One Health approaches to improve refugee health.

One Health approaches to improve refugee health.
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DOI:
10.1016/s2214-109x(21)00416-2
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发表时间:
2021-12
影响因子:
34.3
通讯作者:
Zaman, Muhammad H.
Zaman, Muhammad H.
中科院分区:
医学1区
文献类型:
--
作者:
Sutradhar, Indorica;Zaman, Muhammad H.

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据估计,从2020年开始,目前世界上大约有2640万难民,而且难民人口在过去十年中一直在增加。1美国撤军后阿富汗局势的发展可能会进一步增加被迫流离失所的人数。移徙过程可能使难民面临疾病的风险因素,并阻碍获得基本保健。此外,由于仇外心理和东道国缺乏有凝聚力的支持,难民经常面临与收容人口相比的持续劣势。2传染病在难民营中特别令人关切。由于移徙期间暴露、卫生条件差、疫苗接种短缺和过度拥挤等因素,难民营中的传染病发病率、严重性和病死率可能会增加。2、3事实上,间接原因,特别是传染病,占冲突和流离失所死亡人数的大多数。3此外,难民还可能面临治疗中断,这可能会增加出现抗药性感染的风险。2然而,旨在改善难民健康的干预措施,如接种疫苗,往往只侧重于人类健康因素。为了充分应对难民健康方面的挑战,在规划干预措施时可能需要更广泛的范围。
By estimates from 2020, there are approximately 26· 4 million refugees worldwide today and the refugee population has been increasing over the past decade. 1 The unfolding situation in Afghanistan following the US withdrawal is likely to further increase the number of individuals who are forcibly displaced. The process of migration can expose refugees to risk factors for disease and hinder access to basic health care. Additionally, refugees often face continued disadvantage compared with host populations due to xenophobia and shortage of cohesive support in their host country. 2 Infectious disease is of particular concern in refugee camps. Increased occurrence, severity, and case fatality for infectious diseases can occur in refugee camps due to factors including exposure during migration, poor sanitation conditions, shortage of vaccinations, and overcrowding. 2, 3In fact, indirect causes, particularly infectious disease, account for the majority of deaths in conflict and displacement. 3 Furthermore, refugees can also face treatment interruption, which can increase the risk of developing a drug resistant infection. 2 However, interventions aimed at improving refugee health, such as vaccinations, are often only focused on human health factors. To fully address the challenges of refugee health, a broader scope when planning interventions could be necessary.