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Related Experiment Videos

Are war and public health compatible?

M J Toole1, S Galson, W Brady

  • 1Centers for Disease Control and Prevention, Atlanta, GA 30333.

Lancet (London, England)
|May 8, 1993
PubMed
Summary

The Bosnian war severely disrupted health services, causing displacement, food shortages, and increased mortality. Public health risks, including violence and malnutrition, were high, with potential for future epidemics.

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Area of Science:

  • Public Health
  • Epidemiology
  • International Health

Background:

  • Bosnia-Herzegovina conflict led to widespread health service disruption and displacement.
  • Over 1 million Bosnians displaced, facing food shortages and destroyed infrastructure.
  • War-related violence, including sexual violence, posed significant public health risks.

Purpose of the Study:

  • To assess the public health impact of the war in Bosnia-Herzegovina and surrounding refugee areas.
  • To document health status changes and identify key public health risks.

Main Methods:

  • Public health assessment conducted in March 1993.
  • Data collection focused on health services, displacement, food security, and mortality rates.
  • Information gathered from Bosnia-Herzegovina and areas hosting Bosnian refugees in Serbia and Montenegro.

Main Results:

  • Extensive disruption of basic health services, water, and sanitation systems observed.
  • Significant increases in perinatal, child, and crude death rates documented in affected areas.
  • Rising prevalence of severe malnutrition in adults and children noted since November 1992.

Conclusions:

  • The war posed severe public health challenges, including increased mortality and malnutrition.
  • While major epidemics were not reported, risks for enteric diseases were elevated due to infrastructure damage.
  • Economic sanctions could further degrade healthcare standards in Serbia and Montenegro without medical supply exemptions.

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