Journal Article > EditorialFull Text
BMJ. 2021 December 20; Volume 375; n3126.; DOI:10.1136/bmj.n3126
Caluwaerts S
BMJ. 2021 December 20; Volume 375; n3126.; DOI:10.1136/bmj.n3126
Journal Article > ResearchFull Text
BMJ. 2003 September 20; Volume 327 (Issue 7416); 650.; DOI:10.1136/bmj.327.7416.650
Grein T
BMJ. 2003 September 20; Volume 327 (Issue 7416); 650.; DOI:10.1136/bmj.327.7416.650
OBJECTIVE
To measure retrospectively mortality among a previously inaccessible population of former UNITA members and their families displaced within Angola, before and after their arrival in resettlement camps after ceasefire of 4 April 2002.
DESIGN
Three stage cluster sampling for interviews. Recall period for mortality assessment was from 21 June 2001 to 15-31 August 2002.
SETTING
Eleven resettlement camps over four provinces of Angola (Bié, Cuando Cubango, Huila, and Malange) housing 149 000 former UNITA members and their families. PARTICIPANTS: 900 consenting family heads of households, or most senior household members, corresponding to an intended sample size of 4500 individuals. MAIN
OUTCOME MEASURES
Crude mortality and proportional mortality, overall and by period (monthly, and before and after arrival in camps).
RESULTS
Final sample included 6599 people. The 390 deaths reported during the recall period corresponded to an average crude mortality of 1.5/10 000/day (95% confidence interval 1.3 to 1.8), and, among children under 5 years old, to 4.1/10 000/day (3.3 to 5.2). Monthly crude mortality rose gradually to a peak in March 2002 and remained above emergency thresholds thereafter. Malnutrition was the leading cause of death (34%), followed by fever or malaria (24%) and war or violence (18%). Most war victims and people who had disappeared were women and children.
CONCLUSIONS
This population of displaced Angolans experienced global and child mortality greatly in excess of normal levels, both before and after the 2002 ceasefire. Malnutrition deaths reflect the extent of the food crisis affecting this population. Timely humanitarian assistance must be made available to all populations in such conflicts.
To measure retrospectively mortality among a previously inaccessible population of former UNITA members and their families displaced within Angola, before and after their arrival in resettlement camps after ceasefire of 4 April 2002.
DESIGN
Three stage cluster sampling for interviews. Recall period for mortality assessment was from 21 June 2001 to 15-31 August 2002.
SETTING
Eleven resettlement camps over four provinces of Angola (Bié, Cuando Cubango, Huila, and Malange) housing 149 000 former UNITA members and their families. PARTICIPANTS: 900 consenting family heads of households, or most senior household members, corresponding to an intended sample size of 4500 individuals. MAIN
OUTCOME MEASURES
Crude mortality and proportional mortality, overall and by period (monthly, and before and after arrival in camps).
RESULTS
Final sample included 6599 people. The 390 deaths reported during the recall period corresponded to an average crude mortality of 1.5/10 000/day (95% confidence interval 1.3 to 1.8), and, among children under 5 years old, to 4.1/10 000/day (3.3 to 5.2). Monthly crude mortality rose gradually to a peak in March 2002 and remained above emergency thresholds thereafter. Malnutrition was the leading cause of death (34%), followed by fever or malaria (24%) and war or violence (18%). Most war victims and people who had disappeared were women and children.
CONCLUSIONS
This population of displaced Angolans experienced global and child mortality greatly in excess of normal levels, both before and after the 2002 ceasefire. Malnutrition deaths reflect the extent of the food crisis affecting this population. Timely humanitarian assistance must be made available to all populations in such conflicts.
Journal Article > CommentaryFull Text
BMJ. 2016 April 20; DOI:10.1136/bmj.i2037
Akol AD, Caluwaerts S, Weeks AD
BMJ. 2016 April 20; DOI:10.1136/bmj.i2037
Other > Journal Blog
BMJ. 2019 July 11
Torreele E
BMJ. 2019 July 11
Journal Article > EditorialFull Text
BMJ. 2022 January 10; Volume 376; o46.; DOI:10.1136/bmj.o46
Mesic A
BMJ. 2022 January 10; Volume 376; o46.; DOI:10.1136/bmj.o46
Journal Article > LetterFull Text
BMJ. 2014 September 30; Volume 349; DOI:10.1136/bmj.g5861
Reid J, Potet J, Athersuch K, Grovestock M, Sanjuan J
BMJ. 2014 September 30; Volume 349; DOI:10.1136/bmj.g5861
Journal Article > LetterFull Text
BMJ. 2018 October 15; Volume 363; k4273 .; DOI:10.1136/bmj.k4273
Kanapathipillai R, Malou N, Baldwin K, Marty P, Rodaix C, et al.
BMJ. 2018 October 15; Volume 363; k4273 .; DOI:10.1136/bmj.k4273
Journal Article > ResearchFull Text
BMJ. 1993 July 31
Veeken H
BMJ. 1993 July 31
Haiti, one of the world's five poorest nations, gets international attention because of the number of refugees who leave by boat in search of a better future. The 80,000 inhabitants of Ile de la Gonave are neglected, even in Haiti--there is no government medical post, and facilities in the health posts run by missions are minimal. Typhoid and cholera epidemics threaten the island. Médecins Sans Frontières plans to send staff and supplies and train local health workers.
Journal Article > CommentaryFull Text
BMJ. 1998 December 12; Volume 317 (Issue 7173); 1649-1650.; DOI:10.1136/bmj.317.7173.1649
Veeken H
BMJ. 1998 December 12; Volume 317 (Issue 7173); 1649-1650.; DOI:10.1136/bmj.317.7173.1649
Journal Article > CommentaryFull Text
BMJ. 2003 June 14; Volume 326 (Issue 7402); 1296.; DOI:10.1136/bmj.326.7402.1296
Ford NP
BMJ. 2003 June 14; Volume 326 (Issue 7402); 1296.; DOI:10.1136/bmj.326.7402.1296
“The doctor's role goes from caregiver to undertaker. You talk to them about the cheapest method of burial. Telling them about the drugs is always kind of a cruel joke,” said Dr Chris Ouma of Kenya, where 2.5 million people are infected with HIV, and most cannot afford AIDS drugs.