Vulnerability of Newborns to Environmental Factors in Bangladesh
Author Information
Author(s): Mannan Ishtiaq, Choi Yoonjoung, Coutinho Anastasia J., Chowdhury Atique I., Rahman Syed Moshfiqur, Seraji Habib R., Bari Sanwarul, Shah Rasheduzzaman, Winch Peter J., El Arifeen Shams, Darmstadt Gary L., Baqui Abdullah H.
Primary Institution: Johns Hopkins Bloomberg School of Public Health
Hypothesis
This study aimed to assess the association of serious newborn illness in the community with environmental factors such as temperature, rainfall, and humidity.
Conclusion
The study found that higher temperatures and humidity levels are associated with increased incidence of very severe disease in newborns.
Supporting Evidence
- The incidence of very severe disease was associated with higher temperatures.
- Higher humidity levels also correlated with increased odds of very severe disease.
- Specific months showed significantly higher odds of incidence of very severe disease.
Takeaway
Newborns in rural Bangladesh can get very sick when it's hot and humid outside, especially during certain months of the year.
Methodology
The study used community-based surveillance data from two trials, assessing newborns with a sign-based algorithm and collecting environmental data from meteorological stations.
Potential Biases
Potential biases may arise from the reliance on community health workers for data collection and classification of illness.
Limitations
The study could not control for birth weight in the regression model and used household building materials as a proxy for wealth.
Participant Demographics
The study involved newborns from rural communities in Sylhet and Mirzapur, Bangladesh.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI: 1.08 to 1.21 in Sylhet and 1.04 to 1.07 in Mirzapur
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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