: A Cross-Sectional Survey in Bangladesh

    PubMed Central

    Huque, Rumana; Shah, Sarwat; Mushtaq, Nasir; Siddiqi, Kamran

    2016-01-01

    Introduction More than 80% of all smokeless tobacco (ST) products in the world are consumed in South Asia; yet little is known about their consumption behaviour, addictiveness, and toxic properties. This paper, for the first time, describes associations between salivary cotinine concentrations among ST users in Bangladesh and their socio-demographic characteristics and tobacco use behaviours. Methods In a survey of ST users in Dhaka, Bangladesh, we purposively recruited 200 adults who were non-smokers but consumed ST on a regular basis. In-person interviews were conducted to obtain information about socio-demographic and ST use behaviours, and saliva samples were collected to measure cotinine concentration. Simple and multiple linear regression analyses were conducted to test associations between the log transformed salivary cotinine concentration and other study variables. Results The geometric mean of cotinine concentration among ST users was 380ng/ml (GSD:2). Total duration of daily ST use in months had a statistically significant association with cotinine concentration. Other ST use characteristics including type and quantity of ST use, swallowing of tobacco juice, urges and strength of urges and attempts to cut down on tobacco use were not found to be associated with cotinine concentration in a multivariable model. Conclusion This is the first report from Bangladesh studying cotinine concentration among ST users and it points towards high levels of addiction. This warrants effective tobacco control policies to help ST cessation and prevention. PMID:27504912

  1. Aflatoxin contamination in food commodities in Bangladesh.

    PubMed

    Roy, Monika; Harris, Julie; Afreen, Sadia; Deak, Eszter; Gade, Lalitha; Balajee, S Arunmozhi; Park, Benjamin; Chiller, Tom; Luby, Stephen

    2013-01-01

    During September 2009, we performed a rapid cross-sectional study to investigate the extent of aflatoxin contamination among common Bangladeshi foods. We collected eight common human food commodities (rice, lentils, wheat flour, dates, betelnut, red chili powder, ginger and groundnuts) and poultry feed samples from two large markets in each of three cities in Bangladesh. We quantified aflatoxin levels from pooled subsamples using fluorescence high-performance liquid chromatography. Aflatoxin levels were highest in dates and groundnuts (maximum 623 and 423 ng/g), respectively. Samples of betelnut (mean 30.6 ng/g), lentils (mean 21.2 ng/g) and red chili powder (>20 ng/g) also had elevated levels. The mean aflatoxin level among poultry feed samples was 73.0 ng/g. Aflatoxin levels were above the US maximum regulatory levels of 20 ng/g in five of eight commonly ingested human food commodities tested.

  2. Criminal poisoning of commuters in Bangladesh: prospective and retrospective study.

    PubMed

    Majumder, M Mahbub Alam; Basher, Ariful; Faiz, M Abul; Kuch, Ulrich; Pogoda, Werner; Kauert, Gerold F; Toennes, Stefan W

    2008-08-25

    Travel-related poisoning is an emerging social and public health emergency in Bangladesh but its cause and significance have not been determined. To investigate this syndrome we performed a prospective clinical study and retrospective analysis of hospital records in a general medicine unit of a public tertiary care teaching hospital in Dhaka, Bangladesh, using toxicological analysis by fluorescence polarization immunoassay (FPIA) and liquid chromatography coupled to time-of-flight mass spectrometry (LC-TOF MS). The participants of the prospective study were 130 consecutive patients aged 16-80 years who were admitted with central nervous system depression (Glasgow Coma Score 3-14) after using public transportation, in the absence of other abnormalities, from January through June 2004, and a convenience sample of 15 such patients admitted during 3 days in May 2006. In 2004-2006, travel-related poisoning increased from 6.1 to 9.5% of all admissions (210-309 of 3266-3843 per year), representing 46.6-55.7% of all admitted poisoning cases. Incidents were associated with bus (76%), taxi, train, and air travel, or local markets; 98% of patients remembered buying or accepting food or drinks before losing consciousness. Direct financial damage (missing property) was diverse and frequently existential. Among 94 urine samples analyzed by FPIA, 74% tested positive for benzodiazepines. Among 15 urine samples analyzed by LC-TOF MS, lorazepam was detected in all; five also contained diazepam or metabolites; nitrazepam was present in three. FPIA results obtained for these 15 samples were below the recommended cut-off in eight (53%; lorazepam only). Our findings show that the massive medicosocial emergency of travel-related poisoning in Bangladesh is the result of drug-facilitated organized crime and that benzodiazepine drugs are used to commit these crimes, suggesting modifications to the local emergency management of the victims of this type of poisoning. They also highlight the

  3. Profile of infertility status of male in Dhaka city.

    PubMed

    Khondker, L; Khan, S I; Ahamed, R S

    2012-07-01

    A cross sectional study was done to determine the important etiological profile of infertility status of male in Dhaka city. A total of eighty seven patients of male infertility were selected purposively. Among them, highest percentage of patients, 44(50.6%) were in between the 21-30 years old, 36(41.4%) had 6-10 years of post- marriage duration, 56(64.4%) patients stated that they stayed with their wife interruptedly, 54(62.1%) had primary infertility and 33(37.9%) had secondary infertility. It was found that among the patients 6(5.50%) had anti-sperm antibody, 45(40.9%) had sexually transmitted disease (STD), 41(37.3%) had varicocele, 2(1.80%) had loss of libido, 4(3.6%) had premature ejaculation and 12(10.9%) had hydrocele. It was observed that 14(12.7%) were tobacco user, 26(23.6%) were obese, 12(10.9%) had malnutrition, 7(6.4%) had exposure to heat etc and it was found that 61(70.1%) had free testosterone below the normal level and 51(58.6%) had prolactin level above the normal level. The semen analysis revealed that 48(55.2 %) had abnormal morphology of sperm, 26(29.9%) had feebly motile sperm and 27(31%) had non-motile sperm, 36(41.4%) had oligospermia, 6(6.9%) had azoospermia and 17(19.5%) had oligoasthenozoospermia.

  4. Introduction of a microcomputer for health research in a developing country--the Bangladesh experience.

    PubMed Central

    Frerichs, R R; Miller, R A

    1985-01-01

    In November 1984, a powerful microcomputer was taken to Dhaka, Bangladesh, to aid health professionals at the National Institute for Preventive and Social Medicine (NIPSOM) in processing and analyzing locally derived health data. It was anticipated that this installation and an accompanying workshop on the analysis of health, population, and family planning data by microcomputer would enable the faculty at NIPSOM to share the results of their research with other public health and medical colleagues, provide administrators with timely analyses for policy or program implementation, and assist with internal management of information essential to the workings of the institute. This paper provides (a) a brief overview of NIPSOM and its recognized need for computing assistance, (b) a brief description of the 2-week workshop, (c) a description of the assembled software and hardware, and (d) a summary of the experience and the various problems encountered in bringing the computer to Dhaka and in teaching its use to educated health professionals with no prior computer contact. Images p643-a PMID:3934700

  5. Surface water pollution in three urban territories of Nepal, India, and Bangladesh.

    PubMed

    Karn, S K; Harada, H

    2001-10-01

    In South Asian countries such as Nepal, India, and Bangladesh, pollution of rivers is more severe and critical near urban stretches due to huge amounts of pollution load discharged by urban activities. The Bagmati River in the Kathmandu valley, the Yamuna River at Delhi, and peripheral rivers (mainly Buriganga River) of Dhaka suffer from severe pollution these days. The observed dry season average of biochemical oxygen demand (BOD) in all these rivers is in the range of 20-30 mg/liter and total coliform are as high as 104-105 MPN/100 ml. Per capita pollution load discharge of urban areas has been estimated to be about 31, 19, and 25 g BOD/capita/day in Bagmati, Yamuna, and the rivers of Dhaka, respectively. Regression analysis reveals pollution loads steadily increasing nearly in step with the trend in urbanization. The dissolved oxygen (DO) level of the Bagmati and Buriganga rivers is declining at an average annual rate of nearly 0.3 mg/liter/year. Unplanned urbanization and industrialization occurring in these cities may be largely responsible for this grave situation. Inadequate sewerage, on-site sanitation, and wastewater treatment facilities in one hand, and lack of effective pollution control measures and their strict enforcement on the other are the major causes of rampant discharge of pollutants in the aquatic systems.

  6. Quantitative assessment of medical waste generation in the capital city of Bangladesh.

    PubMed

    Patwary, Masum A; O'Hare, William Thomas; Street, Graham; Maudood Elahi, K; Hossain, Syed Shahadat; Sarker, Mosharraf H

    2009-08-01

    There is a concern that mismanagement of medical waste in developing countries may be a significant risk factor for disease transmission. Quantitative estimation of medical waste generation is needed to estimate the potential risk and as a basis for any waste management plan. Dhaka City, the capital of Bangladesh, is an example of a major city in a developing country where there has been no rigorous estimation of medical waste generation based upon a thorough scientific study. These estimates were obtained by stringent weighing of waste in a carefully chosen, representative, sample of HCEs, including non-residential diagnostic centres. This study used a statistically designed sampling of waste generation in a broad range of Health Care Establishments (HCEs) to indicate that the amount of waste produced in Dhaka can be estimated to be 37+/-5 ton per day. The proportion of this waste that would be classified as hazardous waste by World Health Organisation (WHO) guidelines was found to be approximately 21%. The amount of waste, and the proportion of hazardous waste, was found to vary significantly with the size and type of HCE.

  7. Quantitative assessment of medical waste generation in the capital city of Bangladesh

    SciTech Connect

    Patwary, Masum A. O'Hare, William Thomas Street, Graham Maudood Elahi, K. Hossain, Syed Shahadat Sarker, Mosharraf H.

    2009-08-15

    There is a concern that mismanagement of medical waste in developing countries may be a significant risk factor for disease transmission. Quantitative estimation of medical waste generation is needed to estimate the potential risk and as a basis for any waste management plan. Dhaka City, the capital of Bangladesh, is an example of a major city in a developing country where there has been no rigorous estimation of medical waste generation based upon a thorough scientific study. These estimates were obtained by stringent weighing of waste in a carefully chosen, representative, sample of HCEs, including non-residential diagnostic centres. This study used a statistically designed sampling of waste generation in a broad range of Health Care Establishments (HCEs) to indicate that the amount of waste produced in Dhaka can be estimated to be 37 {+-} 5 ton per day. The proportion of this waste that would be classified as hazardous waste by World Health Organisation (WHO) guidelines was found to be approximately 21%. The amount of waste, and the proportion of hazardous waste, was found to vary significantly with the size and type of HCE.

  8. Informed consent: knowledge, attitude and practice of the researchers in a postgraduate institute of Bangladesh.

    PubMed

    Shakoor, M A; Jaigirdar, Q H; Ullah, M A; Yunus, A B; Rashid, H A

    2009-07-01

    A prospective experimental study was conducted in a postgraduate institute in Dhaka, Bangladesh, from April '05 to September '05. A total of 214 doctors of a postgraduate medical institute were included in the study who was involved in research works. A written questionnaire was given to the respondents to assess their knowledge, attitude and practice about informed consent (IC). The data was analyzed statistically. Chi-Square test was done to see the level of significance. Regarding knowledge of IC, we found maximum participants were more or less knowledgeable about it. The attitude of the respondents was also in favour of taking IC. In practice, most of them had taken informed consent that was verbal (39.3%) and written (47.6%). But some of the researcher (13.1%) had not taken any informed consent. By the present study, it may be concluded that the researchers of the concerned institute were aware of IC.

  9. Changing patient population in Dhaka Hospital and Matlab Hospital of icddr,b.

    PubMed

    Das, S K; Rahman, A; Chisti, M J; Ahmed, S; Malek, M A; Salam, M A; Bardhan, P K; Faruque, A S G

    2014-02-01

    The Diarrhoeal Disease Surveillance System of icddr,b noted increasing number of patients ≥60 years at urban Dhaka and rural Matlab from 2001 to 2012. Shigella and Vibrio cholerae were more frequently isolated from elderly people than children under 5 years and adults aged 5-59 in both areas. The resistance observed to various drugs of Shigella in Dhaka and Matlab was trimethoprim-sulphamethoxazole (72-63%), ampicillin (43-55%), nalidixic acid (58-61%), mecillinam (12-9%), azithromycin (13-0%), ciprofloxacin (11-13%) and ceftriaxone (11-0%). Vibrio cholerae isolated in Dhaka and Matlab was resistant to trimethoprim-sulphamethoxazole (98-94%), furazolidone (100%), erythromycin (71-53%), tetracycline (46-44%), ciprofloxacin (3-10%) and azithromycin (3-0%). © 2013 John Wiley & Sons Ltd.

  10. Arsenic in Bangladesh Groundwater: from Science to Mitigation

    NASA Astrophysics Data System (ADS)

    van Geen, A.; Ahmed, K. M.; Graziano, J. H.

    2004-12-01

    A large proportion of the populations of Bangladesh and other South Asian countries is at risk of contracting cancers and other debilitating diseases due to exposure to high concentrations of naturally occurring arsenic in groundwater supplied by millions of tube wells. Starting in January 2000, and in partnership with several Bangladeshi institutions, an interdisciplinary team of health, earth, and social scientists from Columbia University has focused its efforts to address this crisis on a 25 km2 region in Araihazar upazila, about 20 km northeast of Dhaka. The project started with the recording of the position and depth of ~6600 wells in the area, the collection of groundwater samples from these wells, and laboratory analyses for arsenic and a suite of other constituents. This was followed by the recruitment of 12,000 adult inhabitants of the area for a long-term cohort study of the effects of arsenic exposure, as well as cross-sectional studies of their children. This presentation will focus on (1) the extreme degree of spatial variability of arsenic concentrations in Bangladesh groundwater, (2) the notion that spatial variability hampers mitigation in the sense that it complicates predictions but also offers an opportunity for mitigation because many households live within walking or drilling distance of safe water, and (3) the implication of recent advances in our understanding of the mechanisms of arsenic mobilization for potential temporal changes in groundwater arsenic. In addition, (4) a unique data set documenting the response of 6500 households to 4 years of mitigation in Araihazar, supported by documented reductions in exposure to arsenic based on urine analyses, will be presented. The presentation will conclude with (5) a proposal for scaling up mitigation efforts to the rest of the country by targeting safe aquifers with information transmitted to the village level from a central data base using cellular phones.

  11. STD in Bangladesh's trucking industry: prevalence and risk factors.

    PubMed

    Gibney, L; Saquib, N; Macaluso, M; Hasan, K N; Aziz, M M; Khan, A Y M H; Choudhury, P

    2002-02-01

    This study characterises the prevalence of a broad spectrum of sexually transmitted diseases (STDs) (herpes simplex virus 2, syphilis, chlamydia, gonorrhoea), and examines associations between risk factors and infection in men working in Bangladesh's trucking industry. Given the high risk sexual behaviours of truck drivers and helpers in many contexts, as well as the direct health effects of STDs and their role in facilitating HIV transmission, it is important to understand the prevalence of STDs and associated risk factors in this population. A cross sectional study was conducted at Tejgaon truck stand, one of the largest truck stands in Dhaka, the capital city. The study group, comprising 388 truck drivers and helpers, was selected via a two tiered sampling strategy. Of 185 trucking agencies based at the truck stand, 38 agencies were randomly selected, and a mean of 10 subjects (drivers/helpers) were recruited from each agency. Urine and blood samples were collected from subjects after an interview about their lifestyle and a comprehensive physical examination. Gold standard laboratory tests were conducted for the detection of STD. Multiple logistic regression was used to assess associations between infections and potential risk factors. The levels of prevalence of disease were HSV-2 (25.8%), serological syphilis (5.7%), gonorrhoea (2.1%), chlamydia (0.8%). For infection with any bacterial STD (syphilis, gonorrhoea, or chlamydia) the only significant risk factor was having sex with a commercial sex worker in the past year (OR=3.54; CI=1.29-9.72). For HSV-2, truck helpers working primarily on interdistrict routes were significantly more likely to be infected than drivers working on these routes (OR=2.51, CI=1.13--5.55). The high prevalence of HSV-2, and to a lesser extent syphilis, and the low levels of condom use despite high numbers of casual sexual partners, illustrate the importance of promoting condom use, particularly in commercial sexual encounters, to men

  12. InSAR measurements of compaction and subsidence in the Ganges-Brahmaputra Delta, Bangladesh

    NASA Astrophysics Data System (ADS)

    Higgins, Stephanie A.; Overeem, Irina; Steckler, Michael S.; Syvitski, James P. M.; Seeber, Leonardo; Akhter, S. Humayun

    2014-08-01

    Many of the world's largest river deltas are sinking due to sediment loading, compaction, and tectonics but also recently because of groundwater extraction, hydrocarbon extraction, and reduced aggradation. Little is known, however, about the full spatial variability of subsidence rates in complex delta systems. This study reconstructs subsidence rates in the eastern portion of the Ganges-Brahmaputra Delta (GBD), Bangladesh, covering more than 10,000 km2 at a high spatial resolution of 100 m. The map was produced using Interferometric Synthetic Aperture Radar (InSAR) covering the period 2007 to 2011. Eighteen Advanced Land Observing Satellite Phased-Array L-band SAR scenes were used to generate 30 interferograms calibrated with GPS. Interferograms were stacked to yield average subsidence rates over the study period. Small Baseline Subset-InSAR was then applied to validate the results against an additional GPS record from Dhaka, Bangladesh. Land subsidence of 0 to > 10 mm/yr is seen in Dhaka, with variability likely related to local variations in shallow subsurface sediment properties. Outside of the city, rates vary from 0 to > 18 mm/yr, with the lowest rates appearing primarily in Pleistocene Madhupur Clay and the highest rates in Holocene organic-rich muds. Results demonstrate that subsidence in this delta is primarily controlled by local stratigraphy, with rates varying by more than an order of magnitude depending on lithology. The ability of L-band InSAR to differentiate between stratigraphic units in this humid, vegetated subtropical river delta demonstrates the power of interferometry as a tool for studying the subsurface in deltaic environments.

