{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='The threat of disease because of climate change refugees' data-url='/boclips/videos/5c54bd88d8eafeecae134e37' data-video-url='/boclips/videos/5c54bd88d8eafeecae134e37' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nThe threat of disease because of climate change refugees\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eKorail Slum, Dhaka, Central Bangladesh, 9 November 20091. Wide shot of infant eating rice in slum2. Close up infant3. Mid shot of children at play and eating4. Wide shot of dirty slum alley5. Mid shot of woman cooking6. Close up of food...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eKorail Slum, Dhaka, Central Bangladesh, 9 November 2009\u003cbr/\u003e1. Wide shot of infant eating rice in slum\u003cbr/\u003e2. Close up infant\u003cbr/\u003e3. Mid shot of children at play and eating\u003cbr/\u003e4. Wide shot of dirty slum alley\u003cbr/\u003e5. Mid shot of woman cooking\u003cbr/\u003e6. Close up of food left out in the open\u003cbr/\u003e7. Wide shot slum alley filled with dirty water\u003cbr/\u003e8. Mid shot of young boy dishing water out of waterlogged hut\u003cbr/\u003e9. Close up of boy dishing out water\u003cbr/\u003e10. Mid shot of community bath, women drawing water\u003cbr/\u003e11. Close up of cistern filling with water\u003cbr/\u003e12. Wide shot of community bath at slum\u003cbr/\u003e13. Various leaky pipes that supply water to slums\u003cbr/\u003e14. Midshot of Nargis Akhter visiting household \u003cbr/\u003e15. SOUNDBITE (Bangla) Nargis Akhter, Health Volunteer:\u003cbr/\u003e\"The water that people drink in this slum is not at all safe. Even the piped water is mixing with sewage and people have to drink it. We go from house to house spreading awareness on why people should boil this water before they drink it. We tell them about all the diseases like jaundice, tape worm, diarrhoea and dysentery, that they can catch if they don't purify the water.\" \u003cbr/\u003eKamrangirchar Slum, Dhaka suburb, Central Bangladesh, 10 November 2009\u003cbr/\u003e16. Wide shot of open sewage line in slum\u003cbr/\u003e17. Close up water pipes running alongside open sewage \u003cbr/\u003e18. Wide shot of rubbish lining the shores of slum lake\u003cbr/\u003e19. Wide shot of water line at slum\u003cbr/\u003e20. Mid shot of water line\u003cbr/\u003e21. Wide shot of polluted city canal\u003cbr/\u003e22. Mid shot of dirty water \u003cbr/\u003e23. Close up of dirty water\u003cbr/\u003e24. Mid shot of dirty water with reflection of houses \u003cbr/\u003e25. Wide shot of people washing clothes in dirty river water\u003cbr/\u003e26. Mid shot of people washing pots in dirty water\u003cbr/\u003e27. Set up shot Dr Kazi AHM Akram working\u003cbr/\u003e28. SOUNDBITE (Bangla) Dr Kazi AHM Akram, World Health Organisation Bangladesh:\u003cbr/\u003e\"The more Dhaka's population expands and the slums become more densely populated, it will further exacerbate problems such as the spread of disease. In a single five-feet by four-feet Dhaka slum you'll find a family of up to six people: they have no access to safe water, no sanitation, not even proper baths - these are the triggering factors.\" \u003cbr/\u003eICCDRB, Bangladesh largest diarrhoea hospital, Dhaka, 13 November 2009\u003cbr/\u003e29. Wide shot of diarrhoea ward\u003cbr/\u003e30. Mid shot of patients in ward\u003cbr/\u003e31. Various of Mark Pietroni treating patients\u003cbr/\u003e32. SOUNDBITE (English) Mark Pietroni, Director, ICDDRB Dhaka Hospital:\u003cbr/\u003e\"Normally we have a busy season just before the monsoon and just after the monsoon when we might see up to a thousand patients a day. But here we are in early November, which is normally one of the quietest times of the year - and we are in the throes of a mini-epidemic. This is just an example of how, as Bangladesh urbanises, as people move into the cities, which is more of a social phenomenon than actually driven by climate change, although climate change has an impact, the city's infrastructure is just at the limits. People move into the cities, they live in slums or para-slum areas, the water and sanitation infrastructure just isn't there, and just a little thing can tip things over the edge, which for us becomes hundreds of extra patients a day. Normally this time of the year we'll see 200-300 patients a day - today we've seen over 500.\"\u003cbr/\u003e33. Tilt down cholera saline\u003cbr/\u003e34. Wide shot of cholera ward\u003cbr/\u003e35. Mid shot of mother and ailing child\u003cbr/\u003e36. Various close ups of child's hand with IV pack\u003cbr/\u003e37. SOUNDBITE (English) Mark Pietroni, Director, ICDDRB Dhaka Hospital:\u003cbr/\u003e\"If climate change has a real impact on Bangladesh - and of course Bangladesh is one of the countries that's likely to be earliest and most affected as the sea levels rise, it will mean more people moving into the cities. Without the infrastructure development that a country like Bangladesh doesn't really have the finances to do, there's going to see more and more of this. And the people who will be affected are the poor - and that's one of the sad things about what's going on here.\"\u003cbr/\u003eKorail Slum, Dhaka, Central Bangladesh, 9 November 2009\u003cbr/\u003e38. Pan of Korail slum\u003cbr/\u003e39. Wide shot of Korail slum\u003cbr/\u003eThe slums of Dhaka are a glimpse of what the future holds for Bangladesh if its climate apocalypse comes true.