Publication: Climate Afflictions
Loading...
Files in English
 3,157 downloads 
Published
2021-10-07
ISSN
Date
2021-10-06
Author(s)
Editor(s)
Abstract
Bangladesh’s vulnerability to the effects of climate change is well documented; the evidence on the direct relationship between climate change and health focusing on Bangladesh is less so. Global evidence suggests intensification of climate change will increase incidences and variations of infectious diseases. Climate Afflictions contributes to filling this important knowledge gap. It includes a systematic review of existing literature on the relationship between climate change and health, distinguishing between climate change and variability. It establishes the relationship between climate variability and infectious diseases and mental health using household-level data. It also documents changes in climate patterns in Bangladesh over the past 44 years using monthly meteorological data. Overall, the report finds a strong relationship between infectious diseases, mental health, and climate variability. Based on analyses of primary data, it concludes that the prevalence of vector-borne diseases is higher during the monsoon than dry seasons, while the opposite is true for waterborne illnesses. Meanwhile, rising humidity and mean temperature are positively associated with respiratory illnesses. In terms of mental health conditions, while temperature is negatively correlated to depression, anxiety among individuals is likely to increase with temperature and humidity. Irrespective of the season, morbidity and mental health issues are highest in densely populated urban hubs such as Dhaka and Chattogram compared to other areas. The mean temperature in Bangladesh has increased by 0.5°C between 1976 and 2019. Overall, summers are becoming hotter and longer, the monsoon season is extending, and winters are becoming warmer. Consequently, Bangladesh is on the path to losing its distinct seasonality. With global warming progressing faster than initially projected, stresses on human health may be elevated to an extent that can overburden the systems to a point at which adaptation will no longer be possible. Countries susceptible to climate change, like Bangladesh, need to be better prepared.
Link to Data Set
Citation
“Raza, Wameq A.; Mahmud, Iffat; Hossain, Md Rafi. 2021. Climate Afflictions. International Development in Focus;. © World Bank. http://hdl.handle.net/10986/36333 License: CC BY 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Climate Change and Health Impacts(World Bank, Washington, DC, 2014)This study was jointly undertaken by the Climate Change and Health Promotion Unit of the Ministry of Health and Family Welfare, the International Centre for Diarrheal Disease Research, Bangladesh, and the World Bank. This study had two broad objectives: (1) to assess national vulnerability and impact on major diseases of increased climate variability and extreme events in Bangladesh; and (2) to assess existing institutional and implementation capacity, financial resources at the local level, and existing public programs targeted at climate-sensitive diseases.Publication Is Dhaka’s Weather More Conducive to Dengue Outbreaks?(World Bank, Washington, DC, 2021-10-10)This report provides evidence from Dhaka to establish the linkage between climatic conditions and dengue outbreaks. In chapter two, the overall trend of dengue cases and associated deaths are presented; following which chapter three examines climate and dengue-related data for Dhaka to assess whether climatic conditions contributed to the major dengue outbreak in the capital city in 2019. Chapter four then presents the global evidence for the linkages between climate variability and the mosquito lifecycle. Analyses of weather variables for Dhaka between 1976 and 2019 are presented in chapter five to ascertain overall trends in climatic conditions. Chapter six provides a summary of key findings and recommends options for policymakers to consider.Publication Infected and Stressed by Climate Variability(World Bank, Washington, DC, 2021-10-10)Bangladesh’s extreme vulnerability to the effects of climate change is well documented. Through a complex pathway, climatic conditions have already negatively impacted human health worldwide. This is likely to escalate if predicted changes in weather patterns hold. Infectious disease transmission will change in pattern and incidence for certain vector-borne diseases such as malaria and dengue, and waterborne diseases such as diarrhea and cholera. The incidence of respiratory disease will be affected by extreme temperatures that exacerbate the effects of allergens and of air pollution (World Bank 2012). If global warming progresses toward a 4°C increase scenario, a scenario presented as the worst case at the 2015 Paris Climate Change Conference of Parties, stresses on human health can overburden the systems to a point where adaptation will no longer be possible (World Bank 2012). Hence the urgent need for the public sector to be better prepared to respond to the crisis. The consequences of climate change and/or climate variability are well documented and hypothesized. The literature linking climate change or climate variability and health, however, is less so. Climate variability refers to short-term changes in the average meteorological conditions over a month, a season, or a year. Climate change, however, refers to changes in average metrological conditions and seasonal patterns over a much longer time (Mani and Wang 2014). Compared