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The probable impacts of climate change on poverty - UNDP

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Table 6.13 Incidence <str<strong>on</strong>g>of</str<strong>on</strong>g> Diarrhea during major flood events<br />

Malaria is <strong>on</strong>e <str<strong>on</strong>g>of</str<strong>on</strong>g> the major public health problems in Bangladesh. Out <str<strong>on</strong>g>of</str<strong>on</strong>g> 64 districts, 13 bordering districts in the<br />

east and northeast facing the Indian states <str<strong>on</strong>g>of</str<strong>on</strong>g> Assam, Tripura and Meghalaya and part <str<strong>on</strong>g>of</str<strong>on</strong>g> Myanmar bel<strong>on</strong>g to the<br />

high-risk malaria z<strong>on</strong>e. A total <str<strong>on</strong>g>of</str<strong>on</strong>g> 14.7 milli<strong>on</strong> populati<strong>on</strong>s are at high-risk <str<strong>on</strong>g>of</str<strong>on</strong>g> malaria in the country, although<br />

there is sporadic incidence <str<strong>on</strong>g>of</str<strong>on</strong>g> malaria in other parts <str<strong>on</strong>g>of</str<strong>on</strong>g> the country as well. An estimated 1.0 milli<strong>on</strong> clinical cases<br />

are treated every year while 61,495 laboratories c<strong>on</strong>firmed cases were reported during 2002 from routine<br />

surveillance. During 2002, a total <str<strong>on</strong>g>of</str<strong>on</strong>g> 598 deaths were reported. Plasmodium falciparum is the predominant<br />

infecti<strong>on</strong> (61-71%) and An. dirus is the principal vector (WHO, 2004). <str<strong>on</strong>g>The</str<strong>on</strong>g> available literature says that Malaria’s<br />

sensitivity to <str<strong>on</strong>g>climate</str<strong>on</strong>g> is illustrated in desert and highland fringe areas where rainfall and temperature,<br />

respectively are critical parameters for disease transmissi<strong>on</strong> (WHO, WMO, UNEP, 2002). <str<strong>on</strong>g>The</str<strong>on</strong>g> occurrence <str<strong>on</strong>g>of</str<strong>on</strong>g> malaria<br />

in 1997 in Chittag<strong>on</strong>g, Khagrachari, Bandarban, Cox’s Bazar area critically supports this hypothesis (HPSR, 2000).<br />

Temper ature ( C)<br />

Dengue is another major <str<strong>on</strong>g>climate</str<strong>on</strong>g> sensitive disease in Bangladesh. It usually spreads over tropical and sub-tropical<br />

regi<strong>on</strong>. According to Koopman et al. (1991), an increase <str<strong>on</strong>g>of</str<strong>on</strong>g> 3–4˚C in average temperature may double the<br />

reproducti<strong>on</strong> rate <str<strong>on</strong>g>of</str<strong>on</strong>g> the dengue virus. It is also evident that erratic rainfall and m<strong>on</strong>so<strong>on</strong> flooding are str<strong>on</strong>gly<br />

correlated for breeding Aedes mosquito, especially in urban, fringe and high elevated areas (source:<br />

www.geocities.com). Breaking News <str<strong>on</strong>g>of</str<strong>on</strong>g> Dengue Website, July 2001 states that Intermittent rains and reactivati<strong>on</strong><br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> aedes larvae from the unclean breeding sites are believed to be the reas<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> outbreak <str<strong>on</strong>g>of</str<strong>on</strong>g> dengue. It is<br />

reported that 3 billi<strong>on</strong> world populati<strong>on</strong> are at risk <str<strong>on</strong>g>of</str<strong>on</strong>g> dengue fever and 60% <str<strong>on</strong>g>of</str<strong>on</strong>g> them are located in the 10 southeast<br />

asian countries. Bangladesh is the 7th country in south-east asia with DHF reported in 2000. In 2001, it was<br />

reported that 60,000 people had become the carrier <str<strong>on</strong>g>of</str<strong>on</strong>g> dengue (Breaking News, Dengue Website, 9 August 2009).<br />

Children are the most sufferers <str<strong>on</strong>g>of</str<strong>on</strong>g> dengue epidemic. <str<strong>on</strong>g>The</str<strong>on</strong>g> following table shows the historical outbreak <str<strong>on</strong>g>of</str<strong>on</strong>g> dengue<br />

fever in Bangladesh.<br />

54<br />

32. 50<br />

32. 00<br />

31. 50<br />

31. 00<br />

30. 50<br />

30. 00<br />

29. 50<br />

29. 00<br />

28. 50<br />

28. 00<br />

Major Flood<br />

Trend <str<strong>on</strong>g>of</str<strong>on</strong>g> average maximum temperature and incidences <str<strong>on</strong>g>of</str<strong>on</strong>g> malaria<br />

(1988-2008)<br />

1988<br />

1989<br />

1990<br />

1991<br />

1992<br />

1993<br />

1994<br />

1995<br />

1996<br />

1997<br />

1998<br />

Year<br />

Affected Populati<strong>on</strong> (in<br />

milli<strong>on</strong>)<br />

Figure 6.2: Relati<strong>on</strong>ship between Temperature and Malarial Incidences<br />

1999<br />

2000<br />

2001<br />

2002<br />

2003<br />

2004<br />

2005<br />

2006<br />

2007<br />

2008<br />

90000<br />

80000<br />

70000<br />

60000<br />

50000<br />

40000<br />

30000<br />

20000<br />

10000<br />

0<br />

Incidence <str<strong>on</strong>g>of</str<strong>on</strong>g> Diarrhea (in<br />

milli<strong>on</strong>)<br />

1988 30 5.37<br />

1998 30.6 2.06<br />

2000 3 1.56<br />

2004 36 2.33<br />

2007 10 2.34<br />

2008 1 1.9<br />

Incidences <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

ma laria<br />

Ma x t emp<br />

Ma laria<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> Probable Impacts <str<strong>on</strong>g>of</str<strong>on</strong>g> Climate Change <strong>on</strong> Poverty and Ec<strong>on</strong>omic Growth and<br />

the Opti<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> Coping with adverse Effect <str<strong>on</strong>g>of</str<strong>on</strong>g> Climate Change in Bangladesh

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