  13. Seroprevalence and risk factors for brucellosis in a high-risk group of individuals in Bangladesh.

    PubMed

    Rahman, A K M Anisur; Dirk, Berkvens; Fretin, David; Saegerman, Claude; Ahmed, Muzahed Uddin; Muhammad, Noor; Hossain, Akram; Abatih, Emmanuel

    2012-03-01

    Brucellosis is an occupational hazard of livestock farmers, dairy workers, veterinarians, slaughterhouse workers, and laboratory personnel, all of whom are considered to belong to the high-risk occupational group (HROG). A study was undertaken to determine the seroprevalence of brucellosis, identify risk factors associated with brucellosis seropositivity, and detect Brucella at genus level using real-time polymerase chain reaction (PCR) among people in the HROG in the Dhaka division of Bangladesh. A sample of 500 individuals from the HROG was collected from three districts of Dhaka division of Bangladesh. A multiple random effects logistic regression model was used to identify potential risk factors. Two types of real-time PCR methods were applied to detect Brucella genus-specific DNA using serum from seropositive patients. The prevalence of brucellosis based on the three tests was observed to be 4.4% based on a parallel interpretation. The results of the multiple random effects logistic regression analysis with random intercept for district revealed that the odds of brucellosis seropositivity among individuals who had been in contact with livestock for more than 26 years was about 14 times higher as compared to those who had less than 5 years of contact with livestock. In addition, when the contact was with goats, the odds of brucellosis seropositivity were about 60 times higher as compared to when contact was with cattle only. Noticeable variation in brucellosis seropositivity among humans within the three districts was noted. All of the 13 individuals who tested positive for the serological tests were also positive in two types of real-time PCR using the same serum samples. Livestock farmers of brucellosis positive herds had a significantly higher probability to be seropositive for brucellosis. The study emphasized that contact with livestock, especially goats, is a significant risk factor for the transmission of brucellosis among individuals in the HROG.

  14. Prevalence of and Risk Factors for Lead Poisoning in Young Children in Bangladesh

    PubMed Central

    Ahua, Emmanuel; Saha, Pradip K.

    2012-01-01

    Lead poisoning is a major public-health problem in Bangladesh. A cross-sectional study was conducted to determine the extent of and risk factors for elevated blood lead levels (BLLs) in children in Bangladesh during September 2007–July 2009. The study included 919 children aged less than 16 years. The children were recruited from six urban locations in Dhaka and one rural area in Chirirbandar, Dinajpur. In total, 495 (54%) children had high BLLs (>10 µg/dL), with higher BLLs observed among children aged 5-9 years compared to children of other ages (p<0.001). The BLLs among children in urban Dhaka were significantly higher than those in rural areas (13.45±8.21 µg/dL vs 7.29±6.25 µg/dL, p<0.001). The high BLLs correlated with low body mass index (r=-0.23, p<0.001) and low haemoglobin status (r=-0.10, p=0.02). On bivariate analysis, proximity to industry (p<0.001), drinking-water from municipal supply or tubewell (p<0.001), brass or lead water-taps (p<0.001), use of melamine plate (p=0.001), and indigenous medicinal (kabiraji) treatments (p=0.004) significantly correlated with higher BLLs. Proximity to industry and the use of indigenous medicines remained significant predictors of high BLLs after controlling for the confounders. Several risk factors appropriate for future educational interventions to prevent exposure to lead poisoning were identified. PMID:23304906

  15. Medication taking behavior of students attending a private university in Bangladesh.

    PubMed

    Chowdhury, Nishat; Matin, Fatema; Chowdhury, Sk Feroz Uddin Ahmed

    2009-01-01

    The objective of this study was to investigate the patterns of self-reported medication use, including both prescription and OTC drugs, and to assess the possible predictors of self-medication and medication non-compliance (non-adherence), for 929 non-medical undergraduate students of the American International University, a private university situated in Dhaka city, Bangladesh. Although a high proportion (69%, n = 644) of students of this university had fallen sick in the last six months before the study, the rate of visiting qualified health practitioners was much lower (53%). A good proportion of the sick students were reported to have practiced self-medication (16%, n = 100) and medication non-adherence (15%, n = 98). The average treatment cost involved in self medication was much lower than that offered by a qualified physician (Tk 463 vs Tk 2546 per case). Those students living with parents were more likely to have visited qualified health practitioners (56%, p < .05), and students whose families kept a well-stocked medicine cabinet at home were more likely to have completed the full course (39%, p < .05) of prescribed medicine. No significant difference was found in the rates of self medication and medication compliance incidence for variables like age groups, gender, residence status, financial level, engagement in part-time jobs etc. The study also showed that antimicrobials are widely available (170 incidents) in the home medicine cabinets of the Dhaka City population. The storage of leftover antibiotics in the home constitutes an alternative potential source of self-medication that can have untoward consequences. Further elaborate studies are required to reveal the true pattern of antibiotic usage in Bangladesh.

  16. Online Radicalization: Bangladesh Perspective

    DTIC Science & Technology

    2017-06-09

    will work on developing a sustainable social awareness against radicalization. It will be responsible for coordinating and integrating all government...PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response , including...coordination among the counter-terrorism agencies, and lack of positive initiatives to grow enduring social resilience against radicalization. Bangladesh

  17. Himalayan Foothills, Bangladesh

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This remarkably clear, pre-monsoon view of the Himalayan foothills of Bangladesh (26.0N, 89.5E) shows the deforestation of the lower slopes for agriculture and pasture lands. The cleared lower slopes are generally used for tea cultivation. The intensity of agricultural land use, mostly in the form of small, family subsistance farms on the Ganges Plain is evident over most of the scene. Note also, the aircraft contrail and Tista River.

  18. Risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh: a case-control study.

    PubMed

    Bhuiyan, Mejbah Uddin; Zaman, Shahaduz; Ahmed, Tahmeed

    2013-05-08

    Childhood obesity has become an emerging urban health problem in urban cities in Bangladesh, particularly in affluent families. Risk factors for obesity in this context have not been explored yet. The objective of this study was to identify the risk factors associated with overweight and obesity among school children and adolescents in Dhaka, Bangladesh. From October through November 2007, we conducted a case-control study among children aged 10-15 years in seven schools in Dhaka. We assessed body mass index (weight in kg/height in sq. meter) to identify the cases (overweight/obese) and controls (healthy/normal weight) following the Centers for Disease Control and Prevention age and sex specific growth chart. We used a structured questionnaire to collect demographic information and respondent's exposure to several risk factors such as daily physical activity at home and in school, hours spent on computer games and television watching, maternal education level and parents' weight and height. We enrolled 198 children: 99 cases, 99 controls. Multiple logistic regression analysis revealed that having at least one overweight parent (OR = 2.8, p = 0.001) and engaging in sedentary activities for >4 hours a day (OR = 2.0, p = 0.02) were independent risk factors for childhood overweight and/or obesity while exercising ≥ 30 minutes a day at home was a protective factor (OR = 0.4, p = 0.02). There were no significant associations between childhood overweight and sex, maternal education or physical activity at school. Having overweight parents along with limited exercise and high levels of sedentary activities lead to obesity among school children in urban cities in Bangladesh. Public health programs are needed to increase awareness on risk factors for overweight and obesity among children and adolescents in order to reduce the future burden of obesity-associated chronic diseases.

  19. Trace metals accumulation in soil irrigated with polluted water and assessment of human health risk from vegetable consumption in Bangladesh.

    PubMed

    Islam, Md Atikul; Romić, Davor; Akber, Md Ali; Romić, Marija

    2017-01-18

    Trace metals accumulation in soil irrigated with polluted water and human health risk from vegetable consumption was assessed based on the data available in the literature on metals pollution of water, soil, sediment and vegetables from the cites of Bangladesh. The quantitative data on metal concentrations, their contamination levels and their pollution sources have not been systematically gathered and studied so far. The data on metal concentrations, sources, contamination levels, sample collection and analytical tools used were collected, compared and discussed. The USEPA-recommended method for health risk assessment was used to estimate human risk from vegetable consumption. Concentrations of metals in water were highly variable, and the mean concentrations of Cd, Cr, Cu and As in water were found to be higher than the FAO irrigation water quality standard. In most cases, mean concentrations of metals in soil were higher than the Bangladesh background value. Based on geoaccumulation index (I geo) values, soils of Dhaka city are considered as highly contaminated. The I geo shows Cd, As, Cu, Ni, Pb and Cr contamination of agricultural soils and sediments of the cities all over the Bangladesh. Polluted water irrigation and agrochemicals are identified as dominant sources of metals in agricultural soils. Vegetable contamination by metals poses both non-carcinogenic and carcinogenic risks to the public. Based on the results of the pollution and health risk assessments, Cd, As, Cr, Cu, Pb and Ni are identified as the priority control metals and the Dhaka city is recommended as the priority control city. This study provides quantitative evidence demonstrating the critical need for strengthened wastewater discharge regulations in order to protect residents from heavy metal discharges into the environment.

  20. [Family planning in Bangladesh].

    PubMed

    Saito, S

    1981-03-01

    The author participated in the family planning project in Bangladesh from August 1, 1977 to December 31, 1979. The population of Bangladesh was 81 million in 1977 with annual increase of 3%, and the government was aiming at zero population growth. The government guidelines emphasized family planning as an effort integrated with other community programs. The use of adult education classes, mass media, and agricultural field workers and the training of paramedical personnel were proposed. The project members' activities involved motivating the public to delay marriages, to space births and to limit the family size to two children (average family size 6.5 children) as well as distributing contraceptives, promoting IUD and sterilization. Sterilization campaign for women in DNN district, 30 km south of Dacca, was carried out as follows. The women who had signed up in advance arrived at the elementary school classroom, where 2 medical teams performed operations using the teachers' desks and the equipment rented from a hospital in Dacca. The general procedure involved a physical examination by a female doctor, checking blood pressure, changing into a brand new native gown, premedication by injection, total anesthesia and operation itself. The equipment was sterilized by boiling. The patients were carried on the stretchers to the other classroom where they recuperated, staying overnight on the straw mats on the mud floor. They went home on foot the next day. The shortage of food and resources, high unemployment rate and low standard of living are some of the social problems Bangladesh faces along with overpopulation.

  1. Motivating women. Bangladesh.

    PubMed

    1996-08-01

    The Integrated Family Development Program (IFDP) in Bangladesh is expanding from the original project areas in Panchdona Union and Dhalian Union into four neighboring unions under the initiative of the Family Planning Association of Bangladesh (FPAB). The JOICFP-executed project entered its second cycle this year as part of the UNFPA-supported regional Capacity Building for Sustainable Community-based Reproductive Health/Family Planning (FP) Project Emphasizing Quality of Care. The community-based project has won wide acceptance from people at the grass roots who have helped fuel its expansion into other villages. In particular, villagers have welcomed the comprehensive approach of the project which integrates a range of components such as reproductive health including FP/maternal and child health (MCH), income-generating activities, skills and literacy education for women and children and primary health care including parasite control. The success of the project also convinced the Japanese Embassy in Bangladesh to extend funding under the Japanese government's Grant Assistance for Grass Roots Cooperation Projects. With the funds, FPAB will establish a Women's Multipurpose Training Center in Panchdona Union. The sum of US$68,157 was officially handed over to FPAB on March 29 by Japanese Ambassador Yoshikazu Kaneko. The center, which is to open within this year, will contribute to improving reproductive health and promoting the empowerment of women. Once completed, it will be used for such activities as training in health care, literacy and skills for income generation for women's empowerment. full text

  2. Use of Only Oral Rehydration Salt Solution for Successful Management of a Young Infant with Serum Sodium of 201 mmol/L in an Urban Diarrhoeal Diseases Hospital, Bangladesh

    PubMed Central

    Pietroni, Mark A.C.; Alom, Mohammad Samsul; Smith, Jonathan Harvey

    2012-01-01

    A boy aged 4 months 7 days was admitted to the Intensive Care Unit (ICU) of the Dhaka Hospital of icddr,b, Dhaka, Bangladesh, with the problems of acute watery diarrhoea with some dehydration, pneumonia, lethargy, and hypernatraemia (serum sodium of 201 mmol/L). Correction for hypernatraemia was tried by using only oral rehydration salt (ORS) solution. Seizures occurred during correction of the hypernatraemia. These were difficult to control and required three doses of injection lorazepam, a loading dose of injection phenobarbitone, followed by injection phenytoin and finally two doses of injection mannitol (even though there was no clinical or imaging evidence by ultrasonography or computed tomography of cerebral oedema). The correction was continued with ORS, and all the anticonvulsants were successfully weaned without any further seizures, and the patient recovered without any overt neurological sequelae. We present a case report of extreme hypernatraemia, which was successfully managed using only ORS. PMID:23082639

  3. Present scenario of landing and distribution of fish in Bangladesh.

    PubMed

    Rahman, M; Khatun, S; Hossain, M B; Hassan, M N; Nowsad, A A K M

    2013-11-15

    The present study was designed to know the landing and distribution pathways of fish and types and nature of stakeholders involved in fish distribution chain in Bangladesh. A total of 237 fish landing centers and 5440 markets were detected. The number of landing center and market were highest in Chittagong and Dhaka division respectively. Stakeholders in fish distribution, viz., arotdars, paikers and retailers were found to be 6219, 39506 and 122922, respectively. A 84.71% of the landing centers were found to be operated year round while 15.29% were seasonal. The major fish production zones and major gateways of the country where inland capture and culture and marine capture fish landed were identified. In any locality 62.83% of the landed fish were transported within 100 km area and 5.73% of fish were transported beyond 500 km. The quantity of fish harvested from river, beel, Kaptai lake floodplain, pond, baor, coastal area/sea and shrimp/prawn farm were 5.25, 4.41, 0.13, 35.03, 38.22, 0.23, 10.93 and 5.80%, respectively. The common constraints identified were lack of adequate infrastructure facilities in the landing center and market, unhygienic environment, influence of middlemen, money lending at high rate etc. For the betterment of fish landing and distribution, appropriate authority should pay proper attention so that both quality and fair price are ensured.

  4. Solid waste recycling in Rajshahi city of Bangladesh.

    PubMed

    Bari, Q Hamidul; Hassan, K Mahbub; Haque, M Ehsanul

    2012-11-01

    Efficient recycling of solid wastes is now a global concern for a sustainable and environmentally sound management. In this study, traditional recycling pattern of solid waste was investigated in Rajshahi municipality which is the fourth largest city of Bangladesh. A questionnaire survey had been carried out in various recycle shops during April 2010 to January 2011. There were 140 recycle shops and most of them were located in the vicinity of Stadium market in Rajshahi. About 1906 people were found to be involved in recycling activities of the city. The major fraction of recycled wastes were sent to capital city Dhaka for further manufacture of different new products. Only a small amount of wastes, specially plastics, were processed in local recycle factories to produce small washing pots and bottle caps. Everyday, an estimated 28.13 tons of recycled solid wastes were handled in Rajshahi city area. This recycled portion accounted for 8.25% of the daily total generated wastes (341 ton d(-1)), 54.6% of total recyclable wastes (51.49 ton d(-1)) and 68.29% of readily recyclable wastes (41.19 ton d(-1)). Major recycled materials were found to be iron, glass, plastic, and papers. Only five factories were involved in preliminary processing of recyclable wastes. Collecting and processing secondary materials, manufacturing recycled-content products, and then buying recycled products created a circle or loop that ensured the overall success of recycling and generated a host of financial, environmental, and social returns.

