Disease burden among Ukrainians forcibly displaced by the 2022 Russian invasion.
Disease burden among Ukrainians forcibly displaced by the 2022 Russian invasion.
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DOI：
10.1073/pnas.2215424120
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发表时间：
2023-02-21
影响因子：
11.1
通讯作者：
Galvani, Alison P.
中科院分区：
文献类型：
--
作者：
Pandey, Abhishek;Wells, Chad R.;Stadnytskyi, Valentyn;Moghadas, Seyed M.;V. Marathe, Madhav;Sah, Pratha;Crystal, William;Meyers, Lauren Ancel;Singer, Burton H.;Nesterova, Olena;Galvani, Alison P.
2022年2月24日，俄罗斯开始入侵乌克兰，引发了自二战以来欧洲最大规模的移民潮。虽然有流离失所者的人数和地点，但关于他们的原籍地和保健需求的信息有限。这项研究估计了一些乌克兰最流行的疾病-心血管疾病，糖尿病，癌症，艾滋病和结核病-由于2022年俄罗斯入侵而被迫流离失所的乌克兰人的负担。我们的调查结果表明，医疗系统可能面临直接压力的地区，并建议乌克兰境内人道主义援助的关键目标。2022年2月24日，俄罗斯入侵乌克兰，使超过四分之一的人口流离失所。评估流离失所者的疾病负担有助于为全球公共卫生和人道主义援助工作提供信息。我们通过将强迫流离失所的时空模型与乌克兰629个地区的心血管疾病（CVD）、糖尿病、癌症、艾滋病毒和结核病（TB）的年龄和性别特异性估计相结合，估计了乌克兰境内流离失所者和其他国家流离失所者的疾病负担（即，区）。截至5月13日，在流离失所的乌克兰人中，我们估计有超过263万人患有心血管疾病，至少615，000人患有糖尿病，超过98，500人患有癌症。此外，超过86，000名被迫流离失所者感染了艾滋病毒，大约13，500人患有结核病。我们估计，难民中的疾病流行率低于入侵前的全国疾病流行率。考虑到国内流离失所者和受冲突影响的医疗设施，我们估计，在某些地区，每家医院的人数增加了两倍以上。随着区域医疗保健系统面临越来越大的压力，这些估计可以为在不断变化的疾病负担下分配关键资源提供信息。
On February 24, 2022, Russia began its invasion of Ukraine, triggering one of the largest mass migrations in Europe since World War II. Although the number and location of displaced individuals are available, there is limited information about their points of origin and health needs. This study estimates the burden of some of Ukraine’s most prevalent diseases—cardiovascular diseases, diabetes, cancer, HIV, and tuberculosis—among forcibly displaced Ukrainians due to the 2022 Russian invasion. Our findings indicate regions where healthcare systems may face immediate strain and suggest critical targets for humanitarian aid within Ukraine. The Russian invasion of Ukraine on February 24, 2022, has displaced more than a quarter of the population. Assessing disease burdens among displaced people is instrumental in informing global public health and humanitarian aid efforts. We estimated the disease burden in Ukrainians displaced both within Ukraine and to other countries by combining a spatiotemporal model of forcible displacement with age- and gender-specific estimates of cardiovascular disease (CVD), diabetes, cancer, HIV, and tuberculosis (TB) in each of Ukraine’s 629 raions (i.e., districts). Among displaced Ukrainians as of May 13, we estimated that more than 2.63 million have CVDs, at least 615,000 have diabetes, and over 98,500 have cancer. In addition, more than 86,000 forcibly displaced individuals are living with HIV, and approximately 13,500 have TB. We estimated that the disease prevalence among refugees was lower than the national disease prevalence before the invasion. Accounting for internal displacement and healthcare facilities impacted by the conflict, we estimated that the number of people per hospital has increased by more than two-fold in some areas. As regional healthcare systems come under increasing strain, these estimates can inform the allocation of critical resources under shifting disease burdens.
影响因子：
4.2
作者：
Adhikari, Prakash
通讯作者：
Adhikari, Prakash
影响因子：
1.6
作者：
Echevarria, Jon;Gardeazabal, Javier
通讯作者：
Gardeazabal, Javier