Seedling Diversity Considerably Changes Near Localities in Three Salinity Zones of Sundarbans Mangrove Forest, Bangladesh

The status of natural seedlings near localities in the Sundarbans Mangrove Forest was assessed through a stratified random sampling method  to observe seedling composition and diversity, importance value index, family importance value, and species evenness. A total of 63 sample plots of 3,990 m2 area were surveyed in three natural and anthropogenic influenced salinity zones of Sundarbans. A total of 16,166 seedlings of 15 species under 12 families were found. Family Euphorbiaceae showed the highest (59.59%) family relative density and Rhizophoraceae presented the highest (20%) family relative diversity Index (FRDI). The maximum family importance value (FIV) showed by Euphorbiaceae (66.26) and the maximum importance value index (IVI) of species has been observed in Excoecaria agallocha (114.74). Excoecaria agallocha showed the highest relative density (59.6%) and relative abundance (39.87%) where the highest relative frequency (15.27%) was observed by Heritiera fomes. The mean stem density and species diversity index in the whole survey area was 2701 stem ha-1 and 0.0009 correspondingly. The Shannon-Wienner's diversity index was 1.52 where the maximum Shannon-Wienner's diversity index was 2.708. The Simpson's diversity index and Dominance of Simpson index were 0.38 and 0.62 with Simpson's reciprocal index 2.632. The Species evenness index, Menhinick’s, and Margalef's indices were 0.561, 0.118, and 1.445 respectively. The Species diversity index of the three salinity zones were 0.0017, 0.0029, and 0.0035 respectively. The Shannon-Wienner's diversity index of Low Salinity Zone (LSZ), Moderate Salinity Zone (MSZ), and Strong Salinity Zone (SSZ) were 0.887, 1.369, and 1.845 correspondingly where LSZ (0.632) showed the highest Simpson's diversity index follow ed by MSZ (0.394) and SSZ (0.21). The Species evenness index for LSZ, MSZ, and SSZ were 0.346, 0.505, and 0.742 where Menhinick’s Index were 0.148, 0.210, and 0.207 respectively. The analysis showed poor diversity indices and the area was dominated by few species with few families. The status is also reduced with increasing salinity

Estimating Catastrophic Costs due to Pulmonary Tuberculosis in Bangladesh

To eliminate TB from the country by the year 2030, the Bangladesh National Tuberculosis (TB) Program is providing free treatment to the TB patients since 1993. However, the patients are still to make Out-of-their Pocket (OOP) payment, particularly before their enrollment Directly Observed Treatment Short-course (DOTS). This places a significant economic burden on poor-households. We, therefore, aimed to estimate the Catastrophic Health Expenditure (CHE) due to TB as well as understand associated difficulties faced by the families when a productive family member age (15–55) suffers from TB. The majority of the OOP expenditures occur before enrolling in. We conducted a cross-sectional study using multistage sampling in the areas of Bangladesh where Building Resources Across Communities (BRAC) provided TB treatment during June 2016. In total, 900 new TB patients, aged 15–55 years, were randomly selected from a list collected from BRAC program. CHE was defined as the OOP payments that exceeded 10% of total consumption expenditure of the family and 40% of total non-food expenditure/capacity-to-pay. Regular and Bayesian simulation techniques with 10,000 replications of re-sampling with replacement were used to examine robustness of the study findings. We also used linear regression and logit model to identify the drivers of OOP payments and CHE, respectively. The average total cost-of-illness per patient was 124 US$, of which 68% was indirect cost. The average CHE was 4.3% of the total consumption and 3.1% of non-food expenditure among the surveyed households. The poorest quintile of the households experienced higher CHE than their richest counterpart, 5% vs. 1%. Multiple regression model showed that the risk of CHE increased among male patients with smear-negative TB and delayed enrolling in the DOTS. Findings suggested that specific groups are more vulnerable to CHE who needs to be brought under innovative safety-net schemes

Impact of land cover changes on land surface temperature and human thermal comfort in Dhaka City of Bangladesh

Urbanization leads to the construction of various urban infrastructures in the city area for residency, transportation, industry, and other purposes, which causes major land use change. Consequently, it substantially affects Land Surface Temperature (LST) by unbalancing the surface energy budget. Higher LST in city areas decreases human thermal comfort for the city dwellers and affects the urban environment and ecosystem. Therefore, a comprehensive investigation is needed to evaluate the impact of land use change on the LST. Remote Sensing (RS) and Geographic Information System (GIS) techniques were used for the detailed investigation. RS data for the years 1993, 2007 and 2020 during summer (March–May) in Dhaka city were used to prepare land cover maps, analyze LST, generate hazard maps and relate the land cover change with LST by using GIS. The results show that the built-up area in Dhaka city increased by 67% from 1993 to 2020 by replacing lowland mainly, followed by vegetation, bare soil and water bodies. LSTs found in the study area were ranged from 23.26 to 39.94 °C, 23.69 to 43.35 °C and 24.44 to 44.58 °C for the years 1993, 2007 and 2020, respectively. The increases of spatially distributed maximum and mean LST were found 4.62 °C and 6.43 °C, respectively, for the study period of 27 years while the change in minimum LST was not substantial. LST increased by around 0.24 °C per year and human thermal discomfort shifted from moderate to strong heat stress for the total study period due to the increase of built-up and bare lands. This study also shows that normalized difference vegetation index (NDVI) and normalized difference water index (NDWI) were negatively correlated with LST while normalized difference built-up Index (NDBI) and normalized difference built-up Index (NDBAI) were positively correlated with LST. The methodology developed in this study can be adapted to other cities around the globe

