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ROP emerges as a growing public health concern for Bangladesh

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Ophthalmologists have identified Retinopathy of Prematurity (ROP), a leading cause of blindness among children in the developed world, as a growing public health concern for Bangladesh.

Speaking at a national workshop on ROP in the capital on Saturday (20 Nov), they said approximately 3.8 million babies are born in Bangladesh each year of whom 438,000 are born preterm. 

According to them, a large portion of the preterm babies face the risk of blindness due to ROP.

Directorate General of Health Services’ (DGHS) Director General Prof Dr Abul Bashar Mohammed Khurshid Alam was present at the workshop as the chief guest while Directorate General of Medical Education’s (DGME) Director General Prof AHM Enayet Hussain, also the Chair of IAPB Bangladesh Chapter, presented the keynote paper.

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DGHS Director Dr Md Shamsul Haque presided over the session while UNICEF Bangladesh Chief Health Dr Sanjana Bhardwaj, Orbis International Bangladesh Country Director Dr Munir Ahmed, and IRD Global Bangladesh Country Director Dr Tapash Roy joined it as the special guests. Prof Md Saifullah from National Eye Care/NIOH and Prof Nazmun Nahar from Ispahani Islamia Eye Institute and Hospital also joined the workshop.

The NNHP & IMCI Program of DGHS, with support from DGME, IRD Global, Orbis International and UNICEF, organised the workshop to foster multi-sectoral response and create an enabling coordination platform for the prevention of avoidable childhood blindness due to ROP in Bangladesh.

The DGHS director general, in his speech said “ROP is one of the severe problems among premature babies. We’ll try to include ROP in the revised version of Maternal, Neonatal and Child Health Plan operation and in the National Eye Care plan in the near future.” 

“I believe that the guideline that will be formulated today will prove to be a milestone,” he added. 

He advised formulation of the guideline considering the fact that some things might be included and some excluded from it.

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He thanked the obstetrics and gynaecology society for being directly involved in the government’s achievement in the health sector. 

The keynote presenter while reflecting on IAPB and WHO’s journey of 20 years said, “It was a race against time. We started working on childhood blindness in an organized manner in 2000 by launching Paediatric Ophthalmology Department at the National Institute of Ophthalmology. We started working with two programmes- crash programme and system strengthening.”

He further mentioned, “In 2003 we started a programme where we identified children with childhood blindness at the field level and conducted eye surgery on 25,000 children till 2010. So far we have established 22 paediatric ophthalmology centres across the country. Although we could not reach the 0.5 benchmark set by WHO, childhood blindness in the country came down to 0.6 in 2017 from 0.8 in 2003.” 

He emphasized on strengthening the primary health care services, preventing preterm delivery and ensuring labour room protocol to prevent ROP.    

Dr Munir Ahmed in his speech as the special guest said, “ROP is a life threatening condition that can be prevented if timely screened and treated. We need to ensure eye screening of children within 20/30 days after their birth. We need to work together in an organized manner to prevent ROP. This workshop aims at validating the collaborative efforts of ROP guidelines.” 

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According to papers presented at the workshop, in 2020 an estimated 1.1 billion people had vision impairment globally, of whom 43.3 million are blind. 

Referring to global estimates, speakers said one out of every five children has some sort of vision problems globally and that ROP is responsible for some of the problems that occur during childhood and can lead to blindness if untreated. 

According to the speakers, visual loss not only affects individuals and their families but also the community and country at large, resulting in a greater loss of productivity and taking its toll on the economy.

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The most influential and award-winning tech journalist based in Dhaka, Bangladesh. President of Bangladesh Tech Journalists umbrella association name Bangladesh ICT Journalist Forum(BIJF).He works for The Daily Ittefaq and is responsible for covering news, editing posts, reviewing devices, producing video reviews, and communicating with the reader base. Journalist, editor, technology, personal technology, reviews, features, analysis, media.

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Bangladesh

Bailey Road Fire |  a wake-up call for commercial buildings and beyond

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M. Mahmudur Rashid

Vice President,Electronics Safety and Security Association of Bangladesh – ESSAB

We always talk about the unsafe conditions of old Dhaka, but the tragic incident of Bailey Road is an example of how we are building a new Dhaka. It is not an accident; it is the result of our actions. From the building owner to the authorities, everyone is equally responsible. Unplanned restaurants have been built on every floor of many multi-storied buildings. If not aware now, dire consequences are waiting for us. We have to think again, which is more expensive? The price of safety equipment or the price of life!


Building on Bailey Road – Green Cozy Cottage has permission from Rajuk as a mixed-use (commercial office and residential apartments), building type: E and R. It is absolutely illegal to set up a commercial kitchen/restaurant in a building without proper permission and occupancy approval. Green Cozy Cottage should have fire safety plans approved by the Fire Service and Civil Defence.

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The building should have fire exits with fire doors, evacuation paths, fire alarm systems and fire-fighting systems. Apart from that, a commercial kitchen/restaurant kitchen hood should have a specially designed automatic wet chemical type fire suppression system. Fire protection systems for a typical office or shopping area and a restaurant are not the same. Each restaurant had a live fire inside the building. They should also have a fire-separated area for storing cooking oil and gas.

