...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The East African medical journal >Morbidity and mortality amongst southern Sudanese in Koboko refugee camps, Arua District, Uganda.
【24h】

Morbidity and mortality amongst southern Sudanese in Koboko refugee camps, Arua District, Uganda.

机译：乌干达阿鲁阿区科博科难民营中苏丹南方人的发病率和死亡率。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To determine the causes of morbidity, mortality and assess the nutritional status of children under five years, in Koboko refugee camps, Arua District, Uganda. DESIGN: Review and analysis of refugee treatment records between 1992 and 1994 from Maracha and Koboko hospitals and cross sectional nutritional survey of children under five years in camps. SETTING: Between June 1992 and March 1994, an estimated 70,000 Sudanese refugees were encamped in five transit camps in Koboko county, Arua district. Koboko field hospital was immediately established and Maracha hospital designated the referral hospital for refugees. PARTICIPANTS: Hospitalised refugees between 1992 and 1994 in Koboko and Maracha hospitals and children under five years in the camps formed the study populations. INTERVENTIONS: Health facilities and therapeutic nutrition centres were established in the camps. Fortnightly general food distribution and therapeutic feeding programmes were instituted. Severe medical and surgical conditions were referred to Maracha hospital. MAIN OUTCOME MEASURES: Outcome variables considered were morbidity, mortality, case fatality rates; weight/height, weight/age and height/age. RESULTS: Out of 1476 refugees hospitalised in Koboko and Maracha hospitals, 267 died giving a case fatality rate of 18%. The leading causes of morbidity were diarrhoeal diseases (26.9%), ARI (13.6%), malaria (10.2%), trauma (7.6%) and malnutrition (5.0%). The main causes of mortality were similar, that is, diarrhoeal diseases (35.9%), ARI (23.9%), anaemia (7.2%) and HIV/AIDS (6.8%). Conditions associated with high overall case fatality rates were ARI (31.3%), HIV/AIDS (30.0%) and cardiac failure (29.3%) respectively. Nearly half of the children (48.6%), H/A -2SD were stunted, over a third (36.7%), W/A -2SD were underweight and (8.5%), W/H -2SD wasted. CONCLUSION: Communicable diseases are the predominant causes of morbidity and mortality during the emergency phase of encampment. Timely and effective management of communicable diseases including malnutrition and trauma are crucial to avoid high mortality amongst refugees, coupled with the provision of essential requirements and services such as water, sanitation, food, shelter and immunisation.
机译：目的：确定乌干达阿鲁阿区科博科难民营中5岁以下儿童的发病原因，死亡率和评估其营养状况。设计：回顾和分析Maracha和Koboko医院在1992年至1994年之间的难民待遇记录，并对营地中5岁以下儿童进行横断面营养调查。地点：1992年6月至1994年3月，估计有7万苏丹难民安营在阿鲁阿区科博科县的5个过境营地中。科博科野战医院立即成立，马拉查医院指定了难民转诊医院。参与者：1992年至1994年在Koboko和Maracha医院住院的难民和难民营中5岁以下的儿童构成了研究人群。干预措施：在难民营中建立了保健设施和治疗性营养中心。建立了每两周一次的一般食物分配和治疗性进食计划。严重的内科和外科疾病已转诊至Maracha医院。主要观察指标：考虑的结果变量是发病率，死亡率，病死率;体重/身高，体重/年龄和身高/年龄。结果：在Koboko和Maracha医院住院的1476名难民中，有267人死亡，病死率为18％。发病率的主要原因是腹泻病（26.9％），ARI（13.6％），疟疾（10.2％），创伤（7.6％）和营养不良（5.0％）。死亡的主要原因相似，即腹泻疾病（35.9％），ARI（23.9％），贫血（7.2％）和HIV / AIDS（6.8％）。与总体病死率高相关的疾病分别是ARI（31.3％），HIV / AIDS（30.0％）和心力衰竭（29.3％）。 H / A -2SD的儿童近一半发育不良（48.6％），W / A -2SD的体重不足三分之一（36.7％），W / H -2SD的儿童浪费了（8.5％）。结论：传染病是营地紧急阶段发病和死亡的主要原因。及时有效地管理包括营养不良和创伤在内的传染病，对于避免难民中的高死亡率至关重要，同时还要提供基本的要求和服务，例如水，卫生设施，食物，住所和免疫接种。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号