PMID- 27941741
OWN - NLM
STAT- MEDLINE
DCOM- 20180404
LR  - 20181202
IS  - 1022-4742 (Print)
IS  - 1022-4742 (Linking)
VI  - 25
IP  - 4
DP  - 2016 Oct
TI  - Neurodevelopmental Outcomes in Children Born to Climate Refugee Mothers in 
      Bangladesh: Experiences from Cyclone Aila.
PG  - 746-750
AB  - Cyclone Aila hit the South-West coast of Bangladesh in May 2009, when in Dacope 
      Upazilla over 50,000 people were left homeless as climate refugees (CRs) for over 
      two years. We determined neurodevelopmental status of children born as CRs 
      compared to their non-Climate Refugee (NCR) counterparts. Pregnant mothers were 
      enrolled from May 2009 to April 2010 in entire Dacope in a study which profiled 
      their health conditions. From among these mothers, 12 months post-Aila 267 CR 
      mother-child dyads, and 552 NCR mother-child dyads were enrolled to assess their 
      children's neurodevelopmental outcomes. There were significantly more landless 
      families among CRs compared to NCRs (p value = 0.0001; OR = 1.86, 95% CI: 1.37 - 
      2.51). The mean+/-SD age at assessment of CR children was 8.52+/-4.57 months compared 
      to a mean age 9.09+/-4.13 months of the NCR children (p=0.610). Neurodevelopmental 
      Impairments (NDIs) were three times higher in the former (21.3%), compared to the 
      latter (7.4%) group (p=0.0001; OR 3.83, 95% CI: 2.16 - 5.21). Specifically, 
      expressive language (p value 0.002; OR 2.86, 95% CI: 1.46 - 5.57) and gross motor 
      functions (p=0.007; OR 2.27, 95% CI 1.22 - 4.20) were the most significantly 
      affected areas of impairment. Children born to CR mothers had a three times 
      higher proportion of NDIs. The findings are of concern as in Bangladesh large 
      populations are forced to leave their homes and become CRs annually. Optimum 
      antenatal care of pregnant women as well as their offsprings within refugee 
      situations needs to be ensured to prevent NDIs and poor quality of survival.
FAU - Khan, N Z
AU  - Khan NZ
AD  - Professor Naila Zaman Khan, Professor and Head, Department of Pediatric 
      Neuroscience, Bangladesh Institute of Child Health, Dhaka Shishu (Children's) 
      Hospital, Dhaka, Bangladesh; naila.z.khan@gmail.com.
FAU - Muslima, H
AU  - Muslima H
FAU - Shilpi, A B
AU  - Shilpi AB
FAU - Majumder, S K
AU  - Majumder SK
FAU - Khan, A E
AU  - Khan AE
LA  - eng
PT  - Journal Article
PL  - Bangladesh
TA  - Mymensingh Med J
JT  - Mymensingh medical journal : MMJ
JID - 9601799
SB  - IM
MH  - Bangladesh
MH  - Central Nervous System
MH  - Child
MH  - Climate
MH  - Cyclonic Storms
MH  - Female
MH  - Humans
MH  - Mothers
MH  - Pregnancy
MH  - *Refugees
EDAT- 2016/12/13 06:00
MHDA- 2018/04/05 06:00
CRDT- 2016/12/13 06:00
PHST- 2016/12/13 06:00 [entrez]
PHST- 2016/12/13 06:00 [pubmed]
PHST- 2018/04/05 06:00 [medline]
PST - ppublish
SO  - Mymensingh Med J. 2016 Oct;25(4):746-750.