Diarrheal Disease in Bangladesh
Overview
Diarrheal disease, caused by pathogens such as Vibrio cholerae and Shigella spp., continues to impose a heavy morbidity and mortality burden in low-resource countries, particularly in small children. Since 1966, the residents of a rural area in Bangladesh, known as Matlab, have been under continuous demographic and health surveillance. Using data on diarrheal disease outcomes and population characteristics such as access to tubewells and socioeconomic status, combined with spatial data on residence within a flood protection zone, distance to hospital and other environmental characteristics, this research explored the impact of flood protection on the prevalence and timing of diarrheal disease as well as the mitigating influences of tubewell access on diarrheal disease.
Flood Protection
Carrel, M., Voss, P., Streatfield, P.K., Yunus, M. & Emch, M. (2010) Protection from annual flooding is correlated with increased cholera prevalence in Bangladesh: a zero-inflated regression analysis. Environmental Health 9(13). doi:10.1186/1476-069X-9-13.
Carrel, M., Emch, M., Streatfield, P.K., & Yunus, M. (2009) Spatio-temporal Clustering of Cholera: The Impact of Flood Control in Matlab, Bangladesh, 1983-2003. Health & Place 15(3): 741-752.
Carrel, M., Emch, M., Streatfield, P.K., & Yunus, M. (2009) Spatio-temporal Clustering of Cholera: The Impact of Flood Control in Matlab, Bangladesh, 1983-2003. Health & Place 15(3): 741-752.
Tubewells
Winston, J., Escamilla, V., Perez-Heydrich, C., Carrel, M., Yunus, M., Streatfield, P.K., & Emch, M. (2013) Protective benefits of deep tubewells against childhood diarrhea in Matlab, Bangladesh. American Journal of Public Health. 103(7), 1287-1291.
Carrel, M., Escamilla, V., Messina, J., Giebultowicz, S., Winston, J., Yunus, M., Streatfield, P.K., & Emch, M. (2011) Diarrheal disease risk in rural Bangladesh decreases as tubewell density increases: a zero-inflated and geographically weighted analysis. International Journal of Health Geographics 10:41. doi:10.1186/1476-072X-10-41.
Carrel, M., Escamilla, V., Messina, J., Giebultowicz, S., Winston, J., Yunus, M., Streatfield, P.K., & Emch, M. (2011) Diarrheal disease risk in rural Bangladesh decreases as tubewell density increases: a zero-inflated and geographically weighted analysis. International Journal of Health Geographics 10:41. doi:10.1186/1476-072X-10-41.