\u003cbr/\u003eWith a lack of access to safe water and sanitation, the Bangladeshi capital is already bursting at the seams.\u003cbr/\u003eBut this is only the beginning, as the population of 15 million risks a radical increase in form of climate refugees.\u003cbr/\u003eSurrounded by waste and sewage, these children live in Dhaka's largest slum, Korail Slum.\u003cbr/\u003ePeople cook, eat, wash and live in these dense conditions, and they drink the dirty water they live in.\u003cbr/\u003eDiarrhoea and cholera epidemics are increasingly common in these crowded shanties - and many of the gains that the country had made in reducing child mortality, and fighting communicable diseases, could be undone in the coming decades. \u003cbr/\u003eHealth volunteer, Nargis Akhter, says the water that people drink in this slum is not at all safe. \u003cbr/\u003e\"Even the piped water is mixing with sewage and people have to drink it. We go from house to house spreading awareness on why people should boil this water before they drink it. We tell them about all the diseases like jaundice, tape worm, diarrhoea and dysentery, that they can catch if they don't purify the water.\" \u003cbr/\u003eWith global climate change, millions of migrants will end up in the big cities as sea levels rise and an onslaught of floods and cyclones destroy rural livelihoods. \u003cbr/\u003eMost are likely to end up in slum and para-slum areas.\u003cbr/\u003eDr Kazi AHM Akram from the World Health Organisation in Bangladesh says this will increase the spread of diseases. \u003cbr/\u003e\"In a single five-feet by four-feet Dhaka slum you'll find a family of up to six people: they have no access to safe water, no sanitation, not even proper baths - these are the triggering factors.\" \u003cbr/\u003eThe International Centre for Diarrhoeal Research (ICDDRB) has played a frontline role in reducing diarrhoea deaths in the country by developing and promoting a home-remedy called Oral Rehydration Therapy.\u003cbr/\u003eMark Pietroni, the hospital's medical director, says that November is supposed to be one of the quietest months in terms of patient influx for the hospital, and yet they are currently dealing with a mini epidemic spreading through two of the biggest slums in Dhaka. \u003cbr/\u003e\"The city's infrastructure is just at the limits. People move into the cities, they live in slums or para-slum areas, the water and sanitation infrastructure just isn't there, and just a little thing can tip things over the edge, which for us becomes hundreds of extra patients a day. Normally this time of the year we'll see 200-300 patients a day - today we've seen over 500.\"\u003cbr/\u003eAccording to the UN Environment Programme, Bangladesh sees between 10 and 25 million people migrating to its big cities every year as a result of extreme weather events linked to global climate change. \u003cbr/\u003eSome of these families are able to return to their villages when flood waters subside, but many join the swelling ranks of floating slum communities in big cities.\u003cbr/\u003eThis process of displacement and destitution is a global one.\u003cbr/\u003eThe International Organisation of Migration (IOM) cites Dr Norman Myers, a visiting fellow at Oxford University, suggesting that up to 200 million people could be on the move due to environmental factors by 2050.\u003cbr/\u003eThese migrant families slip through the social safety net that characterises village communities that could otherwise prevent a slide to absolute poverty.\u003cbr/\u003eBut many families who stay back in the village seem to fare no better.\u003cbr/\u003eThey are increasingly faced with the reality that Bangladesh is experiencing a rising frequency and intensity of tropical cyclones, droughts, storms, and floods, as a result of man-made climate change.\u003cbr/\u003e\"If climate change has a real impact on Bangladesh - and of course Bangladesh is one of the countries that's likely to be earliest and most affected as the sea levels rise, it will mean more people moving into the cities. Without the infrastructure development that a country like Bangladesh does not really have the finances to do, there's going to see more and more of this. And the people who will be affected are the poor - and that's one of the sad things about what's going on here,\" says Pietroni.\u003cbr/\u003eThe possibility that 10-25 million incoming migrants could start becoming permanent residents of Dhaka, and the major cities of Bangladesh, could be a humanitarian disaster in the making.\u003cbr/\u003e\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='action-container flex justify-between'\u003e\n\u003cbutton aria-expanded='false' aria-label='Read more description' class='rp-full-description' type='button'\u003e\n\u003ci class='fai fa-solid fa-align-left'\u003e\u003c/i\u003e\n\u003cspan id='read_more'\u003eRead More\u003c/span\u003e\n\u003c/button\u003e\n\u003cdiv class='rp-report'\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv aria-labelledby='resource-details-heading' class='rp-info-section'\u003e\n\u003ch2 class='title' id='resource-details-heading'\u003eResource Details\u003c/h2\u003e\n\u003cdiv class='rp-resource-details 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