预防发展中国家难民和流离失所人口过度死亡率
1Technical Support Division, Centers for Disease Control, Atlanta, GA 30333.
JAMA
|June 27, 1990
概括
对难民和流离失所者的国际救援工作面临着严重的失败. 由于营养不良和疾病导致的高死亡率,特别是儿童死亡率,迫切需要改善援助协调和公共卫生计划.
科学领域:
- 公共卫生 公共卫生
- 国际关系 国际关系
- 灾难医学 灾难医学
背景情况:
- 发展中国家有超过3000万难民和国内流离失所者依赖国际援助.
- 包括美国在内的西方国家是这种援助的主要提供者.
- 在流离失所的急性阶段观察到高死亡率,高达预期的60倍.
研究的目的:
- 突出流离失所人口面临的关键公共卫生挑战.
- 确定这些群体中过度死亡的主要原因.
- 为了强调当前国际救援计划的缺陷.
主要方法:
- 对流离失所人口死亡率数据的分析.
- 确定主要的死亡原因和导致死亡的因素.
- 审查最近的救援工作中基本公共卫生计划的实施情况.
主要成果:
- 过度死亡率在1至14岁儿童中最为明显.
- 导致死亡的主要原因包括麻疹,腹疾病,呼吸道感染和疟疾.
- 营养不良和微量营养素缺乏会加剧疾病病例死亡率.
结论:
- 目前的救援计划往往无法及时实施必要的公共卫生干预措施.
- 在国际机构实施和协调援助方面迫切需要进行结构性变革.
- 改善食物,水,卫生,免疫和疾病控制对于生存至关重要.
相关概念视频
International Nursing Organizations II
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Levels of Health Promotion and Illness Prevention
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
Infection
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Smallpox
Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.


