Abstract
Persuasive but scanty evidences from literature claim that climate change is linked with neonatal and adult Jaundice prevalence, especially in underdeveloped countries. This paper explored major environmental and household characteristics attributable to Jaundice prevalence in western Nepal. Cross-sectional dataset obtained from household survey are employed to obtain the results from probit regression model, adequately leveled with an econometric theory. The results reveal that heat wave, warmer winter temperature and sporadic rain are the potential environmental factors influencing Jaundice to be urgently addressed by the national agenda of adaptation program in western Nepal. Control in family size, construction of flushed toilet in each household, proper disposal of solid waste released from kitchen and setting habit of drinking boiled water are found the major household adaptation practices to be advocated along with environmental protection campaign for control of Jaundice prevalence in western Nepal. Henceforth, the recommendations are made for policymakers accordingly.
Highlights
Jaundice is a yellowing of skin, whites of eyes and body fluids caused by an increase in amount of bilirubin in blood produced from breakdown of heme, primarily from hemoglobin and red blood cells (Kumar and Bhowmik, 2011)
Liver metabolizes and excretes the bilirubin in the form of bile, Jaundice may result if there is a disruption in this normal metabolism of bilirubin (Slusher et al, 2017)
From the iterative process to identify the potential environmental factors, perception of increasing winter temperature, sporadic rain and heat wave are found significant to explain the variations of Jaundice prevalence in western Nepal (Table 2)
Summary
Jaundice is a yellowing of skin, whites of eyes and body fluids caused by an increase in amount of bilirubin in blood produced from breakdown of heme, primarily from hemoglobin and red blood cells (Kumar and Bhowmik, 2011). Liver metabolizes and excretes the bilirubin in the form of bile, Jaundice may result if there is a disruption in this normal metabolism of bilirubin (Slusher et al, 2017). This biological concept embraces internal metabolism in human body and precludes other physical endogenous and exogenous factors causing the Jaundice prevalence in rural communities of developing countries. Environmental factors such as air, water and climate change etc., are seemed responsible to affect Jaundice occurrence and its spread. Finding factors attributable to Jaundice occurrence, mostly ignored and poorly covered by few international studies but high prevalence among rural people of developing countries, could be an important research area
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