Environmental determinants causing unexpected disease rampant are seemed\nmajor challenges to be protective from inevitable hazards and to deal the future\nconsequences in terms of human health loss. This paper explores the\nmajor environmental determinants stimulating disease prevalence in western\nhilly areas of Nepal. Cross-sectional analytical research design for household\nlevel primary data was treated with the binary logit regression model to identify\nthe determinants of disease prevalence. Extreme winter temperature, decreasing\nwinter rainfall, sporadic rain, drying spout and decreasing the tree\nspecies are the major environmental determinants; hand washing, proper\nmanagement of solid waste from kitchen and habit of drinking boiled water\nare as household behavioral determinants; and adequate family members,\nhigher education, use of pesticide to control the insects and use of clean\ncooking fuels are socioeconomic determinants encouraging disease prevalence.\nPlantation of large perennial and medicinal plants, proper management\nof warm clothes or heaters especially for old people and children having respiratory\nproblems for extreme winter; management of water tank for long\ndrought in winter and community awareness campaign for the protection of\nspout are urgent needs for the prevention of current disease prevalence. Ergo,\nthe recommendations are made accordingly.
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