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Báo cáo y học: " The burden of acute respiratory infections in crisis-affected populations: a systematic review"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The burden of acute respiratory infections in crisis-affected populations: a systematic review. | Bellos et al. Conflict and Health 2010 4 3 http www.conflictandhealth.eom content 4 1 3 I CONFLICT AND HEALTH REVIEW Open Access The burden of acute respiratory infections in crisis-affected populations a systematic review 1 2 2 -1 A s- -4 1 1.5 Anna Bellos Kim Mulholland Katherine L O Brien Shamim A Qazi Michelle Gayer Francesco Checchi 1 Abstract Crises due to armed conflict forced displacement and natural disasters result in excess morbidity and mortality due to infectious diseases. Historically acute respiratory infections ARIs have received relatively little attention in the humanitarian sector. We performed a systematic review to generate evidence on the burden of ARI in crises and inform prioritisation of relief interventions. We identified 36 studies published since 1980 reporting data on the burden incidence prevalence proportional morbidity or mortality case-fatality attributable mortality rate of ARI as defined by the International Classification of Diseases version 10 and as diagnosed by a clinician in populations who at the time of the study were affected by natural disasters armed conflict forced displacement and nutritional emergencies. We described studies and stratified data by age group but did not do pooled analyses due to heterogeneity in case definitions. The published evidence mainly from refugee camps and surveillance or patient record review studies suggests very high excess morbidity and mortality 20-35 proportional mortality and casefatality up to 30-35 due to ARI. However ARI disease burden comparisons with non-crisis settings are difficult because of non-comparability of data. Better epidemiological studies with clearer case definitions are needed to provide the evidence base for priority setting and programme impact assessments. Humanitarian agencies should include ARI prevention and control among infants children and adults as priority activities in crises. Improved data collection case management and vaccine strategies will help to .