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We found that, on average, exposure to TCs in utero or in the first year of life led to 4.4 additional infant deaths per 1000 live births (95% confidence interval, 0.5 to 8.4; 11% increase compared to the sample average infant mortality rate). This average effect was mainly driven by excess mortality in Bangladesh, Dominican Republic, and Haiti, with small and statistically insignificant effects in all other study countries. Further investigation is warranted to understand the mechanisms through which TCs affect infant mortality and why some countries\u2019 children fare better after TC exposure than others.<\/jats:p>","DOI":"10.1126\/sciadv.adt9640","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T13:58:43Z","timestamp":1747835923000},"update-policy":"https:\/\/doi.org\/10.34133\/aaas_crossmark","source":"Crossref","is-referenced-by-count":7,"title":["The impact of tropical cyclone exposure on infant mortality in low- and middle-income countries"],"prefix":"10.1126","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4454-0079","authenticated-orcid":true,"given":"Zetianyu","family":"Wang","sequence":"first","affiliation":[{"name":"RAND Corporation, Santa Monica, CA 90401, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2116-1351","authenticated-orcid":true,"given":"Renzhi","family":"Jing","sequence":"additional","affiliation":[{"name":"School of Medicine, Stanford University, Stanford, CA 94305, USA."},{"name":"Woods Institute for the Environment, Stanford University, Stanford, CA 94305, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9129-2365","authenticated-orcid":true,"given":"Sam","family":"Heft-Neal","sequence":"additional","affiliation":[{"name":"Center on Food Security and the Environment, Stanford University, Stanford, CA 94305, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Clark-Ginsberg","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, CA 90401, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-6707","authenticated-orcid":true,"given":"Debarati","family":"Guha-Sapir","sequence":"additional","affiliation":[{"name":"Institute of Health and Society, UCLouvain, Brussels, Belgium."},{"name":"Department of International Health, Johns Hopkins University, Baltimore, MD 21205, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8364-4711","authenticated-orcid":true,"given":"Eran","family":"Bendavid","sequence":"additional","affiliation":[{"name":"School of Medicine, Stanford University, Stanford, CA 94305, USA."},{"name":"Woods Institute for the Environment, Stanford University, Stanford, CA 94305, USA."},{"name":"Department of Health Policy, Stanford University, Stanford, CA 94305, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2922-3315","authenticated-orcid":true,"given":"Zachary","family":"Wagner","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, CA 90401, USA."},{"name":"Center for Economic and Social Research, University of Southern California, Los Angeles, CA 90089, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"221","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)01859-7"},{"key":"e_1_3_2_3_2","unstructured":"World Meteorological Organization Tropical cyclones and their related hazards https:\/\/wmo.int\/content\/tropical-cyclones-and-their-related-hazards."},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Intergovernmental Panel on Climate Change (IPCC) Climate Change 2022\u2013Impacts Adaptation and Vulnerability: Working Group II Contribution to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change (Cambridge Univ. 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