スーダン・ダルフール西部の暴力と死亡率 (2003-04): 4つの調査から得られた疫学的な証拠
Evelyn Depoortere1, Francesco Checchi, France Broillet
1Epicentre, Paris, France. depoortere@brussels.msf.org
Lancet (London, England)
|October 12, 2004
まとめ
ダルフールの武力紛争は,特に成人の男性の高い死亡率を引き起こしました. この研究は,この地域の民間人に対する暴力の深刻な影響を強調しています.
科学分野:
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
- 紛争研究 紛争研究
背景:
- ダルフール紛争により100万人以上が避難しています.
- 国内避難民 (IDP) の人道支援を導くために,死亡率に関する流行病学的データが緊急に必要である.
研究 の 目的:
- ダルフールの国内避難民の死亡率に対する武装侵攻の影響を調査する.
- 人道支援のための根拠に基づいた勧告を提供すること.
主な方法:
- 4つの西ダルフール地区 (2004年4月~6月) で実施された遡及的なクラスター調査.
- 215,400人の国内避難民から収集されたデータ,移住前のおよび後の死亡率のリコールを含む.
- 家長たちは,死亡の詳細 (日時,原因,場所) と家族構造について詳細を述べました.
主要な成果:
- 移住前の死亡率は場所によって異なるが,死亡者の68~93%が暴力によるものである.
- 15歳未満の子供と比較して,成人の男性では死亡リスクが著しく高かった (RR 29.1-117.9).
- 移住後の死亡率は減少したが,緊急事態基準を上回ったままであり,暴力は続いた.
- 生き残った集団における年齢と性の人口統計の歪み,男性の著しい赤字.
結論:
- この研究は,ダルフールの民間人に対する紛争の壊滅的な影響の重要な流行病学的証拠を提供します.
- 調査結果は,人道的危機の深刻さを強調し,他の紛争地帯で観察されたパターンと一致しています.
- 紛争の影響を受けた国内避難民に対する標的の介入と支援の必要性を強化する.
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