Bulletin of the World Health Organization
Volume 66, Issue 2, 1988, Pages 237-247
An analysis of mortality trends among refugee populations in Somalia, Sudan, and Thailand (Article)
Toole M.J. ,
Waldman R.J.
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a
Division of Evaluation and Research, International Health Program Office, Centers for Disease Control, Atlanta, GA 30 333, United States
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b
Division of Evaluation and Research, International Health Program Office, Centers for Disease Control, Atlanta, GA 30 333, United States
Abstract
A review of mortality data from refugee camps in Thailand (1979-80), Somalia (1980-85), and Sudan (1984-85) indicates that crude mortality rates (CMRs) were up to 40 times higher than those for the non-refugee populations in the host countries. In eastern Sudan, approximately 5% of the population of eight camps died in the first 3 months of the emergency and daily CMRs as high as 14 per 10 000 were reported. These rates dropped to values comparable with those of the host country within 6 weeks in the Thai camps; however, in Somalia and Sudan this process took 12 months. Mortality rates among under-5-year-olds in the early phases, which were as high as 32.6 per 10 000 per day, are six times greater than those in the world's least developed countries during non-emergency times. Among severely undernourished children in one camp in Sudan, the death rate reached 114 per 10 000 per day. Acute respiratory infections, diarrhoeal diseases, malaria, measles, and undernutrition were the causes of most reported deaths, the majority of which could have been prevented by adequate food rations, clean water, measles immunization, and an oral rehydration programme.
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-0023905157&partnerID=40&md5=2ae719b0324e04937a0d1e92326ef254
ISSN: 00439686
Cited by: 75
Original Language: English