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Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions

Drowning is an important cause of mortality among children in rural Bangladesh. Children aged 1–4 year(s) are at a high risk of death from drowning. Although deaths of children due to drowning in Bangladesh are acknowledged as an important cause of death, little effort has been made to address the i...

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Autores principales: Iqbal, Anwarul, Shirin, Tahmina, Ahmed, Tahmeed, Ahmed, Sirajuddin, Islam, Noor, Sobhan, Arif, Siddique, A.K.
Formato: Texto
Lenguaje:English
Publicado: International Centre for Diarrhoeal Disease Research, Bangladesh 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2754022/
https://www.ncbi.nlm.nih.gov/pubmed/18330071
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author Iqbal, Anwarul
Shirin, Tahmina
Ahmed, Tahmeed
Ahmed, Sirajuddin
Islam, Noor
Sobhan, Arif
Siddique, A.K.
author_facet Iqbal, Anwarul
Shirin, Tahmina
Ahmed, Tahmeed
Ahmed, Sirajuddin
Islam, Noor
Sobhan, Arif
Siddique, A.K.
author_sort Iqbal, Anwarul
collection PubMed
description Drowning is an important cause of mortality among children in rural Bangladesh. Children aged 1–4 year(s) are at a high risk of death from drowning. Although deaths of children due to drowning in Bangladesh are acknowledged as an important cause of death, little effort has been made to address the issue of preventing deaths from this cause. This study has attempted to describe the problem and suggests possible prevention strategies, which may contribute to reducing childhood mortality from drowning. Data presented in this study were collected from Matlab where ICDDR, B has been maintaining a demographic surveillance since 1966. During the study period from 1985 to 2000, 989 deaths from drowning were reported, of which 796 (80.5%) were children in the age-group of 1–4 year(s), 48 (4.8%) were in the age-group of less than one year, and 145 (14.7%) in the age-group of 5–19 years. During 1985–2000, death rate per 1,000 children due to all causes among children of 1–4-year age-group decreased appreciably from 20.7% to 5.2%, while drowning-related deaths did not. Forty-five percent (n=359) of drowning-related deaths occurred in ponds, 16.8% (n=134) in ditches, 8.1% (n=64) in canals, and 4.4% (n=35) in rivers. The sites of more than 25% of drowning-associated deaths were not recorded. Analysis of seasonal variation revealed that most deaths due to drowning occurred during April-October, i.e. mostly during the monsoon months. It was also observed that the majority (67%) of mothers of victims had no formal education. Deaths due to drowning were mostly associated with children aged 1–4 year(s) and were 20% more common among boys than among girls (odds ratio=1.2, 95% confidence interval 1.04–1.38, p<0.012). The paper recommends some interventions to reduce the number of deaths due to drowning in rural Bangladesh, which include: (a) increasing awareness among mothers and close family members about the risk of drowning, (b) door-fencing, and (c) filling of unused ditches and water holes around households.
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spelling pubmed-27540222010-10-18 Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions Iqbal, Anwarul Shirin, Tahmina Ahmed, Tahmeed Ahmed, Sirajuddin Islam, Noor Sobhan, Arif Siddique, A.K. J Health Popul Nutr Original Papers Drowning is an important cause of mortality among children in rural Bangladesh. Children aged 1–4 year(s) are at a high risk of death from drowning. Although deaths of children due to drowning in Bangladesh are acknowledged as an important cause of death, little effort has been made to address the issue of preventing deaths from this cause. This study has attempted to describe the problem and suggests possible prevention strategies, which may contribute to reducing childhood mortality from drowning. Data presented in this study were collected from Matlab where ICDDR, B has been maintaining a demographic surveillance since 1966. During the study period from 1985 to 2000, 989 deaths from drowning were reported, of which 796 (80.5%) were children in the age-group of 1–4 year(s), 48 (4.8%) were in the age-group of less than one year, and 145 (14.7%) in the age-group of 5–19 years. During 1985–2000, death rate per 1,000 children due to all causes among children of 1–4-year age-group decreased appreciably from 20.7% to 5.2%, while drowning-related deaths did not. Forty-five percent (n=359) of drowning-related deaths occurred in ponds, 16.8% (n=134) in ditches, 8.1% (n=64) in canals, and 4.4% (n=35) in rivers. The sites of more than 25% of drowning-associated deaths were not recorded. Analysis of seasonal variation revealed that most deaths due to drowning occurred during April-October, i.e. mostly during the monsoon months. It was also observed that the majority (67%) of mothers of victims had no formal education. Deaths due to drowning were mostly associated with children aged 1–4 year(s) and were 20% more common among boys than among girls (odds ratio=1.2, 95% confidence interval 1.04–1.38, p<0.012). The paper recommends some interventions to reduce the number of deaths due to drowning in rural Bangladesh, which include: (a) increasing awareness among mothers and close family members about the risk of drowning, (b) door-fencing, and (c) filling of unused ditches and water holes around households. International Centre for Diarrhoeal Disease Research, Bangladesh 2007-09 /pmc/articles/PMC2754022/ /pubmed/18330071 Text en © INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Iqbal, Anwarul
Shirin, Tahmina
Ahmed, Tahmeed
Ahmed, Sirajuddin
Islam, Noor
Sobhan, Arif
Siddique, A.K.
Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions
title Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions
title_full Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions
title_fullStr Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions
title_full_unstemmed Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions
title_short Childhood Mortality Due to Drowning in Rural Matlab of Bangladesh: Magnitude of the Problem and Proposed Solutions
title_sort childhood mortality due to drowning in rural matlab of bangladesh: magnitude of the problem and proposed solutions
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2754022/
https://www.ncbi.nlm.nih.gov/pubmed/18330071
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