Water Quality Index for measuring drinking water quality in rural Bangladesh: a crosssectional study

Background: Public health is at risk due to chemical contaminants in drinking water which may have immediate health consequences. Drinking water sources are susceptible to pollutants depending on geological conditions and agricultural, industrial, and other man-made activities. Ensuring the safety of drinking water is, therefore, a growing problem. To assess drinking water quality, we measured multiple chemical parameters in drinking water samples from across Bangladesh with the aim of improving public health interventions. Methods: In this cross-sectional study conducted in 24 randomly selected upazilas, arsenic was measured in drinking water in the field using an arsenic testing kit and a sub-sample was validated in the laboratory. Water samples were collected to test water pH in the laboratory as well as a sub-sample of collected drinking water was tested for water pH using a portable pH meter. For laboratory testing of other chemical parameters, iron, manganese, and salinity, drinking water samples were collected from 12 out of 24 upazilas. Results: Drinking water at sample sites was slightly alkaline (pH 7.4 \ub1 0.4) but within acceptable limits. Manganese concentrations varied from 0.1 to 5.5 mg/L with a median value of 0.2 mg/L. The median iron concentrations in water exceeded WHO standards (0.3 mg/L) at most of the sample sites and exceeded Bangladesh standards (1.0 mg/L) at a few sample sites. Salinity was relatively higher in coastal districts. After laboratory confirmation, arsenic concentrations were found higher in Shibchar (Madaripur) and Alfadanga (Faridpur) compared to other sample sites exceeding WHO standard (0.01 mg/L). Of the total sampling sites, 33 % had good-quality water for drinking based on the Water Quality Index (WQI). However, the majority of the households (67 %) used poor-quality drinking water. Conclusions: Higher values of iron, manganese, and arsenic reduced drinking water quality. Awareness raising on chemical contents in drinking water at household level is required to improve public health

Water Quality Index for measuring drinking water quality in rural Bangladesh: a cross-sectional study

BACKGROUND: Public health is at risk due to chemical contaminants in drinking water which may have immediate health consequences. Drinking water sources are susceptible to pollutants depending on geological conditions and agricultural, industrial, and other man-made activities. Ensuring the safety of drinking water is, therefore, a growing problem. To assess drinking water quality, we measured multiple chemical parameters in drinking water samples from across Bangladesh with the aim of improving public health interventions. METHODS: In this cross-sectional study conducted in 24 randomly selected upazilas, arsenic was measured in drinking water in the field using an arsenic testing kit and a sub-sample was validated in the laboratory. Water samples were collected to test water pH in the laboratory as well as a sub-sample of collected drinking water was tested for water pH using a portable pH meter. For laboratory testing of other chemical parameters, iron, manganese, and salinity, drinking water samples were collected from 12 out of 24 upazilas. RESULTS: Drinking water at sample sites was slightly alkaline (pH 7.4 ± 0.4) but within acceptable limits. Manganese concentrations varied from 0.1 to 5.5 mg/L with a median value of 0.2 mg/L. The median iron concentrations in water exceeded WHO standards (0.3 mg/L) at most of the sample sites and exceeded Bangladesh standards (1.0 mg/L) at a few sample sites. Salinity was relatively higher in coastal districts. After laboratory confirmation, arsenic concentrations were found higher in Shibchar (Madaripur) and Alfadanga (Faridpur) compared to other sample sites exceeding WHO standard (0.01 mg/L). Of the total sampling sites, 33 % had good-quality water for drinking based on the Water Quality Index (WQI). However, the majority of the households (67 %) used poor-quality drinking water. CONCLUSIONS: Higher values of iron, manganese, and arsenic reduced drinking water quality. Awareness raising on chemical contents in drinking water at household level is required to improve public health

TRADEMARK FUNCTIONS AND TRADEMARK RIGHTS

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TRADEMARK FUNCTIONS AND TRADEMARK RIGHTS

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Cost-effectiveness of community health workers in tuberculosis control in Bangladesh.

OBJECTIVE: To compare the cost-effectiveness of the tuberculosis (TB) programme run by the Bangladesh Rural Advancement Committee (BRAC), which uses community health workers (CHWs), with that of the government TB programme which does not use CHWs. METHODS: TB control statistics and cost data for July 1996 - June 1997 were collected from both government and BRAC thanas (subdistricts) in rural Bangladesh. To measure the cost per patient cured, total costs were divided by the total number of patients cured. FINDINGS: In the BRAC and government areas, respectively, a total of 186 and 185 TB patients were identified over one year, with cure rates among sputum-positive patients of 84% and 82%. However, the cost per patient cured was US$64 in the BRAC area compared to US$ 96 in the government area. CONCLUSION: The government programme was 50% more expensive for similar outcomes. Although both the BRAC and government TB control programmes appeared to achieve satisfactory cure rates using DOTS (a five-point strategy), the involvement of CHWs was found to be more cost-effective in rural Bangladesh. With the same budget, the BRAC programme could cure three TB patients for every two in the government programme