Rohingya Camps Become Dengue Hotspots in Bangladesh — Global Issues

With the monsoon refugees in the cramped camps in Cox’s Bazar are expected to be impacted by an increase of dengue, which last year accounted for 1,283 cases in the Rohingya camps. Credit: Rafiqul Islam/IPS
  • by Rafiqul Islam (dhaka)
  • Inter Press Service

“A total of 1,066 dengue cases were reported in highly cramped refugee camps in Cox’s Bazar up to May 23 this year, while the case tally was only 426 among the local community there,” Dr Nazmul Islam, Director of Disease Control and Line of the Directorate General of Health Services (DGHS), said.

However, the latest data of the DGHS revealed that 1,283 people were infected with and 26 people died of dengue in the Rohingya camps and surrounding host community in Ukhiya and Teknaf upazilas of Cox’s Bazar from January 1 to June 6, 2023.

Nazmul said the dengue infection rate is highest in the Rohingya camps.

“Rohingya camps in Cox’s Bazar have the highest number of dengue patients. Last year, over 17,000 dengue patients were identified there. The number of dengue patients is so high this year, too,” he said.

Official data showed that dengue cases increased significantly in 2022 when the monsoon started. Experts fear the dengue situation will be more acute in the Rohingya camps during the monsoon this year.

Bangladesh witnessed its largest influx of Rohingya refugees in 2017 following a military crackdown in the Rakhine State of Myanmar. According to UNHCR, about 7,73,972 Rohingya people entered the country as refugees, totaling nearly 10 million with the previous influxes.

The forcibly displaced Rohingyas took shelter in overcrowded makeshift camps where they lacked access to civic amenities, including education, food, clean water, and proper sanitation, and also face natural disasters and infectious disease transmission.

“Most refugees have no adequate access to clean water, sanitary facilities, or healthcare. The monsoon season also poses a huge threat to thousands of Rohingya families living in makeshift shelters as dengue outbreak emerges in camps during the period,” said Ro Arfat, a Rohingya refugee.

Nazmul said Rohingya refugees live in a limited space in the camps where there is not enough scope to runoff rainwater, so stagnant water creates an enabling environment for the breeding Aedes mosquito, carrier of the dengue virus.

He said the risk of dengue infections climbs in densely populated areas. With the monsoon, the dengue situation could turn dangerous in the refugee camps.

Dr Iqbal Kabir, Professor and Director at the Climate Change and Health Promotion Unit, the Ministry of Health, Bangladesh, said in recent years, environmental changes have been markedly observed throughout the globe, and there is no exception in Bangladesh.

“The nature of the Aedes mosquito is that it must bite five humans to suck blood as per its demand, and an Aedes mosquito lays more than 200 eggs a time. Once they get suitable humidity and temperature, mosquito breeding occurs,” Kabir said.

He observed that dengue spreads very fast, but the authorities have not controlled dengue infections in the highly-crowded refugee camps in Cox’s Bazar.

During the monsoon, Bangladesh experiences spikes in dengue outbreaks. In 2022, 17 refugees died from dengue infections in Rohingya camps.

Despite having a high dengue infection rate in the camps, lack of awareness about the virus and the absence of prompt diagnosis of the disease make the Rohingya refugees more vulnerable.

“An Aedes mosquito can infect many within seconds, and keeping densely populated refugee camps safe from mosquitoes is really difficult. So there is a high possibility of a severe outbreak in the refugee camps,” said Mahbubur Rahman, Civil Surgeon, and Chief Health Officer for Cox’s Bazar.

Urgent Action Needed

The burden of dengue is related to the changes in rainfall patterns. The rainfall pattern has been changed. Pre-monsoon erratic rainfall is linked with the increase of vectors.

Unusual rainfall occurred in Cox’s Bazar area earlier this year, triggering dengue outbreaks in the camps.

Kabir said the dengue national guideline should be revisited to check dengue outbreaks across the country, including Rohingya camps.

He suggested launching a crash programme to prevent dengue infections in Rohingya camps; if clustering could be ensured, it would be easy to deal with the dengue situation there.

Golam Rabbani, head of BRAC’s Climate Bridge Fund, said the Bangladesh government should initiate research and increase the authorities’ capacity to tackle any future outbreak of dengue in the country.

He says the Department of Public Health and the DGHS should identify dengue as one of the most climate-sensitive diseases and improve their disease profile, suggesting the government initiate investment and policy interventions to address the dengue in Bangladesh.

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Women Advocates for Harvesting Rainwater in Salinity-Affected Coastal Bangladesh — Global Issues

Lalita Roy now has access to clean water and also provides a service to her community by working as a pani apa (water sister), looking after the community’s rainwater harvesting plants. Credit: Rafiqul Islam/IPS
  • by Rafiqul Islam (khulna, bangladesh)
  • Inter Press Service

“In the past, there was a scarcity of drinking water. I had to travel one to two kilometers distance each day to bring water,” Roy, a resident of Bajua Union under Dakope Upazila in Khulna, told IPS.

