Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries

Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures (‘lockdowns’). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95–0.98, P value <0.0001), second (0.96, 0.92–0.99, 0.03) and third (0.97, 0.94–1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96–1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88–1.14, 0.98), third (0.99, 0.88–1.12, 0.89) and fourth (1.01, 0.87–1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02–1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03–1.15, 0.002), third (1.10, 1.03–1.17, 0.003) and fourth (1.12, 1.05–1.19, <0.001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways

Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries.

Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from -90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95-0.98, P value <0.0001), second (0.96, 0.92-0.99, 0.03) and third (0.97, 0.94-1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96-1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88-1.14, 0.98), third (0.99, 0.88-1.12, 0.89) and fourth (1.01, 0.87-1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02-1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03-1.15, 0.002), third (1.10, 1.03-1.17, 0.003) and fourth (1.12, 1.05-1.19, <0.001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways

Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries.

Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from -90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95-0.98, P value <0.0001), second (0.96, 0.92-0.99, 0.03) and third (0.97, 0.94-1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96-1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88-1.14, 0.98), third (0.99, 0.88-1.12, 0.89) and fourth (1.01, 0.87-1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02-1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03-1.15, 0.002), third (1.10, 1.03-1.17, 0.003) and fourth (1.12, 1.05-1.19, <0.001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways

Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries.

Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from -90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95-0.98, P value <0.0001), second (0.96, 0.92-0.99, 0.03) and third (0.97, 0.94-1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96-1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88-1.14, 0.98), third (0.99, 0.88-1.12, 0.89) and fourth (1.01, 0.87-1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02-1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03-1.15, 0.002), third (1.10, 1.03-1.17, 0.003) and fourth (1.12, 1.05-1.19, <0.001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways

Citerne d'eau de pluie et effet sur le débit à l'exutoire du bassin versant de l'Orneau dans la région de Gembloux (Belgique)

Rainwater storage and effect on flow rate at watershed outflow. This study participates to the quantitative balance of rain water domestic use. It aims towards an optimal design of rain barrels volume, the feasibility of soil infiltration techniques with excess of water and the impact assessment of rain barrel on the decrease of peak flow in a pilot rural watershed of 9 km², considering the chronology of precipitation events. The parameters that are considered are the roofs area, the number of inhabitants in the house, the average daily rainfall water consumption, and the local pluviometry. In order to design the infiltration structure associated with the rain barrel, the volume of rainfall excess from the rain barrel needs to be evaluated. Afterwards, the infiltration structure may be dimensioned according to the soil infiltration characteristics. We assume that 75 l, out of the 115 l daily consumed by each inhabitant, are coming from the rain barrel and the remainder (40 l) is drawn from the drinking water distribution network. Calculations are carried out for roofs of 100, 135, 170 and 200 m², for a consumption of water ranging between 150 and 1,150 l per day per house and for rain barrels of 5, 10 and 20 m³. It appears that if correctly designed private rain barrel allows an opportune water use in households, the effect on flood reduction is, however, limited considering the relative low importance of the collecting surface (1.3% of the watershed surface)

Statistique des extrêmes dans les bassins faiblement jaugés : application d'un modèle global pluie-débit à cinq bassins versants en région wallonne (Belgique)

Statistics of extremes in poorly gauged basins: application of a lumped rainfall-runoff model in five catchments area in Walloon region (Belgium). The RS-PDM© model generates flows in time series on the basis of observed rainfall after self-calibration which is based on short period of observed rainfall and flow. This is done with daily or hourly data. The study highlights the capacity of the RS-PDM© model to simulate extreme flows in poorly gauged basins in Walloon region on the basis of observed rains and of a short period of observed flows. Concerning the time series, it was highlighted an important dispersion of the flows simulated for a given observed flow even for daily or hourly data. The Nash criteria varied between 0.59 and 0.92. However, the flows simulated via RS-PDM© make it possible to adjust a statistical distribution of extremes flows (Gumbel law) close to the statistic obtained with a long period of gauging. So, if the simulations realized by mean of this model present poor to acceptable performances concerning the time series simulations, they permit to obtain rapidly quite good statistics of extremes flows on the basis of a short gauging period

Impact de l'érosion sur l'envasement des barrages, la recharge des nappes phréatiques côtières et les intrusions marines dans la zone semi-aride méditerranéenne : cas du barrage de Boukourdane (Algérie)

Impact of erosion on the silting of dams, on the recharging groundwater and on coastal marine intrusion in the Mediterranean semi-arid area: Case of Boukourdane dam (Algeria). Description of the subject. Water erosion is a particularly important issue, especially in the Mediterranean and semi-arid zone. This zone is characterized by irregular rainfall patterns, which have a considerable influence on soil loss. In mountainous areas, water erosion phenomena are accentuated by steep slopes and low ground cover. The dams draining these areas undergo siltation linked to significant erosion. The silting of the dams drastically limits their capacity and thus their operating life. When used for recharging aquifers, the resuspension of fine particles may accumulate in the recharge areas and reduce infiltration capacity by clogging soil porosity. This leads to a significant reduction of groundwater levels. Additionally, groundwater situated in the coastal zone is submitted to intensive pumping. These two phenomena make groundwater particularly sensitive to marine intrusions. Objectives. This article aims, on the one hand to quantify the rate of siltation in the case of the Boukourdane dam (northern Algeria), which is used to recharge groundwater. On the other hand, the article also shows the reduction in permeability in the capturing field with the current management of releases. Method. Solid rates were set in relation to the liquid flow and sediment concentration occasionally taken from the wadi. The relation established made it possible to evaluate the solid contributions to the dam of Boukourdane. The impact of the releases on recharging the well field was evaluated by grouping wells and the well field mushrooms using heuristic k-means. Regressions were applied to the piezometric variations of each group. Results. This dam is fed by a catchment area of 156 km². Sediment transport was estimated from empirical formulas. The specific degradation rate was estimated at 366 t·km-2·year-1 during the 1993 to 2005 period. The increase in the frequency of extreme rainfall resulted in an increase in the soil erosion rate to 446 t·km-2·year-1 during the 1993 to 2013 period. The volume of sediments accumulated in the dam reached 8·104 m³·year-1 and 11·104 m³·year-1 respectively during these two periods. Conclusions. A change in the management of current releases has a positive impact on the partial restoration of the hydraulic conductivity and de facto, on the fight against marine intrusion