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Refugee health in the tropics. Malaria control in Afghan refugee camps: novel solutions.

Malaria is one of the major communicable diseases to occur in refugee camps. Prevention of mortality by establishing good case management is always the priority. Various types of personal protection or vector control measures may be applied depending on local transmission conditions and stage of the emergency. The range of interventions applied in Afghan refugee camps, the factors influencing choice and the relevance to emergencies in other parts of the world are described.

Afghanistan↗

Demographics and disease prevalence of two new refugee groups in San Francisco. The Ethiopian and Afghan refugees.

Of all the Ethiopian (N=110) and Afghan (N=59)refugees seen at the Refugee Screening Clinic at San Francisco General Hospital Medical Center between May 1982 and July 1983, most were young men and more than 80% of each group were unable to speak English. The most frequently noted medical conditions in both groups were pathogenic parasites, dental caries and skin disorders. Most had positive PPD tests, but only a few cases of class A or class B tuberculosis were found. Among the Ethiopians two active cases each of Plasmodium vivax malaria and trachoma were diagnosed. Although a wide range of diseases were seen, most were common rather than exotic. In addition to the need for translators, traditional beliefs and customs must be sensitively considered when providing health care to these groups.

Afghanistan↗

Palestinian refugee conditions associated with intestinal parasites and diarrhoea: Nuseirat refugee camp as a case study.

OBJECTIVE: To assess the socioeconomic-demographic, environmental health and hygiene conditions associated with intestinal parasites and diarrhoea in Nuseirat Refugee Camp of Gaza Strip. METHODS: A cross-section of 1625 households were surveyed. A stratified sample was used and drawn from the eight Blocks. Face-to-face interviews were administered for data collection. Piloted and validated questionnaires along with specific checklists were used as instruments. RESULTS: A total of 485 women interviewed (29.8%) reported intestinal parasites among their household members; 223 (13.7%) admitted cases of diarrhoea. The highest prevalence of intestinal parasites (24.1%) was found among children aged 1-4 years; the highest prevalence of diarrhoea (10.6%) was found among children younger than 1 year. Intestinal parasites were strongly associated with crowding, source of drinking water and the cleaning of water tanks, and were significantly higher among families with unclean homes. Diarrhoea was strongly associated with source of drinking water, a full-day water supply and cleaning of water tanks, and was significantly higher among families with a presence of mosquitoes and garbage around their homes. CONCLUSIONS: Poor socioeconomic-demographic, environmental health and hygiene conditions play a major role in the occurrence of intestinal parasites and diarrhoea. Children younger than 5 years are at high risk. Real interventions, such as health education, environmental awareness, community involvement and raising funds for infrastructural development are urgently needed.

Adolescent↗

The psychological impact of war and the refugee situation on South Sudanese children in refugee camps in Northern Uganda: an exploratory study.

This paper presents the results of an exploratory study on the psychosocial effects of the war situation and subsequent flight on South Sudanese children who were compared to a group of Ugandan children who did not have these experiences of war and flight. In addition to the independent variables such as sociodemographic variables and traumatic events and daily life stress, the dependent variable psychological consequences--according to parents and children themselves--as well as the influence of the mediating factors of social support and coping behaviour are presented. Results showed that Sudanese refugee children had experienced significantly more traumatic events and suffered more daily hassles than the Ugandese comparison group. They were less satisfied with the social support they received. At the same time, they used more coping modes. Compared to Ugandan children, the Sudanese reported significantly more PTSD-like complaints, behavioural problems, and depressive symptoms.

Adaptation, Psychological↗