Nodding syndrome in Kitgum District, Uganda: association with conflict and internal displacement.

Nodding syndrome in Kitgum District, Uganda: association with conflict and internal displacement.
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DOI:
10.1136/bmjopen-2014-006195
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发表时间:
2014-11-04
期刊:
影响因子:
2.9
通讯作者:
Spencer PS
Spencer PS
中科院分区:
医学3区
文献类型:
--
作者:
Landis JL;Palmer VS;Spencer PS

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测试点头综合症与乌干达北部Kitgum地区战时冲突、伤亡和家庭流离失所之间的任何时间关联。数据来自乌干达卫生部报告的公开信息、英国苏塞克斯大学武装冲突地点和事件数据项目、专业期刊上的同行评议出版物和其他来源。点头综合症的报告于1997年开始出现,1998年在Kitgum区首次记录病例。从2001年开始,病例每年迅速增加,2003-2005年和2008年达到高峰,比战时冲突和死亡人数高峰晚5-6年。此外,点头综合症病例的高峰发生在5-7年前家庭涌入国内流离失所者营地的高峰之后。卫生部报告的点头综合症高峰与战时冲突、死亡和家庭拘留的高峰有关,但暂时脱离了这些高峰,在这些高峰期传染病肆虐,粮食不安全普遍存在。
To test for any temporal association of Nodding syndrome with wartime conflict, casualties and household displacement in Kitgum District, northern Uganda. Data were obtained from publicly available information reported by the Ugandan Ministry of Health (MOH), the Armed Conflict Location & Event Data (ACLED) Project of the University of Sussex in the UK, peer-reviewed publications in professional journals and other sources. Reports of Nodding syndrome began to appear in 1997, with the first recorded cases in Kitgum District in 1998. Cases rapidly increased annually beginning in 2001, with peaks in 2003–2005 and 2008, 5–6 years after peaks in the number of wartime conflicts and deaths. Additionally, peaks of Nodding syndrome cases followed peak influxes 5–7 years earlier of households into internal displacement camps. Peaks of Nodding syndrome reported by the MOH are associated with, but temporally displaced from, peaks of wartime conflicts, deaths and household internment, where infectious disease was rampant and food insecurity rife.
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