  5. Modelling H5N1 in Bangladesh across spatial scales: Model complexity and zoonotic transmission risk.

    PubMed

    Hill, Edward M; House, Thomas; Dhingra, Madhur S; Kalpravidh, Wantanee; Morzaria, Subhash; Osmani, Muzaffar G; Yamage, Mat; Xiao, Xiangming; Gilbert, Marius; Tildesley, Michael J

    2017-09-01

    Highly pathogenic avian influenza H5N1 remains a persistent public health threat, capable of causing infection in humans with a high mortality rate while simultaneously negatively impacting the livestock industry. A central question is to determine regions that are likely sources of newly emerging influenza strains with pandemic causing potential. A suitable candidate is Bangladesh, being one of the most densely populated countries in the world and having an intensifying farming system. It is therefore vital to establish the key factors, specific to Bangladesh, that enable both continued transmission within poultry and spillover across the human-animal interface. We apply a modelling framework to H5N1 epidemics in the Dhaka region of Bangladesh, occurring from 2007 onwards, that resulted in large outbreaks in the poultry sector and a limited number of confirmed human cases. This model consisted of separate poultry transmission and zoonotic transmission components. Utilising poultry farm spatial and population information a set of competing nested models of varying complexity were fitted to the observed case data, with parameter inference carried out using Bayesian methodology and goodness-of-fit verified by stochastic simulations. For the poultry transmission component, successfully identifying a model of minimal complexity, which enabled the accurate prediction of the size and spatial distribution of cases in H5N1 outbreaks, was found to be dependent on the administration level being analysed. A consistent outcome of non-optimal reporting of infected premises materialised in each poultry epidemic of interest, though across the outbreaks analysed there were substantial differences in the estimated transmission parameters. The zoonotic transmission component found the main contributor to spillover transmission of H5N1 in Bangladesh was found to differ from one poultry epidemic to another. We conclude by discussing possible explanations for these discrepancies in

  6. Effects of education and other socioeconomic factors on middle age mortality in rural Bangladesh

    PubMed Central

    Hurt, L; Ronsmans, C; Saha, S

    2004-01-01

    Study objective: To examine socioeconomic gradients in mortality in adult women and their husbands in Bangladesh, paying particular attention to the independent effects of the educational status of each spouse. Design: Historical cohort study. Setting: Matlab, a rural area 60 km south east of Dhaka, the capital of Bangladesh. Participants: 14 803 married women aged 45 or over and their husbands who were resident in the Matlab Demographic Surveillance area between 30 June 1982 and 31 December 1998. Main results: Mortality was lower in women with formal or Koranic education compared with those with none (adjusted rate ratio for formal education = 0.68, 95% CI 0.53 to 0.86; adjusted rate ratio for Koranic schooling = 0.82, 95% CI 0.66 to 1.00). After adjusting for her own education, the husband's level of education or occupation did not have an independent effect on a woman's survival. Men who had attended formal education had lower mortality than those without any education (adjusted rate ratio = 0.84, 95% CI 0.75 to 0.93), but men whose wives had been educated had an additional survival advantage independent of their own education and occupation (adjusted rate ratio = 0.76, 95% CI 0.67 to 0.87). Mortality in both sexes was also significantly associated with marital status and the percentage of surviving children, and in men was associated with the man's occupation, religion, area of residence. Conclusions: The data suggest that socioeconomic status has a strong influence on mortality in adults in Bangladesh. They also illustrate how important the continued promotion of education, particularly for women, may be for the survival of both women and men in rural Bangladesh. PMID:15026446

  7. Arsenic dynamics in porewater of an intermittently irrigated paddy field in Bangladesh.

    PubMed

    Roberts, Linda C; Hug, Stephan J; Voegelin, Andreas; Dittmar, Jessica; Kretzschmar, Ruben; Wehrli, Bernhard; Saha, Ganesh C; Badruzzaman, A Borhan M; Ali, M Ashraf

    2011-02-01

    In Bangladesh, irrigation of dry season rice (boro) with arsenic-contaminated groundwater is leading to increased As levels in soils and rice, and to concerns about As-induced yield reduction. Arsenic concentrations and speciation in soil porewater are strongly influenced by redox conditions, and thus by water management during rice growth. We studied the dynamics of As, Fe, P, Si, and other elements in porewater of a paddy field near Sreenagar (Munshiganj), irrigated according to local practice, in which flooding was intermittent. During early rice growth, As porewater concentrations reached up to 500 μg L(-1) and were dominated by As(III), but As release was constrained to the lower portion of the soil above the plow pan. In the later part of the season, soil conditions were oxic throughout the depth range relevant to rice roots and porewater concentrations only intermittently increased to ∼150 μg L(-1) As(V) following irrigation events. Our findings suggest that intermittent irrigation, currently advocated in Bangladesh for water-saving purposes, may be a promising means of reducing As input to paddy soils and rice plant exposure to As.

  8. Correlates of exposure to secondhand smoke (SHS) at home among non-smoking adults in Bangladesh: findings from the ITC Bangladesh survey

    PubMed Central

    2014-01-01

    Background Exposure to secondhand smoke (SHS) is a serious global public health problem. Understanding the correlates of SHS exposure could guide the development of evidence based SHS exposure reduction interventions. The purpose of this study is to describe the pattern of and factors associated with SHS exposure among non-smoking adults in Bangladesh. Methods Data come from adult non-smokers who participated in the second wave (2010) of the International Tobacco Control Policy (ITC) Evaluation Bangladesh Survey conducted in all six administrative divisions of Bangladesh. A structured questionnaire gathered information on participants’ demographic characteristics, pattern of SHS exposure, SHS knowledge, and attitudes towards tobacco control. Exposure to SHS at home was defined as non-smokers who lived with at least one smoker in their household and who reported having no home smoking ban. The data were analyzed using chi-square tests and logistic regression procedures. Results The SHS exposure rate at home among the participants (N = 2813) was 43%. Several sociodemographic and attitudinal factors were associated with SHS exposure. Logistic regression analyses identified eight predictors of SHS exposure: being female (OR = 2.35), being aged 15–24 (OR = 2.17), being recruited from Dhaka slums (OR = 5.19) or non-tribal/non-border areas outside Dhaka (OR = 2.19) or tribal/border area (OR = 4.36), having lower education (1–8 years: OR = 2.45; illiterate: OR = 3.00, having higher monthly household income (5000 to <10,000 Taka: OR = 2.34; 10,000 Taka or more: OR = 2.28), having a father who smoked in the past or currently smokes (OR = 2.09), having lower concern about the harms of tobacco on children (unconcerned OR = 3.99; moderate concern OR = 2.26), and not knowing the fact that SHS causes lung cancer in non-smokers (OR = 2.04). Conclusions Almost half of non-smoking Bangladeshi adults are exposed to SHS at

  9. Hydrogeochemical Analysis of an Overexploited Aquifer In Bangladesh Toward Managed Aquifer Recharge Project Implementation

    NASA Astrophysics Data System (ADS)

    Rahman, M. A.; Wiegand, B. A.; Pervin, M.; Sauter, M.

    2012-12-01

    In most parts of the upper Dupitila aquifer (Dhaka City, Bangladesh) the average groundwater depletion reaches 2-3 m/year due to increasing water demands of the growing population. To counteract overexploitation of the aquifer, a more sustainable water management is required. The analysis of the local water resources system suggests that Managed Aquifer Recharge (MAR) would help to restore groundwater resources to strengthen water supply of Dhaka City, e.g., by using collected urban monsoon runoff and excess surface water from rivers. To assess possible effects of surface water or rainwater injection on groundwater quality, a comprehensive hydrogeochemical survey of the Dupitila aquifer is required. This paper presents hydrogeochemical data to document the current status of groundwater quality and to evaluate potential groundwater pollution by mobilization of hazardous chemicals as a result of changes in the hydrochemical equilibria. We performed a comprehensive review of available secondary data sources and will present new results from hydrochemical and Sr isotope investigations of water samples that were conducted within this study. Currently, groundwater quality in the upper Dupitila aquifer is characterized by variations in the electrical conductivity in the range of 200 to 1100 μS/cm, which may indicate some anthropogenic contamination by leakage from waste disposal including the sewage network and from surface water infiltration into the groundwater aquifer. Dissolved oxygen concentrations range from 1.0 to 4.9 mg/L (average 2.5 mg/L) in the upper Dupitila aquifer, while the lower Dupilita aquifer shows dissolved oxygen concentrations in the range 0 to 0.7 mg/L. Concentrations of major ions show some variation primarily due to a sedimentologically/mineralogically heterogeneous aquifer composition (sand, gravel, clay horizons), but may also be affected by anthropogenic processes. The groundwater composition is predominated by Ca-Mg-HCO3 and saturation values

  10. Human rabies in rural Bangladesh.

    PubMed

    Hossain, M; Ahmed, K; Bulbul, T; Hossain, S; Rahman, A; Biswas, M N U; Nishizono, A

    2012-11-01

    Rabies is a major public health problem in Bangladesh, where most of the population live in rural areas. However, there is little epidemiological information on rabies in rural Bangladesh. This study was conducted in 30 upazilas (subdistricts) covering all six divisions of the country, to determine the levels of rabies and animal bites in Bangladesh. The total population of these upazilas was 6 992 302. A pretested questionnaire was used and data were collected by interviewing the adult members of families. We estimated that in Bangladesh, 166 590 [95% confidence interval (CI) 163 350-170 550] people per year are bitten by an animal. The annual incidence of rabies deaths in Bangladesh was estimated to be 1·40 (95% CI 1·05-1·78)/100 000 population. By extrapolating this, we estimated that 2100 (95% CI 1575-2670) people die annually from rabies in Bangladesh. More than three-quarters of rabies patients died at home. This community-based study provides new information on rabies epidemiology in Bangladesh.

  11. Accumulation of arsenic in tissues of rice plant (Oryza sativa L.) and its distribution in fractions of rice grain.

    PubMed

    Rahman, M Azizur; Hasegawa, H; Rahman, M Mahfuzur; Rahman, M Arifur; Miah, M A M

    2007-10-01

    A study was conducted to investigate the accumulation and distribution of arsenic in different fractions of rice grain (Oryza sativa L.) collected from arsenic affected area of Bangladesh. The agricultural soil of study area has become highly contaminated with arsenic due to the excessive use of arsenic-rich underground water (0.070+/-0.006 mg l(-1), n=6) for irrigation. Arsenic content in tissues of rice plant and in fractions of rice grain of two widely cultivated rice varieties, namely BRRI dhan28 and BRRI hybrid dhan1, were determined. Regardless of rice varieties, arsenic content was about 28- and 75-folds higher in root than that of shoot and raw rice grain, respectively. In fractions of parboiled and non-parboiled rice grain of both varieties, the order of arsenic concentrations was; rice hull>bran-polish>brown rice>raw rice>polish rice. Arsenic content was higher in non-parboiled rice grain than that of parboiled rice. Arsenic concentrations in parboiled and non-parboiled brown rice of BRRI dhan28 were 0.8+/-0.1 and 0.5+/-0.0 mg kg(-1) dry weight, respectively while those of BRRI hybrid dhan1 were 0.8+/-0.2 and 0.6+/-0.2 mg kg(-1) dry weight, respectively. However, parboiled and non-parboiled polish rice grain of BRRI dhan28 contained 0.4+/-0.0 and 0.3+/-0.1 mg kg(-1) dry weight of arsenic, respectively while those of BRRI hybrid dhan1 contained 0.43+/-0.01 and 0.5+/-0.0 mg kg(-1) dry weight, respectively. Both polish and brown rice are readily cooked for human consumption. The concentration of arsenic found in the present study is much lower than the permissible limit in rice (1.0 mg kg(-1)) according to WHO recommendation. Thus, rice grown in soils of Bangladesh contaminated with arsenic of 14.5+/-0.1 mg kg(-1) could be considered safe for human consumption.

  12. State and the Low Cost Housing for the Poor: Fall of Bashentek Rehabilitation Project (BRP) in Dhaka City--Bangladesh

    ERIC Educational Resources Information Center

    Hussain, Rasel; Saha, Amit Kumar; Rabbani, Golam; Pervin, Irin; Shamma, Wasifa Tasnim; Khan, Sazzad Hossain

    2015-01-01

    In the era of neoliberalism now the people especially the lower income group of people is suffering a lot for the scarcity of housing. After migrating from the rural areas for a better life they discovered themselves in the slum like areas of the city as they are not capable to afford housing in the influential areas of the city due to higher…

  13. Availability and provision of misoprostol and other medicines for menstrual regulation among pharmacies in Bangladesh via mystery client survey.

    PubMed

    Huda, Fauzia A; Ngo, Thoai D; Ahmed, Anisuddin; Alam, Anadil; Reichenbach, Laura

    2014-02-01

    To explore the availability and provision of misoprostol and other medicines for menstrual regulation (MR) among pharmacies in Bangladesh. Between March and November 2011, a cross-sectional study using mystery client visits was conducted among pharmacy workers in Dhaka and Gazipur Districts, Bangladesh. Mystery clients were trained to present 1 of 4 pre-developed situations to pharmacy workers to elicit information on the regimen, adverse effects, and complications of misoprostol use. Mystery clients visited 331 pharmacies. Among the 331 pharmacy workers, 45.8% offered the mystery clients misoprostol and/or other medicines for MR; 25.7% referred them to private clinics or hospitals. Only 7% recommended an effective regimen of misoprostol for MR; 65% suggested administering vaginal and oral misoprostol together. Overall, 72.4% did not provide any advice on complications; the remainder suggested visiting trained providers for complications. Counseling on excessive bleeding as a danger sign was provided by 46% of pharmacy workers. Most (94%) did not provide or refer for post-MR family planning. Pharmacy workers in urban Bangladesh are providing ineffective drugs and regimens for MR. A training package is needed to strengthen service delivery by providing accurate information, high-quality products, and referral mechanisms for women seeking MR through pharmacies. © 2013.

  14. Effect of skin barrier therapy on neonatal mortality rates in preterm infants in Bangladesh: a randomized, controlled, clinical trial.

    PubMed

    Darmstadt, Gary L; Saha, Samir K; Ahmed, A S M Nawshad Uddin; Ahmed, Saifuddin; Chowdhury, M A K Azad; Law, Paul A; Rosenberg, Rebecca E; Black, Robert E; Santosham, Mathuram

    2008-03-01

    Skin barrier therapy during the neonatal period, when the skin barrier is most highly compromised and the risk of death is greatest, has been shown to have a number of potential benefits, including reduced risk of nosocomial sepsis. Topical application of emollients that augment skin barrier function was evaluated as a strategy for improving survival rates among hospitalized preterm infants in Bangladesh. A prospective, randomized, controlled, clinical trial was conducted in the special care nursery at Dhaka Shishu (Children) Hospital, the largest tertiary care children's hospital in Bangladesh. Preterm infants (gestational age: < or = 33 weeks; N = 497) received daily topical applications of sunflower seed oil or Aquaphor ointment. Neonatal mortality rates were compared in an intent-to-treat analysis with a control group that did not receive emollient therapy. Treatment with sunflower seed oil resulted in a statistically significant 26% reduction in mortality rates, compared with infants not receiving topical emollient therapy. Aquaphor therapy also significantly reduced mortality rates, by 32%. Topical therapy with skin barrier-enhancing emollients improved survival rates among preterm hospitalized infants in Bangladesh. This study provides strong evidence for the implementation of topical therapy for high-risk preterm neonates in developing countries.

  15. Cross-sectional test of the Fama-French three-factor model: Evidence from Bangladesh stock market

    NASA Astrophysics Data System (ADS)

    Hasan, Md. Zobaer; Kamil, Anton Abdulbasah

    2014-09-01

    Stock market is an important part of a country's economy. It supports the country's economic development and progress by encouraging the efficiency and profitability of firms. This research was designed to examine the risk-return association of companies in the Dhaka Stock Exchange (DSE) market of Bangladesh by using the Fama-French three-factor model structure. The model is based on three factors, which are stock beta, SMB (difference in returns of the portfolio with small market capitalisation minus that with big market capitalisation) and HML (difference in returns of the portfolio with high book-to-market ratio minus that with low book-to-market ratio). This study focused on the DSE market as it is one of the frontier emerging stock markets of South Asia. For this study, monthly stock returns from 71 non-financial companies were used for the period of January 2002 to December 2011. DSI Index was used as a proxy for the market portfolio and Bangladesh government 3-Month T-bill rate was used as the proxy for the risk-free asset. It was found that large capital stocks outperform small capital stocks and stocks with lower book-to-market ratios outperform stocks with higher book-to-market ratios in the context of Bangladesh stock market.

  16. Satellite-derived methane emissions from inundation in Bangladesh

    NASA Astrophysics Data System (ADS)

    Peters, C. N.; Bennartz, R.; Hornberger, G. M.

    2017-05-01

    The uncertainty in methane (CH4) source strength of rice fields and wetlands is particularly high in South Asia CH4 budgets. We used satellite observations of CH4 column mixing ratios from Atmospheric Infrared Sounder (AIRS), Scanning Imaging Absorption Spectrometer for Atmospheric Chartography (SCIAMACHY), and Greenhouse Gases Observing Satellite (GOSAT) to estimate the contribution of Bangladesh emissions to atmospheric CH4 concentrations. Using satellite-derived inundation area as a proxy for source area, we developed a simple inverse advection model that estimates average annual CH4 surface fluxes to be 4, 9, and 19 mg CH4 m-2 h-1 in AIRS, SCIAMACHY, and GOSAT, respectively. Despite this variability, our flux estimates varied over a significantly narrower range than reported values for CH4 surface fluxes from a survey of 32 studies reporting ground-based observations between 0 and 260 mg CH4 m-2 h-1. Upscaling our satellite-derived surface flux estimates, we estimated total annual CH4 emissions for Bangladesh to be 1.3 ± 3.2, 1.8 ± 2.0, 3.1 ± 1.6 Tg yr-1, depending on the satellite. Our estimates of total emissions are in line with the median of total emission values for Bangladesh reported in earlier studies.

  17. Mass media tours Bangladesh.

    PubMed

    1998-07-01

    In May 1998, representatives of Japan's mass media toured Bangladesh to learn about the country's reproductive health and population programs. The goal of the visit was for the journalists to spread information about the projects to their peers, to government officials, and parliamentarians responsible for allocations of foreign aid. The 1st stage of the visit involved meetings with program officials and organizers. In the 2nd stage, the journalists toured: 1) Matlab, where the International Center for Diarrhoeal Disease Research has been implementing an intensive family planning (FP) program; 2) the Panchdona IP area, where the Integrated Family Development Project is being conducted with funding from the Japanese government; 3) an FP office and satellite clinic; and 4) a site where voluntary organizations are providing FP/maternal-child health care. The journalists also learned about how micro-credit loans operate. Participating journalists reported that they were very impressed with the people of Bangladesh, and that they had gained a new understanding of the relationship between reproductive health and human rights.

