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CHAPTER 11: NON-COMMUNICABLE DISEASES
Further, the WHO-IEDCR has jointly conducted
the ‘Health Vulnerability and Adaptation’
assessment of the current and future
scenarios. Later, another regional assessment
of ‘Vulnerability and Adaptation’ was carried
out in the coastal and drought-prone areas of
Bangladesh. The assessment generated primary
qualitative and quantitative information regarding
health, including the ‘WASH’ components
(water, sanitation and hygiene) vulnerabilities
of the study population, which will support
informed decision in defining policy and strategy
to address the impact of climate change and
also may make significant contribution to the
development of Health-National Adaptation Plan
(H-NAP).
Injury situation in Bangladesh
Injury has drawn attention of policy-makers and
development activists of Bangladesh since the
Bangladesh Health and Injury Survey (BHIS
2005) which revealed an annual estimate of
70,000 injury-related deaths in the country,
the children being the worst victims (having
43% of the total injury-related deaths). The
Center for Injury Prevention and Research,
Bangladesh (CIPRB) has been involved in the
injury prevention initiatives since 2005 and has
a sentinel surveillance system to monitor the
injury situation in its intervention areas–Raiganj
and Sirajganj. Through the surveillance system,
data are collected at a six-month interval from
over 31,500 households representing more
than 145,000 people. The injury rates among
people in this surveillance area are expected
to be lower than the national estimates due to
the ongoing interventions in the area. However,
this is the only community-based active injury
surveillance that exists in the country to measure
the injury burden. The mortality rates due to
injury in all ages were found to be 37.4 and
43.6 per 100,000 people in 2011 and 2012
respectively. The rate of injury-related mortality
in children below18 years of age was 39.9 and
37.8 per 100,000 people in 2011 and 2012
respectively. Among all children, those aged 1-4
year(s) were the worst victims (72.5 and 56.6 per
100,000 people in 2011 and 2012 respectively).
Among adults, the rates were 34.6 and 46.9 per
100,000 people in 2011 and 2012 respectively
(Figure 11.7).
Figure 11.8 summarizes the injury-related
mortality rate by cause per 100,000 people as
72.5
56.6
1-4
year(s)
38.6
38.9
5-9
years
36.6
43.3
10-14
years
13.7
11.4
15-17
years
39.9
37.8
0-17
years
41.8
39.2
1-17
years
2011 2012
34.6
46.9
Adult
43.6
37.4
All
ages
Figure 11.7. Injury-related mortality per 100,000
population by age-group in the surveillance area
of Bangladesh (2011 and 2012)
5.7
2011 2012
Suicide
0.0
7.6
5.7
Road traffic
accedent
1.9
1.9
Violence
1.9
0.0
Fall
1.9
0.0
Falling
object
22.8
22.7
Drowning
1.9
0.0
Machine
Figure 11.8. Injury-related mortality rate per
100,000 population by cause among children
below 18 years in the surveillance area of
Bangladesh (2011 and 2012)
found in the surveillance area of Bangladesh
in 2011 and 2012. Drowning was the leading
killer of children below 18 years of age, claiming
about 23 lives per 100,000 people.
Figure 11.9 shows the injury-related mortality
0.0
3.8
Animal bite
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