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.
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Selected References
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- Glass R. I., Craven R. B., Bregman D. J., Stoll B. J., Horowitz N., Kerndt P., Winkle J. Injuries from the wichita falls tornado: implications for prevention. Science. 1980 Feb 15;207(4432):734–738. doi: 10.1126/science.207.4432.734. [DOI] [PubMed] [Google Scholar]
- Glass R. I., Urrutia J. J., Sibony S., Smith H., Garcia B., Rizzo L. Earthquake injuries related to housing in a guatemalan village. Science. 1977 Aug 12;197(4304):638–643. doi: 10.1126/science.197.4304.638. [DOI] [PubMed] [Google Scholar]
- Guha-Sapir D. Rapid assessment of health needs in mass emergencies: review of current concepts and methods. World Health Stat Q. 1991;44(3):171–181. [PubMed] [Google Scholar]
- Sommer A., Mosley W. H. East Bengal cyclone of November, 1970. Epidemiological approach to disaster assessment. Lancet. 1972 May 13;1(7759):1029–1036. [PubMed] [Google Scholar]