  18. Immunoproteomic Analysis of Antibody in Lymphocyte Supernatant in Patients with Typhoid Fever in Bangladesh

    PubMed Central

    Liang, Li; Khanam, Farhana; Sayeed, M. Abu; Hung, Chris; Leung, Daniel T.; Baker, Stephen; Ludwig, Albrecht; Harris, Jason B.; LaRocque, Regina C.; Calderwood, Stephen B.; Qadri, Firdausi; Felgner, Philip L.; Ryan, Edward T.

    2014-01-01

    We have previously shown that an assay based on detection of anti-Salmonella enterica serotype Typhi antibodies in supernatant of lymphocytes harvested from patients presenting with typhoid fever (antibody in lymphocyte supernatant [ALS] assay) can identify 100% of patients with blood culture-confirmed typhoid fever in Bangladesh. In order to define immunodominant proteins within the S. Typhi membrane preparation used as antigen in these prior studies and to identify potential biomarkers unique to S. Typhi bacteremic patients, we probed microarrays containing 2,724 S. Typhi proteins with ALS collected at the time of clinical presentation from 10 Bangladeshis with acute typhoid fever. We identified 62 immunoreactive antigens when evaluating both the IgG and IgA responses. Immune responses to 10 of these antigens discriminated between individuals with acute typhoid infection and healthy control individuals from areas where typhoid infection is endemic, as well as Bangladeshi patients presenting with fever who were subsequently confirmed to have a nontyphoid illness. Using an ALS enzyme-linked immunosorbent assay (ELISA) format and purified antigen, we then confirmed that immune responses against the antigen with the highest immunoreactivity (hemolysin E [HlyE]) correctly identified individuals with acute typhoid or paratyphoid fever in Dhaka, Bangladesh. These observations suggest that purified antigens could be used with ALS and corresponding acute-phase activated B lymphocytes in diagnostic platforms to identify acutely infected patients, even in areas where enteric fever is endemic. PMID:24371257

  19. Cholera and shigellosis in Bangladesh: similarities and differences in population dynamics under climate forcing

    NASA Astrophysics Data System (ADS)

    Pascual, M.; Cash, B.; Reiner, R.; King, A.; Emch, M.; Yunus, M.; Faruque, A. S.

    2012-12-01

    The influence of climate variability on the population dynamics of infectious diseases is considered a large scale, regional, phenomenon, and as such, has been previously addressed for cholera with temporal models that do not incorporate fine-scale spatial structure. In our previous work, evidence for a role of ENSO (El Niño Southern Oscillation) on cholera in Bangladesh was elucidated, and shown to influence the regional climate through precipitation. With a probabilistic spatial model for cholera dynamics in the megacity of Dhaka, we found that the action of climate variability (ENSO and flooding) is localized: there is a climate-sensitive urban core that acts to propagate risk to the rest of the city. Here, we consider long-term surveillance data for shigellosis, another diarrheal disease that coexists with cholera in Bangladesh. We compare the patterns of association with climate variables for these two diseases in a rural setting, as well as the spatial structure in their spatio-temporal dynamics in an urban one. Evidence for similar patterns is presented, and discussed in the context of the differences in the routes of transmission of the two diseases and the proposed role of an environmental reservoir in cholera. The similarities provide evidence for a more general influence of hydrology and of socio-economic factors underlying human susceptibility and sanitary conditions.

  20. The 2005 census and mapping of slums in Bangladesh: design, select results and application

    PubMed Central

    Angeles, Gustavo; Lance, Peter; Barden-O'Fallon, Janine; Islam, Nazrul; Mahbub, AQM; Nazem, Nurul Islam

    2009-01-01

    Background The concentration of poverty and adverse environmental circumstances within slums, particularly those in the cities of developing countries, are an increasingly important concern for both public health policy initiatives and related programs in other sectors. However, there is a dearth of information on the population-level implications of slum life for human health. This manuscript describes the 2005 Census and Mapping of Slums (CMS), which used geographic information systems (GIS) tools and digital satellite imagery combined with more traditional fieldwork methodologies, to obtain detailed, up-to-date and new information about slum life in all slums of six major cities in Bangladesh (including Dhaka). Results The CMS found that Bangladeshi slums are very diverse: there are wide intra- and inter-city variations in population size, density, the percent of urban populations living in slums, and sanitation conditions. Findings also show that common beliefs about slums may be outdated; of note, tenure insecurity was found to be an issue in only a small minority of slums. Conclusion The methodology used in the 2005 Bangladesh CMS provides a useful approach to mapping slums that could be applied to urban areas in other low income societies. This methodology may become an increasingly important analytic tool to inform policy, as cities in developing countries are forecasted to continue increasing their share of total global population in the coming years, with slum populations more than doubling in size during the same period. PMID:19505333

  1. Immunoproteomic analysis of antibody in lymphocyte supernatant in patients with typhoid fever in Bangladesh.

    PubMed

    Charles, Richelle C; Liang, Li; Khanam, Farhana; Sayeed, M Abu; Hung, Chris; Leung, Daniel T; Baker, Stephen; Ludwig, Albrecht; Harris, Jason B; Larocque, Regina C; Calderwood, Stephen B; Qadri, Firdausi; Felgner, Philip L; Ryan, Edward T

    2014-03-01

    We have previously shown that an assay based on detection of anti-Salmonella enterica serotype Typhi antibodies in supernatant of lymphocytes harvested from patients presenting with typhoid fever (antibody in lymphocyte supernatant [ALS] assay) can identify 100% of patients with blood culture-confirmed typhoid fever in Bangladesh. In order to define immunodominant proteins within the S. Typhi membrane preparation used as antigen in these prior studies and to identify potential biomarkers unique to S. Typhi bacteremic patients, we probed microarrays containing 2,724 S. Typhi proteins with ALS collected at the time of clinical presentation from 10 Bangladeshis with acute typhoid fever. We identified 62 immunoreactive antigens when evaluating both the IgG and IgA responses. Immune responses to 10 of these antigens discriminated between individuals with acute typhoid infection and healthy control individuals from areas where typhoid infection is endemic, as well as Bangladeshi patients presenting with fever who were subsequently confirmed to have a nontyphoid illness. Using an ALS enzyme-linked immunosorbent assay (ELISA) format and purified antigen, we then confirmed that immune responses against the antigen with the highest immunoreactivity (hemolysin E [HlyE]) correctly identified individuals with acute typhoid or paratyphoid fever in Dhaka, Bangladesh. These observations suggest that purified antigens could be used with ALS and corresponding acute-phase activated B lymphocytes in diagnostic platforms to identify acutely infected patients, even in areas where enteric fever is endemic.

  2. Estimating micronutrient intakes from Household Consumption and Expenditures Surveys (HCES): an example from Bangladesh.

    PubMed

    Bermudez, Odilia I; Lividini, Keith; Smitz, Marc-Francois; Fiedler, John L

    2012-09-01

    Globally, there is a scarcity of national food consumption data that could help to assess food patterns and nutrient intakes of population groups. Estimates of food consumption patterns and apparent intakes of energy and nutrients could be obtained from national Household Consumption and Expenditures Surveys (HCES). To use the HCES conducted in Bangladesh in 2005 (HIES2005) to estimate apparent intakes of vitamin A, iron, and zinc. Food acquisition data from HIES2005, which surveyed 10,080 households, were transformed into standard measurement units. Intrahousehold food and nutrient distribution was estimated with Adult Male Equivalent (AME) units. Adequacy of intake was assessed by comparing individual nutrient intakes with requirements and was then aggregated by households. The weighted mean energy intake for the population was 2,151 kcal/person/day, with a range among divisions from 1,950 in Barisal to 2,195 in Dhaka division. The apparent intakes of vitamin A and iron were insufficient to satisfy the recommended intakes for more than 80% of the population in Bangladesh, while apparent intakes of zinc, adjusted by bioavailability, satisfied the requirements of approximately 60% of the population. Using the HIES2005, we were able to produce estimates of apparent food consumption and intakes of some key micronutrients for the Bangladeshi population and observed wide differences among divisions. However, the methodological approaches reported here, although feasible and promising, need to be validated with other dietary intake methods.

  3. An evaluation of the first year's experience with a low-cost telemedicine link in Bangladesh.

    PubMed

    Vassallo, D J; Hoque, F; Roberts, M F; Patterson, V; Swinfen, P; Swinfen, R

    2001-01-01

    In July 1999, the Swinfen Charitable Trust in the UK established a telemedicine link in Bangladesh, between the Centre for the Rehabilitation of the Paralysed (CRP) in Dhaka and medical consultants abroad. This low-cost telemedicine system used a digital camera to capture still images, which were then transmitted by email. During the first 12 months, 27 telemedicine referrals were made. The following specialties were consulted: neurology (44%), orthopaedics (40%), rheumatology (8%), nephrology (4%) and paediatrics (4%). Initial email replies were received at the CRP within a day of referral in 70% of cases and within thee days in 100%, which shows that store-and-forward telemedicine can be both fast and reliable. Telemedicine consultation was complete within three days in 14 cases (52%) and within three weeks in 24 cases (89%). Referral was judged to be beneficial in 24 cases (89%), the benefits including establishment of the diagnosis, the provision of reassurance to the patient and referring doctor, and a change of management. Four patients (15% of the total) and their families were spared the considerable expense and unnecessary stress of travelling abroad for a second opinion, and the savings from this alone outweighed the set-up and running costs in Bangladesh. The latter are limited to an email account with an Internet service provider and the local-rate telephone call charges from the CRP. This successful telemedicine system is a model for further telemedicine projects in the developing world.

  4. Evaluation of "Portable Health Clinic" with BAN standard for 10K subjects in Bangladesh.

    PubMed

    Nakashima, Naoki; Hiramatsu, Tatsuo; Ghosh, Partha Pratim; Islam, Rafiqul; Kobayashi, Kunihisa; Inoguchi, Toyoshi

    2013-01-01

    Management system of chronic diseases in developing countries and post-disaster situation has been required. Body area network (BAN, IEEE 802.15.6) is expected to be useful in medical field. To evaluate BAN standard, we are implementing BAN in our attaché case type sensor set named "Portable Health Clinic" (PHC), and conducting systematic health checkup in rural and urban areas in Bangladesh. (Methods) In the PHC, we packed weight scale, blood pressure meter, blood sugar meter, body thermometer, pulse oxymeter, as electrical devices, and tape measure (for height, waist and hip), urine test tape (for urine sugar, urine protein and urobilinogen) as no-electrical devices. We provided checkup in rural villages and urban companies in Bangladesh by PHC, and transmitted data by cellphone network to the data center in Dhaka. Individual health condition was categorized into 4 grades, green (healthy), yellow (caution), orange (affected), and red (emergent) by international diagnosis standards of diseases. We provided telemedicine for orange and red, and tele-prescription for hypertensive patients. We are making all sensor devices implemented with BAN. (Results) The health checkup was provided to 5498 subjects until the end of 2012 and categorized green 14%, yellow 66%, orange 17%, and red 3%. The result shows its potency as an effective healthcare system in developing countries and in a chronic phase after disaster. We continue to provide the e-health service for 10K-15 K people each year until March 2014.

  5. Single dose vitamin A treatment in acute shigellosis in Bangladesh children: randomised double blind controlled trial.

    PubMed Central

    Hossain, S.; Biswas, R.; Kabir, I.; Sarker, S.; Dibley, M.; Fuchs, G.; Mahalanabis, D.

    1998-01-01

    OBJECTIVE: To evaluate the efficacy of a single large oral dose of vitamin A in treating acute shigellosis in children in Bangladesh. DESIGN: Randomised double blind controlled clinical trial. SETTING: Dhaka Hospital, International Centre for Diarrhoeal Disease Research, Bangladesh. SUBJECTS: 83 children aged 1-7 years with bacteriologically proved shigellosis but no clinical signs of vitamin A deficiency; 42 were randomised to treatment with vitamin A and 41 formed a control group. INTERVENTION: Children were given a single oral dose of 200,000 IU of vitamin A plus 25 IU vitamin E or a control preparation of 25 IU vitamin E. MAIN OUTCOME MEASURES: Clinical cure on study day 5 and bacteriological cure. RESULTS: Baseline characteristics of the subjects in the two treatment groups were similar. Significantly more children in the vitamin A group than in the control group achieved clinical cure (19/42 (45%) v 8/14 (20%); chi 2 = 5.14, 1 df, P = 0.02; risk ratio = 0.68 (95% confidence interval; 0.50 to 0.93)). When cure was determined bacteriologically, the groups had similar rates (16/42 (38%) v 16/41 (39%); chi 2 = 0.02, 1 df, P = 0.89; risk ratio = 0.98 (0.70 to 1.39)). CONCLUSIONS: Vitamin A reduces the severity of acute shigellosis in children living in areas where vitamin A deficiency is a major public health problem. PMID:9492664

  6. [A demographic profile of Bangladesh].

    PubMed

    D'souza, S

    1985-01-01

    Population trends in Bangladesh are reviewed. Consideration is given to population density, food supply, and methods of resolving the country's population problems. The author concludes that programs designed to raise the status of women have the best chance of success.

  7. Neonatal Transport - Experience of a Tertiary Care Hospital of Bangladesh.

    PubMed

    Dey, S K; Sharker, S; Jahan, I; Moni, S C; Shabuj, K H; Chisti, M J; Mannan, M A; Shahidullah, M

    2017-01-01

    Safe transportation is mostly an unnoticed neonatal health issue in Bangladesh and no documentation is available regarding the existing practices. So this study was intended to document transport status of the referred newborn to a tertiary care hospital. This observational study included 150 out born neonates over 12 months period transported from various places to NICU, Bangabandhu Sheikh Mujib Medical University (BSMMU) from May 2015 to April 2016. A structured data collection form was used to record information categorized into pre-transport, during transport and at admission. At admission detailed clinical assessment of the baby was done and recorded. Outcome was determined as discharge or death. Of 150 transported neonates, two-third were preterm 115(77%) & LBW 113(75%). Common indications for referral were prematurity and sepsis. Most of the patients were referred from private hospital 107(71%). Majority of newborns (86%) were referred from hospitals of Dhaka city while only 14% were referred from outside Dhaka. Referral notes were supplied in most of the cases 134(89%) but comprehensive information was obtainable only in 3 cases. Although main transport vehicle was ambulance 130(87%), medical personnel accompanied the sick baby only in 6(4%) of cases. The distance traveled was less than 10 kilometers (kms) in 95(63%) and more than 100 km in 10(7%) of enrolled neonates. Transport time was less than 1 hour in 72(48%), 1-6 hours in 66(44%) and more than 6 hours in 12(8%) of cases. Nearly two third of newborn were transported after office period, 107(72%). At admission 21(14%) babies had hypothermia, 8(7.62%) hypoglycemia, 16(11%), poor perfusion 28(19%), low saturation 27(18%). Hyperthermia & hyperglycemia were observed in 8(5%) & 7(5%) cases respectively. Of the total 150 babies referred, 17(11%) died. While comparing with discharged newborn, died newborn were more frequent sufferer of hypothermia (p value 0.007) and low saturation (p value 0.049) at

  8. Analysis and Monitoring of the Spatio-temporal Aerosol Patterns over Bangladesh

    NASA Astrophysics Data System (ADS)

    Mamun, M.; Islam, M.

