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Changes in Size of Populations and Level of Conflict Since World War II: Implications for Health and Health Services

Published online by Cambridge University Press:  08 April 2013

Richard M. Garfield ,
Jonathan Polonsky  and
Frederick M. Burkle Jr
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Abstract

Background: Armed conflicts include declared cross-border and internal wars and political, ethnic, and religious hostilities. The number of conflicts worldwide and their level of intensity have varied widely during the last 5 decades. Tracking conflicts throughout this period has focused predominantly on the number of individuals killed or displaced from these hostilities through count-based estimation systems, or establishing rates of excess mortality from demographic surveys. This report focuses on people living in areas with conflict by applying an estimated level of conflict intensity to data on the population of each territory with hostilities during 1946 to 2007.

Methods: Data from the Uppsala Conflict Data Program/Peace Research Institute Oslo (UCDP/PRIO) Armed Conflict project database on 324 conflicts of any type in countries with populations greater than 500 000 were combined with conflict-intensity estimates from the Center for Systemic Peace and population data from the US Census Bureau International Data Base.

Results: More than half a billion people lived in conflict-affected areas in 2007. An increasing proportion of those affected by conflict lived in early postconflict areas, where hostilities were judged or declared during the last 5 years. In the past 2 decades, the average intensity of conflict among those living in areas with a current conflict has gradually declined.

Conclusions: A burgeoning population lives in areas where conflict has recently ended, yet most of the world's large-scale medical responses to emergencies focus on high-intensity conflicts. Effective emergency and reconstruction activities in the health sector will depend on reorganizing services to increasingly focus on and transition to low-level and postconflict environments.

(Disaster Med Public Health Preparedness. 2012;6:241–246)

Keywords

conflictaffected populationswar-affectedconflict-affectedseverity
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 6 , Issue 3 , October 2012 , pp. 241 - 246
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2010

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References

REFERENCES

1.Forman, SSalomons, D.Meeting Essential Needs in Societies Emerging From Conflict.New York, NY: Center on International Cooperation, New York University; 1998.Google Scholar
2.Dobbins, JMcGinn, JGCrane, K, et alAmerica's Role in Nation-Building: From Germany to Iraq.Washington, DC: RAND Corp; 2005.Google Scholar
3.Feil, SR.Building better foundations: security in postconflict reconstruction. Wash Q. 2002;25 (4):97–109.Google Scholar
4.Collier, P.Post-Conflict Economic Recovery.Presented at: the International Peace Academy. Oxford, England: Oxford University. Revised April 2006. http://users.ox.ac.uk/~econpco/research/pdfs/IPA-PostConflictEconomicRecovery.pdf. Accessed June 12, 2009.Google Scholar
5.United Nations Development Group. Report of the UNDG/ECHA Working Group on Transition Issues. February 2004. http://www.gsdrc.org/go/display&type=Document&id=3415&utm_medium=rss&utm_campaign=gsdrc&utm_source=newsfeed. Accessed June 24, 2012.Google Scholar
6.Collier, P.The Bottom Billion: Why the Poorest Countries Are Failing and What Can Be Done About It.New York, NY: Oxford University Press; 2007.Google Scholar
7.Obermeyer, ZMurray, CJGakidou, E.Fifty years of violent war deaths from Vietnam to Bosnia: analysis of data from the world health survey programme. BMJ. 2008;336 (7659):1482–1486.Google Scholar
8.Human Security Report Project. Human Security Report 2009/2010: The Shrinking Costs of War.New York, NY: Oxford University Press; 2010. http://www.hsrgroup.org/human-security-reports/20092010/text.aspx. Accessed June 24, 2012.Google Scholar
9.Center for Systemic Peace. Global Conflict Trends. http://www.systemicpeace.org/conflict.htm. Accessed April 29, 2009.Google Scholar
10.Marshall, MGGurr, TRHarff, B.Problem Set Codebook.Political Instability Task Force, Internal Wars and Failures of Governance, 1955-2008. http://globalpolicy.gmu.edu/pitf/pitfcode.htm. Accessed June 5, 2009.Google Scholar
11.US Census Bureau International Database (IDB). http://www.census.gov/population/international/data/idb/informationGateway.php. Accessed May 5, 2009.Google Scholar
12.Lacina, BGleditsch, NP.Monitoring trends in global combat: a new dataset of battle deaths. Eur J Popul. 2005;21:145–166.Google Scholar
13.Kelly, J.Definitions in grey: conflict vs post-conflict. Change.org. April 17, 2009. http://humanitarianrelief.change.org/blog/view/definitions_in_grey_conflict_vs_post_conflict. Accessed May 5, 2009.Google Scholar
14.Chakrabarti, S.The challenge of the health MDGs in fragile states. Presented at: the High Level Forum Meeting, Abuja, Nigeria, December 2–3, 2004. http://www.ppt2txt.com/r/43f4bec1/. Accessed June 25, 2012.Google Scholar
15.United Nations Development Programme. Armed Violence Threatens Progress on Millennium Development Goals. http://content.undp.org/go/newsroom/2010/may/armed-violence-threatens-progress-on-millennium-development-goals.en. Accessed June 25, 2012.Google Scholar
16.Heller, PS.Finding Sustainable “Fiscal Space” for the Health Sector.Washington, DC: International Monetary Fund; 2005.Google Scholar
17.Mlambo, MKKamara, ABNyende, M.Financing post-conflict recovery in Africa: the role of international development assistance. J Afr Econ. 2009;18(suppl 1)i53–i76.Google Scholar
18.Jones, SGHilborne, LHAnthony, CR, et alSecuring Health: Lessons From Nation-Building Missions.Santa Monica, CA: RAND Corp; 2006. MG-C21-RC.Google Scholar
19.Guha-Sapir, Dvan Panhuis, WGDegomme, OTeran, V.Civil conflicts in four African countries: a five-year review of trends in nutrition and mortality. Epidemiol Rev. 2005;27:67–77.CrossRefGoogle ScholarPubMed
20.International Crisis Group. CrisisWatch.No. 71. July 1, 2009. http://www.crisisgroup.org/en/publication-type/crisiswatch/2009/crisiswatch-71.aspx. Accessed July 5, 2009.Google Scholar
21.Development Initiatives.Good Humanitarian Donorship Initiative Annual Review Meeting. Indicator Report 2008. London, England: Development Initiatives; 2009. http://www.globalhumanitarianassistance.org/wp-content/uploads/2010/07/2009-ghd-indicators.pdf. Accessed June 25, 2012.Google Scholar
22.Global Humanitarian Assistance 2007/2008. Somerset, England: Development Initiatives. http://www.globalhumanitarianassistance.org/wp-content/uploads/2010/07/2007-GHA-report.pdf. Accessed June 24, 2012.Google Scholar