She had to collect water standing in a queue; one water pitcher was not enough to meet her daily household demand.

“We require two pitchers of drinking water per day. I had to spend two hours each day collecting water. So, there were various problems. I had health complications, and I was unable to do household work for lack of time,” she said.

After getting a rainwater harvesting plant from the Gender-response Climate Adaptation (GCA) Project, which is being implemented by United Nations Development Programme (UNDP), Roy is now collecting drinking water using the rainwater harvesting plant, which makes her life easier.

“I am getting the facilities, and now I can give two more hours to my family… that’s why I benefited,” she added.

Shymoli Boiragi, another beneficiary of Shaheber Abad village under Dakope Upazila, said women in her locality suffered a lot in collecting drinking water in the past because they had to walk one to three kilometers every day to collect water.

“We lost both time and household work. After getting rainwater harvesting plants, we benefited. Now we need not go a long distance to collect water so that we can do more household work,” Boiragi said.

Shymoli revealed that coastal people suffered from various health problems caused by consuming saline water and spent money on collecting the water too.

“But now we are conserving rainwater during the ongoing monsoon and will drink it for the rest of the year,” she added.

THE ROLE OF PANI APAS

With support from the project, rainwater harvesting plants were installed at about 13,300 households under 39 union parishads in Khunla and Satkhira. One pani apa (water sister) has been deployed in every union from the beneficiaries.

Roy, now deployed as a pani apa, said the GCA project conducted a survey on the households needing water plants and selected her as a pani apa for two wards.

“As a pani apa, I have been given various tools. I go to every household two times per month. I clean up their water tanks (rainwater plants) and repair those, if necessary,” he added.

Roy said she provides services for 80 households having rainwater harvesting plants, and if they have any problem with their water tanks, she goes to their houses to repair plants.

“I go to 67 households, which have water plants, one to two times per month to provide maintenance services. If they call me over the cellphone, I also go to their houses,” said Ullashini Roy, another pani apa from Shaheber Abad village.

She said a household gives her Taka 20 per month for her maintenance services while she gets Taka 1,340 (US$ 15) from 67 households, which helps her with family expenses.

Ahoke Kumar Adhikary, regional project manager of the Gender-Response Climate Adaptation Project, said it supported installing rainwater harvesting plants at 13,300 households. Each plant will store 2,000 liters of rainwater in each tank for the dry season.

The water plants need maintenance, which is why the project has employed pani apas for each union parishad (ward or council). They work at a community level on maintenance.

“They provide some services, and we call them pani apas. The work of pani apas is to go to every household and provide the services,” Adhikary said.

He said the pani apas get Taka 20 from every household per month for providing their services, and if they need to replace taps or filters of the water plants, they replace those.

The pani apas charge for the replacements of equipment of the water plants, he added.

NO WATER TO DRINK

The coastal belt of Bangladesh is one of the most vulnerable areas to climate change as it is hit hard by cyclones, floods, and storm surges every year, destroying its freshwater sources. The freshwater aquifer is also being affected by salinity due to rising sea levels.

Ullashini Roy said freshwater was unavailable in the coastal region, and people drinking water was scarce.

“The water you are looking at is saline. The underground water is also salty. The people of the region cannot use saline water for drinking and household purposes,” Adhikary said.

Ahmmed Zulfiqar Rahaman, hydrologist and climate change expert at Dhaka-based think-tank Center for Environmental and Geographic Information Services (CEGIS), said if the sea level rises by 50 centimeters by 2050, the surface salinity will reach Gopalganj and Jhalokati districts – 50 km inside the mainland from the coastal belt, accelerating drinking water crisis there.

PUBLIC HEALTH AT RISK

According to a 2019 study, people consuming saline water suffer from various physical problems, including acidity, stomach problems, skin diseases, psychological problems, and hypertension.

It is even being blamed for early marriages because salinity gradually changes girls’ skin color from light to gray.

“There is no sweet water around us. After drinking saline water, we suffered from various waterborne diseases like diarrhea and cholera,” Ullashini said.

Hypertension and high blood pressure are common among coastal people. The study also showed people feel psychological stress caused by having to constantly collect fresh water.

Shymoli said when the stored drinking water runs out in any family; the family members get worried because it’s not easy to collect in the coastal region.

SOLUTIONS TO SALINITY

Rahaman said river water flows rapidly decline in Bangladesh during the dry season, but a solution needs to be found for the coastal area.

The hydrologist suggested a possible solution is building more freshwater reservoirs in the coastal region through proper management of ponds at a community level.

Rahaman said low-cost rainwater harvesting technology should be transferred to the community level so that coastal people can reserve rainwater during the monsoon and use this during the dry season.

