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Risk factors for mortality in the Bangladesh cyclone of 1991
C Bern1, J Sniezek, G M Mathbor
1Respiratory and Enteric Virus Branch, Centers for Disease Control, Atlanta, GA 30333.
Bulletin of the World Health Organization
|January 1, 1993
Summary
Cyclone-related deaths in Bangladesh disproportionately affect children and older women. Seeking refuge in concrete structures significantly improves survival rates during cyclones.
Area of Science:
- Epidemiology
- Disaster Management
- Public Health
Background:
- Cyclones pose a significant and ongoing threat to coastal populations in Bangladesh.
- Despite advancements in disaster control, cyclone-related mortality remains a critical issue, as evidenced by the 138,000 deaths in the April 1991 cyclone.
Purpose of the Study:
- To conduct a rapid epidemiological assessment following the 1991 cyclone.
- To identify key factors contributing to cyclone-related mortality.
- To inform the development of effective prevention strategies.
Main Methods:
- A nonrandom survey was conducted across 45 housing clusters, involving 1123 individuals.
- Data collection focused on demographic factors and survival outcomes related to cyclone exposure.
Main Results:
- Mortality rates were highest among children under 10 years (26%) and women over 40 years (31%).
- A stark survival difference was observed: 22% of individuals not reaching concrete or brick structures died, while all those who did survive.
Conclusions:
- Enhanced cyclone warnings and earlier response are crucial for reducing future mortality.
- Improved access to designated cyclone shelters and community preparedness are vital.
- Special attention to vulnerable groups, including children and women, during warnings and evacuations is essential for mitigating deaths.
Keywords:
AsiaBangladeshBiologyChild MortalityDemographic FactorsDeveloping CountriesEconomic FactorsEnvironmentHealth And Welfare PlanningMortalityNatural DisasterOperations ResearchOrganization And AdministrationPopulationPopulation DynamicsProgram EvaluationProgramsResearch MethodologyRisk FactorsSampling StudiesSocial PlanningSouthern AsiaStudiesSurveysRelated Concept Videos
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