Neurology
Volume 79, Issue 9, 2012, Pages 937-940

Reportable neurologic diseases in refugee camps in 19 countries (Article) (Open Access)

Mateen F.J.* , Carone M. , Haskew C. , Spiegel P.
  • a Department of Neurology, Johns Hopkins Hospital, Baltimore, United States, Department of International Health, Bloomberg School of Public Health, Baltimore, MD, United States
  • b Division of Biostatistics, School of Public Health, University of California, Berkeley, United States
  • c United Nations High Commissioner for Refugees, Geneva, Switzerland
  • d United Nations High Commissioner for Refugees, Geneva, Switzerland

Abstract

Background: Approximately one-third of refugees worldwide live in refugee camps. Selected neurologic diseases are actively reported in some refugee camps. Methods: The United Nations High Commissioner for Refugees monitors health visits in refugee camps with the assistance of more than 25 partner organizations using standardized case definitions. Neurologic diseases were selected and searched for the years 2008 to 2011. The number of health care visits for a neurologic disease was calculated and divided by the aggregated number of reporting months available for each refugee camp ("visits per camp-month"). Results: Five neurologic diseases were reported from 127 refugee camps in 19 countries. Visits for chronic, noncommunicable diseases including epilepsy (53,941 visits in 1,426 camp-months, 48% female) and cerebrovascular disease (4,028 visits in 1,333 camp-months, 51% female) far exceeded those for neurologic infectious diseases (acute flaccid paralysis/poliomyelitis, 78 visits in 3,816 camp-months, 42% female; leprosy, 74 visits in 3,816 camp-months, 66% female; meningitis, 477 visits in 3,816 camp-months, 51% female). In 2011, these diseases accounted for 31,349 visits globally with 91% of visits for epilepsy. Conclusions: Targeted programs addressing epilepsy and stroke among refugees in camps should become a priority and indicate that other chronic neurologic diseases that may be under-or misdiagnosed may also be common in refugee camps. Given that significant under-reporting is likely, our findings demonstrate the pressing need for coordinated preventive and interventional measures for epilepsy and stroke in refugee camps Copyright © 2012 by AAN Enterprises, Inc.

Author Keywords

[No Keywords available]

Index Keywords

refugee Stroke human health service priority journal chronic disease health program Adolescent flaccid paralysis male female Article health care organization major clinical study leprosy adult meningitis Guillain Barre syndrome poliomyelitis epilepsy cerebrovascular disease Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866084491&doi=10.1212%2fWNL.0b013e318266fcf1&partnerID=40&md5=2db5f34e3f6d45a54b07e15f93df0e14

DOI: 10.1212/WNL.0b013e318266fcf1
ISSN: 00283878
Cited by: 6
Original Language: English