营养不良,麻疹,死亡率,以及埃塞俄比亚饥荒期间的人道主义反应
1National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop F-48, Atlanta, GA 30341, USA. psalama@cdc.gov
JAMA
|August 14, 2001
概括
埃塞俄比亚戈德地区的高死亡率和普遍的营养不良表明,急需迅速提供人道主义援助和开展麻疹疫苗接种活动. 这项研究提供了关于饥荒影响和公共卫生优先事项的重要数据.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 埃塞俄比亚在2000年面临潜在的饥荒,有1000万人面临风险.
- 戈德地区没有人口数据,这是饥荒的中心.
- 避免饥荒的说法与缺乏经验证据形成对比.
研究的目的:
- 估计戈德地区的死亡率.
- 确定主要的死亡原因.
- 确定儿童和成人营养不良的患病率.
主要方法:
- 2000年7月至8月进行的两阶段集群调查.
- 包括人体测量和回顾性死亡率数据 (8个月).
- 在戈德地区调查了595个家庭 (4032个人).
主要成果:
- 原始死亡率为3.2/10,000/天,是紧急状态值的3倍.
- 在5岁以下的死亡率为6.8/10,000/day.
- 浪费影响了29.1%的儿童 (6mo-5yr);成人营养不良是22.7% (18-59yr).
- 麻疹和消耗是导致儿童死亡率的重要因素.
- 77%的死亡发生在大量援助到达之前.
结论:
- 基于证据的快速,协调的人道主义反应对于减轻饥荒至关重要.
- 优先考虑公共卫生干预措施,如大规模的麻疹疫苗接种活动.
- 在所有严重,长期的饥荒中评估消耗和营养不良的流行情况.
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