Predictors of compliance with tornado warnings issued in Joplin, Missouri, in 2011.

Joplin, a city in the southwest corner of Missouri, United States, suffered an EF-5 tornado in the late afternoon of 22 May 2011. This event, which claimed the lives of 162 people, represents the deadliest single tornado to strike the US since modern record-keeping began in 1950. This study examines the factors associated with responses to tornado warnings. Based on a post-tornado survey of survivors in Joplin, it reveals that tornado warnings were adequate and timely. Multivariate logistic regression identified four statistically significant determinants of compliance with tornado warnings: number of warning sources, whether respondents were at home when the tornado struck, past tornado experience, and gender. The findings suggest several recommendations, the implementation of which will further improve responses to tornado warnings.

Urban earthquake hazard: perceived seismic risk and preparedness in Dhaka City, Bangladesh.

Bangladesh is vulnerable to seismic events. Experts suspect that if an earthquake with a 7.0 magnitude occurred in large cities of Bangladesh, there would be a major human tragedy due to the structural failure of many buildings. The primary objectives of this paper are to examine seismic risk perception among residents of Dhaka City and investigate their levels of earthquake preparedness. A questionnaire survey conducted among 444 residents of the city provided the major source of data for the paper. The survey results suggest that an overwhelming majority of the respondents were not prepared for a major earthquake, which is anticipated to occur in Dhaka. Multivariate analysis of survey data reveals that value of residential unit and respondent educational levels appear as the most significant determinants of preparedness status of the respondents. This study recommends increasing earthquake awareness and preparedness among residents of Dhaka City.

Treatment delay period: the case of arsenicosis in rural Bangladesh.

Arsenic concentrations of tubewell water that exceed acceptable limits poses a serious health problem in Bangladesh. Many Bangladeshis are now suffering from arsenic-related diseases. The objectives of this paper are to examine the extent of delay in seeking medical treatment by victims of arsenic poisoning and to identify factors contributing to this delay. Questionnaire survey successfully administered to 663 victims living in two rural areas of Bangladesh provided the major data source for this study. Analysis of survey data reveal that median delay period was 12 months, but the delay period ranged from 1 month to 18 years. Because of this extremely large range, the mean delay period was about 22 months. The study identified time of identification of symptoms of arsenicosis as the most significant determinant of treatment delay followed by treatment sought from members of mobile medical teams, perceived threat, and level of education. Based on the study findings, it is recommended that the Bangladesh government and NGOs involved in arsenic mitigation and prevention efforts should educate individuals at risk for arsenic poisoning about the benefits of seeking early treatment. This study also recommends to continue to dispatch mobile medical teams to the arsenic-impacted areas.

Evidence against disaster-induced migration: the 2004 tornado in north-central Bangladesh.

Migration is generally considered to be one of the primary responses to a natural disaster. The existing literature widely acknowledges the fact that disaster victims migrate from affected areas. This paper, though, provides empirical evidence of the non-occurrence of out-migration in the aftermath of the 14 April 2004 tornado in Bangladesh. Data collected from 291 respondents from eight tornado-affected villages suggest that no one from these locations migrated to other areas. The constant flow of disaster aid and its proper distribution by the government and non-governmental organisations (NGOs) were the main reasons why victims did not leave. This study contributes to the disaster literature by providing three important findings: disasters do not always create out-migration; emergency aid can compensate in monetary terms for damage caused by disasters; and some of the arguments made in the literature against the provision of emergency relief for disaster victims are not always valid for all countries.

Arsenic contamination awareness among the rural residents in Bangladesh.

Arsenic poisoning of tubewell water, which constitutes the primary source of drinking water, has become the greatest health threat to the people of rural Bangladesh. Somewhere between 35 to 57 million people in the country are now suspected of being affected by drinking water contaminated with arsenic. While the Bangladesh government, non-government organizations (NGOs), and bilateral and multilateral assistance agencies are involved in combating this dreadful problem, all of their efforts to date have proceeded without having grassroots information about arsenic poisoning. The objectives of this study are to investigate the level of knowledge rural residents have regarding arsenic poisoning and to identify the correlates of that knowledge. Questionnaire surveys administered among residents of four rural areas in Bangladesh provided the major data source for this study. Twenty villages were selected from moderate and low arsenic risk regions and a total of 356 respondents, 177 from medium risk regions and 179 from low risk regions, were interviewed. Analysis of the survey data reveals that arsenic awareness is currently not widespread in the study villages, particularly in the low arsenic risk region. There are also gaps in arsenic knowledge regarding the diseases caused by arsenic poisoning and mitigating measures available to prevent contamination. This study identified arsenic risk region, level of education, gender, and age as important determinants of arsenic knowledge. The findings of this study will aid in making existing health education programs more effective and in reducing the risk of developing arsenic-related illnesses.

Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study.

The majority of births in rural Bangladesh are carried out in unhygienic conditions by relatives and traditional birth attendants (TBAs). This results in a high incidence of maternal and infant mortality that could be reduced if childbirth were to occur in health centers or under the supervision of trained TBAs (TTBAs). In this paper, we examined factors associated with utilization of modern health resources for childbirth in 39 villages of Bangladesh. We followed a retrospective survey research design to collect relevant information from couples who experienced childbirth during a two-year period from July 1, 1995 to June 1997. The data indicate that slightly over 11% of the deliveries were performed by trained personnel with the rest attended by TBAs. Multivariate analysis clearly shows that delivery complications was the most significant factor determining the use of modern health care resources for childbirth, followed by parental education, and pre-natal care. We conclude that quick response to delivery complications and improved access to hospitals and TTBAs can reduce the risk of infant and maternal mortality and morbidity in rural Bangladesh.