What have we learned? A review of the literature on children’s health and the environment in the Aral Sea area

Crighton, Eric; Barwin, Lynn; Small, Ian; Upshur, Ross

doi:10.1007/s00038-010-0201-0

Cited by 49 publications

(29 citation statements)

References 37 publications

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“…The dryness of this Lake has led to some harms and regional climate changes including salty dust exposure in inhabitants in the region. A similar environmental health disaster was previously reported from Aral Sea area bordering Kazakhstan and Uzbekistan in central Asia (3)(4)(5).…”

Section: Introductionsupporting

confidence: 82%

“…As in any epidemiological investigation, there might happen an ecological fallacy in the interpretation of association found in this study. However, some supporting data has similarly been reported from Aral Sea region in central Asia (3)(4)(5). Additionally, the time course and pathophysiological pattern of relation between asthma and environmental pollution (including salt pollution etc) is based on a similar physiological response of the body immune response to a particular foreign substance.…”

Section: Discussionmentioning

confidence: 70%

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The environmental health catastrophe in Urmia Lake and asthma disease: a cohort study

et al. 2019

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Background: Urmia Lake of Iran used to be the largest saltwater lake in the world. It has now disastrously shrunk to 10 percent of its previous size. This study aims to investigate the impact of this environmental catastrophe on the occurrence of asthma. Methods: The whole population of ten districts in the area were investigated in this retrospective cohort study: "Exposed group" in the neighbouring areas of the lake, "Not exposed group 1" with medium distance (65 km) from the lake, and "Not exposed group 2" with more than 160 km from the lake. Clinical diagnosis of asthma was performed by the family physicians in the whole population. Results: The occurrence risk of asthma in "Exposed group" was 1.85 times higher (CI95%: 1.1-3.0) than of "Not exposed group 1". The risk of disease, similarly, in "Exposed group" was 1.44 times more (CI95%: 0.9-2.3) when compared to "Not exposed group 2". Conclusion: The country and provincial authorities should consider this hazardous climate change in the region seriously before it becomes a harmful event for millions of people living in the area.

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Section: Introductionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 70%

The environmental health catastrophe in Urmia Lake and asthma disease: a cohort study

et al. 2019

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“…The health of the population is one of the most important resources of the state; it is an integral indicator and an objective criterion of the success of political, social, and economic reforms of any state [8,9].…”

Section: Literature Reviewmentioning

confidence: 99%

Assessment of the Health of the Younger Generation of the Population of the Aral Sea Region

Bakhtiyarova¹,

Zhaksymov²,

Kapysheva³

2019

Proceedings of the International Conference on Health and Well-Being in Modern Society (ICHW 2019)

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Data were obtained on the somatic health of schoolchildren in Kyzylorda (100 people) and rural schools-Syrdariya district (71 people) and Zhalagash district (114 people) located in the central part of the Aral Sea region. The weight, height, lung capacity, blood pressure, and heart rate were determined according to the health scale method. It is shown that only a third of high school students (18% of urban school students and 29% of rural schoolchildren) in the Aral Sea region have a high and above average level of health. More than 46% of urban schoolchildren and 36% of rural students showed an average level of health, the indicators of the remaining 35-36% of high school students corresponded to a low level of health. This state of health shows a high likelihood of developing chronic health disorders associated with functional insufficiency of the cardiovascular system (low levels of Robinson and Rufe indexes), lack of lung capacity (Quality of Life Index), underdevelopment of the muscular system and an increasing tendency to increase body fat components.

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“…Several published reports suggested the importance of access to safe water supply, environment, and sanitation for children's health in Central Asian countries 4,9,10 . The WHO reports that diarrhea is the leading cause of death among children under 5 in this region 9,11,12 , and this figure ranges from 4-5% in Kazakhstan and Kyrgyzstan to 9-10% in Tajikistan, Turkmenistan, and Uzbekistan [13][14][15][16][17] . Rotavirus infections, which cause severe gastroenteritis in children, lead to the death of 886 children annually in Kazakhstan, Kyrgyzstan, and Uzbekistan, suggesting that 1 in 1153 children in these Central Asian states is vulnerable to rotavirus-related death before the age of 5 10 .…”

mentioning

confidence: 99%

Spatial Distribution and Trends of Waterborne Diseases in Tashkent Province

Saravanan

Cho

Tan

et al. 2017

cajgh

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Introduction: The cumulative effect of limited investment in public water systems, inadequate public health infrastructure, and gaps in infectious disease prevention increased the incidence of waterborne diseases in Uzbekistan. The objectives of this study were:(1) to spatially analyze the distribution of the diseases in Tashkent Province, (2) to identify the intensity of spatial trends in the province, (3) to identify urban-rural characteristics of the disease distribution, and (4) to identify the differences in disease incidence between pediatric and adult populations of the province. Methods: Data on four major waterborne diseases and socio-demographics factors were collected in Tashkent Province from 2011 to 2014. Descriptive epidemiological methods and spatial-temporal methods were used to investigate the distribution and trends, and to identify waterborne diseases hotspots and vulnerable population groups in the province. Results: Hepatitis A and enterobiasis had a high incidence in most of Tashkent Province, with higher incidences in the eastern and western districts. Residents of rural areas, including children, were found to be more vulnerable to the waterborne diseases compared to other populations living in the province. Conclusions: This pilot study calls for more scientific investigations of waterborne diseases and their effect on public health in the region, which could facilitate targeted public health interventions in vulnerable regions of Uzbekistan.

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What have we learned? A review of the literature on children’s health and the environment in the Aral Sea area

Cited by 49 publications

References 37 publications

The environmental health catastrophe in Urmia Lake and asthma disease: a cohort study

The environmental health catastrophe in Urmia Lake and asthma disease: a cohort study

Assessment of the Health of the Younger Generation of the Population of the Aral Sea Region

Spatial Distribution and Trends of Waterborne Diseases in Tashkent Province

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