Disease and dislocation: the impact of refugee movements on the geography of malaria in NWFP, Pakistan
Disease and dislocation: the impact of refugee movements on the geography of malaria in NWFP, Pakistan
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DOI：
10.1016/s0277-9536(00)00211-2
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发表时间：
2001-04-01
影响因子：
5.4
通讯作者：
Pandit, K
中科院分区：
文献类型：
--
作者：
Kazmi, JH;Pandit, K
关于难民流动对健康的影响的研究一般侧重于流离失所对难民健康的影响以及对目的地提供保健的影响。难民健康研究的一个更被忽视的方面是难民对疾病地理分布的影响，即，疾病流行的空间模式如何通过难民人口的流入和定居而改变。我们通过研究1972年至1997年巴基斯坦西北边境省（NWFP）疟疾地理变化来研究这个问题。直到20世纪70年代末，该地区疟疾发病率最高的地区是南部和东部。然而，在1980年代，有250万阿富汗难民进入西北边境省，并被安置在沿着边界和一些内陆地区的帐篷村庄里。随着这十年的进展，疟疾的空间格局发生了重大变化，发病率最高的人群向西部和北部转移，与难民集中的时间非常吻合。我们的研究提请注意难民的涌入和定居可以改变疾病系统的生态，导致疟疾地理的长期变化。(C)2001爱思唯尔科技有限公司版权所有。
Studies of the health implications of refugee movements have generally focused on the affects of dislocation on the health of refugees and the impacts on health care provision at the destination. A somewhat more neglected aspect of the refugee-health research has been the impact of refugee hows on the geography of disease, i.e., how the spatial patterns of disease prevalence are modified through the influx and settlement of refugee populations. We examine this issue by examining the changing geography of malaria in Pakistan's North West Frontier Province (NWFP) between 1972 and 1997. Until the late 1970 s, the highest incidence of malaria in the region was seen in the southern and eastern parts. During the 1980 s, however, two and a half million Afghan refugees entered the NWFP and were housed in tented villages along the border and in some interior areas. As the decade progressed, there was a significant shift in the spatial pattern of malaria, with the legions of highest incidence shifting to the west and north, coinciding strongly with refugee concentrations. Our study draws attention to the manner in which refugee influx and settlement can alter the ecology of the disease system, leading to long-term changes in the geography of malaria. (C) 2001 Elsevier Science Ltd. All rights reserved.