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1.
Int J Environ Health Res ; 33(8): 796-808, 2023 Aug.
Article in English | MEDLINE | ID: mdl-35373666

ABSTRACT

This study investigated the associations between greenness and blood pressure (BP) metrics (systolic BP [SBP], diastolic BP [DBP], hypertension) among urban adults in Bangladesh and the potential mediation effects of body mass index (BMI) using 2011 Bangladesh Demographic and Health Survey data for 2360 urban adults (aged ≥35 years). The Enhanced Vegetation Index was used as a measure of residential area greenness. Associations between greenness and BP metrics were estimated using linear and binary logistic regression models. We also conducted mediation analyses. Greater area-level greenness was inversely associated with SBP (ß -1.33, 95%CI: -2.46, -.20), DBP (ß -.83, 95%CI: -1.64, -.02), and hypertension (adjusted odds ratio .87, 95%CI: .77, .98). BMI substantially mediated associations between greenness and BP metrics. Adopting urban greening policies could reduce the risk of hypertension, thus can contribute to reduction of non-communicable disease burden in Bangladesh. Longitudinal studies are required to further investigate the causal pathways.


Subject(s)
Hypertension , Adult , Humans , Bangladesh/epidemiology , Hypertension/epidemiology , Blood Pressure
2.
Infect Dis (Auckl) ; 13: 1178633720952080, 2020.
Article in English | MEDLINE | ID: mdl-33192070

ABSTRACT

Amid this Covid-19 pandemic, it is crucial to have the best possible estimation for essential quarantine days to mitigate the risk of Coronavirus spread. In this article, we aim to better approximate the mandatory quarantine days based on the available published literature. Our review of scientific publications revealed that 14 days of quarantine is nor enough neither effective in restricting the Coronavirus. Instead of 14 days, one study suggested to imply 21 days of quarantine to completely assure the symptom appearance in infected people. In case of community transmission, as it might take up to 19.9 days to death from the first appearance of symptom in a community, an effective quarantine period to contain the spread of Coronavirus should be a minimum of 40 days. For a densely populated country like Bangladesh, planning effective strategies using available data is crucial to prevent the upcoming second wave of this pandemic.

3.
Article in English | MEDLINE | ID: mdl-33019716

ABSTRACT

In Bangladesh, approximately 31% of urban residents are living without safely managed sanitation, the majority of whom are slum residents. To improve the situation, Dhaka Water Supply and Sewerage Authority (DWASA) is implementing the Dhaka Sanitation Improvement Project (DSIP), mostly funded by the World Bank. This study assessed the challenges and opportunities of bringing low-income communities (LICs) under a sewerage connection within the proposed sewerage network plan by 2025. We conducted nine key-informant interviews from DWASA and City Corporation, and 23 focus-group discussions with landlords, tenants, and Community Based Organisations (CBOs) from 16 LICs near the proposed catchment area. To achieve connections, LICs would require improved toilet infrastructures and have to be connected to main roads. Construction of large communal septic tanks is also required where individual toilet connections are difficult. To encourage connection in LICs, income-based or area-based subsidies were recommended. For financing maintenance, respondents suggested monthly fee collection for management of the infrastructure by dividing bills equally among sharing households, or by users per household. Participants also suggested the government's cooperation with development-partners/NGOs to ensure sewerage connection construction, operation, and maintenance and prerequisite policy changes such as assuring land tenure.


Subject(s)
Poverty , Sanitation , Bangladesh , Family Characteristics , Humans , Poverty Areas
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