Perceived and actual risks of drought: household and expert views from the lower Teesta River Basin of northern Bangladesh

Disaster risk perception and risk appraisal are essential in formulating an appropriate disaster risk reduction policy. This study examines the actual vs perceived drought risks by constructing risk indices at the household and expert levels using survey data from the lower Teesta River Basin in northern Bangladesh. The survey data were collected from 450 farmers using a structured questionnaire conducted between August and September 2019. A composite drought risk index was developed to understand households’ perceived and actual risks in the designated areas. The results show that the actual and perceived risk values differ significantly among the three case study sites locally known as Ganai, Ismail, and Par Sekh Sundar. The risk levels also differ significantly across the households’ gender, income, occupation, and educational attainment. People with insolvent socioeconomic status are more prone to drought risk compared to others. Results also reveal that the mean level of perceived risk agrees well with the actual risk, whereas females perceive comparatively higher risk than their male counterparts. Expert views on drought risk are similar to the individual household level perceived risk. The outcomes of this study would assist the policymakers and disaster managers to understand the concrete risk scenarios and take timely disaster risk reduction actions for ensuring a drought-resistant society

Diagnosis of chronic conditions with modifiable lifestyle risk factors in selected urban and rural areas of Bangladesh and sociodemographic variability therein

<p>Abstract</p> <p>Background</p> <p>Bangladesh suffers from a lack of healthcare providers. The growing chronic disease epidemic's demand for healthcare resources will further strain Bangladesh's limited healthcare workforce. Little is known about how Bangladeshis with chronic disease seek care. This study describes chronic disease patients' care seeking behavior by analyzing which providers diagnose these diseases.</p> <p>Methods</p> <p>During 2 month periods in 2009, a cross-sectional survey collected descriptive data on chronic disease diagnoses among 3 surveillance populations within the International Center for Diarrheal Disease Research, Bangladesh (ICDDR, B) network. The maximum number of respondents (over age 25) who reported having ever been diagnosed with a chronic disease determined the sample size. Using SAS software (version 8.0) multivariate regression analyses were preformed on related sociodemographic factors.</p> <p>Results</p> <p>Of the 32,665 survey respondents, 8,591 self reported having a chronic disease. Chronically ill respondents were 63.4% rural residents. Hypertension was the most prevalent disease in rural (12.4%) and urban (16.1%) areas. In rural areas chronic disease diagnoses were made by MBBS doctors (59.7%) and Informal Allopathic Providers (IAPs) (34.9%). In urban areas chronic disease diagnoses were made by MBBS doctors (88.0%) and IAP (7.9%). Our analysis identified several groups that depended heavily on IAP for coverage, particularly rural, poor and women.</p> <p>Conclusion</p> <p>IAPs play important roles in chronic disease care, particularly in rural areas. Input and cooperation from IAPs are needed to minimize rural health disparities. More research on IAP knowledge and practices regarding chronic disease is needed to properly utilize this potential healthcare resource.</p

Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020

Background The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. Methods For this analysis, we constructed burden-weighted dose–response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15–95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15–39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0–0) and 0·603 (0·400–1·00) standard drinks per day, and the NDE varied between 0·002 (0–0) and 1·75 (0·698–4·30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0·114 (0–0·403) to 1·87 (0·500–3·30) standard drinks per day and an NDE that ranged between 0·193 (0–0·900) and 6·94 (3·40–8·30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59·1% (54·3–65·4) were aged 15–39 years and 76·9% (73·0–81·3) were male. Interpretation There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Funding Bill & Melinda Gates Foundation

Promoting adaptation within urban planning: case study of the General Regulation Plan of the city of Požarevac

This paper, by presenting the case study of the General Regulation Plan, provides an overview of the potentials and limitations of the planning system regarding adaptation in the context of urban planning in the Republic of Serbia. The spatial coverage of the Plan includes the central/urban and peri-urban area of the city of Požarevac, within which various land uses are represented. In addition to housing, commercial and industrial facilities, green infrastructure, as well as other land uses, agriculture is also presented. Taking into consideration the specificity of the Plan area, the paper presents measures that promote adaptation, with special emphasis on the green infrastructure, the water system, energy efficiency and the urban structure. Thus, one of the measures promoted by this Plan is the reservation of the space for raising fast-growing forests, building green roofs and walls and as well developing and expanding of the water drainage system network. In accordance with the current legal and planning basis, within the conclusions that this work stresses is that, even in an incomplete legal and planning framework, there are real possibilities for the inclusion of adaptive measures in the process of urban planning.Editors: Walter Leal Filho, Goran Trbić, Dejan Filipovi