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Epidemiology and infection in famine and disasters

Published online by Cambridge University Press:  15 May 2009

P. Shears
Affiliation:
Tropical Medical Microbiology Centre, Dept. of Medical Microbiology, University of Liverpool, P.O. Box 147, Liverpool L69 3BX
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Despite advances in health care in the tropics, and the inputs of international and voluntary organisations, famine and disaster continue to cause major devastation in many developing countries. In the aftermath of acute disasters such as earthquakes or cyclones and in chronic post-famine relief camps, mortality rates may be 20–30 times greater than those in ‘normal’ years [1]. The interaction of malnutrition, crowding, poor environmental sanitation, and changes in host parasite relationships due to migration or environmental change, result in communicable diseases playing a major role in excess morbidity and mortality.

Type
Special Article
Copyright
Copyright © Cambridge University Press 1991

References

REFERENCES

1.Toole, MJ, Waldman, RJ. An analysis of mortality trends among refugee populations in Somalia, Sudan and Thailand. Bull WHO 1988; 66: 237–47.Google ScholarPubMed
2.Toole, MJ, Waldman, RJ. Prevention of excess mortality in refugee and displaced populations in developing countries. JAMA 1990; 263: 3296–302.CrossRefGoogle ScholarPubMed
3.Passmore, R. Famine in India: an historical survey. Lancet 1951; ii: 303–7.Google Scholar
4.Lechat, MF. Diaster epidemiology. Ann Soc Belg Med Trop 1976; 56: 193–7.Google Scholar
5.Guha-Sapir, D, Lechat, MF. Reducing the impact of natural disasters. Health Policy Planning 1986; i: 118–26.Google Scholar
6.de Ville de Goyet, C, Lechat, MF. Health aspects in natural disasters. Trop Doctor 1976; 6: 152–7.CrossRefGoogle ScholarPubMed
7.Shears, P, Lusty, T. Communicable disease epidemiology following migration: studies from the African famine. Int Migration Rev 1987; 21: 783–95.Google Scholar
8.Dick, B. Diseases of refugees: causes, effects and control. Trans R Soc Trop Med Hyg 1984: 78: 734–41.Google Scholar
9.Simmonds, SP, Gabaudan, M. Refugee camp health care: selected annotated references. London 1982. Ross Institute Publication No. 14.Google Scholar
10.Sommer, A, Mosley, WH. East Bengal cyclone of 1970: Epidemiological approach to disaster assessment. Lancet 1972: i: 1029–36.Google Scholar
11.Spencer, HC, Campbell, CC, Romero, A et al. Disease surveillance and decision making after the 1976 Guatemala earthquake. Lancet 1977; ii: 181–4.CrossRefGoogle Scholar
12.Dietz, VJ, Rigau-Perez, JG, Sanderson, L, Diaz, L, Gunn, RA. Health assessment of the 1985 flood disaster in Puerto-Rico. Disasters 1990; 14: 164–70.Google Scholar
13.United Nations Children's Fund. State of the world's children. Oxford, England: Oxford University Press, 1985.Google Scholar
14.Nutrition and health status of displaced persons in Sudan. MMWR 19881989. 848–50.Google Scholar
15.Shears, P, Berry, AM, Murphy, R, Nabil, MA. Epidemiological assessment of the health and nutrition of Ethiopian refugees in emergency camps in Sudan, 1985. Br Med J 1987; 295: 314–8.Google Scholar
16.Western, KA. Epidemiology of communicable diseases in disaster situations. Ann Soc Belg Med Trop 1976; 56: 199200.Google Scholar
17.Siddique, AK, Islam, Q, Akram, K. Cholera epidemic and natural disasters: where is the link. Trop Geogr Med 1989; 41: 377–82.Google Scholar
18.Guha-Sapir, D, Lombardi, C. An epidemiological study of the impact of floods on communicable diseases: case studies in flood prone areas of Santa Catarina and San Paulo. Brazil. Belgium 1989. Centre for Research on the Epidemiology of Disasters: Working document No. 79.Google Scholar
19.Moseira, J. Rainfall and flooding in the Guayas river basin and its effects on the incidence of malaria. Disasters 1986; 10: 107–11.Google Scholar
20.Hickman, R. The relief operation in former Biafra. Lancet 1970; ii: 815–6.Google Scholar
21.Seaman, JA. Relief work in a refugee camp for Bangladesh refugees in India. Lancet 1971; ii: 866–70.Google Scholar
22.Green, MH. Impact of the Sahelian drought in Mauritania, west Africa. Lancet 1974; ii: 1093–7.Google Scholar
23.Henderson, PL, Beillik, RJ. Health and nutrition service delivery to refugees in the Somali Democratic Republic. Disasters 1981; 5: 104–12.Google Scholar
24.Moore, M, Craven, RB, Hasselblad, C. Fourth report of the CDC epidemiologic team to the Ministry of Health of the Somali Democratic Republic. Atlanta, G.A. Centers for Disease Controf: 1980.Google Scholar
