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Diseases constituted 9 of all deaths among children <5 years old in 2015.4 Although the burden of diarrheal diseases is much lower in developed countries, it is an important public health problem in low- and middle-income countries because the disease is particularly dangerous for young children, who are more susceptible to dehydration and nutritional losses in those settings.5 In Bangladesh, the burden of diarrheal diseases is significant among children <5 years old.6 Global estimates of the mortality resulting from diarrhea have shown a steady decline since the 1980s. However, despite all advances in health technology, improved management, and increased use of oral rehydrationtherapy, diarrheal diseases are also still a leading cause of public health concern.7 Moreover, morbidity caused by diarrhea has not declined as rapidly as mortality, and global estimates remain at between 2 and 3 episodes of diarrhea annually for children <5 years old.8 There are several studies assessing the prevalence of childhood diarrhea in children <5 years of age. However, in Bangladesh, information on the age-specific prevalence rate of childhood diarrhea is still limited, although such studies are vital for informing policies and allowing international comparisons.9,10 Clinically speaking, diarrhea is an alteration in a normal bowel movement characterized by an increase in theInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh 2 University of Strathclyde, Glasgow, UK Corresponding Author: Abdur Razzaque Sarker, Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, 68, Shaheed Tajuddin Sarani, Dhaka 1212, Bangladesh. Email: [email protected] Commons Non Commercial CC-BY-NC: a0023781 This article is distributed below the terms on the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution in the perform devoid of additional permission supplied the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).2 water content material, volume, or frequency of stools.11 A reduce in consistency (ie, soft or liquid) and a rise in the frequency of bowel movements to three stools every day have EW-7197 site normally been made use of as a definition for epidemiological investigations. Depending on a community-based study point of view, diarrhea is defined as a minimum of 3 or additional loose stools inside a 24-hour Fluralaner period.12 A diarrheal episode is regarded as because the passage of 3 or additional loose or liquid stools in 24 hours prior to presentation for care, that is considered essentially the most practicable in young children and adults.13 On the other hand, prolonged and persistent diarrhea can last amongst 7 and 13 days and at least 14 days, respectively.14,15 The illness is highly sensitive to climate, showing seasonal variations in numerous websites.16 The climate sensitivity of diarrheal illness is constant with observations of the direct effects of climate variables on the causative agents. Temperature and relative humidity have a direct influence around the price of replication of bacterial and protozoan pathogens and on the survival of enteroviruses in the atmosphere.17 Overall health care journal.pone.0169185 looking for is recognized to be a result of a complicated behavioral course of action that is definitely influenced by various things, which includes socioeconomic and demographic and qualities, perceived have to have, accessibility, and service availability.Diseases constituted 9 of all deaths among children <5 years old in 2015.4 Although the burden of diarrheal diseases is much lower in developed countries, it is an important public health problem in low- and middle-income countries because the disease is particularly dangerous for young children, who are more susceptible to dehydration and nutritional losses in those settings.5 In Bangladesh, the burden of diarrheal diseases is significant among children <5 years old.6 Global estimates of the mortality resulting from diarrhea have shown a steady decline since the 1980s. However, despite all advances in health technology, improved management, and increased use of oral rehydrationtherapy, diarrheal diseases are also still a leading cause of public health concern.7 Moreover, morbidity caused by diarrhea has not declined as rapidly as mortality, and global estimates remain at between 2 and 3 episodes of diarrhea annually for children <5 years old.8 There are several studies assessing the prevalence of childhood diarrhea in children <5 years of age. However, in Bangladesh, information on the age-specific prevalence rate of childhood diarrhea is still limited, although such studies are vital for informing policies and allowing international comparisons.9,10 Clinically speaking, diarrhea is an alteration in a normal bowel movement characterized by an increase in theInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh 2 University of Strathclyde, Glasgow, UK Corresponding Author: Abdur Razzaque Sarker, Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, 68, Shaheed Tajuddin Sarani, Dhaka 1212, Bangladesh. Email: [email protected] Commons Non Commercial CC-BY-NC: a0023781 This article is distributed below the terms in the Inventive Commons Attribution-NonCommercial three.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution with the operate devoid of additional permission provided the original function is attributed as specified around the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).two water content material, volume, or frequency of stools.11 A reduce in consistency (ie, soft or liquid) and an increase within the frequency of bowel movements to three stools each day have typically been used as a definition for epidemiological investigations. Based on a community-based study point of view, diarrhea is defined as at the very least 3 or far more loose stools within a 24-hour period.12 A diarrheal episode is regarded as the passage of 3 or much more loose or liquid stools in 24 hours before presentation for care, that is considered essentially the most practicable in kids and adults.13 Even so, prolonged and persistent diarrhea can last involving 7 and 13 days and at the very least 14 days, respectively.14,15 The disease is very sensitive to climate, displaying seasonal variations in several web-sites.16 The climate sensitivity of diarrheal illness is consistent with observations with the direct effects of climate variables around the causative agents. Temperature and relative humidity possess a direct influence around the rate of replication of bacterial and protozoan pathogens and on the survival of enteroviruses within the environment.17 Health care journal.pone.0169185 searching for is recognized to be a result of a complex behavioral procedure that is definitely influenced by many variables, such as socioeconomic and demographic and qualities, perceived will need, accessibility, and service availability.

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