He added that the government should provide subsidies for desalinization plants since desalinizing salt water is costly.

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Bangladesh Plans to Launch Toll-free SMS Flood Warning — Global Issues

Farmers in Bangladesh would welcome an early warning system that does not rely on smartphones. Authorities and devising an SMS service after devastating floods killed many people and destroyed harvests. Credit: Rafiqul Islam/IPS
  • by Rafiqul Islam (dhaka)
  • Inter Press Service

“Flood is very common in the char areas during the monsoon. Despite that, I sowed jute seeds on the char. This year, the flood hit our locality too early, damaging my jute field,” he said.

Ziaur said his jute field was almost mature and could have been harvested within a couple of weeks, but the sudden deluge damaged it.

“I did not get flood forecast in time, and that was why I failed to harvest jutes, incurring a heavy loss this year,” he said.

Like Zillur, many farmers lost their crops to the devastating flood that swept Bangladesh’s northeast and northwestern regions in June this year.

According to Bangladesh Agriculture Minister Dr Abdur Razzaque, floods damaged Aus (a type of rice) paddies of around 56,000 hectares across the country this year.

The Flood Forecasting and Warning Centre (FFWC) under Bangladesh Water Development Board (BWDB) issues daily flood bulletins and warnings, but the people living in remote and vulnerable areas hardly benefit because they do not have the proper technology.

Under the digital flood forecasting and warning system introduced in 2021, the FFWC issues flood warnings to the people living in flood-prone areas through ‘Google push notifications’ three days to three hours before a flood hits.

To receive flood warnings, people need an android mobile phone. The notifications are sent to these devices through a Google alert between three days and three hours before the onset of a flood, depending on the system’s predictive capacity.

BWDB, in collaboration with tech-giant Google and Bangladesh Red Crescent Society, developed the system, which is now functional in the 55 districts of the country.

Sarder Udoy Raihan, an FFWC sub-divisional engineer, said the BWBD has available data on floods and sends those to Google.

Google improved flood mapping using its topographical data and sends ‘push flood notifications’ to those living in flood-prone areas.

While this system has been helpful, many people living in remote chars and flood-prone areas do not have access to smartphones and the internet, so they don’t receive digital flood warnings.

BWDB has decided to launch a toll-free SMS service containing flood-related messages and information, said officials at BWDB.

The BWDB, a2i, Google, International Red Cross and Red Crescent Societies have already started a collaboration to reach the flood warnings and information at the doorsteps of the people living in the country’s flood-prone areas through toll-free mobile SMS service. This will enable them to take measures to protect their properties before a flood hits.

FFWC executive engineer Arifuzzaman Bhuyan said talks continue with the stakeholders concerned, including Bangladesh Telecommunication Regulatory Commission (BTRC), to introduce the SMS service.

“Introduction of the SMS flood alert service depends on the BTRC as there is an issue of cost involvement,” he said, hoping that the BWDB would be able to launch the SMS service in the next season.

Once the toll-free SMS service is introduced, mobile phone users living in flood zones will be identified using their cellphone tower ping, and SMS will be sent to them containing information on the rise or fall of river water level, severity of flood and details of the nearest shelter.

Raihan said it would be possible to send around 36 million SMS per year through mobile phone operators if flood warnings could be sent to people through SMS.

Sardar Mohammad Shah-Newaz, a former director of Flood Division at Dhaka-based think tank, Institute of Water Modelling (IWM), said if the flood forecast were not appropriately disseminated to those living in flood-prone areas, it wouldn’t help.

“Almost all people of the country use mobile phones. If the flood warnings could reach the people living in flood-prone zones through toll-free mobile SMS, they would be able to take precautionary measures to save their properties and minimise their loss and damage to this end,” he said.

Suggesting automation of the flood forecasting system in Bangladesh, Shah-Newaz said the BWDB could introduce the SMS service, and it should launch the service as soon as possible.

Deluge is a common phenomenon in Bangladesh. During every monsoon, flood hits different parts of the country, causing a huge loss of lives and assets.

Due to heavy precipitation upstream in India’s northeast states, Bangladesh experienced devastating floods in its northwestern districts and Sylhet division, leaving millions of people stranded and triggering a humanitarian crisis.

According to the Directorate General of Health Services (DGHS), the death toll from this year’s floods has reached 123 in the country. The total deaths were recorded from May 17 to July 17 in 2022.

Of the total deceased, 69 people died in Sylhet, while 41 in Mymensingh, 12 in Rangpur and one in Dhaka.

