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 short article is distributed under the terms on the Inventive Commons Attribution-NonCommercial three.0 License (http://www.creativecommons.org/Nectrolide chemical information licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution of the operate without having additional permission provided the original perform 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 decrease in consistency (ie, soft or liquid) and an increase within the frequency of bowel movements to 3 stools each day have often been used as a definition for epidemiological investigations. Based on a community-based study point of view, diarrhea is defined as no less than three or much more loose stools within a 24-hour period.12 A diarrheal episode is deemed as the passage of three or more loose or liquid stools in 24 hours before presentation for care, that is regarded as probably the most practicable in youngsters and adults.13 Nevertheless, prolonged and persistent diarrhea can last among 7 and 13 days and at the least 14 days, respectively.14,15 The disease is extremely sensitive to climate, showing seasonal variations in various web sites.16 The climate sensitivity of diarrheal illness is constant with observations in the direct effects of climate variables on the causative agents. Temperature and relative GW0742 cost humidity have a direct influence on the rate of replication of bacterial and protozoan pathogens and around the survival of enteroviruses in the environment.17 Well being care journal.pone.0169185 searching for is recognized to become a result of a complex behavioral course of action that is definitely influenced by various things, including socioeconomic and demographic and traits, 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 short article is distributed under the terms with the Creative Commons Attribution-NonCommercial three.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits noncommercial use, reproduction and distribution of the function without the need of further permission offered the original perform 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, volume, or frequency of stools.11 A lower in consistency (ie, soft or liquid) and a rise in the frequency of bowel movements to three stools per day have typically been applied as a definition for epidemiological investigations. Determined by a community-based study perspective, diarrhea is defined as at least three or far more loose stools within a 24-hour period.12 A diarrheal episode is considered because the passage of three or much more loose or liquid stools in 24 hours prior to presentation for care, which is viewed as one of the most practicable in youngsters and adults.13 On the other hand, prolonged and persistent diarrhea can final among 7 and 13 days and at the least 14 days, respectively.14,15 The illness is highly sensitive to climate, displaying seasonal variations in quite a few web pages.16 The climate sensitivity of diarrheal illness is constant with observations on the direct effects of climate variables on the causative agents. Temperature and relative humidity possess a direct influence on the rate of replication of bacterial and protozoan pathogens and around the survival of enteroviruses within the environment.17 Overall health care journal.pone.0169185 searching for is recognized to become a result of a complicated behavioral approach that is certainly influenced by many factors, including socioeconomic and demographic and traits, perceived need, accessibility, and service availability.