    2012-12-01

    Nowadays climate change is the burning issue and atmospheric aerosols are vital parameter of the global climate system. So, atmospheric aerosols are one of the hot topics for present scientific research. Most remote sensing methods retrieve aerosol optical depth (AOD) to assess the aerosols and their various effects on environmental and climate system. However, there is lack of studies dealing with monitoring of aerosol patterns over Bangladesh. In this research, we have analyzed the spatial and temporal variations in aerosol load over Bangladesh, using MODerate resolution Imaging Spectroradiometer (MODIS) Level 3 remote sensing data. A Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model was used to generate a backward trajectory in order to identify the origins of air masses, with the aim of understanding these spatial and temporal variabilities in aerosol concentrations. During the last decade, AODs have increased across Bangladesh and revealed a higher AOD concentration in western part but a much cleaner environment in eastern part. An assessment of monthly mean variations in AOD has exhibited maximum AODs in June and minimum AODs in October. Looking over seasonal variations during the last decade over Bangladesh showed maximum AOD values during the summer, while minimum AOD values showed during the post monsoon also an evidence of a decreasing AOD trend showed during the monsoon can be owing to an increase in monsoonal rainfall in Bangladesh, while all other seasons showed increasing trends. Northwestern part of Bangladesh has showed at the top of AOD concentration in winter season during the year 2010. Dense fog activities in northern part of Bangladesh may be the causes of this high AOD distribution. We also documented, the regional AOD variations over seven different divisions of Bangladesh, for which Dhaka and Sylhet divisions showed decreasing trends where all others showed increasing trends. Annual mean AODs have highest levels in

  9. Vitamin A deficiency in poor, urban, lactating women in Bangladesh: factors influencing vitamin A status.

    PubMed

    Ahmed, Faruk; Azim, Asfia; Akhtaruzzaman, Mohammad

    2003-08-01

    To investigate the prevalence of vitamin A deficiency among lactating women in a poor urban population of Bangladesh, and to examine the relationship between various factors and vitamin A status. Cross-sectional study. Maternal and child health clinic in Dhaka City, Bangladesh. A total of 120 lactating women aged 17-37 years were randomly selected from women who attended a local maternal and child health clinic in Dhaka City for immunisation of their children. Various socio-economic, personal characteristics, dietary intakes of vitamin A and anthropometric data were collected. Serum retinol (vitamin A) concentration was determined as a measure of vitamin A status. Of the subjects, 37% had low serum vitamin A levels (<30 microg x dl-1), with 13.3% having sub-clinical vitamin A deficiency (<20 microg x dl-1). Eighty-seven per cent had vitamin A intakes below the recommended dietary allowance. The lactating women who were either illiterate or received only informal education had significantly lower serum vitamin A levels compared with those who received formal education. The women whose husbands received formal education had significantly higher serum vitamin A levels than those whose husbands were either illiterate or received only informal education. The serum vitamin A levels of women in households with poor sanitation/latrine practice were significantly lower than those of women in households with good sanitation/latrine practice. The women with one child had significantly lower serum vitamin A levels than those with two or more children. Women with a lactation period of 6 months or more had significantly lower serum vitamin A levels than women with a lactation period of less than 6 months. The women who consumed less than the median vitamin A intake (274.8 microg day-1) had significantly lower serum vitamin A levels than those who consumed more than the median vitamin A intake. By multiple regression analysis, education level of the women, number of living

  10. Determinants of Shallow Groundwater As Variability in Bangladesh

    NASA Astrophysics Data System (ADS)

    Radloff, K. A.; Zheng, Y.; Stute, M.; Rahman, M.; Mihajlov, I.; Siu, H.; Huq, M.; Choudhury, I.; Ahmed, K.; van Geen, A.

    2010-12-01

    ] gradient observed reflects the gradual removal of As by groundwater flow over hundreds to thousands of years. The onset of irrigation and industrial pumping at this site has induced a reversal in flow, consequently groundwater now moves from high [As] into low [As] areas. This change could result in rising [As] to levels >50 μg/L in the village within the next few decades. The rapid economic development of Bangladesh could induce similar changes in groundwater flow, and thus As concentrations, elsewhere. This suggests that periodic monitoring of shallow wells low in As within regions of where the As content of groundwater is variable is particularly important. The size of the pool of As adsorbed on the sediment also indicates that current attempts to flush Bangladeshi aquifers “clean” through increased pumping will likely be ineffective. 1. BBS/UNICEF. Bangladesh: Multiple Indicator Cluster Survey, 2009. (Dhaka, Bangladesh, 2009).

  11. Bacterial and viral pathogen spectra of acute respiratory infections in under-5 children in hospital settings in Dhaka city

    PubMed Central

    Bhuyan, Golam Sarower; Hossain, Mohammad Amir; Sarker, Suprovath Kumar; Rahat, Asifuzzaman; Islam, Md Tarikul; Haque, Tanjina Noor; Begum, Noorjahan; Qadri, Syeda Kashfi; Muraduzzaman, A. K. M.; Islam, Nafisa Nawal; Islam, Mohammad Sazzadul; Sultana, Nusrat; Jony, Manjur Hossain Khan; Khanam, Farhana; Mowla, Golam; Matin, Abdul; Begum, Firoza; Shirin, Tahmina; Ahmed, Dilruba; Saha, Narayan; Qadri, Firdausi

    2017-01-01

    The study aimed to examine for the first time the spectra of viral and bacterial pathogens along with the antibiotic susceptibility of the isolated bacteria in under-5 children with acute respiratory infections (ARIs) in hospital settings of Dhaka, Bangladesh. Nasal swabs were collected from 200 under-five children hospitalized with clinical signs of ARIs. Nasal swabs from 30 asymptomatic children were also collected. Screening of viral pathogens targeted ten respiratory viruses using RT-qPCR. Bacterial pathogens were identified by bacteriological culture methods and antimicrobial susceptibility of the isolates was determined following CLSI guidelines. About 82.5% (n = 165) of specimens were positive for pathogens. Of 165 infected cases, 3% (n = 6) had only single bacterial pathogens, whereas 43.5% (n = 87) cases had only single viral pathogens. The remaining 36% (n = 72) cases had coinfections. In symptomatic cases, human rhinovirus was detected as the predominant virus (31.5%), followed by RSV (31%), HMPV (13%), HBoV (11%), HPIV-3 (10.5%), and adenovirus (7%). Streptococcus pneumoniae was the most frequently isolated bacterial pathogen (9%), whereas Klebsiella pneumaniae, Streptococcus spp., Enterobacter agglomerans, and Haemophilus influenzae were 5.5%, 5%, 2%, and 1.5%, respectively. Of 15 multidrug-resistant bacteria, a Klebsiella pneumoniae isolate and an Enterobacter agglomerans isolate exhibited resistance against more than 10 different antibiotics. Both ARI incidence and predominant pathogen detection rates were higher during post-monsoon and winter, peaking in September. Pathogen detection rates and coinfection incidence in less than 1-year group were significantly higher (P = 0.0034 and 0.049, respectively) than in 1–5 years age group. Pathogen detection rate (43%) in asymptomatic cases was significantly lower compared to symptomatic group (P<0.0001). Human rhinovirus, HPIV-3, adenovirus, Streptococcus pneumonia, and Klebsiella pneumaniae had

  12. A survey of arsenic in foodstuffs on sale in the United Kingdom and imported from Bangladesh.

    PubMed

    Al Rmalli, S W; Haris, P I; Harrington, C F; Ayub, M

    2005-01-20

    Arsenic is a highly toxic element and its presence in food composites is a matter of concern to the well being of both humans and animals. Arsenic-contaminated groundwater is often used in Bangladesh and West Bengal (India) to irrigate crops used for food and animal consumption, which could potentially lead to arsenic entering the human food chain. In this study, we used graphite furnace atomic absorption spectroscopy to determine the total arsenic concentrations in a range of foodstuffs, including vegetables, rice and fish, imported into the United Kingdom from Bangladesh. The mean and range of the total arsenic concentration in all the vegetables imported from Bangladesh were 54.5 and 5-540 microg/kg, respectively. The highest arsenic values found were for the skin of Arum tuber, 540 microg/kg, followed by Arum Stem, 168 microg/kg, and Amaranthus, 160 microg/kg. Among the other samples, freshwater fish contained total arsenic levels between 97 and 1318 microg/kg. The arsenic content of the vegetables from the UK was approximately 2- to 3-fold lower than those observed for the vegetables imported from Bangladesh. The levels of arsenic found in vegetables imported from Bangladesh in this study, in some cases, are similar to those previously recorded for vegetables grown in arsenic-affected areas of West Bengal, India, although lower than the levels reported in studies from Bangladesh. While the total arsenic content detected in our study in vegetables, imported from Bangladesh, is far less than the recommended maximum permitted level of arsenic, it does provide an additional source of arsenic in the diet. This raises the possibility that the level of arsenic intake by certain sectors of the UK population may be significantly higher then the general population and requires further investigations.

  13. Risk factors for diarrhea hospitalization in Bangladesh, 2000-2008: a case-case study of cholera and shigellosis.

    PubMed

    Colombara, Danny V; Faruque, Abu S G; Cowgill, Karen D; Mayer, Jonathan D

    2014-08-15

    Cholera and shigellosis are endemic on the Indian subcontinent. Our objective was to identify cholera-specific risk factors distinct from shigellosis risk factors. We conducted a case-case study among hospitalized diarrheal patients, comparing those with cholera and shigellosis in International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) hospitals in Matlab (rural) and Dhaka (urban) between January 1, 2000 and December 31, 2008. Multivariable Poisson regression models revealed that having more than nine years of education, compared to no education, was associated with a 39% (adjusted Risk Ratio [aRR] = 0.61, 95% confidence interval [CI]: 0.40-0.93) decreased risk for cholera hospitalization in Matlab and a 16% (aRR = 0.84, 95% CI: 0.75-0.94) decreased risk in Dhaka. Having a family member with diarrhea in the past seven days increased cholera hospitalization risk by 17% (aRR = 1.17, 95% CI: 1.09-1.26) in Matlab. Further studies are needed to elucidate the pathway through which education impacts cholera risk in order to create targeted interventions in cholera-endemic areas. Interventions seeking to reduce transmission and facilitate hygienic practices among family members of index cases with diarrhea should be considered, especially in rural cholera endemic settings.

  14. Malnutrition Is Associated with Protection from Rotavirus Diarrhea: Evidence from a Longitudinal Birth Cohort Study in Bangladesh

    PubMed Central

    Verkerke, Hans; Sobuz, Shihab; Ma, Jennie Z.; Petri, Sarah E.; Reichman, Dan; Qadri, Firdausi; Haque, Rashidul

    2016-01-01

    Rotavirus is a leading cause of dehydrating diarrhea and death among infants and children globally, particularly in communities of the developing world. While numerous studies have described the complex relationships among infectious diarrhea, growth faltering, and poverty, the impact of nutritional status on susceptibility to rotavirus diarrhea is not well understood. In a longitudinal study conducted over the first 3 years of life among 626 slum-dwelling infants enrolled at birth in Dhaka, Bangladesh, we observed that common measures of healthy growth and development were positively associated with a risk of symptomatic rotavirus infection. This finding runs counter to the idea that improving childhood nutrition will implicitly decrease the incidence of symptomatic infection by enteric pathogens. As childhood nutrition improves worldwide, rotavirus infection may remain a public health challenge, making universal vaccination of even greater importance. PMID:27510830

  15. Bangladesh becomes "success story".

    PubMed

    1999-01-01

    The State Minister for Health and Family of Bangladesh, Dr. Mohammed Amanullah, highlighted some of the successes being achieved by his country in lowering fertility and improving the lives of the people since the 1994 International Conference on Population and Development. Some of these successes include practical measures to eliminate violence against women; introduction of a quota for women in public sector employment; and launching of the Health and Population Sector Program to provide a one-stop, full range of essential reproductive health, family planning and child health services through an integrated delivery mechanism. Moreover, the Minister informed the Forum participants that their success is attributable to many factors which include support from the government, from non-governmental organizations, civil society, mass media, religious and other community leaders, intersectoral collaboration, microcredit and income-generation activities.

  16. The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangladesh.

    PubMed

    Ahmed, F; Khan, M R; Banu, C P; Qazi, M R; Akhtaruzzaman, M

    2008-03-01

    To investigate the prevalence of selected micronutrient deficiencies amongst anaemic adolescent schoolgirls in rural Bangladesh and to examine their relationship with haemoglobin (Hb) levels. A cross-sectional study. Girls' high schools in rural areas of Dhaka District in Bangladesh. Three hundred and ten anaemic adolescent girls aged 14-18 years from eight schools participated in the study. Information on personal characteristics and food habits were collected by interview. Parents were asked about their socio-economic conditions. Anthropometric data and blood samples were collected following the interview. Twenty-eight per cent of the girls had depleted iron stores (serum ferritin <12.0 microg/l), 25% had folic acid deficiency (red blood cell folic acid <317 nmol/l), 89% had vitamin B(2) (erythrocyte glutathione reductase activity coefficient > or =1.4) and 7% had vitamin B(12) deficiencies (serum vitamin B(12) <150 pmol/l). Although the prevalence of vitamins A and C deficiency was very low, a significant proportion had low vitamin A (serum retinol between 0.70 and <1.05 micromol/l) and vitamin C status (plasma ascorbic acid between 11.4-23.0 micromol/l). Frequency of consumption of meat, serum ferritin and vitamin B(2) status were found to be strongly related to Hb by multiple regression analysis. For 1 microg/l change in serum ferritin, there was a 0.13 g/l change in Hb when adjusted for other factors. There is coexistence of micronutrient deficiencies among anaemic adolescent girls in rural Bangladesh, although they do not suffer from energy deficiency. Of all micronutrients, only iron and vitamin B(2) concentrations were found to be related to the Hb concentration.

  17. Prevalence and characterization of multidrug-resistant zoonotic Enterobacter spp. in poultry of Bangladesh.

    PubMed

    Nandi, Shuvro Prokash; Sultana, Munawar; Hossain, M Anwar

    2013-05-01

    Poultry and poultry products are major contributors of zoonotic pathogens. Limited data are available on Enterobacter spp. as a potent zoonotic pathogen in poultry. The present study is a first endeavor on the emergence of multidrug-resistant zoonotic Enterobacter spp. and its prevalence arising from poultry in Bangladesh. Cloacal swabs from poultry samples of five different farms at Savar, Dhaka, Bangladesh were collected and from 106 isolates, 18 presumptive Enterobacter spp. were obtained. Antibiogram using 19 used antibiotics belonging to 15 major groups revealed that all of the 18 isolates were completely resistant to penicillin and rifampicin, but differed in their drug resistance pattern against ampicillin (94.4%), clindamycin (94.4%), erythromycin (94.4%), vancomycin (88.9%), sulfonamides (72.2%), imipenem (66.6%), streptomycin (55.6%), nitrofurantoin (33.3%), doxycycline (33.3%), tetracyclines (33.3%), cefepime (11.1%), and gentamicin (5.6%). All Enterobacter spp. were found to be plasmid free, implying that multidrug-resistant properties are chromosomal borne. The vanA and sulI were detected by polymerase chain reaction assay in 17 and 13 isolates, respectively. Amplified ribosomal DNA restriction analysis and randomly amplified polymorphic DNA distributed the 18 multidrug-resistant Enterobacter spp. into three genotypes. Phylogenetic analysis of the representatives of the three genotypes using partial 16S rRNA gene sequence (approximately 900 bp) showed that the genotypically diverse groups belonged to Enterobacter hormaechei, E. cloacae, and E. cancerogenus, respectively. The clinical significance of the close relative Enterobacter spp. is indicative of their zoonotic potential. Therefore, urgent intervention is required to limit the emergence and spread of these bacteria in poultry feed as well as prudent use of antibiotics among poultry farmers in Bangladesh.

  18. Female labour force status and fertility behaviour in Bangladesh: search for policy interventions.

    PubMed

    Chaudhury, R H

    1983-09-01

    This paper examines the effect of female labor force participation on fertility behavior because of its immediate relevance to the formulation of small family norm policies. The hypothesis that female employment is inversely related to fertility and positively related to contraceptive use is based on the following assumptions: 1) the satisfactions of outside employment can substitute for those of child rearing; 2) employment delays marriage and increases the probability of women remaining single, thus reducing fertility; 3) every additional child increases the "opportunity cost" (income lost) of a working mother; 4) a working wife has more status with her husband, and the resultant improved spousal communication leads to more contraceptive use; and 5) working women do not have to rely on their children for support in their old age. Using data from various rural and urban surveys of women in Bangladesh (mostly in Dhaka) and data from the 1961 Bangladesh Population Census, the author finds that fertility is reduced and contraceptive use increases for poor and illiterate women if they work outside the home, but employment has no effect on fertility for higher educated women, who have comparatively fewer children to begin with. In Java, Indonesia, it was found that poor working women have the lowest fertility compared to any other higher socioeconomic group. In Thailand, too, it was found that women who worked outside the home and who had modern values had significantly fewer children than other women. Evaluations of income generating programs for women in Bangladesh attest to the fertility lowering success of integrating family planning and health services with employment programs. Employment through these cooperatives has also indirectly lowered fertility by leading to longer birth spacing and marriage delays. The author recommends such integrated programs and cooperatives because they enhance the social and economic status of women, and by doing so, modernize the

  19. Health research in the developing world: a gastroenterological view from Bangladesh.

    PubMed

    Hamilton, J R

    1997-01-01

    Ill health is a serious impediment to progress in most poor countries, yet health is not a high priority on foreign aid agendas. Health research, which provides the essential base for sustainable progressive health programs, is barely visible in developing countries. For example, in Bangladesh, one finds unacceptably high morbidity and mortality rates among infants and children, health programs that are struggling and a rudimentary health research establishment; for the huge foreign donor community in that country, health programs and research do not appear to warrant major investments. Diarrheal diseases are at the top of the list of killers in many poor nations including Bangladesh. Recent advances in our understanding of diarrhea suggest that when prevention may not be possible soon, improved active treatment can evolve from an aggressive research effort centered in a developing country and linked to appropriate international partners. Global agencies such as the World Health Organization have demonstrated a declining interest in health research, as reflected in the policies of their Diarrhoeal Disease Control Programme. Major donors to the developing world, the Canadian International Development Agency for example, have had a relatively minor involvement in health and little commitment to health research. University links with the west, private enterprises and specially targeted programs are involved in developing world health research but they have not been able to foster and leave behind sustainable, high quality research programs. The problem should be attacked directly by supporting focused, relevant health research centres in regions of the world where the burden of disease continues to impede progress and where the environment is conducive to high quality research that is well integrated with care delivery programs. An instructive model of this approach is the International Centre for Diarrhoeal Disease Research in Dhaka, Bangladesh.

  20. Dietary pattern, nutritional status, anaemia and anaemia-related knowledge in urban adolescent college girls of Bangladesh.