But, unfortunately, Green Cozy Cottage has no fire exit with a fire door, no fire hydrant system and no kitchen fire suppression system in any of the restaurants. There were large LPG gas cylinders on each landing of the stairs. Here are some recommendations to prevent these types of fire hazards – 

Responsibility of building owner/user-


•    Building construction according to BNBC.
•    Do not change occupancy without proper authorization and arrangements.
•    Maintain proper fire exits with fire doors, emergency lighting systems, fire alarm systems and fire hydrant systems.
•    Install automatic fire sprinkler systems where required.
•    Install wet chemical-type kitchen suppression systems for kitchen hoods.
•    Store cooking oil, LPG gas and other flammable items in fire-separate zones. It also requires permission to do so.
•    A refuge area is recommended in multi-storied buildings to take shelter in case of a fire accident.
•    Use high-quality electrical appliances, accessories, electrical wiring and ovens.
•    Use proper ventilation and fire-rated dampers in central HVAC ducts.
•    Use CO2 or ABC powder extinguishers with a minimum capacity of 6 kg per 550 square feet area.
•    Use wet chemical extinguishers for class K fires (cooking oil/fat).
•    Regularly maintain and check all electrical and safety equipment.
•    Every establishment needs a trained rescue and fire-fighting team.
•    Arrange regular fire drills, at least once every six months.

Government responsibility

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•    Ensure enforcement of building codes and make necessary renovations
•    Facilitate the import of fire safety equipment, all establishments including commercial buildings need duty free facilities to import fire safety equipment like export-oriented factories.
•    Need to reduce the 7.5% VAT on the supply of fire safety equipment and 15% VAT on the consultancy service of fire safety plan.
•    Prevent import and marketing of defective and substandard fire safety equipment
•    Encourage banks to invest in procurement of fire safety equipment on easy terms
•    Popularize fire insurance.
•    Take action against those who construct dangerous buildings and structures in violation of the law
•    Incorporate fire safety and disaster management into the education system
•    Incentive package needed for entrepreneurs to start manufacturing and investing in fire safety equipment business in Bangladesh.
•    Build adequate fire hydrants on roads and reservoirs in cities
•    Enhancing fire service capacity through new technology and manpower
Public Responsibilities:
•    Avoid renting and using unsafe buildings
•    Get basic training in the use of fire safety equipment
•    Construct buildings/structures by building codes and fire safety regulations
•    Install proper fire safety equipment in every house, office, shop, and factory.
•    Be careful when using all types of electrical and gas appliances
•    Follow all safety instructions and signage.

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Bangladesh

Bangladesh’s apparel export to USA dips over 25% in 2023

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Bangladesh’s apparel shipments to the United States, its single largest export destination in 2023, declined 25% year on year to $7.29 billion due to high inflation caused by the ongoing Russia-Ukraine war.

Bangladesh’s apparel exports to the US was $9.72 billion in 2022, according to the US Department of Commerce’s Office of Textiles and Apparel (Otexa) data.

The data also mentioned that the country’s overall apparel imports also declined 22.04 % year on year to $77.84 billion, while the import value was $99.86 billion a year ago.

In terms of volume, Bangladesh RMG export to the USA in 2023 also plunged about 28% to 2.25 billion square metres from 3.13 billion square metres in 2022, according to the Otexa data.

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Talking to The Business Standard, Bangladesh Garment Manufacturers and Exporters Association President Faruque Hassan said that the global apparel market was very volatile in 2023 as every country has reduced their imports due to high inflation driven by the Russia-Ukraine war.

He said that the largest apparel importer country – the US – also decreased their consumption due to the high inflation in 2023.

He said Bangladesh was not the only country which experienced negative growth in apparel export to the US market; every exporting country had the same experience in 2023.

The BGMEA president hoped that this market will be better in the coming days.

He also mentioned that the US inflation and interest would be stable, which may help the market rebound in coming months.

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The share of Bangladeshi apparel in the US market was about 10% in in 2022, while it fell to 9.37% last year.

However, Bangladesh’s position remained unchanged as the third-largest apparel exporter to the US market after China and Vietnam, which occupied their positions with 20.96% and 18.21% share respectively.

The OTEXA data showed, in 2023, Chinese apparel export to the USA fell 10.83% to $16.32 billion from $21.75 billion a year ago.

Vietnam and India’s apparel exports in 2023 decreased 22.29% and 21.42% respectively.

Indonesia and Cambodia’s apparel export to the United States fell 25.19% and 23.58% respectively in the year.

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UK: Bangladesh makes huge progress in last 20 years

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British High Commission Dhaka’s Development Director Matt Cannell has said the government of Bangladesh has made huge development over the last twenty years.

Cannell said: “The UK has a strong and vibrant partnership with the government of Bangladesh in a range of areas, including diplomacy, trade and development.”

He said they are increasing their work to help end preventable deaths of mothers and newborn children in 11 countries around the world, including in Bangladesh.

“I would like to particularly applaud the work of newly trained midwives in improving maternal and newborn health care,” Cannell added.

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Head of Human Development Department of the Foreign, Commonwealth and Development Office in the UK Chris Carter said Bangladesh is rightly applauded for its family planning and immunization programs, and the government’s commitment to driving down maternal and child deaths, such as the Bangladesh Every Newborn Action Plan.

“We hope to do more to help build on these efforts. It has been incredible to see the beginning of another Bangladesh success story to develop a new icddr.b alternative formula for Ready-to-use Therapeutic Food (RUTF),” Carter said.

The British High Commission Dhaka recently co-hosted a roundtable with the government of Bangladesh and other development partners to discuss how to step up efforts to end preventable deaths of mothers, babies and children in Bangladesh.

Director General of Directorate General of Health Services (DGHS) Prof Dr Abul Bashar Mohammed Khurshid Alam attended the roundtable as the chief guest.

Chris Carter set out how the UK plans to work closely with the government and partners to sustain and build on Bangladesh’s progress on ending preventable deaths.

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This includes working on quality, affordable health services and also addressing underlying issues, such as poor nutrition.

The roundtable included an initial consultation about how to tackle the remaining issues that cause preventable deaths of mothers, babies and children in Bangladesh.

This will help to inform the UK’s approach and identify areas where the UK, the government of Bangladesh and other partners can intensify their collaboration, said the British High Commission in Dhaka on Sunday. 

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