Epidemiology of tornado destruction in rural northern Bangladesh: Risk factors for death and injury

Jonathan D. Sugimoto, Alain B. Labrique, Salahuddin Ahmad, Mahbubur Rashid, Abu Ahmed Shamim, Barkat Ullah, Rolf D.W. Klemm, Parul Christian, Keith P. West

Research output: Contribution to journalArticlepeer-review


The epidemiology of tornado-related disasters in the developing world is poorly understood. An August 2005 post-tornado cohort study in rural Bangladesh identified elevated levels of death and injury among the elderly (≥ 60 years of age) (adjusted odds ratio (AOR) = 8.9 (95 per cent confidence interval (CI): 3.9-20.2) and AOR = 1.6 (95 per cent CI: 1.4-1.8), respectively), as compared to 15-24 year-olds, and among those outdoors versus indoors during the tornado (AOR = 10.4 (95 per cent CI: 5.5-19.9) and AOR = 6.6 (95 per cent CI: 5.8-7.5), respectively). Females were 1.24 times (95 per cent CI: 1.15-1.33) more likely to be injured than males. Elevated risk of injury was significantly associated with structural damage to the house and tin construction materials. Seeking treatment was protective against death among the injured, odds ratio = 0.08 (95 per cent CI: 0.03-0.21). Further research is needed to develop injury prevention strategies and to address disparities in risk between age groups and between men and women.

Original languageEnglish (US)
Pages (from-to)329-345
Number of pages17
Issue number2
StatePublished - Apr 2011


  • Bangladesh
  • Casualty
  • Children
  • Elderly
  • Epidemiology
  • Mortality
  • Natural disaster
  • Tornado
  • Trauma
  • Women

ASJC Scopus subject areas

  • Social Sciences(all)
  • Earth and Planetary Sciences(all)


Dive into the research topics of 'Epidemiology of tornado destruction in rural northern Bangladesh: Risk factors for death and injury'. Together they form a unique fingerprint.

Cite this