The Horizon of Unintentional Injuries among Children in Low-Income Setting: An Overview from Bangladesh Health and Injury Survey

Introduction. The paper aims to explore the magnitude and distribution of unintentional injuries among Bangladeshi children (<18 years). Methodology. A cross sectional survey was conducted during 2003 (January to December) in 12 randomly selected districts and Dhaka Metropolitan City of Bangladesh. Nationally representative data were collected from 171 366 households comprising of 351 651 children of under 18 years. Information includes the number of deaths and illness at the household in the preceding year. Verbal autopsy and verbal diagnosis form was used to determine the cause of mortality and morbidity respectively. Results. There were 351651 children in the study, of which 5577 had one or more injuries in the past one year. Drowning and falls was the leading cause of injury mortality and morbidity in children over 1 year of age respectively. Incidence of unintentional injuries was significantly higher among boys (95% CI = −2157.8) than girls (95% CI = 968.7 − 1085.8) while rural children were the most vulnerable group. Home and its premises was the most common place for the injury incidence. Conclusion. The result of the study could be an insight to the policy makers to develop realistic and effective strategies to address the issue

Health seeking behaviour of parents of burned children in Bangladesh is related to family socioeconomics

Objective: The study was design to explore the health seeking behaviour of Bangladeshi parents for their children during burn injuries. Methods: A population-based cross-sectional survey was conducted between January and December 2003 in Bangladesh. Nationally representative data were collected from 171,366 rural and urban households comprising of a total population of 819,429, including 351,651 children of 0–18 years. Mothers or heads of households were interviewed with a structured questionnaire in obtaining the information. Results: About sixty percent parents seek health care from unqualified service providers for their children during a childhood burn injury. Educated and the higher income groups parents choose qualified service provider at significantly higher rate compared to illiterate and poor. Higher proportion of parents of urban residence chooses qualified service provider compared to rural. No significant difference of health seeking behaviour of parent in choosing care provider was found in relation to sex of the children. Conclusion: Education, economic condition and place of residence were found as the contributory factors in choosing service provider. Education to the parents can contribute in changes in health seeking behaviour which ultimately contribute in reducing morbidity and mortality from childhood burn injuries. Including parent's education a national burn prevention program needs to be developed to combat the devastating child injury, burn

Consequences of childhood burn: Findings from the largest community-based injury survey in Bangladesh

In terms of morbidity and disability, burn is a major public health problem throughout the world, especially in low-income countries. It causes long-term disability and remains as a health, social and economic burden. A population-based survey was conducted in Bangladesh between January and December 2003. Nationally representative data were collected from 171,366 rural and urban households comprising of a total 819,429 population, which included 351,651 children under 18 years of age. Mothers/head of households were interviewed with a structured instrument. The objective of this paper is to determine the consequences of childhood burn at social and economic levels in Bangladesh. In the survey, 1013 children were found with different degrees of burn in the preceding 1 year. Among them 20 children were permanently disabled. The rate of permanent disability was found to be 5.7 per 100,000. The average loss of school days was found to be about 21 days. More than two-thirds of the burn victims required assistance in their daily activities for different durations of time. More than 7% of the children required hospitalisation for their burns. The rate of hospitalisation was 21.9 per 100,000; the average duration of hospital stay was 13.4 days. The highest duration (40 days) of hospital stay was found among girls 10– 14 years old. The highest expenditure for the treatment was also found in this age group. The average direct expenditure incurred by a family for treatment of severe burn was determined to be $462. In this study it was found that more than 61$50 a month. Burn is a devastating injury among all childhood injuries with significant additional economic consequences beyond the medical, pain, and suffering issues. Developing a national prevention program should be an immediate public health priority

Guillain-Barré syndrome and adjuvanted pandemic influenza A (H1N1) 2009 vaccines: A multinational self-controlled case series in Europe

