Diseases constituted 9 of all deaths among children <5 years old in 2015.4 Although the burden of diarrheal diseases is much lower in developed countries, it is an important public health problem in low- and middle-income countries because the disease is particularly dangerous for young children, who are more susceptible to dehydration and nutritional losses in those settings.5 In Bangladesh, the burden of diarrheal diseases is significant among children <5 years old.6 Global estimates of the mortality resulting from diarrhea have shown a steady decline since the 1980s. However, despite all advances in health technology, improved management, and increased use of oral rehydrationtherapy, diarrheal diseases are also still a leading cause of public health concern.7 Moreover, morbidity caused by diarrhea has not declined as rapidly as mortality, and global estimates remain at between 2 and 3 episodes of diarrhea annually for children <5 years old.8 There are several studies assessing the prevalence of childhood diarrhea in children <5 years of age. However, in Bangladesh, information on the age-specific prevalence rate of childhood diarrhea is still limited, although such studies are vital for informing policies and allowing international comparisons.9,10 Clinically speaking, diarrhea is an alteration in a normal bowel movement characterized by an increase in theInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh 2 University of Strathclyde, Glasgow, UK Corresponding Author: Abdur Razzaque Sarker, Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, 68, Shaheed Tajuddin Sarani, Dhaka 1212, Bangladesh. Email: [email protected] Commons Non Commercial CC-BY-NC: a0023781 This article is distributed beneath the terms of your Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution from the operate devoid of additional permission offered the original operate is attributed as specified around the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).2 water content material, volume, or frequency of stools.11 A decrease in consistency (ie, soft or liquid) and a rise in the frequency of bowel movements to three stools every day have generally been utilised as a definition for epidemiological investigations. Based on a community-based study viewpoint, diarrhea is defined as a minimum of three or extra loose stools inside a 24-hour period.12 A diarrheal episode is considered because the passage of three or extra loose or liquid stools in 24 hours prior to presentation for care, which can be viewed as essentially the most practicable in kids and adults.13 On the other hand, prolonged and persistent diarrhea can last among 7 and 13 days and at the least 14 days, respectively.14,15 The disease is very sensitive to climate, order JNJ-7777120 showing seasonal variations in quite a few sites.16 The climate sensitivity of diarrheal illness is constant with observations on the direct effects of climate variables around the causative agents. Temperature and relative humidity possess a direct influence on the price of replication of bacterial and protozoan pathogens and on the survival of enteroviruses within the environment.17 Wellness care journal.pone.0169185 searching for is recognized to become a result of a complex behavioral method that is definitely influenced by many factors, such as socioeconomic and demographic and qualities, perceived require, accessibility, and service availability.Diseases constituted 9 of all deaths among children <5 years old in 2015.4 Although the burden of diarrheal diseases is much lower in developed countries, it is an important public health problem in low- and middle-income countries because the disease is particularly dangerous for young children, who are more susceptible to dehydration and nutritional losses in those settings.5 In Bangladesh, the burden of diarrheal diseases is significant among children <5 years old.6 Global estimates of the mortality resulting from diarrhea have shown a steady decline since the 1980s. However, despite all advances in health technology, improved management, and increased use of oral rehydrationtherapy, diarrheal diseases are also still a leading cause of public health concern.7 Moreover, morbidity caused by diarrhea has not declined as rapidly as mortality, and global estimates remain at between 2 and 3 episodes of diarrhea annually for children <5 years old.8 There are several studies assessing the prevalence of childhood diarrhea in children <5 years of age. However, in Bangladesh, information on the age-specific prevalence rate of childhood diarrhea is still limited, although such studies are vital for informing policies and allowing international comparisons.9,10 Clinically speaking, diarrhea is an alteration in a normal bowel movement characterized by an increase in theInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh 2 University of Strathclyde, Glasgow, UK Corresponding Author: Abdur Razzaque Sarker, Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, 68, Shaheed Tajuddin Sarani, Dhaka 1212, Bangladesh. Email: [email protected] Commons Non Commercial CC-BY-NC: a0023781 This article is distributed below the terms on the Creative Commons Attribution-NonCommercial three.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution of the operate without the need of further permission offered the original work is attributed as specified around the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).2 water content, volume, or frequency of stools.11 A lower in consistency (ie, soft or liquid) and an increase within the frequency of bowel movements to 3 stools each day have typically been made use of as a definition for epidemiological investigations. Based on a community-based study viewpoint, diarrhea is defined as a minimum of three or extra loose stools inside a 24-hour period.12 A diarrheal episode is deemed as the passage of 3 or far more loose or liquid stools in 24 hours IPI549 before presentation for care, which can be regarded the most practicable in kids and adults.13 Nonetheless, prolonged and persistent diarrhea can last among 7 and 13 days and no less than 14 days, respectively.14,15 The disease is highly sensitive to climate, displaying seasonal variations in various web pages.16 The climate sensitivity of diarrheal disease is consistent with observations in the direct effects of climate variables on the causative agents. Temperature and relative humidity possess a direct influence on the price of replication of bacterial and protozoan pathogens and around the survival of enteroviruses in the environment.17 Wellness care journal.pone.0169185 seeking is recognized to be a outcome of a complex behavioral process which is influenced by quite a few things, such as socioeconomic and demographic and traits, perceived have to have, accessibility, and service availability.
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