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      Neonatal and child health crises due to recent floods in Pakistan

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          Abstract

          Neonates and children are more vulnerable to the negative impact of flood-related changes and may have a variety of detrimental negative impacts on their health. They are more prone to get various infectious diseases. They are also more vulnerable to malnutrition during floods. Flooding limits access to clean water as sewage overflows and contaminates nearby water sources. The polluted setting in the flood-affected area makes it difficult to ensure the hygiene of feeding equipment used to prepare infant formula. Breastfeeding may also become less effective due to the lack of privacy for women to breastfeed their kids while living in temporary shelters with other flood victims. In addition, milk production decreases and might even cease due to mothers’ reduced food intake and increased stress levels. Flooding may also cause supplemental feeding to deteriorate. The mothers and other primary caregivers usually lack the resources in affected areas to prepare supplemental diets for their kids, which further harm the babies. There is mounting evidence that children are more likely to develop clogged noses, itchy eyes, hoarseness, skin complications, and sneezing while living in humid areas.

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          Most cited references7

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          The impact of climate change on child health.

          Human activity has contributed to climate change. The relationship between climate and child health has not been well investigated. This review discusses the role of climate change on child health and suggests 3 ways in which this relationship may manifest. First, environmental changes associated with anthropogenic greenhouse gases can lead to respiratory diseases, sunburn, melanoma, and immunosuppression. Second, climate change may directly cause heat stroke, drowning, gastrointestinal diseases, and psychosocial maldevelopment. Third, ecologic alterations triggered by climate change can increase rates of malnutrition, allergies and exposure to mycotoxins, vector-borne diseases (malaria, dengue, encephalitides, Lyme disease), and emerging infectious diseases. Further climate change is likely, given global industrial and political realities. Proactive and preventive physician action, research focused on the differential effects of climate change on subpopulations including children, and policy advocacy on the individual and federal levels could contain climate change and inform appropriate prevention and response.
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            Flooding: what is the impact on pregnancy and child health?

            Floods are the most common type of natural disaster in both developed and developing countries and have led to extensive morbidity and mortality throughout the world. Worldwide, over the past 30 years, flooding has claimed the lives of more than 200,000 people and affected more than 2.8 billion others. The impact of flooding on health varies among populations and depends primarily on vulnerability and the kind of event experienced. It severely disrupts livelihoods and has a significant impact on the health of pregnant women and children. In addition, it may exacerbate a range of negative psychological and physiological child and reproductive health outcomes. Awareness-raising, education, and the issuing of warnings appear to be key initiatives to mitigate or prevent flood morbidity and mortality, especially among people living in low- and middle-income countries. Agencies responding to emergencies also need to be more cognisant of the dangers, specifically those engaged in healthcare, nutrition, and water safety programmes.
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              Impact of flooding on feeding practices of infants and young children in Dhaka, Bangladesh Slums: what are the coping strategies?

              Previous research has shown that urban slums are hostile environments for the growth of infants and young children (IYC). Flooding is a hazard commonly found in Dhaka slums (Bangladesh) which negatively impacts IYC's nutritional and health status. This paper aims 1) to identify the impact of flooding on IYC's feeding practices, and 2) to explore the coping strategies developed by caregivers. Qualitative data (participant observation and semi‐structured interviews) and quantitative data (household questionnaire and anthropometric measurements) collected in slums in Dhaka ( n  = 18 mothers, n  = 5 community health workers, and n  = 55 children) were analysed. The subjects of the interviews were mothers and Bangladesh Rural Advancement Committee (BRAC) community health workers living and working in the slums. Research findings showed that breastfeeding and complementary feeding practices for IYC were poor and inappropriate due to lack of knowledge, time, and resources in normal times and worse during flooding. One coping strategy developed by mothers purposely to protect their IYC's nutritional status was to decrease their personal food intake. Our research findings suggest that mothers perceived the negative impact of flooding on their IYC's nutritional health but did not have the means to prevent it. They could only maintain their health through coping strategies which had other negative consequences. The results suggests a holistic approach combining 1) provision of relief for nutritionally vulnerable groups during flooding, 2) support to mothers in their working role, 3) breastfeeding counseling and support to lactating mothers with difficulties, and 4) preventing malnutrition in under 2 year old children.
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                Author and article information

                Contributors
                Journal
                Ann Med Surg (Lond)
                Ann Med Surg (Lond)
                Annals of Medicine and Surgery
                Elsevier
                2049-0801
                09 November 2022
                December 2022
                09 November 2022
                : 84
                : 104837
                Affiliations
                [1]Department of Medicine, Khairpur Medical College, Khairpur Mir's, Pakistan
                [2]Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan
                [3]Department of Medicine, King Edward Medical University, Lahore, Pakistan
                [4]Department of Medicine, Karachi Medical and Dental College, Karachi, Pakistan
                [5]Department of Liver Transplantation, Pir Abdul Qadir Shah Institute of Medical Sciences, Gambat, Pakistan
                Author notes
                []Corresponding author. Department Of Medicine, Khairpur Medical College, Khairpur Mir's, Pakistan. Sidhantochani1@ 123456gmail.com
                Article
                S2049-0801(22)01597-7 104837
                10.1016/j.amsu.2022.104837
                9661380
                36387957
                306f4eae-ee8d-4ab4-a3d3-5bbf5a3eca81
                © 2022 The Authors

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 19 September 2022
                : 30 October 2022
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