The Khartoum Floods and Diarrhoeal Diseases

Shears, P.

doi:10.1016/s0140-6736(88)90173-0

Cited by 17 publications

(12 citation statements)

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“…1988; Novelli et al . 1988; Shears 1988; McCarthy 1994). Both acute diarrhoea and acute respiratory disease increased in Nicaragua following Hurricane Mitch and the associated flooding (Campanella 1999).…”

Section: 22 Floodingmentioning

confidence: 99%

Climate change and waterborne and vector-borne disease

Hunter

2003

Journal of Applied Microbiology

424

266

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Section: 22 Floodingmentioning

confidence: 99%

Climate change and waterborne and vector-borne disease

Hunter

2003

Journal of Applied Microbiology

424

266

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“…An increase in diarrheal diseases in post-flood periods has been reported in the 1988 Bangladesh and Khartoum floods [11], [12]. The main risk factors of diarrhea epidemic in the 1998 Bangladesh floods included lack of distribution of water purification tablets and the type of water storage vessels [13].…”

Section: Introductionmentioning

confidence: 99%

Quantitative Analysis of Burden of Infectious Diarrhea Associated with Floods in Northwest of Anhui Province, China: A Mixed Method Evaluation

et al. 2013

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BackgroundPersistent and heavy rainfall in the upper and middle Huaihe River of China brought about severe floods during the end of June and July 2007. However, there has been no assessment on the association between the floods and infectious diarrhea. This study aimed to quantify the impact of the floods in 2007 on the burden of disease due to infectious diarrhea in northwest of Anhui Province.MethodsA time-stratified case-crossover analysis was firstly conducted to examine the relationship between daily cases of infectious diarrhea and the 2007 floods in Fuyang and Bozhou of Anhui Province. Odds ratios (ORs) of the flood risk were quantified by conditional logistic regression. The years lived with disability (YLDs) of infectious diarrhea attributable to floods were then estimated based on the WHO framework of the calculating potential impact fraction in the Burden of Disease study.ResultsA total of 197 infectious diarrheas were notified during the exposure and control periods in the two study areas. The strongest effect was shown with a 2-day lag in Fuyang and a 5-day lag in Bozhou. Multivariable analysis showed that floods were significantly associated with an increased risk of the number cases of infectious diarrhea (OR = 3.175, 95%CI: 1.126–8.954 in Fuyang; OR = 6.754, 95%CI: 1.954–23.344 in Bozhou). Attributable YLD per 1000 of infectious diarrhea resulting from the floods was 0.0081 in Fuyang and 0.0209 in Bozhou.ConclusionsOur findings confirm that floods have significantly increased the risks of infectious diarrhea in the study areas. In addition, prolonged moderate flood may cause more burdens of infectious diarrheas than severe flood with a shorter duration. More attention should be paid to particular vulnerable groups, including younger children and elderly, in developing public health preparation and intervention programs. Findings have significant implications for developing strategies to prevent and reduce health impact of floods.

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“…Overcrowding may also contribute [6] . Shears et al noted a marked increase in the number of hepatitis A cases after the Khartoum floods in 1988 [36] . Similarly, after the 2005 earthquake in Pakistan, clusters of hepatitis E were common in areas with poor access to safe water.…”

Section: Hepatitismentioning

confidence: 99%