25.Glass, RI, Nieburg, P, Peel, S. Rapid assessment of health status and preventive medicine needs of newly arrived Kampuchean refugees. Sa Kaeo, Thailand. Lancet 1980; i: 868–72.Google Scholar
26.Mulholland, K. Cholera in Sudan: an account of an epidemic in a refugee camp in eastern Sudan. Disasters 1985; 9: 247–58.Google Scholar
27.Rivers, JPW, Holt, JF, Seaman, JA, Bowden, MR. Lessons for epidemiology from the Ethiopian famines. Ann Soc Belg Med Trop 1976; 56: 345–57.Google Scholar
28.Shears, P. Tuberculosis control in Somali refugee camps. Tubercle 1984; 65: 111–6.Google Scholar
29.Mastro, TD, Coninx, R. The management of tuberculosis in refugees along the Thai–Kampuchean border. Tubercle 1988: 95103.Google Scholar
30.Elias, CJ, Alexander, BH, Sokly, T. Infectious disease control in a long term refugee camp: The role of epidemiologic surveillance and investigation. Am J Public Health 1990; 80: 824–8.Google Scholar
31.Foege, WH. Famine, surveillance, and social justice. United States – 1987. Centers for Disease Control feed back memorandum – 01 1987.Google Scholar
32.Scrimshaw, NS. Synergism of malnutrition and infection. JAMA 1970; 212: 1685–92.Google Scholar
33.Geefhuysen, J, Roseney, K, Katz, J, Ipp, J, Metz, J. Impaired cellular immunity in Kwashworkor. Br Med J 1971; 4: 527–9.Google Scholar
34.de Waal, A. Famine mortality: a case study of Darfur, Sudan 1984–5. Population Studies 1989: 43: 524.CrossRefGoogle Scholar
35.Toole, MJ, Nieburg, P, Waldman, RJ. Association between inadequate rations, undernutrition prevalence and mortality in refugee camps. J Trop Paed 1990; 34: 218–24.Google Scholar
36.Desenclos, JC, Zergabachew, A, Desmoulins, B, Chouteau, L, Desve, G, Admassu, M. Clinical, microbiological and antibiotic susceptibility patterns of diarrhoea in Korem. Ethiopia. J Trop Med Hyg 1988; 91: 296–301.Google ScholarPubMed
37.Tauxe, RV, Holmberg, SD, Dodin, A, Wells, JV, Blake, PA. Epidemic cholera in Mali: high mortality and multiple routes of transmission in a famine area. Epidemiol Infect 1988; 100: 279–89.CrossRefGoogle Scholar
38.Levine, RJ, D'Souza, S, Khan, MR, Nalin, DR. Failure of sanitary wells to protect against cholera and other diarrhoeas in Bangladesh. Lancet 1976; ii: 8690.CrossRefGoogle Scholar
39.Henry, FJ, Huttly, SR, Patwary, Y, Aziz, KM. Environmental sanitation, food and water contamination and diarrhoea in rural Bangladesh. Epidemiol Infect 1990; 104: 253–9.CrossRefGoogle ScholarPubMed
40.Aaby, P, Bukh, J, Lisie, IM, da Silva, MC. Further community studies on the role of overcrowding and intensive exposure on measles mortality. Rev Infect Dis 1988; 10: 474–8.Google Scholar
41.Sommer, A, Arnt, N, Foster, SO. Post civil war in Bangladesh: the smallpox epidemic. In: Chen, LC, ed. Disaster in Bangladesh, New York: Oxford University Press, 1973: 225–40.Google Scholar
42.Salih, MA, Ahamed, HS, Karar, ZA et al. Features of a large epidemic of group A meningococcal meningitis in Khartoum, Sudan in 1988. Scand J Infect Dis 1990; 22: 161–70.Google Scholar
43.Kloos, H. Health aspects of resettlement in Ethiopia. Soc Sci Med 1990; 30: 643–56.Google Scholar
44.Perera, WA, Moren, A, Ancelle, T, Sondorp, E. Epidemic visceral leishmaniasis in southern Sudan. Lancet 1989; ii: 1222–3.Google Scholar
45.Vertongen, F, Carael, M. Refugee camps in Somalia: a micro survey. Disasters 1980: 5: 1823.Google Scholar
46.Woodruff, BA, Toole, MJ, Rodrigue, DC et al. Disease surveillance and control after a flood: Khartoum, Sudan 1988. Diasters 1990: 14: 151–63.CrossRefGoogle Scholar
47.Desenclos, J, Dominique, M, Tholly, F et al. Mortality trends among refugees in Honduras, 1984–1987. Int J Epidemiol 1990; 19: 367–73.Google Scholar
48.Shears, P. The role of laboratory services in disease surveillance and outbreak investigation in disasters. Trop Doct 1990. In press.Google Scholar
49.Burton, AH, Dean, JA, Dean, AG. Software for data management and analysis in epidemiology. Wld Hlth Forum 1990; 11: 75–7.Google Scholar
50.Chen, LC, Chowdhury, AKM, Huftman, SL. Anthropometric assessment of energy-protein malnutrition and subsequent risk of mortality among pre-school aged children. Am J Clin Nut 1980; 33: 1836–45.Google Scholar
51.King, Me, Soskolne, CL. Use of modelling in infectious disease epidemiology. Am J Epidemiol 1988; 128: 949–61.CrossRefGoogle ScholarPubMed
52. Editorial. Disaster epidemiology. Lancet 1990; ii: 845–6.Google Scholar