Immunosurveillance on Kosovar children refugees in Southern Italy.
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Fifty-one Sri Lankan Tamil refugees/displaced persons living in South India completed the Hopkins Symptom Checklist-58. In addition, in interviews they answered open-ended questions about personal loss, personal traumatic experiences, negative feelings, living in camps, and the availability of support. The health of the respondents was poor. Moreover, experiences such as watching the killing of family members and being wounded were mentioned as reasons to flee. Many respondents said they experienced negative feelings. Social support was reasonably available although family members were often not situated in the same camp.
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Adaptation and implementation of a primary mental health project based on work with children affected by political repression in Guatemala and Argentina are described. This intervention model utilizes a variety of expressive arts techniques to help children express their thoughts and feelings about growing up in exile. The model emphasizes the training of community members in the theory and methods of the intervention.
In 1939, an Austrian/Jewish Dental Surgeon and his wife escaped from Nazi occupied Vienna but had to sacrifice his home, his practice and all his personal possessions and securities. He managed to reach the French consulate in Milan where he was given asylum for a limited period and from there planned his future.
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OBJECTIVE: To identify the population risk factors in emergency situations, we studied breastfeeding status as a predictor for child mortality during a war in Guinea-Bissau. METHODS: Data on breastfeeding status are routinely collected by the surveillance system of the Bandim Health Project in Bissau. We used data collected during a 3-month period prior to the war in Guinea-Bissau in June 1998 to assess the impact of breastfeeding status on mortality in an emergency. We compared the war cohort with two cohorts of children who had had their breastfeeding status assessed in a similar way by the surveillance system in the 3 months prior to June 1996 and June 1997. As very few are weaned prior to 9 months of age and the median age of weaning is 22 months, we assessed the risk of dying over a 3-month period for breastfed and weaned children aged 9-20 months. RESULTS: Controlling for age, weaned children experienced a sixfold higher mortality [mortality rate (MR) = 5.73 (95% CI 2.40-13.71)] during the first 3 months of the war compared with children still breastfeeding. In the two control cohorts from 1996 and 1997, weaned children did not have higher mortality than the breastfed children over a similar 3-month period. Mortality in weaned children was five times higher [MR = 4.96 (1.44-16.63)] during the first 3 months of the conflict than in a similar group of weaned children from early June 1996 and June 1997, whereas there was no significant difference in mortality between breastfed children during the conflict and the preceding years [MR = 1.46 (0.84-2.55)]. Control for other background factors, including living with mother, gender, ethnic group, mother's schooling and district, did not change these differences. CONCLUSION: The protective effect of breastfeeding against infections may be particularly important in emergencies. Continuing or recommencing breastfeeding should be emphasized in emergency situations.
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