Drinking water salinity associated health crisis in coastal Bangladesh

Salinity intrusion in coastal Bangladesh has serious population health implications, which are yet to be clearly understood. The study was undertaken through the ‘Assessing Health, Livelihoods, Ecosystem Services and Poverty Alleviation in Populous Deltas’ project in coastal Bangladesh. Drinking wat...

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Main Authors: Mahin Al Nahian, Ali Ahmed, Attila N. Lázár, Craig W. Hutton, Mashfiqus Salehin, Peter Kim Streatfield
Format: Article
Language:English
Published: BioOne 2018-01-01
Series:Elementa: Science of the Anthropocene
Subjects:
Online Access:https://www.elementascience.org/articles/143
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author Mahin Al Nahian
Ali Ahmed
Attila N. Lázár
Craig W. Hutton
Mashfiqus Salehin
Peter Kim Streatfield
author_facet Mahin Al Nahian
Ali Ahmed
Attila N. Lázár
Craig W. Hutton
Mashfiqus Salehin
Peter Kim Streatfield
author_sort Mahin Al Nahian
collection DOAJ
description Salinity intrusion in coastal Bangladesh has serious population health implications, which are yet to be clearly understood. The study was undertaken through the ‘Assessing Health, Livelihoods, Ecosystem Services and Poverty Alleviation in Populous Deltas’ project in coastal Bangladesh. Drinking water salinity and blood pressure measurements were carried out during the household survey campaign. The study explored association among Socio-Ecological Systems (SESs), drinking water salinity and blood pressure. High blood pressure (prehypertension and hypertension) was found significantly associated with drinking water salinity. People exposed to slightly saline (1000–2000 mg/l) and moderately saline (≥2000 mg/l) concentration drinking water had respectively 17% (p < 0.1) and 42% (p < 0.05) higher chance of being hypertensive than those who consumed fresh water (<1000 mg/l). Women had 31% higher chance of being hypertensive than men. Also, respondents of 35 years and above were about 2.4 times more likely to be hypertensive compared to below 35 years age group. For the 35 years and above age group, both prehypertension and hypertension were found higher than national rural statistics (50.1%) for saline water categories (53.8% for slightly and 62.5% for moderate saline). For moderate salinity exposure, hypertension prevalence was found respectively 21%, 60% and 48% higher than national statistics (23.6%) in consecutive survey rounds among the respondents. Though there was small seasonal variation in drinking water salinity, however blood pressure showed an increasing trend and maximum during the dry season. Mean salinity and associated hypertension prevalence were found higher for deep aquifer (21.6%) compared to shallow aquifer (20.8%). Localized increase in soil and groundwater salinity was predicted over the study area. Shallow aquifer salinity increase was projected based on modelled output of soil salinity. Rather than uniform increase, there were localized extreme values. Deep aquifer salinity was also predicted to exhibit increasing trend over the period. Study findings and recommendations are suggested for immediate and planned intervention.
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spelling doaj.art-cf946fc8242d45fc935003c8eb3f874b2022-12-22T01:48:04ZengBioOneElementa: Science of the Anthropocene2325-10262018-01-016110.1525/elementa.143225Drinking water salinity associated health crisis in coastal BangladeshMahin Al Nahian0Ali Ahmed1Attila N. Lázár2Craig W. Hutton3Mashfiqus Salehin4Peter Kim Streatfield5International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), DhakaInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), DhakaUniversity of Southampton, SouthamptonUniversity of Southampton, SouthamptonBangladesh University of Engineering and Technology (BUET), DhakaInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), DhakaSalinity intrusion in coastal Bangladesh has serious population health implications, which are yet to be clearly understood. The study was undertaken through the ‘Assessing Health, Livelihoods, Ecosystem Services and Poverty Alleviation in Populous Deltas’ project in coastal Bangladesh. Drinking water salinity and blood pressure measurements were carried out during the household survey campaign. The study explored association among Socio-Ecological Systems (SESs), drinking water salinity and blood pressure. High blood pressure (prehypertension and hypertension) was found significantly associated with drinking water salinity. People exposed to slightly saline (1000–2000 mg/l) and moderately saline (≥2000 mg/l) concentration drinking water had respectively 17% (p < 0.1) and 42% (p < 0.05) higher chance of being hypertensive than those who consumed fresh water (<1000 mg/l). Women had 31% higher chance of being hypertensive than men. Also, respondents of 35 years and above were about 2.4 times more likely to be hypertensive compared to below 35 years age group. For the 35 years and above age group, both prehypertension and hypertension were found higher than national rural statistics (50.1%) for saline water categories (53.8% for slightly and 62.5% for moderate saline). For moderate salinity exposure, hypertension prevalence was found respectively 21%, 60% and 48% higher than national statistics (23.6%) in consecutive survey rounds among the respondents. Though there was small seasonal variation in drinking water salinity, however blood pressure showed an increasing trend and maximum during the dry season. Mean salinity and associated hypertension prevalence were found higher for deep aquifer (21.6%) compared to shallow aquifer (20.8%). Localized increase in soil and groundwater salinity was predicted over the study area. Shallow aquifer salinity increase was projected based on modelled output of soil salinity. Rather than uniform increase, there were localized extreme values. Deep aquifer salinity was also predicted to exhibit increasing trend over the period. Study findings and recommendations are suggested for immediate and planned intervention.https://www.elementascience.org/articles/143Drinking Water SalinitySocio-Ecological SystemsHypertensionHealthCoastal Bangladesh
spellingShingle Mahin Al Nahian
Ali Ahmed
Attila N. Lázár
Craig W. Hutton
Mashfiqus Salehin
Peter Kim Streatfield
Drinking water salinity associated health crisis in coastal Bangladesh
Elementa: Science of the Anthropocene
Drinking Water Salinity
Socio-Ecological Systems
Hypertension
Health
Coastal Bangladesh
title Drinking water salinity associated health crisis in coastal Bangladesh
title_full Drinking water salinity associated health crisis in coastal Bangladesh
title_fullStr Drinking water salinity associated health crisis in coastal Bangladesh
title_full_unstemmed Drinking water salinity associated health crisis in coastal Bangladesh
title_short Drinking water salinity associated health crisis in coastal Bangladesh
title_sort drinking water salinity associated health crisis in coastal bangladesh
topic Drinking Water Salinity
Socio-Ecological Systems
Hypertension
Health
Coastal Bangladesh
url https://www.elementascience.org/articles/143
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AT craigwhutton drinkingwatersalinityassociatedhealthcrisisincoastalbangladesh
AT mashfiqussalehin drinkingwatersalinityassociatedhealthcrisisincoastalbangladesh
AT peterkimstreatfield drinkingwatersalinityassociatedhealthcrisisincoastalbangladesh