Water-related diseases following flooding in South Asian countries – a healthcare crisis

S. H. Ahmed, T. Shaikh, Summaiyya Waseem, Maha Zahid, Khabab Abbasher Hussien Mohamed Ahmed, Irfan Ullah, Md Al Hasibuzzaman
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Abstract

Introduction and aim. Industrialization and elevated greenhouse gas emissions pose significant threats to the environment, raising atmospheric carbon dioxide levels and leading to climate change. Climate change may impact human health either directly via increasing extreme weather frequency and altering disease patterns or indirectly via social institutions and disrupted global supply chain resulting in consequences like undernutrition Material and methods. This review conducted a comprehensive literature search on PubMed, Google Scholar, and Cochrane Library, from inception to September 2022, using relevant keywords. Analysis of the literature. Massive flooding in South Asia is leading to a surge in water-related diseases. Cholera outbreaks have occurred in countries like Pakistan, India, and Bangladesh following floods, and waterborne diseases like typhoid, rota virus, hepatitis A, and leptospirosis are prevalent in flood-affected regions. Additionally, Cryptosporidium, Campylobacter, Shigella, and Polio outbreaks are reported. Water-scarce diseases, including scabies, impetigo, and cellulitis, are also on the rise in flood-affected areas. Water-based diseases, such as dracunculiasis, schistosomiasis, and Leishmaniasis, pose significant risks. Vector-borne diseases, including malaria, dengue, and Leishmaniasis, are becoming more prevalent due to flooded areas providing breeding grounds for disease vectors like mosquitoes and sandflies. These diseases are now more common in flood-af fected regions, affecting millions of people. Conclusion. Urgent measures are needed, including early warning systems, resilient infrastructure, drainage maintenance, and stricter land-use regulations, to reduce the impact of these natural disasters. International cooperation and immediate action at national and global levels are essential to mitigate the health crises caused by flooding and other natural disasters.
南亚国家洪灾后与水有关的疾病--一场医疗危机
导言和目的。工业化和温室气体排放的增加对环境构成了重大威胁,提高了大气中的二氧化碳含量,导致气候变化。气候变化可能通过增加极端天气频率和改变疾病模式直接影响人类健康,也可能通过社会制度和全球供应链中断间接影响人类健康,导致营养不良等后果。本综述使用相关关键词在 PubMed、Google Scholar 和 Cochrane Library 上进行了全面的文献检索,检索时间从开始到 2022 年 9 月。文献分析。南亚地区的大规模洪灾导致与水有关的疾病激增。巴基斯坦、印度和孟加拉国等国在洪灾后爆发了霍乱,伤寒、轮状病毒、甲型肝炎和钩端螺旋体病等水传播疾病在洪灾地区十分流行。此外,隐孢子虫、弯曲杆菌、志贺氏菌和脊髓灰质炎也有爆发的报道。疥疮、脓疱疮和蜂窝组织炎等忌水疾病在洪灾地区也呈上升趋势。水媒疾病,如麦地那龙线虫病、血吸虫病和利什曼病,也构成了重大风险。由于洪涝地区为蚊子和沙蝇等病媒提供了滋生地,包括疟疾、登革热和利什曼病在内的病媒传播疾病正变得越来越普遍。这些疾病现在在受洪水影响的地区更为常见,影响到数百万人。结论。需要采取紧急措施,包括预警系统、弹性基础设施、排水系统维护和更严格的土地使用法规,以减少这些自然灾害的影响。在国家和全球层面开展国际合作并立即采取行动,对于减轻洪水和其他自然灾害造成的健康危机至关重要。
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