Modelling climate impacts on paediatric sepsis incidence and severity in Bangladesh

Gazi Ms Mamun1, Katelyn Moretti2, Farzana Afroze3

  • 1Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.

PubMed

Insights

Climate change impacts paediatric sepsis in Bangladesh. Rising temperatures and increased precipitation are linked to higher sepsis incidence and mortality in children, necessitating adaptive healthcare strategies.

Area of Science:

  • Environmental Health
  • Paediatric Infectious Diseases
  • Climate Change Epidemiology

Background:

  • Sepsis is a major global cause of child mortality, especially in low- and middle-income countries.
  • The influence of climate change on paediatric sepsis burden and outcomes is not well understood.
  • Bangladesh faces significant climate change impacts, making it a critical study area.

Purpose of the Study:

  • To investigate the relationship between climate variables (temperature, precipitation) and paediatric sepsis.
  • To analyze associations with sepsis incidence and mortality in Bangladesh.
  • To inform public health strategies in climate-vulnerable regions.

Main Methods:

  • Retrospective analysis of patient-level data from the International Centre for Diarrhoeal Disease Research, Bangladesh.
  • Utilized environmental data from the National Oceanic and Atmospheric Administration.
  • Employed random forest models to assess climate variable associations (2009-2022).

Main Results:

  • Identified a nonlinear association between temperature and paediatric sepsis incidence and mortality.
  • Optimal temperature for lowest sepsis incidence was 26.6°C; higher temperatures increased incidence.
  • Increased precipitation showed a trend towards higher sepsis incidence; optimal temperature for mortality was 28°C.

Conclusions:

  • Environmental factors like temperature and precipitation significantly influence paediatric sepsis in Bangladesh.
  • Climate change adaptation in healthcare planning is crucial, especially in resource-limited settings.
  • Further global research is needed to understand climate-paediatric sepsis links worldwide.
Abstract