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Center for MCHEER

Health Impacts of a climate-change adaptation strategy to address drinking-water salinity in coastal Bangladesh

decorative - environment image
Duration 2016 – 2019
Budget £660,000
Project Leader Abu Mohammed Naser Titu
Sponsor Wellcome Trust, UK

Brief

Public Health Relevance Statement: Due to global climate change, many low-lying coastal delta regions across the world are experiencing seawater intrusion and drinking water salinity, which can lead to a potable water crisis. This study focused on designing and implementing a stepped-wedge cluster-randomized trial to assess the cardiovascular health benefits of water access from managed aquifer recharge systems in seawater intrusion-affected southwest coastal communities of Bangladesh.

Photo Gallery

Graph depicting the process of water collection for drinking water; picture of managed aquifer recharge station in a seawater intrusion-affected southwest coastal community of Bangladesh  
Managed aquifer recharge station in a seawater intrusion-affected southwest coastal community of Bangladesh.
  • Mukherjee N, Bartelli D, Patra C, Chauhan BV, Dowd SE, Banerjee P. Microbial diversity of source and point-of-use water in rural Haiti - A pyrosequencing-based metagenomic survey. PLoS ONE. 2016;11(12).
  • Rahman MJ, Parvez SM, Rahman M, He FJ, Cunningham SA, Narayan KV, Abedin J, Naser AM. Urinary sodium excretion and obesity markers among Bangladeshi adult population: pooled data from three cohort studies. Nutrients. 2022;14:3000.
  • Naser, A.M., et al., Sand Barriers around Latrine Pits Reduce Fecal Bacterial Leaching into Shallow Groundwater: A Randomized Controlled Trial in Coastal Bangladesh. Environmental Science & Technology, 2019. 53(4): p. 2105-2113.
  • Naser AM, Higgins EM, Arman S, Ercumen A, Ashraf S, Das KK, Rahman M, Luby SP and Unicomb L. Effect of groundwater iron on residual chlorine in water treated with sodium dichloroisocyanurate tablets in rural Bangladesh. The American Journal of Tropical Medicine and Hygiene. 2018;98:977-983
  • Luby SP, Rahman M, Arnold BF, Unicomb L, Ashraf S, Winch PJ, Stewart CP, Begum F, Hussain F, Benhamin-Chung J, Leontsini E, Naser AM, Parvez SM, Hubbard AE, et al. Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Bangladesh: a cluster randomised controlled trial. The Lancet Global Health 2018;6(3):e302-e15.
  • Naser AM, Unicomb L, Doza S, Ahmed KM, Rahman M, Uddin MN, Quraishi SB, Selim S, Shamsudduha M, Burgess W, Chang HH, Gribble MO, Clasen TF, and Luby SP. Stepped-wedge cluster-randomised controlled trial to assess the cardiovascular health effects of a managed aquifer recharge initiative to reduce drinking water salinity in southwest coastal Bangladesh: study design and rationale. BMJ Open 2017;7(9):e015205.
  • Naser AM, Rahman M, Unicomb L, Doza S, Ahmed KM, Uddin MN, Quraishi SB, Selim S, Gribble MO, Anand S, Clasen TF, Luby SPl. Drinking water salinity and kidney health in southwest coastal Bangladesh: baseline findings of a community-based stepped-wedge randomised trial. The Lancet  2017;389:S15.
  • Naser AM, Martorell R, Narayan K, et al. First Do No Harm: The Need to Explore Potential Adverse Health Implications of Drinking Rainwater. Environmental Science & Technology 2017;51(11):5865.
  • Naser AM, He FJ, Rahman M, Campbell NRC. Spot-urine formulas to estimate 24 hr urinary sodium excretion alter the dietary sodium blood pressure relationship. Hypertension. 77(6): 2127-2137
  • Naser AM, He FJ, Rahman M, Narayan KMV, Campbell NRC. Urinary sodium excretion and blood pressure relationship across methods of evaluating the completeness of 24-hour urine collections. Nutrients. 2020. 12(9): p. 2772.