    PubMed

    Kabir, Yearul; Shahjalal, Hussain Mohammad; Saleh, Farzana; Obaid, Wahida

    2010-08-01

    To examine dietary pattern and nutritional status of adolescent college girls of Dhaka, Bangladesh with a particular focus on the prevalence of anaemia and appropriate knowledge about it among them. A cross sectional study was conducted. Sixty-five adolescent girls aged 15-19 years were selected randomly from Home Economics college of Dhaka. A 7-day food frequency questionnaire was used to investigate the dietary pattern. Nutrient intake of the participants was assessed by 24h recall method. Habitual dietary pattern indicated poor consumption of milk, liver and leafy vegetables. Food intake data revealed a deficit of 473 kcal/day in energy. Mean intake of carbohydrate and fat were lower than RDA; while protein, iron, vitamin A and vitamin C intakes were much higher. Anthropometric data indicated that 63% of the girls were stunted (height-for-age < 95% of NCHS reference values) and 45% were underweight (weight-for-age < 75% of NCHS reference values). The prevalence of anaemia (Hb < 12 g/dl) among the participants was 23%. About 17% had low serum iron (< 40 microg/dl), 23% showed evidence of iron-deficient erythropoiesis (Transferrin Saturation < 15%) and only 8% had vitamin C deficiency (< 0.29 mg/dl). About 65% of the participants had correct knowledge about the causes of anaemia; while 72.3% and 80% respectively, knew about the prevention and treatment of anaemia. Surprisingly, 73.8% of the participants were not aware about the sources of iron-rich foods. Results indicate an overall poor nutritional status of the urban adolescent college girls in Bangladesh and need for appropriate nutrition interventions to overcome the problem.

  1. Predictors of death in under-five children with diarrhoea admitted to a critical care ward in an urban hospital in Bangladesh.

    PubMed

    Chisti, Mohammod J; Pietroni, Mark A C; Smith, Jonathan H; Bardhan, Pradip K; Salam, Mohammed A

    2011-12-01

    To evaluate the clinical and laboratory predictors of death in hospitalized under-five children with diarrhoea. This is a prospective cohort study carried out in the Special Care Ward (SCW) of the Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh. All admitted diarrhoeal children of both sexes, aged 0-59 months, from September 2007 through December 2007 were enrolled. We compared and analysed factors among diarrhoeal children who died (n = 29) with those who survived (n = 229). In logistic regression analysis, after adjusting for potential confounders (infusion of intravenous fluid and immature PMN), absent peripheral pulse even after complete rehydration (OR 10.9, 95% CI 2.1-56.8; p < 0.01), severe malnutrition (OR 7.9, 95% CI 1.8-34.8; p < 0.01), hypoxaemia (OR 8.5, 95% CI 1.0-75.0; p = 0.05), radiological lobar pneumonia (OR 17.8, 95% CI 3.7-84.5; p < 0.01) and hypernatraemia (OR 15.8, 95% CI 3.0-81.8; p < 0.01) were independently associated with deaths among diarrhoeal children admitted to SCW. Thus, the absence of peripheral pulses even after full rehydration, severe malnutrition, hypoxaemia, lobar pneumonia and hypernatraemia are independent predictors of death among the under-five children with diarrhoea admitted to critical care ward of a resource-limited setting in Bangladesh. © 2011 The Author(s)/Acta Paediatrica © 2011 Foundation Acta Paediatrica.

  2. Hybrid machine learning technique for forecasting Dhaka stock market timing decisions.

    PubMed

    Banik, Shipra; Khodadad Khan, A F M; Anwer, Mohammad

    2014-01-01

    Forecasting stock market has been a difficult job for applied researchers owing to nature of facts which is very noisy and time varying. However, this hypothesis has been featured by several empirical experiential studies and a number of researchers have efficiently applied machine learning techniques to forecast stock market. This paper studied stock prediction for the use of investors. It is always true that investors typically obtain loss because of uncertain investment purposes and unsighted assets. This paper proposes a rough set model, a neural network model, and a hybrid neural network and rough set model to find optimal buy and sell of a share on Dhaka stock exchange. Investigational findings demonstrate that our proposed hybrid model has higher precision than the single rough set model and the neural network model. We believe this paper findings will help stock investors to decide about optimal buy and/or sell time on Dhaka stock exchange.

  3. Hybrid Machine Learning Technique for Forecasting Dhaka Stock Market Timing Decisions

    PubMed Central

    Banik, Shipra; Khodadad Khan, A. F. M.; Anwer, Mohammad

    2014-01-01

    Forecasting stock market has been a difficult job for applied researchers owing to nature of facts which is very noisy and time varying. However, this hypothesis has been featured by several empirical experiential studies and a number of researchers have efficiently applied machine learning techniques to forecast stock market. This paper studied stock prediction for the use of investors. It is always true that investors typically obtain loss because of uncertain investment purposes and unsighted assets. This paper proposes a rough set model, a neural network model, and a hybrid neural network and rough set model to find optimal buy and sell of a share on Dhaka stock exchange. Investigational findings demonstrate that our proposed hybrid model has higher precision than the single rough set model and the neural network model. We believe this paper findings will help stock investors to decide about optimal buy and/or sell time on Dhaka stock exchange. PMID:24701205

  4. Effectiveness of arsenic mitigation program in Bangladesh--relationship between arsenic concentrations in well water and urine.

    PubMed

    Habib, Ahsan; Hayashi, Tomoshige; Sato, Kyoko Kogawa; Hata, Akihisa; Ikebe, Maiko; Rahman, Fashiur; Hassan, Parvez; Endo, Yoko; Endo, Ginji

    2007-12-01

    Arsenic in drinking water remains a major public problem in Bangladesh, although arsenic mitigation programs began there a decade ago. The purpose of this study was to examine the effectiveness of this program by determining the relationship between current arsenic levels in well water and the high level of urinary arsenic excretion. A community-based cross-sectional study was conducted in the Pabna district of Bangladesh between May and July 2005. We included 174 married couples and collected their drinking water from 138 wells. The allowable limit for arsenic in drinking water is 50 microg/L in Bangladesh, while the normal level of urinary arsenic is < or =40 microg x 1.5 L(-1) x day(-1) by Dhaka Community Hospital. Of 348 subjects, 304 exceeded the urinary arsenic level of 40 microg x 1.5 L(-1) x day(-1). Of all wells, 44.2% had arsenic levels >50 microg/L. Multiple-adjusted odds ratios of urinary arsenic level >40 microg x 1.5 L(-1) x day(-1) were 8.90 (95% CI: 3.31-23.93) for the arsenic level in well water of 11-50 microg/L, and 53.07 (11.91-236.46) for that of 51-332 microg/L, compared with < or =10 microg/L. When the Bangladeshi standard arsenic level in drinking water of 50 microg/L was used, the sensitivity in detecting subjects with a urinary arsenic level >40 microg x 1.5 L(-1) x day(-1) was 50%, although when the World Health Organization (WHO) guideline value of 10 microg/L was used, it was 76.3%. Green marked wells, which the Bangladesh government regards as safe, are not always safe. The mitigation programs should use the WHO guideline arsenic level to determine the safety of well water for drinking.

  5. Operational feasibility of using whole blood in the rapid HIV testing algorithm of a resource-limited settings like Bangladesh

    PubMed Central

    Munshi, Saif U.; Oyewale, Tajudeen O.; Begum, Shahnaz; Uddin, Ziya; Tabassum, Shahina

    2016-01-01

    Background Serum-based rapid HIV testing algorithm in Bangladesh constitutes operational challenge to scaleup HIV testing and counselling (HTC) in the country. This study explored the operational feasibility of using whole blood as alternative to serum for rapid HIV testing in Bangladesh. Methods Whole blood specimens were collected from two study groups. The groups included HIV-positive patients (n = 200) and HIV-negative individuals (n = 200) presenting at the reference laboratory in Dhaka, Bangladesh. The specimens were subjected to rapid HIV tests using the national algorithm with A1 = Alere Determine (United States), A2 = Uni-Gold (Ireland), and A3 = First Response (India). The sensitivity and specificity of the test results, and the operational cost were compared with current serum-based testing. Results The sensitivities [95% of confidence interval (CI)] for A1, A2, and A3 tests using whole blood were 100% (CI: 99.1–100%), 100% (CI: 99.1–100%), and 97% (CI: 96.4–98.2%), respectively, and specificities of all test kits were 100% (CI: 99.1–100%). Significant (P < 0.05) reduction in the cost of establishing HTC centre and consumables by 94 and 61%, respectively, were observed. The cost of administration and external quality assurance reduced by 39 and 43%, respectively. Overall, there was a 36% cost reduction in total operational cost of rapid HIV testing with blood when compared with serum. Conclusion Considering the similar sensitivity and specificity of the two specimens, and significant cost reduction, rapid HIV testing with whole blood is feasible. A review of the national HIV rapid testing algorithm with whole blood will contribute toward improving HTC coverage in Bangladesh. PMID:26945143

  6. Operational feasibility of using whole blood in the rapid HIV testing algorithm of a resource-limited settings like Bangladesh.

    PubMed

    Munshi, Saif U; Oyewale, Tajudeen O; Begum, Shahnaz; Uddin, Ziya; Tabassum, Shahina

    2016-03-01

    Serum-based rapid HIV testing algorithm in Bangladesh constitutes operational challenge to scaleup HIV testing and counselling (HTC) in the country. This study explored the operational feasibility of using whole blood as alternative to serum for rapid HIV testing in Bangladesh. Whole blood specimens were collected from two study groups. The groups included HIV-positive patients (n = 200) and HIV-negative individuals (n = 200) presenting at the reference laboratory in Dhaka, Bangladesh. The specimens were subjected to rapid HIV tests using the national algorithm with A1 = Alere Determine (United States), A2 = Uni-Gold (Ireland), and A3 = First Response (India). The sensitivity and specificity of the test results, and the operational cost were compared with current serum-based testing. The sensitivities [95% of confidence interval (CI)] for A1, A2, and A3 tests using whole blood were 100% (CI: 99.1-100%), 100% (CI: 99.1-100%), and 97% (CI: 96.4-98.2%), respectively, and specificities of all test kits were 100% (CI: 99.1-100%). Significant (P < 0.05) reduction in the cost of establishing HTC centre and consumables by 94 and 61%, respectively, were observed. The cost of administration and external quality assurance reduced by 39 and 43%, respectively. Overall, there was a 36% cost reduction in total operational cost of rapid HIV testing with blood when compared with serum. Considering the similar sensitivity and specificity of the two specimens, and significant cost reduction, rapid HIV testing with whole blood is feasible. A review of the national HIV rapid testing algorithm with whole blood will contribute toward improving HTC coverage in Bangladesh.

  7. Levels and correlates of maternal nutritional status in urban Bangladesh.

    PubMed

    Baqui, A H; Arifeen, S E; Amin, S; Black, R E

    1994-05-01

    Researchers analyzed anthropometric data from 2417 nonpregnant mothers, socioeconomic data from 2048 mothers, reproductive history data from 1314 mothers, and socioeconomic and reproductive history data from 1185 mothers to determine the levels and correlates of maternal nutritional status of nonpregnant mothers in the slums of Dhaka, Bangladesh. Mean weight, height, middle-upper-arm-circumference (MUAC), and body mass index (BMI) of the 2417 mothers stood at 41.8 kg, 148.8 cm, 232.5 mm, and 18.8, respectively. Multivariate regression analyses revealed that mothers' schooling and household economic status had a significant positive effect on weight, MUAC, and BMI (p .05 and .01, respectively). Schooling had a significant positive association with mothers' height (p .05), but household economic status did not. Maternal height and weight had a significant negative association with child death (p .001 and .05, respectively). Mothers equal to or less than 155 cm had an increased risk of child death (odds ratio [OR] = 1.4-2.64), with those less than 140 cm in height having the greatest risk of child death (OR = 2.64). Short stature linked to child loss indicates a possible intergenerational influence of poor childhood nutrition, suggesting that improvement of nutritional status for girls would improve child health in the next generation. Sophisticated and long-term planning is needed, however, to achieve improved nutritional status of girls due to various obstacles (e.g., son preference, poverty, food scarcity, and high prevalence of infectious diseases). In the meantime, maternal and child health workers should target shorter mothers (i.e., 145 cm) for appropriate prenatal and obstetric care, since they face the greatest risk of child death.

  8. An Outbreak of Chikungunya in Rural Bangladesh, 2011

    PubMed Central

    Khatun, Selina; Chakraborty, Apurba; Rahman, Mahmudur; Nasreen Banu, Nuzhat; Rahman, Mohammad Mostafizur; Hasan, S. M. Murshid; Luby, Stephen P.; Gurley, Emily S.

    2015-01-01

    Background The first identified Chikungunya outbreak occurred in Bangladesh in 2008. In late October 2011, a local health official from Dohar Sub-district, Dhaka District, reported an outbreak of undiagnosed fever and joint pain. We investigated the outbreak to confirm the etiology, describe the clinical presentation, and identify associated vectors. Methodology During November 2–21, 2011, we conducted house-to-house surveys to identify suspected cases, defined as any inhabitant of Char Kushai village with fever followed by joint pain in the extremities with onset since August 15, 2011. We collected blood specimens and clinical histories from self-selected suspected cases using a structured questionnaire. Blood samples were tested for IgM antibodies against Chikungunya virus. The village was divided into nine segments and we collected mosquito larvae from water containers in seven randomly selected houses in each segment. We calculated the Breteau index for the village and identified the mosquito species. Results The attack rate was 29% (1105/3840) and 29% of households surveyed had at least one suspected case: 15% had ≥3. The attack rate was 38% (606/1589) in adult women and 25% in adult men (320/1287). Among the 1105 suspected case-patients, 245 self-selected for testing and 80% of those (196/245) had IgM antibodies. In addition to fever and joint pain, 76% (148/196) of confirmed cases had rash and 38%(75/196) had long-lasting joint pain. The village Breteau index was 35 per 100 and 89%(449/504) of hatched mosquitoes were Aedes albopictus. Conclusion The evidence suggests that this outbreak was due to Chikungunya. The high attack rate suggests that the infection was new to this area, and the increased risk among adult women suggests that risk of transmission may have been higher around households. Chikungunya is an emerging infection in Bangladesh and current surveillance and prevention strategies are insufficient to mount an effective public health response

  9. Controlling scabies in madrasahs (Islamic religious schools) in Bangladesh.

    PubMed

    Talukder, K; Talukder, M Q K; Farooque, M G; Khairul, M; Sharmin, F; Jerin, I; Rahman, M A

    2013-01-01

    To assess the effectiveness of a scabies control programme in reducing the prevalence of scabies in urban Bangladesh madrasahs, where the condition is extremely common. A controlled trial involving four intervention madrasahs (total students 2359) and four control madrasahs (total students 2465) in Dhaka Metropolitan Area. A baseline scabies sample survey was carried out on 40 and 44 students of four intervention and four control madrasahs, respectively. Another 40 students of the intervention madrasahs were administered a pre-intervention test on scabies knowledge. This was followed by mass treatment of all students, teachers and staff of the eight madrasahs with topical 5% permethrin cream. The subsequent intervention involved daily monitoring of students for five key personal hygiene practices, weekly 10-min scabies health education classes, supply of simple and inexpensive products to students to prevent cross-infestation to/from peers (e.g. plastic bags, clothes hangers), and chemotherapy of new students detected with scabies. After 4 months of the intervention, the prevalence of scabies, personal hygiene practices and scabies knowledge were assessed in students of the intervention madrasahs. Before the intervention, the prevalence of scabies was 61% and 62% in intervention and control madrasahs, respectively (P = 1.00). After mass scabies treatment in all eight madrasahs and 4 months of intervention, the prevalence of scabies was reduced to 5% and 50% in intervention and control madrasahs, respectively (P < 0.001). There were significant improvements in all five personal hygiene practices at the intervention madrasahs. Mean test scores for scabies knowledge were 40% before the intervention and 99% after the intervention in the four intervention madrasahs. The cost of this programme was US$1.60 per student, and primarily included products such as plastic bags and clothes hangers, and health education material. This programme demonstrates a pragmatic and

  10. Tropical influenza and weather variability among children in an urban low-income population in Bangladesh.

    PubMed

    Imai, Chisato; Brooks, W Abdullah; Chung, Yeonseung; Goswami, Doli; Anjali, Bilkis Ara; Dewan, Ashraf; Kim, Ho; Hashizume, Masahiro

    2014-01-01

    Influenza seasonality in the tropics is poorly understood and not as well documented as in temperate regions. In addition, low-income populations are considered highly vulnerable to such acute respiratory disease, owing to limited resources and overcrowding. Nonetheless, little is known about their actual disease burden for lack of data. We therefore investigated associations between tropical influenza incidence and weather variability among children under five in a poor urban area of Dhaka, Bangladesh. Acute respiratory illness data were obtained from a population-based respiratory and febrile illness surveillance dataset of Kamalapur, a low-income urban area in southeast Dhaka. Analyzed data were from January 2005 through December 2008. Nasopharyngeal wash specimens were collected from every fifth eligible surveillance participant during clinic visits to identify influenza virus infection with viral culture and reverse transcriptase-polymerase chain reaction. Time series analysis was conducted to determine associations between the number of influenza cases per week and weather factors. Zero-inflated Poisson and generalized linear Poisson models were used in the analysis for influenza A and B, respectively. Influenza A had associations with minimum temperature, relative humidity (RH), sunlight duration, and rainfall, whereas only RH was associated with influenza B. Although associations of the other weather factors varied between the two subtypes, RH shared a similar positive association when humidity was approximately 50-70%. Our findings of a positive RH association is consistent with prior studies, and may suggest the viral response in the tropics. The characteristics of settlement areas, population demographics, and typical overcrowding of urban poverty may also contribute to different impacts of rainfall from higher economic population. Further investigations of associations between tropical influenza and weather variability for urban low-income populations

  11. High prevalence of type 2 diabetes among the urban middle class in Bangladesh.

    PubMed

    Saquib, Nazmus; Khanam, Masuma Akter; Saquib, Juliann; Anand, Shuchi; Chertow, Glenn M; Barry, Michele; Ahmed, Tahmeed; Cullen, Mark R

    2013-10-31

    The prevalence of type-2 diabetes and metabolic syndrome are increasing in the developing world; we assessed their prevalence among the urban middle class in Bangladesh. In this cross-sectional survey (n = 402), we randomly selected consenting adults (≥ 30 years) from a middle-income neighborhood in Dhaka. We assessed demography, lifestyle, and health status, measured physical indices and blood pressure and obtained blood samples. We evaluated two primary outcomes: (1) type-2 diabetes (fasting blood glucose ≥ 7.0 mmol/L or hemoglobin A1C ≥ 6.5% (48 mmol/mol) or diabetes medication use) and (2) insulin resistance (type-2 diabetes or metabolic syndrome using International Diabetes Federation criteria). Mean age and Quételet's (body mass) index were 49.4 ± 12.6 years and 27.0 ± 5.1 kg/m²; 83% were married, 41% had ≥12 years of education, 47% were employed, 47% had a family history of diabetes. Thirty-five percent had type-2 diabetes and 45% had metabolic syndrome. In multivariate models older age and family history of diabetes were significantly associated with type-2 diabetes. Older age, female sex, overweight or obese, high wealth index and positive family history of diabetes were significantly associated with insulin resistance. Participants with type-2 diabetes or insulin resistance had significantly poorer physical health only if they had associated cardiovascular disease. The prevalence of type-2 diabetes and metabolic syndrome among the middle class in Dhaka is alarmingly high. Screening services should be implemented while researchers focus on strategies to lessen the incidence and morbidity associated with these conditions.

