Hostname: page-component-848d4c4894-cjp7w Total loading time: 0 Render date: 2024-06-19T13:01:33.387Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  28 June 2012

K.A. Kelly McQueen*
Affiliation:
Harvard Humanitarian Initiative, Harvard University; Valley Anesthesiology Consultants, Phoenix, Arizona USA
Parveen Parmar
Affiliation:
International Emergency Medicine Fellow, Harvard Humanitarian Initiative/Brigham and Women's Hospital, Boston, Massachusetts USA
Mamata Kene
Affiliation:
International Emergency Medicine Fellow, Harvard Humanitarian Initiative/Brigham and Women's Hospital, Boston, Massachusetts USA
Sam Broaddus
Affiliation:
Director, Division of Urology, Maine Medical Center, Portland, Maine USA
Kathleen Casey
Affiliation:
Director, Operation Giving Back, American College of Surgeons
Kathryn Chu
Affiliation:
Médecins sans Frontières, 49 Jorissen St. Braamfontein 2017, Johannesburg, South Africa
Joseph A. Hyder
Affiliation:
Harvard Medical School and Brigham and Women's Hospital, Boston, Massachusetts USA
Alexandra Mihailovic
Affiliation:
General Surgery/Critical Care Clinical Fellow and Research Fellow in Clinical Epidemiology University of Toronto, Toronto, Ontario Canada
Nadine Semer
Affiliation:
Southern California Permanente Medical Group, Pasadena, California USA
Stephen Sullivan
Affiliation:
Department of Plastic and Oral Surgery and the Craniofacial Centre, Children's Hospital and Harvard Medical School, Boston, Massachusetts USA
Thomas Weiser
Affiliation:
Research Fellow, Harvard School of Public Health, Boston, Massachusetts USA
Frederick M. Burkle Jr.
Affiliation:
Senior Fellow, Harvard Humanitarian Initiative, Harvard University, Boston, Massachusetts USA
*
Harvard Humanitarian Initiative4134 N 49th Place Phoenix, Arizona 85018 USA E-mail kamcqueen@gmail.com

Abstract

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.

Type
Working Group 6
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

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.Google Scholar
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.Google Scholar
3.World Health Organization: Emergency and essential surgery: The backbone of primary health care. Available at http://www.who.int/eht/sb/en/index.html. Accessed 29 March 2009.Google Scholar
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.CrossRefGoogle ScholarPubMed
5.MSF International: http://www.msf.org/. Accessed 27 April 2009. 6 Chu K: MSF Surgical Field Programs. Presentation at Humanitarian Action Summit, Cambridge, Massachusetts, 27 March 2009.Google Scholar
7.Broadus, S, Cushing, B, Sante, K: Assessment of Surgical Services at Hôpital Universitaire Justinian Cap Haitien, Haiti. (unpublished) Available at http://www.konbitsante.org. Accessed 28 April 2009.Google Scholar
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.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle Scholar
11.International Committee of the Red Cross: International Committee of the Red Cross 2007 Annual Report. Available at http://www.icrc.org/Web/Eng/siteeng0.nsf/htmlall/section_annual_report_2007. Accessed 27 April 2009.Google Scholar
12.World Health Organization: World Health Organization established the Global Initiative for Emergency and Essential Surgical Care. Available at http://www.who.int/surgery/globalinitiative/en/. Accessed 03 April 2009.Google Scholar
13.Global Burden of Surgical Disease. Available at http://www.gsd2008.org/. Accessed 03 April 2009.Google Scholar
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.CrossRefGoogle ScholarPubMed
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).CrossRefGoogle Scholar
16.Harvard Humanitarian Initiative Humanitarian Action Summit, Burden of Surgical Disease Working Group: Available at http://hhi.harvard.edu/events/humanitarian-action-summit/working-groups/burden-of-surgical-disease. Accessed 29 March 2009.Google Scholar
17.Casey, K: 2009 Presentation at Humanitarian Action Summit, Cambridge, Massachusetts, 27 March 2009.Google Scholar
18.Chu, K: 2009 Minimum Standards in Safe Surgery.Presentation at Humanitarian Action Summit, Cambridge, Massachusetts, 27 March 2009.Google Scholar
19.World Health Organization:World Health Organization safe surgery saves lives. Available at http://www.who.int/patientsafety/safesurgery/en/. Accessed 02 April 2009.Google Scholar