[Human repercussions of internal solar effects].
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The 1993 assassination of the President of the Republic of Burundi led to a bloodbath resulting in the killing of 700 000 people and 300 000 refugees in camps scattered throughout the country. After the emergency surgery phase, the French cooperation which was in charge of health care in the Gitega sector requested a humanitary mission. Two public health physicians, a polyvalent clinical physician, and two field nurses were sent. All were armed service personnel. From January to April 1994, after a preliminary assessment of the situation, this mission took charge of health services as well as administrative services for the population of the region including some 10 000 refugees. Epidemiologic surveillance was carefully organized. During the first quarter of the year, there were 2451 declared cases of bacterial dysentery, 6738 cases of malaria-like fever including 25% confirmed by paristological findings on a study of 60 consultants, 87 cases of measles, and 1306 cases of conjunctivitis. There were no cases of cholerea or meningoccoal meningitis. A food support program was started when it was noted that the overall rate of acute malnutrition among refugee children under the age of 5 years was 25% (weight/height ratio less than minus 2 standard deviations or observation of edema). At the present time the situation in the sector is back to normal and the health care system is operating satisfactorally. However the situation in neighboring Rwanda could have adverse effects on the political stability of Burundi.
The ethnographic characteristics of the Chiriguanos allowed us to make up an experimental design to show the relationship between migration and mental pathology. The Chiriguanos are a South American ethnographic population characterized by a traditional migratory tendency. The Chiriguanos group is a resultant of the Tupi-Guaraní migrations. From the 15th century up to the 19th aboriginal guaraníes moved from the current area of Paraguay to the East zone of Bolivia; they conquered and mixed with the group that lived there and after that they resisted the European forces. The Chiriguanos history can be divided in different phases: 1) The establishment in the new zone; 2) The "Chiriguana war" with the dominant group; 3) The grouping with Franciscan missions and its community organization. This study of Transcultural Psychiatry can be considered as an ex post facto experiment in the field of Psychiatric Epidemiology. It allows us to analyse population phenomena related to changes in the prevalence of mental pathology. The facts presented in this report have been established thanks to the use of sampling techniques adequated to each population being studied (original and migratory groups): demographic structure, total fertility Grow's "evolutional intensity index", and mental prevalence rates in both groups. Differences in the biennial prevalence rates of mental morbidity were found. In the original Chiriguana community there is an evident "group endogamy"; on the contrary, the migratory groups integrated by individuals of different aboriginal culture, are really melting-pots, that originate a new genetic groupal structure. We have worked with human situations created by a natural social and cultural reality. We have worked with two ethnographic homogeneous populations, one of them stable and the other a migratory one. We intended to demonstrate: 1) migration changes the rates of mental pathology; 2) those changes are followed by changes in the genetic structure of the individuals.
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A study of 78 involuntary and 47 voluntary patients three months after admission to a state hospital revealed significant differences in presenting symptoms and in the rate of elopement from the hospital. The data support maintaining procedures for involuntary hospitalization, but also suggest the need for alternatives in view of the high elopement rate.