  12. Influence of multi-industrial activities on trace metal contamination: an approach towards surface water body in the vicinity of Dhaka Export Processing Zone (DEPZ).

    PubMed

    Ahmed, Golam; Miah, M Arzu; Anawar, Hossain M; Chowdhury, Didarul A; Ahmad, Jasim U

    2012-07-01

    Industrial wastewater discharged into aquatic ecosystems either directly or because of inadequate treatment of process water can increase the concentrations of pollutants such as toxic metals and others, and subsequently deteriorate water quality, environmental ecology and human health in the Dhaka Export Processing Zone (DEPZ), the largest industrial belt of 6-EPZ in Bangladesh. Therefore, in order to monitor the contamination levels, this study collected water samples from composite effluent points inside DEPZ and the surrounding surface water body connected to effluent disposal sites and determined the environmental hazards by chemical analysis and statistical approach. The water samples were analysed by inductively coupled plasma mass spectrometry to determine 12 trace metals such as As, Ag, Cr, Co, Cu, Li, Ni, Pb, Se, Sr, V and Zn in order to assess the influence of multi-industrial activities on metal concentrations. The composite effluents and surface waters from lagoons were characterized by a strong colour and high concentrations of biochemical oxygen demand, chemical oxygen demand, electrical conductivity, pH, total alkalinity, total hardness, total organic carbon, Turb., Cl(-), total suspended solids and total dissolved solids, which were above the limit of Bangladesh industrial effluent standards, but dissolved oxygen concentration was lower than the standard value. The measurement of skewness and kurtosis values showed asymmetric and abnormal distribution of the elements in the respective phases. The mean trend of variation was found in a decreasing order: Zn > Cu > Sr > Pb > Ni > Cr > Li > Co > V > Se > As > Ag in composite industrial effluents and Zn > Cu > Sr > Pb > Ni > Cr > Li > V > As > Ag > Co > Se in surface waters near the DEPZ. The strong correlations between effluent and surface water metal contents indicate that industrial wastewaters discharged from DEPZ have a strong influence on the contamination of the surrounding water bodies by toxic

  13. Anthropogenic influences on groundwater arsenic concentrations in Bangladesh

    NASA Astrophysics Data System (ADS)

    Neumann, Rebecca B.; Ashfaque, Khandaker N.; Badruzzaman, A. B. M.; Ashraf Ali, M.; Shoemaker, Julie K.; Harvey, Charles F.

    2010-01-01

    The origin of dissolved arsenic in the Ganges Delta has puzzled researchers ever since the report of widespread arsenic poisoning two decades ago. Today, microbially mediated oxidation of organic carbon is thought to drive the geochemical transformations that release arsenic from sediments, but the source of the organic carbon that fuels these processes remains controversial. At a typical site in Bangladesh, where groundwater-irrigated rice fields and constructed ponds are the main sources of groundwater recharge, we combine hydrologic and biogeochemical analyses to trace the origin of contaminated groundwater. Incubation experiments indicate that recharge from ponds contains biologically degradable organic carbon, whereas recharge from rice fields contains mainly recalcitrant organic carbon. Chemical and isotopic indicators as well as groundwater simulations suggest that recharge from ponds carries this degradable organic carbon into the shallow aquifer, and that groundwater flow, drawn by irrigation pumping, transports pond water to the depth where dissolved arsenic concentrations are greatest. Results also indicate that arsenic concentrations are low in groundwater originating from rice fields. Furthermore, solute composition in arsenic-contaminated water is consistent with that predicted using geochemical models of pond-water-aquifer-sediment interactions. We therefore suggest that the construction of ponds has influenced aquifer biogeochemistry, and that patterns of arsenic contamination in the shallow aquifer result from variations in the source of water, and the complex three-dimensional patterns of groundwater flow.

  14. Utilization of mobile phones for accessing menstrual regulation services among low-income women in Bangladesh: a qualitative analysis.

    PubMed

    Messinger, Chelsea Jordan; Mahmud, Ilias; Kanan, Sushama; Jahangir, Yamin Tauseef; Sarker, Malabika; Rashid, Sabina Faiz

    2017-01-14

    As many as one-third of all pregnancies in Bangladesh are unplanned, with nearly one-half of these pregnancies ending in either menstrual regulation (MR) or illegal clandestine abortion. Although MR is provided free of charge, or at a nominal cost, through the public sector and various non-profits organizations, many women face barriers in accessing safe, affordable MR and post-MR care. Mobile health (mHealth) services present a promising platform for increasing access to MR among low-income women at risk for clandestine abortion. We sought to investigate the knowledge, attitudes and practices regarding mHealth of both MR clients and formal and informal sexual and reproductive healthcare providers in urban and rural low-income settlements in Bangladesh. A total of 58 interviews were conducted with MR clients, formal MR providers, and informal MR providers in four low-income settlements in the Dhaka and Sylhet districts of Bangladesh. Interview data was coded and qualitatively analysed for themes using standard qualitative research practices. Our findings suggest that low-income MR clients in Bangladesh have an inadequate understanding of how to use their mobile phones to obtain health service information or counselling related to MR, and correspondingly low levels of formal or informal mHealth service utilization. Few were aware of any formal mHealth services in place in their communities, despite the fact that providers stated that hotlines were available. Overall, MR clients expressed positive opinions of mHealth services as a means of improving women's access to affordable and timely MR. Formal and informal MR providers believed that mobile phones had benefits with respect to information dissemination and making appointments, but emphasized the necessity of in-person consultations for effective sexual and reproductive healthcare. We report low utilization yet high acceptability of mHealth services among low-income MR clients in Bangladesh. Expanding formal and

  15. Wheat production in Bangladesh: its future in the light of global warming

    PubMed Central

    Hossain, Akbar; Teixeira da Silva, Jaime A.

    2012-01-01

    Background and aims The most fundamental activity of the people of Bangladesh is agriculture. Modelling projections for Bangladesh indicate that warmer temperatures linked to climate change will severely reduce the growth of various winter crops (wheat, boro rice, potato and winter vegetables) in the north and central parts. In summer, crops in south-eastern parts of the country are at risk from increased flooding as sea levels increase. Key facts Wheat is one of the most important winter crops and is temperature sensitive and the second most important grain crop after rice. In this review, we provide an up-to-date and detailed account of wheat research of Bangladesh and the impact that global warming may have on agriculture, especially wheat production. Although flooding is not of major importance or consequence to the wheat crop at present, some perspectives are provided on this stress since wheat is flood sensitive and the incidence of flooding is likely to increase. Projections This information and projections will allow wheat breeders to devise new breeding programmes to attempt to mitigate future global warming. We discuss what this implies for food security in the broader context of South Asia. PMID:23304431

  16. Wheat production in Bangladesh: its future in the light of global warming.

    PubMed

    Hossain, Akbar; Teixeira da Silva, Jaime A

    2013-01-01

    The most fundamental activity of the people of Bangladesh is agriculture. Modelling projections for Bangladesh indicate that warmer temperatures linked to climate change will severely reduce the growth of various winter crops (wheat, boro rice, potato and winter vegetables) in the north and central parts. In summer, crops in south-eastern parts of the country are at risk from increased flooding as sea levels increase. Wheat is one of the most important winter crops and is temperature sensitive and the second most important grain crop after rice. In this review, we provide an up-to-date and detailed account of wheat research of Bangladesh and the impact that global warming may have on agriculture, especially wheat production. Although flooding is not of major importance or consequence to the wheat crop at present, some perspectives are provided on this stress since wheat is flood sensitive and the incidence of flooding is likely to increase. This information and projections will allow wheat breeders to devise new breeding programmes to attempt to mitigate future global warming. We discuss what this implies for food security in the broader context of South Asia.

  17. Returns to Education in Bangladesh

    ERIC Educational Resources Information Center

    Asadullah, Mohammad Niaz

    2006-01-01

    This paper reports labour market returns to education in Bangladesh using data from recent nationwide household survey. Returns are estimated separately for rural and urban samples, males, females and private-sector employees. Substantial heterogeneity in returns is observed; for example, estimates are higher for urban (than rural sample) and…

  18. English Language Teaching Profile: Bangladesh.

    ERIC Educational Resources Information Center

    British Council, London (England). English-Teaching Information Centre.

    This profile of the English language teaching situation in Bangladesh discusses the role of English in the community and within the educational system. The amount of time devoted to English is discussed, as well as the syllabus used, the teaching staff, teacher training, and teaching materials. English instruction outside the educational system is…

  19. Women in physics in Bangladesh

    NASA Astrophysics Data System (ADS)

    Choudhury, Shamima K.

    2013-03-01

    Bangladesh has had a glorious physics tradition since the beginning of the last century, when the physicist S.N. Bose published a groundbreaking paper with Albert Einstein on Bose-Einstein statistics. However, women in Bangladesh traditionally have not been able to make their way in the realm of science in general and physics in particular. Since Bangladesh achieved independence in 1971, the situation has gradually changed and more and more women choose physics as an academic discipline. The percentage of women students in physics rose from 10% in 1970 to almost 30% in 2010. In recent years, women physicists have actively participated in many activities promoting science and technology, creating awareness among the public about the importance of physics education. The present status of women physicists in academic, research, and administrative programs in the government and private sectors in Bangladesh is reported. The greater inclusion of women scientists, particularly physicists, in policy-making roles on important issues of global and national interest is suggested.

  20. Evaluation of Iron Store by Serum Ferritin in Healthy Blood Donors of Bangladesh.

    PubMed

    Hoque, M M; Adnan, S D; Karim, S; Mamun, M A; Nandy, S; Faruki, M A; Islam, K

    2016-07-01

    Iron stores in the body exist primarily in the form of ferritin. Small amounts of ferritin secreted into the plasma and plasma ferritin is positively correlated with the size of the total body iron stores. The present study conducted to determine the iron status using the serum ferritin level among healthy Bangladeshi blood donors. The present cross sectional study was conducted in the Department of Transfusion Medicine, Dhaka Medical College, Dhaka, Bangladesh from July 2011 to June 2012. Blood donor signed informed consent and has satisfactory pre-donation health assessment and satisfactory post-donation blood test results were included in the study. Full blood counts were performed within 4 hours of collection using an automated haematology analyzer. Serum ferritin was measured using a validated enzyme immunoassay. Data were analyzed using SPSS version 16 (SPPS Incorporation, Chicago, IL, USA). P value <0.05 was considered as statistically significant. Total 100 blood donors were included in the study, among them 88 were male and 12 were female. Mean±SD of the age of the respondents was 26.8±5.9 years with a range of 19 to 45 years. Mean±SD of heamoglobin level (gm/dl) and total count of Red Blood Cell (million/cmm) were 14.1±1.4 and 5.1±0.4 respectively. Mean±SD of serum ferritin level (ng/ml) was 96.4±69.0ng/ml with a range of 4.1ng/ml to 298.7ng/ml. Among the respondents 9.0% had depleted iron store, 7.0 reduced iron store and 84.0% had normal iron store. Among the respondents 5.0% had iron deficiency anaemia in term of serum ferritin level. Statistically significant difference of serum ferritin level observed between male and female and donors with and without history of previous blood donation. Among the healthy blood donors of Bangladesh abnormal serum ferritin is highly prevalent among blood donors specially among female. Monitoring of iron stores by serum ferritin seems justified in order to identify those with depleted iron stores who will

  1. Using remote sensing satellite data and artificial neural network for prediction of potato yield in Bangladesh

    NASA Astrophysics Data System (ADS)

    Akhand, Kawsar; Nizamuddin, Mohammad; Roytman, Leonid; Kogan, Felix

    2016-09-01

    Potato is one of the staple foods and cash crops in Bangladesh. It is widely cultivated in all of the districts and ranks second after rice in production. Bangladesh is the fourth largest potato producer in Asia and is among the world's top 15 potato producing countries. The weather condition for potato cultivation is favorable during the sowing, growing and harvesting period. It is a winter crop and is cultivated during the period of November to March. Bangladesh is mainly an agricultural based country with respect to agriculture's contribution to GDP, employment and consumption. Potato is a prominent crop in consideration of production, its internal demand and economic value. Bangladesh has a big economic activities related to potato cultivation and marketing, especially the economic relations among farmers, traders, stockers and cold storage owners. Potato yield prediction before harvest is an important issue for the Government and the stakeholders in managing and controlling the potato market. Advanced very high resolution radiometer (AVHRR) based satellite data product vegetation health indices VCI (vegetation condition index) and TCI (temperature condition index) are used as predictors for early prediction. Artificial neural network (ANN) is used to develop a prediction model. The simulated result from this model is encouraging and the error of prediction is less than 10%.

  2. Working life tables, Bangladesh 1981.

    PubMed

    Matin, K A

    1986-06-01

    Data from the 1981 Bangladesh Population Census were used to construct life tables for working men and women. Bangladesh has a dependency burden of 109 dependents to 100 economically active population. Labor force participation rates in 1981 were 74.1/100 population aged 10 years and over for males and 4.3/100 population aged 10 years and over for females. The age-specific economic activity rates provided the essential link in translating life table data to working life table data. It was calculated that a newborn Bangladesh male had a working life expectancy of 37.8 years and an overall life expectancy of 50.0 years; working life expectancy peaks at 44.2 years at 10 years of age. A newborn female has a working life expectancy of 1.8 years and an overall life expectancy of 49.0 years; a maximum working life expectancy of 2.4 years is obtained at 10 years of age. In the period 1962-81, male working life expectancy registered a slight decline at all ages, while female working life expectancy increased by about 6 months for ages up to 30 years. Mortality accounts for a loss of about 10% of gross years of active life in the 10-69-year goups and 20% in the 10-79-year age group. The male working life expectancy values for Bangladesh in 1981 correspond well with those found in India in 1971, Pakistan in 1978, and Sri Lanka in 1971. However, there is wide divergency in terms of female working life expectancy values: such rates were significantly higher in Sri Lanka and India than in Bangladesh up to the age of 30 years, after which point there was little divergence.

  3. Does the 65 cm height cut-off as age proxy exclude children eligible for nutritional assessment in Bangladesh?

    PubMed

    Ali, E; Zachariah, R; Hinderaker, S G; Satyanarayana, S; Kizito, W; Alders, P; Shams, Z; Allaouna, M; Draguez, B; Delchevalerie, P; Enarson, D A

    2012-12-21

    Kamrangirchar slum, Dhaka, Bangladesh. During nutritional surveys and in circumstances when it is difficult to ascertain children's age, length/height cut-offs are used as proxy for age to sample children aged 6-59 months. In a context of prevalent stunting, using data from primary health care centres where age and height parameters were well-recorded, we assessed the proportion of children aged between 6 and 59 months who would be excluded from nutritional assessment using a height cut-off of 65 cm as a proxy for age ≥6 months. This was a secondary data analysis of primary health centre data. A total of 2060 children were included in the analysis, with a median age of 24 months and a median height of 78 cm (SD 12.1, range 50-109 cm). There were 240 (12%, 95%CI 10-13) children aged between 6 and 29 months, with a height <65 cm. The majority (59%) of these children were females; 97.5% were aged 6-17 months. In an urban slum setting in Bangladesh, the use of the current height cut-off as a proxy for age excludes vulnerable children from nutritional assessment and could also lead to underestimation of the prevalence of malnutrition in nutritional surveys.

