scholarly journals Maternal exposure to Wenchuan earthquake and prolonged risk of offspring birth outcomes: a natural experiment study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Qiguo Lian ◽  
Jiaying Ni ◽  
Jun Zhang ◽  
Julian Little ◽  
Shan Luo ◽  
...  

Abstract Background The prolonged effects of disasters on reproductive outcomes among the survivors are less studied, and the findings are inconsistent. We examined the associations of maternal exposure to the 2008 Wenchuan earthquake years before conception with adverse birth outcomes. Methods We included 73,493 women who delivered in 96 hospitals in 24 provinces and autonomous regions from the 2015/16 China Labor and Delivery Survey. We weighted the multivariable logistic models based on the combination of coarsened exact matching (CEM) weight and survey weight, and performed sex-stratified analysis to test whether associations of maternal earthquake exposure with adverse birth outcomes (Stillbirth, preterm birth [PTB], low birthweight [LBW], and small for gestational age [SGA]) varied by sex. Results The bivariate models showed that the weighted incidence of each adverse birth outcome was higher in exposed group than unexposed group: stillbirth (2.00% vs. 1.33%), PTB (14.14% vs. 7.32%), LBW (10.82% vs. 5.76%), and SGA (11.32% vs. 9.52%). The multivariable models showed maternal earthquake exposure was only associated significantly with a higher risk of PTB in offspring among all births (adjusted risk ratio [aRR](95%CI):1.25(1.06–1.48), P = 0.010). The sex-stratified analysis showed the association was significant among male births (aRR (95%CI): 1.40(1.12–1.75),P = 0.002),but unsignificant among female births. The sensitivity analysis reported similar findings. Conclusions The 2008 Wenchuan earthquake exposure has a long-term effect on PTB. Maternal acute exposure to disasters could be a major monitor for long-term reproductive outcomes. More attention should be paid to the underlining reasons for disaster-related adverse birth outcomes.

2012 ◽  
Vol 12 (1) ◽  
pp. 201-216 ◽  
Author(s):  
Q. Xu ◽  
S. Zhang ◽  
W. L. Li ◽  
Th. W. J. van Asch

Abstract. From 12 to 14 August 2010, heavy rainstorms occurred in the Sichuan province in SW China in areas which were affected by the 2008 Wenchuan Earthquake, inducing catastrophic debris flows. This disaster is named as "the 8.13 debris flows". The results of the research presented in this paper show that the 8.13 debris flows are characterized by a simultaneous occurrence, rapid-onsets, destructive impacts, and disaster chain effects. They are located along the seismic fault, because the source materials mainly originate from loose deposits of landslides which were triggered by the Wenchuan Earthquake. The presence of large amounts of these loose materials on the slopes and the development of high intensity rainfall events are the main causes for the formation of these debris flows. The study of the 8.13 debris flows can provide a benchmark for the analysis of the long-term evolution of these debris flows in order to make proper engineering decisions. A flexible drainage system is proposed in this paper as a preventive measure to mitigate the increasing activity of these debris flows in the earthquake-affected area.


2012 ◽  
Vol 12 (5) ◽  
pp. 1381-1392 ◽  
Author(s):  
S. Zhang ◽  
L. M. Zhang ◽  
M. Peng ◽  
L. L. Zhang ◽  
H. F. Zhao ◽  
...  

