Evidence map›Paper›PMID 21909316›Full record

Trial reportInternational journal of environmental research and public health2011

Vulnerability of newborns to environmental factors: findings from community based surveillance data in Bangladesh.

Ishtiaq Mannan, Yoonjoung Choi, Anastasia J Coutinho, Atique I Chowdhury, Syed Moshfiqur Rahman, Habib R Seraji, Sanwarul Bari, Rasheduzzaman Shah, Peter J Winch, Shams El Arifeen and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. The Effect of High and Low Ambient Temperature on Infant Health: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Trial
  3. Article
  4. Narrative Review on Infants' Thermoregulatory Response to Heat.International journal of environmental research and public health · 2025
    Review
  5. Article
  6. Article
  7. Increasing global temperatures threaten gains in maternal and newborn health in Africa: A review of impacts and an adaptation framework.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Ishtiaq MannanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. ismannan@savechildren.org
Yoonjoung Choi
Anastasia J Coutinho
Atique I Chowdhury
Syed Moshfiqur Rahman
Habib R Seraji
Sanwarul Bari
Rasheduzzaman Shah
Peter J Winch
Shams El Arifeen
Gary L Darmstadt
Abdullah H Baqui
International Centre for Diarrhoeal Disease Research · BDJohns Hopkins University · USSave the Children · BD

Funding

Research Training on Infectious Diseases in Mothers and Children in BangladeshD43TW007587 · FIC · JOHNS HOPKINS UNIVERSITY · PI BAQUI, ABDULLAH HEL, BLACK, ROBERT E. · 2007 to 2017
$1.9M
FIC NIH HHS D43 TW007587
6 · The paper itself

Abstract

Infection is the major cause of neonatal deaths. Home born newborns in rural Bangladeshi communities are exposed to environmental factors increasing their vulnerability to a number of disease agents that may compromise their health. The current analysis was conducted to assess the association of very severe disease (VSD) in newborns in rural communities with temperature, rainfall, and humidity. A total of 12,836 newborns from rural Sylhet and Mirzapur communities were assessed by trained community health workers using a sign based algorithm. Records of temperature, humidity, and rainfall were collected from the nearest meteorological stations. Associations between VSD and environmental factors were estimated. Incidence of VSD was found to be associated with higher temperatures (odds ratios: 1.14, 95% CI: 1.08 to 1.21 in Sylhet and 1.06, 95% CI: 1.04 to 1.07 in Mirzapur) and heat humidity index (odds ratios: 1.06, 95% CI: 1.04 to 1.08 in Sylhet and, 1.03, 95% CI: 1.01 to 1.04 in Mirzapur). Four months (June-September) in Sylhet, and six months in Mirzapur (April-September) had higher odds ratios of incidence of VSD as compared to the remainder of the year (odds ratios: 1.72, 95% CI: 1.32 to 2.23 in Sylhet and, 1.62, 95% CI: 1.33 to 1.96 in Mirzapur). Prevention of VSD in neonates can be enhanced if these interactions are considered in health intervention strategies.

Indexed as

Severity of Illness IndexAlgorithmsBangladeshCluster AnalysisFemaleHumansHumidityIncidenceInfant, NewbornInfant, Newborn, DiseasesInfectionsLogistic ModelsMaleMultivariate AnalysisPopulation SurveillanceRainBangladeshcommunity health workersenvironmentheat humidity indexinfectionneonatalsepsis

Identifiers

PMID21909316
PMCPMC3166752
OpenAlexW1980013741

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.