  4. User-fees for family-planning methods: an analysis of payment behaviour among urban contraceptors in Bangladesh.

    PubMed

    Routh, S; Thwin, A A; Kane, T T; Hel Baqui, A

    2000-09-01

    The study was carried out to review the experience with the existing user-fee (pricing) strategies and examine the socioeconomic and demographic factors associated with payment behaviour among contraceptors in urban Bangladesh for selected contraceptive methods, such as injectables, pill, and condom. Data for the study were drawn from a survey of more than 5,000 married women of reproductive age in Zone 3 of Dhaka city, Bangladesh, within the sample frame of the Urban Panel Survey of the ICDDR,B's former Urban MCH-FP Extension Project. The findings of the study showed that most (80%) urban contraceptors have been paying for selected family-planning services. This indicates the existence of a notable demand for contraceptives which suggests that there is scope for improved financial sustainability of the family-planning programme through charging appropriate user-fees for contraceptives with proper analyses of willingness-to-pay among the contraceptors and price elasticities of demand. Higher socioeconomic status of households, marked by higher levels of education and house rent, and location of residence in non-slum areas, is predictive of paying for contraception. Households having 1-3 living child(ren) are also more likely to make payment for the selected contraceptive services.

  5. The role of orthophosphate and dissolved oxygen in the performance of arsenic-iron removal plants in Bangladesh.

    PubMed

    Brennan, Ryan T; McBean, Edward A

    2011-01-01

    Arsenic iron removal plants (AIRPs) are used in some locations in Bangladesh to remove arsenic from groundwater to provide access to safer drinking water. In this study, the influence of orthophosphate in influent water on the performance of 21 (of 105) AIRPs installed in the Manikganj District was evaluated. The degree of aeration was also estimated, and the role of dissolved oxygen in AIRP performance is discussed. AIRP installations were done by a local non-governmental organization (The Society for People's Action in Change and Equity) with financial assistance from the Australian High Commission, Dhaka under the Direct Aid Program of the Australian Government. The presence of orthophosphate in the influent did not influence arsenic removal efficiency in the tested AIRPs, likely due to the high iron concentrations at all sites. The high iron provides adequate surface area for both orthophosphate and arsenic to be removed. Orthophosphate co-precipitated with iron oxides much more quickly than arsenic, in one cleaning cycle study, and is expected to play a more significant role in interfering with arsenic removal at sites with much lower iron concentrations. The aeration trays studied are estimated to introduce at least 2.4-3.7 mg/L of dissolved oxygen. In normal operation, sufficient oxygen is introduced through the aeration tray to fully oxidize all influent iron. The AIRPs studied show promise for use in areas of Bangladesh with high natural iron, where users are concerned with arsenic, iron, or both, in their drinking water.

  6. Thin layer solar drying of rough rice

    SciTech Connect

    Zaman, M.A.; Bala, B.K. )

    1989-01-01

    This paper presents a set of simple empirical equations for natural air flow solar drying of rough rice in mixed-mode type dryer, box-type dryer and open floor drying system. The moisture contents predicted by the equations were in good agreement with the observed values. The effect of drying air temperature on the drying rate constants for these three cases were found to be insignificant. The equilibrium moisture content appeared to be the most important variable controlling the drying rate. The highest drying rate was observed in case of mixed-mode dryer. The drying rate of box dryer was next to that of mixed-mode dryer. This study shows that the introduction of solar dryer for drying of rough rice is highly recommended in Bangladesh.

  7. Determination of Insulin Secretory Defect and Insulin Sensitivity in Type 2 Diabetic Subjects in Bangladesh.

    PubMed

    Ferdous, J; Ahmed, S; Laila, R; Islam, M T; Rahaman, M F; Snigdha, K R; Sarkar, S; Khan, A S; Sarkar, A K

    2016-01-01

    Diabetes mellitus (DM) is defined as a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. This study was undertaken to explore the basic defect in type 2 diabetes patients in Bangladesh. This was an observational study with case control design, was conducted in the Biomedical Research Group, Research Division, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine Metabolic Disorders (BIRDEM), Dhaka, Bangladesh, during the period of July 2008 to June 2009. A total of 153 subjects were included in study of which 63 belonged to type 2 diabetes mellitus group and 90 were healthy controls. Fasting and 2 hours postprandial blood glucose, serum insulin, HOMA%B, HOMA%S, QuickI, Glucose /insulin ratio, TG were measured and age, BMI, WHR were recorded. Waist-hip ratio (WHR), was significantly higher in T2DM as compared to control subjects [WHR, mean±SD, 0.94±0.12 vs. 0.88±0.06, p<0.001]; Glucose and insulin ratio of T2DM was significantly higher as compared to control subject [Glu: Ins, Median (range) of 0.54 (0.17-2.33) vs. 0.37(0.06-1.52)]. Insulin secretion (HOMA%B) was significantly lower in diabetic as compared to control subjects [HOMA%B, median (range), 71(4.90-391) vs. 180(59-634) p<0.001]; The quantitative insulin sensitivity check Index (QUICKI) of diabetic subjects were significantly higher as compared to control [QUICKI median (range) 39.90(4.80-138.10) vs. 0.55(0.36-0.85), <0.001]. Triglyceride (TG) and cholesterol (Chol) were significantly higher [(mg/dl), (mean±SD), TG (142±80.14) vs. (142±80.14); Chol (189±50.76) vs. (172±45), p=0.029] in T2DM as compared to control subjects. Those with diabetes showed significant association with insulin secretory defect (HOMA%B, p=0.006) and insulin resistance as assessed by GINR (p<0.001) and QuickI (p<0.001) but not by HOMA%S (p=0.127). The present data suggest that both insulin secretory defect and insulin

  8. Development of community based curriculum on ophthalmology for under graduate medical course in Bangladesh.

    PubMed

    Khan, A K; Hussain, A Z M I

    2012-08-01

    The curriculum represents the expression of educational ideas in practice. Ophthalmic education is the corner stone to improve eye care globally. Curriculum needs continuous modification varying in different geographic locations. Though 90% of common conditions are either preventable or curable but emphasis on the common conditions is inadequate. This is a stepwise descriptive study aiming to develop a community based ophthalmology curriculum for undergraduate medical course in Bangladesh conducted during March 2007 to February 2008 at UniSA School of Public Health and Life Sciences, University of South Asia, Banani, Dhaka. Delphi technique, a modified qualitative method was used to accumulate data and reaching a consensus opinion for developing the curriculum. Study approach includes two iterative rounds and finally a workshop. Iteration of round-I was "What are the eye diseases with overall knowledge of their management one MBBS physician should acquire"; followed by a list of eye diseases and topics for expert opinion. The response was collated. Iteration round-II was "How much a MBBS student should have percentage of knowledge, attitude and skills on each topic while being taught". The response was collated and presented to panel of expert ophthalmologists for discussion and validation. In the round-I Delphi, 400 (62%) out to total 641 ophthalmologist were randomly selected dividing in categories (62% in each) of Professor-22, Associate Professor-12, Assistant Professor-26, Consultant-27, ophthalmologists working in NGO-56 and ophthalmologists in private sector-257. Sixty (15%) responded with opinion. In the round-II, 200 (31%) including 60 of round-I, selected randomly but proportionately as before. Forty five (22.5%) responded with opinion. Result collated. The results and opinion of respondents were presented at a workshop attended by 24 (80%), out of 30 invited expert ophthalmic specialists for discussion, criticism, opinion, addition, modification and

  9. The Northern Rupture of the 1762 Arakan Meghathrust Earthquake and other Potential Earthquake Sources in Bangladesh.

    NASA Astrophysics Data System (ADS)

    Akhter, S. H.; Seeber, L.; Steckler, M. S.

    2015-12-01

    Bangladesh is one of the most densely populated countries in the world. It occupies a major part of the Bengal Basin, which contains the Ganges-Brahmaputra Delta (GBD), the largest and one of the most active of world deltas, and is located along the Alpine-Himalayan seismic belt. As such it is vulnerable to many natural hazards, especially earthquakes. The country sits at the junction of three tectonic plates - Indian, Eurasian, and the Burma 'sliver' of the Sunda plate. These form two boundaries where plates converge- the India-Eurasia plate boundary to the north forming the Himalaya Arc and the India-Burma plate boundary to the east forming the Indo-Burma Arc. The India-Burma plate boundary is exceptionally wide because collision with the GBD feeds an exception amount of sediment into the subduction zone. Thus the Himalayan continent collision orogeny along with its syntaxes to the N and NE of Bangladesh and the Burma Arc subduction boundary surround Bangladesh on two sides with active faults of regional scale, raising the potential for high-magnitude earthquakes. In recent years Bangladesh has experienced minor to moderate earthquakes. Historical records show that major and great earthquakes have ravaged the country and the neighboring region several times over the last 450 years. Field observations of Tertiary structures along the Chittagong-Teknaf coast reveal that the rupture of 1762 Arakan megathrust earthquake extended as far north as the Sitakund anticline to the north of the city of Chittagong. This earthquake brought changes to the landscape, uplifting the Teknaf peninsula and St. Martin's Island by about 2-2.5 m, and activated two mud volcanos along the axis of the Sitakund anticline, where large tabular blocks of exotic crystalline limestone, were tectonically transported from a deep-seated formation along with the eruptive mud. Vast area of the coast including inland areas east of the lower Meghna River were inundated. More than 500 peoples died near

  10. Pressures on Dupi-tila Aquifer of Dhaka City and Possible Response Action

    NASA Astrophysics Data System (ADS)

    Firoz, A.; Foglia, L.; Marandi, A.; Islam, M. B.; Ribbe, L.; Schueth, C.

    2015-12-01

    Dhaka is a large growing megacity that depends on groundwater for mostly all kind of water needs. Consequently, overwhelming abstraction of groundwater has been causing a linear to exponential drop in groundwater level and substantial aquifer dewatering of the Dupi-Tila aquifer of Dhaka basin. Total water demand in Dhaka city varies from 2100 to 2300 Million Cubic Meter per Day (MCMD) with seasonal variation for a population of about 16 million. Analysis reveals that upper parts of the aquifer are already dewatered throughout the area, and the water level has dropped to 30 m below sea level in the south central part of the city, where the ground surface elevation is 5.7 m. Natural retention area and natural drainage areas are hindering by the unplanned and haphazard vertical and horizontal growth of the city which is ultimately fragmenting infiltration and aquifer recharge. This study uses MODFLOW-2005 to simulate three-dimensional, steady-state groundwater flow, while the inverse modeling approach of UCODE_2005 has been used for parameter estimation and uncertainty analysis. Furthermore, a through hydrogeological model has been constructed from 150 borehole lithological information for geological characterization of the aquifers. This study stresses the importance of the total water balance of the study area and how recharge and water pumping affect the total water balance. The calibrated model results exhibit the total water abstraction is about 2302 MCMD. The model results further reveals that, there is extreme decline of groundwater level in the extent of -37 meters below the mean sea level at the inner core of the city area and the trend of declining remains same over the years. The surrounding rivers play an important role to balance the water budget and there is stable connection between the rivers and aquifer. The outcome of the research will contribute to develop a rational and sustainable management approach for the groundwater resources management in

  11. Effectiveness of Water Infrastructure for River Flood Management: Part 2 - Flood Risk Assessment and Its Changes in Bangladesh

    NASA Astrophysics Data System (ADS)

    Kwak, Y.; Gusyev, M.; Arifuzzaman, B.; Khairul, I.; Iwami, Y.; Takeuchi, K.

    2015-06-01

    A case study of Bangladesh presents a methodological possibility based on a global approach for assessing river flood risk and its changes considering flood hazard, exposure, basic vulnerability and coping capacity. This study consists of two parts in the issue of flood change: hazard assessment (Part 1) and risk assessment (Part 2). In Part 1, a hazard modeling technology was introduced and applied to the Ganges, Brahmaputra and Meghna (GBM) basin to quantify the change of 50- and 100-year flood hazards in Bangladesh under the present (1979-2003) and future (2075-2099) climates. Part 2 focuses on estimating nationwide flood risk in terms of affected people and rice crop damage due to a 50-year flood hazard identified in Part 1, and quantifying flood risk changes between the presence and absence of existing water infrastructure (i.e., embankments). To assess flood risk in terms of rice crop damage, rice paddy fields were extracted and flood stage-damage curves were created for maximum risk scenarios as a demonstration of risk change in the present and future climates. The preliminary results in Bangladesh show that a tendency of flood risk change strongly depends on the temporal and spatial dynamics of exposure and vulnerability such as distributed population and effectiveness of water infrastructure, which suggests that the proposed methodology is applicable anywhere in the world.

  12. Frequency of reexposure to Vibrio cholerae O1 evaluated by subsequent vibriocidal titer rise after an episode of severe cholera in a highly endemic area in Bangladesh.

    PubMed

    Weil, Ana A; Chowdhury, Fahima; Khan, Ashraful I; Leung, Daniel T; Uddin, Taher; Begum, Yasmin Ara; Saha, Nirod Chandra; Charles, Richelle C; Larocque, Regina C; Harris, Jason B; Ryan, Edward T; Qadri, Firdausi; Calderwood, Stephen B

    2012-11-01

    Vibriocidal antibody is a marker of recent exposure to Vibrio cholerae O1 infection. We examined vibriocidal titers for 1 year after an episode of severe cholera in patients in Dhaka, Bangladesh; 16 of 53 (30%) patients had a fourfold or greater increase in vibriocidal titer between 6 and 12 months after an episode of severe cholera, suggesting reexposure to the organism. Among patients with rises in titers during follow-up, the patients initially infected with serotype Ogawa had earlier rises in titer than the patients initially infected with serotype Inaba. These data and others suggest that an episode of severe cholera protects against symptomatic disease for several years, but reexposure to the organism occurs frequently in an endemic area, with immunological boosts beginning as early as 6 months after severe disease. Repeated exposures to V. cholerae in endemic areas may be a necessary component for long-lasting protection against severe disease.

  13. Frequency of Reexposure to Vibrio cholerae O1 Evaluated by Subsequent Vibriocidal Titer Rise after an Episode of Severe Cholera in a Highly Endemic Area in Bangladesh

    PubMed Central

    Weil, Ana A.; Chowdhury, Fahima; Khan, Ashraful I.; Leung, Daniel T.; Uddin, Taher; Begum, Yasmin Ara; Saha, Nirod Chandra; Charles, Richelle C.; LaRocque, Regina C.; Harris, Jason B.; Ryan, Edward T.; Qadri, Firdausi; Calderwood, Stephen B.

    2012-01-01

    Vibriocidal antibody is a marker of recent exposure to Vibrio cholerae O1 infection. We examined vibriocidal titers for 1 year after an episode of severe cholera in patients in Dhaka, Bangladesh; 16 of 53 (30%) patients had a fourfold or greater increase in vibriocidal titer between 6 and 12 months after an episode of severe cholera, suggesting reexposure to the organism. Among patients with rises in titers during follow-up, the patients initially infected with serotype Ogawa had earlier rises in titer than the patients initially infected with serotype Inaba. These data and others suggest that an episode of severe cholera protects against symptomatic disease for several years, but reexposure to the organism occurs frequently in an endemic area, with immunological boosts beginning as early as 6 months after severe disease. Repeated exposures to V. cholerae in endemic areas may be a necessary component for long-lasting protection against severe disease. PMID:22964723

  14. Prediction of epidemic cholera due to Vibrio cholerae O1 in children younger than 10 years using climate data in Bangladesh.

    PubMed

    Matsuda, F; Ishimura, S; Wagatsuma, Y; Higashi, T; Hayashi, T; Faruque, A S G; Sack, D A; Nishibuchi, M

    2008-01-01

    To determine if a prediction of epidemic cholera using climate data can be made, we performed autoregression analysis using the data recorded in Dhaka City, Bangladesh over a 20-year period (1983-2002) comparing the number of children aged <10 years who were infected with Vibrio cholerae O1 to the maximum and minimum temperatures and rainfall. We formulated a simple autoregression model that predicts the monthly number of patients using earlier climate variables. The monthly number of patients predicted by this model agreed well with the actual monthly number of patients where the Pearson's correlation coefficient was 0.95. Arbitrarily defined, 39.4% of the predicted numbers during the study period were within 0.8-1.2 times the observed numbers. This prediction model uses the climate data recorded 2-4 months before. Therefore, our approach may be a good basis for establishing a practical early warning system for epidemic cholera.

  15. Modeling daily soil salinity dynamics in response to agricultural and environmental changes in coastal Bangladesh

    NASA Astrophysics Data System (ADS)

    Payo, Andrés.; Lázár, Attila N.; Clarke, Derek; Nicholls, Robert J.; Bricheno, Lucy; Mashfiqus, Salehin; Haque, Anisul

    2017-05-01

    Understanding the dynamics of salt movement in the soil is a prerequisite for devising appropriate management strategies for land productivity of coastal regions, especially low-lying delta regions, which support many millions of farmers around the world. At present, there are no numerical models able to resolve soil salinity at regional scale and at daily time steps. In this research, we develop a novel holistic approach to simulate soil salinization comprising an emulator-based soil salt and water balance calculated at daily time steps. The method is demonstrated for the agriculture areas of coastal Bangladesh (˜20,000 km2). This show