Short communication: Patterns of chronic and acute diseases after natural disasters - a study from the International Committee of the Red Cross field hospital in Banda Aceh after the 2004 Indian Ocean tsunami

被引:28
作者
Guha-Sapir, Debarati [1 ]
van Panhuis, Willem Gijsbert [2 ]
Lagoutte, Joel [3 ]
机构
[1] Catholic Univ Louvain, Sch Publ Hlth, Ctr Res Epidemiol Disasters, Brussels, Belgium
[2] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA
[3] Int Comm Red Cross, Hlth Serv Unit, Geneva, Switzerland
关键词
natural disasters; chronic diseases; humanitarian aid; Indonesia;
D O I
10.1111/j.1365-3156.2007.01932.x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
OBJECTIVE To assess the pattern of diseases in a natural disaster, which are not necessarily a direct consequence of the event but can impact on the way health assistance is to be provided. METHODS Cross-sectional, record-based study in the International Committee of the Red Cross field hospital in Aceh, Indonesia, established immediately after the tsunami in 2004. Patients who presented to hospital from January 15 to 31, and whose diagnoses were available, were included in the study. RESULTS One thousand one hundred and eighty-eight residents of Aceh participated. 43.5% of the diagnoses was chronic diseases. The odds of chronic vs. acute diseases increased by 16.4% per day up to January 23 [95% confidence interval (CI): 7.8-25.6%] and decreased thereafter by 13.1% (95% CI: 6.6-19.1%) per day. The odds of acute diseases were 34% lower among females than males (95% CI: 16-49%) and 4.3 times higher among children than the rest of the population (95% CI: 2.4-7.6). There were relatively few trauma cases among females and children. CONCLUSIONS Medical teams providing relief after acute disasters should be prepared to provide healthcare for chronic diseases too. A delay in the presentation of many acute conditions has implications for long-term health consequences of disasters, such as disability.
引用
收藏
页码:1338 / 1341
页数:4
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