to the availability of global evidence on this topic, the evidence from Bangladesh is far more limited. Among the studies available for Bangladesh, some require further substantiation because they are mostly regional one-off studies with a range of methodological limitations. In doing so, the report responds to several key questions, summarized in this subsection. What it does not do is construct mathematical models for projecting the incidence and prevalence of infectious diseases and mental health issues based on predicted climate change patterns. Nor does it attempt to establish a causal relationship between climate change and the selected health conditions. The report uses primary data from a nationally representative sample of about 3,600 households surveyed during the monsoon and dry seasons. It links weather variables, the incidence of selected diseases, and health conditions in Bangladesh to ensure that the findings are, as much as possible, based on precise climate and health data. The recommendations, therefore, are context-specific and drawn from primary evidence.Publication Bangladesh(World Bank, Washington, DC, 2021-10-10)Bangladesh is a low-lying river delta with a long coastline of 711 kilometers and floodplains that occupy 80 percent of the country (Hasib and Chathoth 2016). The country experiences a multitude of natural disasters every year. Severe floods, cyclones, storms, tidal surges, and river erosion frequently cause loss of life, with devastating social and economic impacts. These extreme weather events are expected to be exacerbated by the effects of climate change (Rahman et al. 2019). The Government of Bangladesh’s National Climate Vulnerability Assessment identified a number of climate-related hazards in 2018 that are critical for Bangladesh, including increasing temperature and heat stress; more frequent and longer droughts; increasing rainfall intensity; higher river flows and flood risks; greater riverbank erosion; sea level rises and salinity intrusion; landslides; and increasing intensity of cyclones, storm surges, and coastal flooding (Government of Bangladesh 2018). In rural areas, where nearly 80 percent of the population live, climate change has an immediate and direct effect on the health and wellbeing of millions of people who depend on natural resources for their livelihoods. The impacts of climate change are also increasingly felt in large cities that are exposed to various climate-induced hazards, including variations in temperature, excessive and erratic rainfall, water logging, flooding, and heat and cold waves (Rabbani et al. 2011). These hazards are exacerbated by high population density, poverty, rural–urban migration, illiteracy, and a lack of public utilities and services (Rabbani et al. 2011). Rapid urbanization and a growing urban slum population are quickly changing the population dynamics in Bangladesh, and this has implications for climate-induced health risks (Mani and Wang 2014). The country has the world’s highest rate of mortalities that are caused by natural disasters, with more than half a million people lost to disaster events since 1970. Most of these deaths have occurred during floods or cyclones (Nahar 2014). Not long ago, Bangladesh was hit by two major cyclones: Sidr in 2007 and Aila in 2009. Cyclone Sidr killed 3,406 people while more than 55,000 sustained physical injuries. Heavy rain and tidal waves caused by wind effects led to extensive physical destruction and damage to crops and livestock. After Cyclone Sidr, an assessment by the Government of Bangladesh found widespread outbreaks of diarrhea, dysentery, acute respiratory infection, and pneumonia. Children ages five or younger were the most vulnerable (Kabir et al. 2016b). Cyclone Aila hit the southern coastline of Bangladesh and partly damaged the Sundarbans. Along with outbreaks of diarrheal diseases was an acute scarcity of drinking water and food (Kabir et al. 2016b). With the number and intensity of such storms or cyclones projected to increase, climate change can reverse some of the significant gains Bangladesh has made in improving health-related outcomes, particularly in reducing child mortality, improving maternal health, and improving nutritional outcomes.Publication Costs of Adapting to Climate Change for Human Health in Developing Countries(World Bank, Washington, DC, 2010-12)This paper is one component of a global study on the Economics of Adaptation to Climate Change (EACC) in developing countries; the focus in this paper is human health. The main human health impacts of climate change are increased incidence of vector-borne disease (malaria), water-borne disease (diarrhea), cardio respiratory diseases, heat- and cold-related deaths, injuries and deaths from extreme weather events (flooding), and a greater prevalence of malnutrition. Adaptation measures comprise all actions taken to reduce, prevent, or treat these additional cases of disease or death, including actions outside the health sector such as disaster reduction programs, food and water security measures, and the provision of infrastructure services. For tractability and to reduce duplication with other components of the EACC study, the scope of this paper is limited to conventional public health adaptation activities, with a focus on malaria and diarrhea. This study also incorporates updates and revisions to the unit cost of prevention and treatment for malaria and diarrhea and updates to the exposure-response functions used to compute the relative risk for malaria.
