Risk factors for mortality in the Bangladesh cyclone of 1991

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

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Bibliographic Details
Main Authors: Bern, C., Sniezek, J. autor/a, Mathbor, G. M. autor/a, Siddiqi, M. S. autor/a, Ronsmans, C. autor/a
Format: Texto biblioteca
Language:eng
Subjects:Prevención de desastres, Desastres naturales, Ciclones, Mortalidad,
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