Abstract. A Geographic Information System (GIS)-based quantitative risk assessment methodology was adopted to evaluate the risks of loose deposits formed by the 2008 Wenchuan earthquake along a highway near the epicenter. A total of 305 loose deposits with a total volume of 4.0 × 107 m3 has been identified. A physical model was used to determine the failure probability of these loose deposits under six rainfall scenarios, assuming the loose deposits as infinite slopes. The calculated probability of rain-induced slope failures is verified by the recorded landslides at the same site during a storm in 2010. Seventy-nine out of the 112 rain-induced loose deposit failures are predicted by the reliability analysis, with an accuracy of 71%. The results of reliability analysis and information on the consequence of these rain-induced landslides enable the estimation of the annual societal and individual risks of the loose deposits. Under the rainfall scenarios of 30 mm/12 h and 70 mm/12 h, the estimated annual societal risks reach 8.8 and 7.5, respectively, and the individual risks reach 0.05 and 0.04, respectively, which are very high compared with present risk acceptance criteria. The preliminary assessment provides a benchmark for studying the long-term risks of these loose deposits and engineering decision.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yunge Fan ◽  
Lili Guan ◽  
Hu Xiang ◽  
Xianmei Yang ◽  
Guoping Huang ◽  
...  

Abstract Background The current study examined the change in local government staff’s emotional distress over 7 years after the 2008 Wenchuan earthquake, and the influence of earthquake exposure and professional quality of life (ProQOL) on emotional distress. Methods This longitudinal study assessed 250 participants at 1 year after the earthquake; 162 (64.8%) were followed up at 7 years. Emotional distress was assessed with the Self-Reporting Questionnaire (SRQ) at both time points. We assessed ProQOL, including compassion satisfaction, burnout, and secondary traumatic stress, and earthquake exposure at 1 year. Wilcoxon signed-rank tests were performed to test longitudinal changes in emotional distress. Hierarchical multiple regression was conducted to examine the effect of earthquake exposure and ProQOL. Results The positive screening rate of emotional distress (SRQ ≥ 8) was 37.6 and 15.4% at one and 7 years, respectively. Emotional distress scores declined over time (p < 0.001). Earthquake exposure and ProQOL predicted one-year (ps < 0.05) but not seven-year emotional distress, whereas burnout predicted both one-year (p = 0.018) and seven-year (p = 0.047) emotional distress. Conclusions Although emotional distress can recover over time, it persists even 7 years later. Actions to reduce burnout during the early stage of post-disaster rescue have long-term benefits to staff’s psychological outcomes.


Author(s):  
Ane Bungum Kofoed ◽  
Laura Deen ◽  
Karin Sørig Hougaard ◽  
Kajsa Ugelvig Petersen ◽  
Harald William Meyer ◽  
...  

AbstractHuman health effects of airborne lower-chlorinated polychlorinated biphenyls (LC-PCBs) are largely unexplored. Since PCBs may cross the placenta, maternal exposure could potentially have negative consequences for fetal development. We aimed to determine if exposure to airborne PCB during pregnancy was associated with adverse birth outcomes. In this cohort study, exposed women had lived in PCB contaminated apartments at least one year during the 3.6 years before conception or the entire first trimester of pregnancy. The women and their children were followed for birth outcomes in Danish health registers. Logistic regression was performed to estimate odds ratios (OR) for changes in secondary sex ratio, preterm birth, major congenital malformations, cryptorchidism, and being born small for gestational age. We performed linear regression to estimate difference in birth weight among children of exposed and unexposed mothers. All models were adjusted for maternal age, educational level, ethnicity, and calendar time. We identified 885 exposed pregnancies and 3327 unexposed pregnancies. Relative to unexposed women, exposed women had OR 0.97 (95% CI 0.82, 1.15) for secondary sex ratio, OR 1.13 (95% CI 0.76, 1.67) for preterm birth, OR 1.28 (95% CI 0.81, 2.01) for having a child with major malformations, OR 1.73 (95% CI 1.01, 2.95) for cryptorchidism and OR 1.23 (95% CI 0.88, 1.72) for giving birth to a child born small for gestational age. The difference in birth weight for children of exposed compared to unexposed women was − 32 g (95% CI—79, 14). We observed an increased risk of cryptorchidism among boys after maternal airborne LC-PCB exposure, but due to the proxy measure of exposure, inability to perform dose–response analyses, and the lack of comparable literature, larger cohort studies with direct measures of exposure are needed to investigate the safety of airborne LC-PCB exposure during pregnancy


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