Users also downloaded
Showing related downloaded files
Publication Global Economic Prospects, June 2025(Washington, DC: World Bank, 2025-06-10)The global economy is facing another substantial headwind, emanating largely from an increase in trade tensions and heightened global policy uncertainty. For emerging market and developing economies (EMDEs), the ability to boost job creation and reduce extreme poverty has declined. Key downside risks include a further escalation of trade barriers and continued policy uncertainty. These challenges are exacerbated by subdued foreign direct investment into EMDEs. Global cooperation is needed to restore a more stable international trade environment and scale up support for vulnerable countries grappling with conflict, debt burdens, and climate change. Domestic policy action is also critical to contain inflation risks and strengthen fiscal resilience. To accelerate job creation and long-term growth, structural reforms must focus on raising institutional quality, attracting private investment, and strengthening human capital and labor markets. Countries in fragile and conflict situations face daunting development challenges that will require tailored domestic policy reforms and well-coordinated multilateral support.Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.Publication Business Ready 2024(Washington, DC: World Bank, 2024-10-03)Business Ready (B-READY) is a new World Bank Group corporate flagship report that evaluates the business and investment climate worldwide. It replaces and improves upon the Doing Business project. B-READY provides a comprehensive data set and description of the factors that strengthen the private sector, not only by advancing the interests of individual firms but also by elevating the interests of workers, consumers, potential new enterprises, and the natural environment. This 2024 report introduces a new analytical framework that benchmarks economies based on three pillars: Regulatory Framework, Public Services, and Operational Efficiency. The analysis centers on 10 topics essential for private sector development that correspond to various stages of the life cycle of a firm. The report also offers insights into three cross-cutting themes that are relevant for modern economies: digital adoption, environmental sustainability, and gender. B-READY draws on a robust data collection process that includes specially tailored expert questionnaires and firm-level surveys. The 2024 report, which covers 50 economies, serves as the first in a series that will expand in geographical coverage and refine its methodology over time, supporting reform advocacy, policy guidance, and further analysis and research.Publication Digital Progress and Trends Report 2023(Washington, DC: World Bank, 2024-03-05)Digitalization is the transformational opportunity of our time. The digital sector has become a powerhouse of innovation, economic growth, and job creation. Value added in the IT services sector grew at 8 percent annually during 2000–22, nearly twice as fast as the global economy. Employment growth in IT services reached 7 percent annually, six times higher than total employment growth. The diffusion and adoption of digital technologies are just as critical as their invention. Digital uptake has accelerated since the COVID-19 pandemic, with 1.5 billion new internet users added from 2018 to 2022. The share of firms investing in digital solutions around the world has more than doubled from 2020 to 2022. Low-income countries, vulnerable populations, and small firms, however, have been falling behind, while transformative digital innovations such as artificial intelligence (AI) have been accelerating in higher-income countries. Although more than 90 percent of the population in high-income countries was online in 2022, only one in four people in low-income countries used the internet, and the speed of their connection was typically only a small fraction of that in wealthier countries. As businesses in technologically advanced countries integrate generative AI into their products and services, less than half of the businesses in many low- and middle-income countries have an internet connection. The growing digital divide is exacerbating the poverty and productivity gaps between richer and poorer economies. The Digital Progress and Trends Report series will track global digitalization progress and highlight policy trends, debates, and implications for low- and middle-income countries. The series adds to the global efforts to study the progress and trends of digitalization in two main ways: · By compiling, curating, and analyzing data from diverse sources to present a comprehensive picture of digitalization in low- and middle-income countries, including in-depth analyses on understudied topics. · By developing insights on policy opportunities, challenges, and debates and reflecting the perspectives of various stakeholders and the World Bank’s operational experiences. This report, the first in the series, aims to inform evidence-based policy making and motivate action among internal and external audiences and stakeholders. The report will bring global attention to high-performing countries that have valuable experience to share as well as to areas where efforts will need to be redoubled.Publication The Container Port Performance Index 2023(Washington, DC: World Bank, 2024-07-18)The Container Port Performance Index (CPPI) measures the time container ships spend in port, making it an important point of reference for stakeholders in the global economy. These stakeholders include port authorities and operators, national governments, supranational organizations, development agencies, and other public and private players in trade and logistics. The index highlights where vessel time in container ports could be improved. Streamlining these processes would benefit all parties involved, including shipping lines, national governments, and consumers. This fourth edition of the CPPI relies on data from 405 container ports with at least 24 container ship port calls in the calendar year 2023. As in earlier editions of the CPPI, the ranking employs two different methodological approaches: an administrative (technical) approach and a statistical approach (using matrix factorization). Combining these two approaches ensures that the overall ranking of container ports reflects actual port performance as closely as possible while also being statistically robust. The CPPI methodology assesses the sequential steps of a container ship port call. ‘Total port hours’ refers to the total time elapsed from the moment a ship arrives at the port until the vessel leaves the berth after completing its cargo operations. The CPPI uses time as an indicator because time is very important to shipping lines, ports, and the entire logistics chain. However, time, as captured by the CPPI, is not the only way to measure port efficiency, so it does not tell the entire story of a port’s performance. Factors that can influence the time vessels spend in ports can be location-specific and under the port’s control (endogenous) or external and beyond the control of the port (exogenous). The CPPI measures time spent in container ports, strictly based on quantitative data only, which do not reveal the underlying factors or root causes of extended port times. A detailed port-specific diagnostic would be required to assess the contribution of underlying factors to the time a vessel spends in port. A very low ranking or a significant change in ranking may warrant special attention, for which the World Bank generally recommends a detailed diagnostic.