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Burden of Surgical Disease: Strategies to Manage an Existing Public Health Emergency

  • K.A. Kelly McQueen (a1), Parveen Parmar (a2), Mamata Kene (a3), Sam Broaddus (a4), Kathleen Casey (a5), Kathryn Chu (a6), Joseph A. Hyder (a7), Alexandra Mihailovic (a8), Nadine Semer (a9), Stephen Sullivan (a10), Thomas Weiser (a11) and Frederick M. Burkle (a12)...


The World Health Organization estimates that the burden of surgical disease due to war, self-inflicted injuries, and road traffic incidents will rise dramatically by 2020. During the 2009 Harvard Humanitarian Initiative's Humanitarian Action Summit (HHI/HAS), members of the Burden of Surgical Disease Working Group met to review the state of surgical epidemiology, the unmet global surgical need, and the role international organizations play in filling the surgical gap during humanitarian crises, conflict, and war. An outline of the group's findings and recommendations is provided.


Corresponding author

Harvard Humanitarian Initiative4134 N 49th Place Phoenix, Arizona 85018 USA E-mail


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1.Debas, HT, Gosselin, R, McCord, C. et al. : Surgery. In: Disease Control Priorities in Developing Countries (2d ed), New York: Oxford University Press, 2006, pp 1,2451,260.
2.Mathers, CD, Lopez, AD, Murray, CJL (eds): The Burden of Disease and Mortality by Condition: Data, Methods, and Results for 2001. 2006. Global Burden of Disease and Risk Factors, New York: Oxford University Press, pp 4593.
3.World Health Organization: Emergency and essential surgery: The backbone of primary health care. Available at Accessed 29 March 2009.
4.Taira, BR, Kelly McQueen, KA, Burkle, FM Jr: Burden of surgical disease: Does the literature reflect the scope of the international crisis? World J Surg 2009;33(5):893898.
5.MSF International: Accessed 27 April 2009. 6 Chu K: MSF Surgical Field Programs. Presentation at Humanitarian Action Summit, Cambridge, Massachusetts, 27 March 2009.
7.Broadus, S, Cushing, B, Sante, K: Assessment of Surgical Services at Hôpital Universitaire Justinian Cap Haitien, Haiti. (unpublished) Available at Accessed 28 April 2009.
8.McQueen, KAK, Burkle, FM, Al-Gobory, ET et al. : Maintaining baseline, corrective surgical care during asymmetrical warfare: A case study of a humanitarian mission in the safe zone of a neighboring country. Prehosp Disaster Med 2007;22(1):37.
9.McQueen, KA, Magee, M, Crabtree, T et al. : Application of outcome measures in international humanitarian aid: Comparing indices through retrospective analysis of corrective surgical care cases. Prehosp Disaster Med 2009;24(1):3946.
10.Haynes, AB, Weiser, TG, Berry, WR et al. : A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360(5):491499.
11.International Committee of the Red Cross: International Committee of the Red Cross 2007 Annual Report. Available at Accessed 27 April 2009.
12.World Health Organization: World Health Organization established the Global Initiative for Emergency and Essential Surgical Care. Available at Accessed 03 April 2009.
13.Global Burden of Surgical Disease. Available at Accessed 03 April 2009.
14.Ozgediz, D, Hsia, R, Weiser, T et al. : Population health metrics for surgery: Effective coverage of surgical services in low-income and middle-income countries. World J Surg 2009;33(1):15.
15.Bickler, S, Ozgediz, D, Gosselin, R et al. : Key Concepts for Estimating Burden of Surgical Conditions and Unmet Need for Surgical Care. (submitted to World Health Organization Bulletin, 2009).
16.Harvard Humanitarian Initiative Humanitarian Action Summit, Burden of Surgical Disease Working Group: Available at Accessed 29 March 2009.
17.Casey, K: 2009 Presentation at Humanitarian Action Summit, Cambridge, Massachusetts, 27 March 2009.
18.Chu, K: 2009 Minimum Standards in Safe Surgery.Presentation at Humanitarian Action Summit, Cambridge, Massachusetts, 27 March 2009.
19.World Health Organization:World Health Organization safe surgery saves lives. Available at Accessed 02 April 2009.



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