HMN 2025: How Cyclones is tied to 850,000 child deaths in 20 years

Cyclones increase risk of death for children under five
Spatial distribution of 10km x 810km raster level deaths in children under 5 years old attributable to cyclone exposure in 2000–2020. Note: This map was reproduced from https://www.naturalearthdata.com/. Credit: PLOS Medicine (2025). DOI: 10.1371/journal.pmed.1004735

Tropical cyclones pose an important risk of death for children under five in low- and middle-income countries, reports a new study led by Renjie Chen of Fudan University, China, published in PLOS Medicine.

Tropical cyclones, which include typhoons and hurricanes, are among the most frequent and destructive natural disasters. These storms are becoming more common and more severe due to climate change, which has raised concerns about their effects on , who are especially susceptible to drowning, injuries from and flying debris, lack of clean drinking water or the breakdown of health care services. Previous studies have often focused on single cyclone events or high-income regions, leaving a gap in our understanding of the effects in countries with limited resources.

To understand the impact of tropical cyclones on the health of children under five in low- and middle-income countries, the researchers used to identify deaths after a storm event. They looked at the survival of the child’s siblings at the same age to see if a death at this age was unusual, and thus more likely linked to the cyclone.

The analysis included 100,798 children under five who had died and 247,445 surviving siblings across 34 low- and middle-income countries. Researchers found a significant link between deaths of children under the age of five and exposure to a cyclone in the month before death.

The global analysis demonstrates the substantial risk posed by cyclones to young children. Overall, the researchers estimate that cyclones caused the deaths of 850,000 children under five from 2000 to 2020. These findings illuminate the need for disaster preparedness in vulnerable regions to reduce the number of child deaths linked to these events.

The authors add, “Across 34 low- and , were linked to higher under-five mortality, with an estimated 850,000 child deaths from 2000 to 2020. The findings underscore the urgent need for that ensures safe water, sanitation, and health services for vulnerable communities.”

More information:
Cyclone exposure and mortality risk of children under 5 years old: An observational study in 34 low- and middle-income countries, PLOS Medicine (2025). DOI: 10.1371/journal.pmed.1004735


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