Abstract
Malaria occurrence in the Chittagong Hill Tracts in Bangladesh varies by season and year, but this pattern is not well characterized. The role of environmental conditions on the occurrence of this vector-borne parasitic disease in the region is not fully understood. We extracted information on malaria patients recorded in the Upazila (sub-district) Health Complex patient registers of Rajasthali in Rangamati district of Bangladesh from February 2000 to November 2009. Weather data for the study area and period were obtained from the Bangladesh Meteorological Department. Non-linear and delayed effects of meteorological drivers, including temperature, relative humidity, and rainfall on the incidence of malaria, were investigated. We observed significant positive association between temperature and rainfall and malaria occurrence, revealing two peaks at 19 °C (logarithms of relative risks (logRR) = 4.3, 95% CI: 1.1–7.5) and 24.5 °C (logRR = 4.7, 95% CI: 1.8–7.6) for temperature and at 86 mm (logRR = 19.5, 95% CI: 11.7–27.3) and 284 mm (logRR = 17.6, 95% CI: 9.9–25.2) for rainfall. In sub-group analysis, women were at a much higher risk of developing malaria at increased temperatures. People over 50 years and children under 15 years were more susceptible to malaria at increased rainfall. The observed associations have policy implications. Further research is needed to expand these findings and direct resources to the vulnerable populations for malaria prevention and control in the Chittagong Hill Tracts of Bangladesh and the region with similar settings.
Highlights
Malaria, a febrile life-threatening illness, caused by the malaria parasites transmitted primarily by the vector Anopheles mosquitoes [1], is endemic in Bangladesh [2]
We aimed to investigate the association between climatic variability and the occurrence of malaria in south-eastern Chittagong Hill Tract district Rangamati in Bangladesh
When we looked at the meteorological-malaria association between males and females, temperature had a stronger association with malaria incidence in females compared to males (logRR = −0.4), especially at the 90th percentile (28.7 ◦ C)
Summary
We aimed to investigate the association between climatic variability and the occurrence of malaria in south-eastern Chittagong Hill Tract district Rangamati in Bangladesh
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