Background: The risk of Guillain-Barré syndrome (GBS) following the United States' 1976 swine flu vaccination campaign in the USA led to enhanced active surveillance during the pandemic influenza (A(H1N1)pdm09) immunization campaign. This study aimed to estimate the risk

Including Pathogen Risk in Life Cycle Assessment of Wastewater Management. 1. Estimating the Burden of Disease Associated with Pathogens

The environmental performance of wastewater and sewage sludge management is commonly assessed using life cycle assessment (LCA), whereas pathogen risk is evaluated with quantitative microbial risk assessment (QMRA). This study explored the application of QMRA methodology with intent to include pathogen risk in LCA and facilitate a comparison with other potential impacts on human health considered in LCA. Pathogen risk was estimated for a model wastewater treatment system (WWTS) located in an industrialized country and consisting of primary, secondary, and tertiary wastewater treatment, anaerobic sludge digestion, and land application of sewage sludge. The estimation was based on eight previous QMRA studies as well as parameter values taken from the literature. A total pathogen risk (expressed as burden of disease) on the order of 0.2–9 disability-adjusted life years (DALY) per year of operation was estimated for the model WWTS serving 28 600 persons and for the pathogens and exposure pathways included in this study. The comparison of pathogen risk with other potential impacts on human health considered in LCA is detailed in part 2 of this article series

Developing systems thinking for sustainable development in engineering education

Present and future generations of engineering students are facing very different challenges than what engineering students did some 20-30 years back. The ability to appreciate the whole and assess complexity are abilities that become more and more urgent, in order to manage climate change, increased levels of chemicals in society, conversion of the energy system, food and water supply and many other challenges. To be able to act in a relevant way, students need to develop skills such as systems thinking to be able to assess complex systems. Systems thinking has been described as the ability to identify parts, causalities, flows and feedback loops. Systems thinking is likely a skill that engineering students develop to a varying degree during their university education, especially with regard to complex sustainability systems. In order to be able to improve engineering education in relation to systems thinking, it is important to understand what systems thinking is about and how systems thinking may be developed during the education. The overall aim of the study is to report on the first part of a study investigating how engineering students from two different programs develop systems thinking for sustainable development during their Bachelor education. In this part of the study, freshmen students (year 1) have been interviewed. The particular aim of this paper is to describe freshmen systems thinking before engaging in a university course on sustainable development. Group interviews were recorded and analysed for the students understanding and use of systems thinking. Students in both groups show evidence of systems thinking but it is intuitive rather that conscious and they lack a language to communicate about it. However, in one group the students together manage to describe complex systems.Non UBCUnreviewedFacultyOthe

Environmental challenges when developing renewable materials to replace non-renewable materials - receiving guidance from LCA studies

Since the demand for more sustainable products is growing, the pressure on material developers to improve the sustainability performance of the products that they are developing is increasing. As a consequence, the need to move away from a narrow understanding of “product” and “environment” is becoming more apparent. A Life Cycle Assessment (LCA) approach has been used to find rough estimates of how much process energy, raw materials etc. are used in the process of transforming a biomass feedstock into a new material. A reference product with a fossil based material intended to be replaced is used as a benchmark for the new product. The new product must perform at least as well as this benchmark and preferably better. We illustrate this LCA based methodology using the example of replacing petroleum-based polymeric material with wood-based material in a disposable consumer product

Technical, economic and environmental assessment of wastewater and sludge management solutions designed to overcome common issues

In order to support decision-making in design of wastewater and sludge management within the European Union, the EU FP7 project ROUTES has performed technical development aimed at sludge minimisation, the enabling of agricultural use of sludge and sludge resource recovery. Technical, economic and environmental assessment has been performed for ten case studies in which model (non-existent) reference plants of different size and configuration, representative of real wastewater treatment plants in Europe, have been considered to be upgraded to solve different common problems, based on the new knowledge from the technology development carried out within the project. This paper reports on the methodology used in the assessment with examples of obtained results for three of the case studies. The methodology in particular highlights some critical points that need further attention when similar upgrading is considered in real cases