A recent study published in Science Advances reveals that tropical cyclones in low- and middle-income countries have led to a significant increase in infant mortality during the early 21st century.
The study examined approximately 1.7 million child records from countries like Madagascar, India, Bangladesh, Cambodia, the Philippines, the Dominican Republic, and Haiti, showing an average 11% rise in infant mortality rates following cyclone exposure.
Unexpectedly, factors such as reduced prenatal care access and worsening nutrition did not correlate with the heightened infant mortality post-storm, prompting further investigation into indirect mechanisms.
The rise in infant mortality was most pronounced in the first year after a storm, emphasizing the crucial window surrounding birth for interventions to prevent fatal outcomes.
Both powerful hurricanes and less intense tropical storms were found to impact infant mortality, with the latter posing a significant concern due to their higher frequency.
Geographically, countries like Bangladesh, Haiti, and the Dominican Republic experienced substantial increases in infant deaths per 1,000 births compared to more resistant nations such as India, the Philippines, Cambodia, and Madagascar.
Factors like topography, disaster preparedness, housing quality, and baseline health conditions contribute to the varied impact of tropical cyclones on infant mortality across different regions.
The study underscores the importance of understanding the interplay between environmental shocks and health vulnerabilities for targeted public health responses and policy interventions.
Further research is needed to identify the specific pathways driving post-cyclone infant mortality trends beyond traditional factors like healthcare access and nutrition.
The collaborative research effort involved institutions like RAND Corporation, Stanford University, and Johns Hopkins University, emphasizing a data-driven approach to address the implications of climate change on human health.