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Famine-affected, refugee, and displaced populations: recommendations for public health issues.
MMWR Recomm Rep. 1992 Jul 24; 41(RR-13):1-76.MR

Abstract

During the past three decades, the most common emergencies affecting the health of large populations in developing countries have involved famine and forced migrations. The public health consequences of mass population displacement have been extensively documented. On some occasions, these migrations have resulted in extremely high rates of mortality, morbidity, and malnutrition. The most severe consequences of population displacement have occurred during the acute emergency phase, when relief efforts are in the early stage. During this phase, deaths--in some cases--were 60 times the crude mortality rate (CMR) among non-refugee populations in the country of origin (1). Although the quality of international disaster response efforts has steadily improved, the human cost of forced migration remains high. Since the early 1960s, most emergencies involving refugees and displaced persons have taken place in less developed countries where local resources have been insufficient for providing prompt and adequate assistance. The international community's response to the health needs of these populations has been at times inappropriate, relying on teams of foreign medical personnel with little or no training. Hospitals, clinics, and feeding centers have been set up without assessment of preliminary needs, and essential prevention programs have been neglected. More recent relief programs, however, emphasize a primary health care (PHC) approach, focusing on preventive programs such as immunization and oral rehydration therapy (ORT), promoting involvement by the refugee community in the provision of health services, and stressing more effective coordination and information gathering. The PHC approach offers long-term advantages, not only for the directly affected population, but also for the country hosting the refugees. A PHC strategy is sustainable and strengthens the national health development program.

Pub Type(s)

Guideline
Journal Article
Practice Guideline

Language

eng

PubMed ID

1326713

Citation

"Famine-affected, Refugee, and Displaced Populations: Recommendations for Public Health Issues." MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports, vol. 41, no. RR-13, 1992, pp. 1-76.
Famine-affected, refugee, and displaced populations: recommendations for public health issues. MMWR Recomm Rep. 1992;41(RR-13):1-76.
(1992). Famine-affected, refugee, and displaced populations: recommendations for public health issues. MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports, 41(RR-13), 1-76.
Famine-affected, Refugee, and Displaced Populations: Recommendations for Public Health Issues. MMWR Recomm Rep. 1992 Jul 24;41(RR-13):1-76. PubMed PMID: 1326713.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Famine-affected, refugee, and displaced populations: recommendations for public health issues. PY - 1992/7/24/pubmed PY - 1992/7/24/medline PY - 1992/7/24/entrez KW - Americas KW - Bacterial And Fungal Diseases KW - Causes Of Death KW - Cdc KW - Communicable Disease Control KW - Communicable Diseases KW - Data Collection KW - Deficiency Diseases KW - Delivery Of Health Care KW - Demographic Factors KW - Developed Countries KW - Developing Countries KW - Diseases KW - Environment KW - Epidemiologic Methods KW - Famine KW - Food Supplementation KW - Food Supply KW - Geographic Factors KW - Government Agencies KW - Health KW - Health Services KW - Infections KW - Malnutrition KW - Maternal-child Health Services KW - Migrants KW - Migration KW - Morbidity--prevention and control KW - Mortality--prevention and control KW - Natural Disaster KW - Natural Resources KW - North America KW - Northern America KW - Nutrition Disorders KW - Nutrition Programs KW - Organizations KW - Population KW - Population Dynamics KW - Primary Health Care KW - Recommendations KW - Refugee Camps KW - Refugees KW - Reproductive Tract Infections KW - Research Methodology KW - Residence Characteristics KW - Sexually Transmitted Diseases KW - Spatial Distribution KW - United States KW - Usphs KW - Viral Diseases SP - 1 EP - 76 JF - MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports JO - MMWR Recomm Rep VL - 41 IS - RR-13 N2 - During the past three decades, the most common emergencies affecting the health of large populations in developing countries have involved famine and forced migrations. The public health consequences of mass population displacement have been extensively documented. On some occasions, these migrations have resulted in extremely high rates of mortality, morbidity, and malnutrition. The most severe consequences of population displacement have occurred during the acute emergency phase, when relief efforts are in the early stage. During this phase, deaths--in some cases--were 60 times the crude mortality rate (CMR) among non-refugee populations in the country of origin (1). Although the quality of international disaster response efforts has steadily improved, the human cost of forced migration remains high. Since the early 1960s, most emergencies involving refugees and displaced persons have taken place in less developed countries where local resources have been insufficient for providing prompt and adequate assistance. The international community's response to the health needs of these populations has been at times inappropriate, relying on teams of foreign medical personnel with little or no training. Hospitals, clinics, and feeding centers have been set up without assessment of preliminary needs, and essential prevention programs have been neglected. More recent relief programs, however, emphasize a primary health care (PHC) approach, focusing on preventive programs such as immunization and oral rehydration therapy (ORT), promoting involvement by the refugee community in the provision of health services, and stressing more effective coordination and information gathering. The PHC approach offers long-term advantages, not only for the directly affected population, but also for the country hosting the refugees. A PHC strategy is sustainable and strengthens the national health development program. SN - 1057-5987 UR - https://www.unboundmedicine.com/medline/citation/1326713/Famine_affected_refugee_and_displaced_populations:_recommendations_for_public_health_issues_ L2 - http://www.cdc.gov/mmwr/preview/mmwrhtml/00019261.htm DB - PRIME DP - Unbound Medicine ER -