冲突对传染病的影响:一个系统的文献审查
Valia Marou1, Constantine I Vardavas1,2, Katerina Aslanoglou1
1School of Medicine, University of Crete, Heraklion, Crete, Greece.
Conflict and health
|April 7, 2024
概括
冲突情况加剧了通过流离失所和基础设施损坏等因素传播的传染病. 有效的策略包括有针对性的干预,宣传计划和加强对受影响人口的医疗保健.
科学领域:
- 全球卫生安全 全球卫生安全
- 流行病学 流行病学
- 冲突医学 冲突医学
背景情况:
- 武装和非武装的冲突情况是传染病出现和传播的公认驱动因素.
- 了解这些途径对于在不稳定地区开发有效的公共卫生干预措施至关重要.
研究的目的:
- 系统地审查和确定传染病在冲突环境中出现的途径.
- 为冲突地区概述基于证据的传染病准备和应对策略.
主要方法:
- 使用Ovid Medline和Embase数据库进行了系统的文献审查.
- 根据PRISMA指南,分析了2000年1月至2023年10月发布的证据.
- 在寻找相关研究方面,没有任何地理限制.
主要成果:
- 51项研究报告了包括艾滋病,结核病,霍乱,埃博拉和麻疹在内的传染病在欧洲,中东,亚洲和非洲的冲突地区.
- 发现的关键因素包括人口流离失所,基础设施破坏,卫生保健系统疲软,疾病控制计划中断以及水,食品和药物的供应链受损.
- 强调的准备和应对策略包括疾病特异性干预,公众宣传活动,加强对流离失所人口的医疗保健,加强免疫工作和跨部门合作.
结论:
- 冲突直接和间接地促进传染病的传播.
- 调查结果为制定强有力的准备和应对战略提供了基础,以制冲突地区和流离失所人口中爆发的疫情.
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