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Bangladesh Flood Victims Cry for Relief — Global Issues

Relief workers bring supplies to stranded communities following devastating floods in Bangladesh. Credit: Rafiqul Islam/IPS
  • by Rafiqul Islam (dhaka)
  • Inter Press Service

“As the flood damaged all our belongings, my husband took us to Dasgaon Naogaon School shelter centre to escape,” Joynaba said. “I was in the final stages of my pregnancy, and that is why I had no alternative to going to the shelter centre amid this disaster. I was scared, and my husband took me here by boat.”

Joynaba gave birth to a baby girl at the centre last Friday, and she was happy to welcome the new family member, but she did not know how they would survive.

After giving birth to her child, she has been feeling ill but hasn’t any money for treatment, resulting in her newborn child not getting enough breast milk.

When the flooding stopped in the Gowainghat area, she returned to her homestead but found nothing remained as the flood washed away all their belongings.

“My husband had an auto-rickshaw. The flood washed it away too,” Joynaba said.

They built a makeshift shelter with tin sheets and installed a temporary cooking stove at their homestead. But they don’t have enough grain to cook.

“We have only four kilograms of rice and 250 grams of pulses, and one kilogram of potato that we got as relief at the cyclone centre. Once those are finished, we all have to be starving,” she said.

Seventy-year-old farmer, Suruj Ali’s house, was also flooded, and he, with his family members, took shelter at a building which is under construction located nearby his village. He also shifted his domestic cattle.

Eight days after they took shelter, Suruj Ali returned home on Friday. While the floodwater has receded from his house, the homestead’s yard is still under water.

“In front of my eyes, the flood washed away all the rice stored, and cattle feeds (like straw). I could do nothing. I was only able to save my cattle,” said Suruj Ali, a resident of Kaskalika Balaura village at Sylhet Sadar upazila.

The floodwaters have made him destitute, he said. All the rice stored in the house, utensils and even his mattress were washed away.

“I know a dark time (crisis) is waiting for my family and me. We are yet to get any aid,” Suruj Ali said.

Reports from the region say 2,500 millimetres of rainfall in the upstream Assam and Meghalaya of India over three days in the middle of June this year, resulting in floods in Bangladesh’s northeastern region. Many blame climate change for the floods affecting several million across the country.

In Netrakona district, over 554000 families have been affected by the floods in 10 upazilas (administrative regions). Some families have already returned home from shelters as floodwater recedes. But there are still about 112000 people in 353 shelters.

Mozammel Haque, chairman of Pogla Union Parishad (UP), Netrakona, said the official relief provided by the government was inadequate, while over half a million families were affected in the upazila.

The flood situation is improving in Sunamganj and Sylhet, but many homesteads are still under water.

“The water is still waist level in my home, so there was no way to return. All the goods in the house were destroyed,” said Idris Ali, who is staying at the Ikarachai Primary School shelter centre in Sunamganj.

Boats Rushing In Relief

Although the flood has started improving in the northeastern region, many families stuck in the remote haor (wetland) areas are still experiencing a food and drinking water crisis.

“In the remote bordering area in Sunamganj, many were calling for relief. We were taking boats with relief goods for them, but that was not adequate,” said AR Tareq, a volunteer group member involved in relief distribution in Sunamganj.

Bashir Miah, a resident of Darampasha in Sumamganj, said those on the main road received assistance, but few volunteers want to go to remote areas, which is why they are not accessing the relief.

Rajesh Chandro Ghosh, the coordinator of Low Cost Tour Bangladesh, another volunteer group that distributed relief in Sylhet, said: “We have distributed some relief goods under a private arrangement and saw how hopeless the flood victims’ situation is. They need more relief, particularly for those who are living in remote areas.”

But Sylhet Deputy Commissioner Mujibur Rahman told reporters there was no relief crisis.

“Flood situation is getting back normal in Sunamganj gradually. And we are carrying out relief distribution programme too,” Sunamganj Deputy Commissioner Jahangir Alam said.

However, Nurul Haque, convener of Jagannathpur Upazila Citizens Forum, said the pace of relief distribution was slow despite the government allocations, while a lack of coordination meant many were not receiving help.

The government has already allocated over Taka 7.11 crore (about 765 000 US dollars) as humanitarian assistance for the flood victims in 14 flood-hit districts, said Md Selim Hossain, Deputy Chief Information Officer at Disaster Management and Relief Ministry.

Besides, he said 5,820 metric tonnes of rice, 1.23 food packets and baby food. Cattle feed was also allocated across the country.

Waterborne Diseases on the Rise

Bangladesh’s death toll from the flood was estimated at least 84, according to the Health Emergency and Control Room of the Directorate General of Health Services (DGHS).

Most died in floods from May 17 to June 26 in Sylhet, Mymensingh and Rangpur divisions. The most casualties occurred in the Sylhet division, with 52 deaths, while 28 people died in Mymensingh and four in Rangpur.

Diarrhoea outbreak has been reported in these flood-hit districts. Around 6,000 people have been diagnosed with waterborne diseases across the country, according to the DGHS data.

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