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- Title
Risk factors for mortality in the Bangladesh cyclone of 1991.
- Authors
Bern, C.; Sniezek, J.; Mathbor, G. M.; Siddiqi, M. S.; Ronsmans, C.; Chowdhury, A. M. R.; Choudhury, A. E.; Islam, K.; Bennish, M.; Noji, E.; Glass, R. I.
- Abstract
Cyclones continue to pose a dangerous threat to the coastal populations of Bangladesh, despite improvements in disaster control procedures. After 138 000 persons died in the April 1991 cyclone, we carried out a rapid epidemiological assessment to determine factors associated with cyclone-related mortality and to identify prevention strategies. A nonrandom survey of 45 housing clusters comprising 1123 persons showed that mortality was greatest among under-10-year-olds (26%) and women older than 40 years (31%). Nearly 22% of persons who did not reach a concrete or brick structure died, whereas all persons who sought refuge in such structures survived. Future cyclone-associated mortality in Bangladesh could be prevented by more effective warnings leading to an earlier response, better access to designated cyclone shelters, and improved preparedness in high-risk communities. In particular, deaths among women and under-10-year-olds could be reduced by ensuring that they are given special attention by families, neighbours, local authorities, and especially those in charge of early warnings and emergency evacuation.
- Subjects
BANGLADESH; CYCLONES; MORTALITY; EMERGENCY management; DEATH; CIVILIAN evacuation
- Publication
Bulletin of the World Health Organization, 1993, Vol 71, Issue 1, p73
- ISSN
0042-9686
- Publication type
Article