Abstract:
OBJECTIVE:To study the effects on children of humanitarian aid agencies restricting help to refugee families (internally displaced people). DESIGN:Follow up study of 3 months. SETTING:Prabis peninsular outside Bissau, the capital of Guinea-Bissau, which has functioned as a refugee area for internally displaced people in the ongoing war, and the study area of the Bandim health project in Bissau. PARTICIPANTS:422 children aged 9-23 months in 30 clusters. MAIN OUTCOME MEASURES:Mid-upper arm circumference and survival in relation to residence status. RESULTS:During the refugee situation all children deteriorated nutritionally, and mortality was high (3.0% in a 6 week period). Rice consumption was higher in families resident in Prabis than in refugees from Bissau but there was no difference in food expenditure. Nutritional status, measured by mid- upper arm circumference, was not associated with rice consumption levels in the family, and the decline in circumference was significantly worse for resident than for refugee children; the mid-upper arm circumference of refugee children increased faster than that of resident children. For resident children, mortality was 4.5 times higher (95% confidence interval 1.1 to 30.0) than for refugee children. Mortality for both resident and refugee children was 7.2 times higher (1.3 to 133.9) during the refugee's stay in Prabis compared with the period after the departure of the refugees. CONCLUSION:In a non-camp setting, residents may be more malnourished and have higher mortality than refugees. Major improvements in nutritional status and a reduction in mortality occurred in resident and refugee children as soon as refugees returned home despite the fact that there was no improvement in food availability. :This paper examines the nutritional status and mortality of refugee and resident children in a non-camp setting during the war in Guinea-Bissau. Subjects included 422 children aged 9-23 months in 30 clusters. Results showed that, during the refugee situation, all the children deteriorated nutritionally and mortality was high (3.0% in a 6-week period). Rice consumption was higher in families residing in Prabis than in refugees from Guinea-Bissau, but there was no difference in food expenditure. Nutritional status, measured by mid-upper-arm circumference, was not associated with rice consumption levels in the family, and the decline in circumference was significantly worse for resident than for refugee children; the mid-upper-arm circumference increased faster than that of resident children. For resident children, mortality was 4.5 times higher than for refugee children. Mortality for both resident and refugee children was 7.2 times higher during the refugee's stay in Prabis compared with the period after the departure of the refugees. Finally, major improvements in nutritional status and reduction in mortality occurred in resident and refugee children as soon as refugees returned home despite the fact that there were no improvements in food availability.
journal_name
BMJjournal_title
BMJ (Clinical research ed.)authors
Aaby P,Gomes J,Fernandes M,Djana Q,Lisse I,Jensen Hdoi
10.1136/bmj.319.7214.878keywords:
subject
Has Abstractpub_date
1999-10-02 00:00:00pages
878-81issue
7214eissn
0959-8138issn
1756-1833journal_volume
319pub_type
杂志文章abstract:OBJECTIVE:To describe the time distribution of visits at night and to evaluate trends in night visits from 1982 to 1992. DESIGN:Analysis of a sample of one in 12 claim forms for night visits submitted over one year beginning 1 July 1991, and estimation of the number of night visits in previous years from data on payme...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
doi:10.1136/bmj.306.6880.762
更新日期:1993-03-20 00:00:00
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doi:10.1136/bmj.310.6978.505
更新日期:1995-02-25 00:00:00
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journal_title:BMJ (Clinical research ed.)
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更新日期:2003-04-19 00:00:00
abstract:OBJECTIVE:To prepare and assess the sensitivity and specificity of a latex agglutination test specific for the serotype of antigen in diagnosing pneumococcal pneumonia in Gambian children. DESIGN:Comparison of agglutination test specific for serotype with culture of blood and lung aspirates, countercurrent immunoelect...
journal_title:BMJ (Clinical research ed.)
pub_type: 临床试验,杂志文章
doi:10.1136/bmj.298.6680.1061
更新日期:1989-04-22 00:00:00
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更新日期:2020-09-23 00:00:00
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doi:10.1136/bmj.311.7012.1053
更新日期:1995-10-21 00:00:00
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doi:10.1136/bmj.318.7179.306
更新日期:1999-01-30 00:00:00
abstract::In the existing WHO guidelines, complementary feeding at 4-6 months is advocated. However, many nutrition specialists believe that these guidelines lead to complementary foods being offered from the age of 3 months, or even earlier, subsequently suggesting that the WHO should change its recommendations to about 6 mon...
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pub_type: 新闻
doi:
更新日期:2000-09-09 00:00:00
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更新日期:2011-02-03 00:00:00
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doi:10.1136/bmj.39166.597836.BE
更新日期:2007-05-12 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1136/bmj.b2826
更新日期:2009-08-14 00:00:00
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更新日期:1996-02-17 00:00:00
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journal_title:BMJ (Clinical research ed.)
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1999-12-11 00:00:00
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更新日期:2017-08-30 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:1991-11-16 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmj.38300.665301.3A
更新日期:2005-01-01 00:00:00
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doi:10.1136/bmj.305.6863.1184
更新日期:1992-11-14 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-02-01 00:00:00
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更新日期:1992-10-03 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2006-04-15 00:00:00
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更新日期:1990-02-10 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1136/bmj.303.6810.1093
更新日期:1991-11-02 00:00:00
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更新日期:2014-11-10 00:00:00
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更新日期:1992-12-05 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2013-06-27 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmj.303.6803.605
更新日期:1991-09-14 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmj.323.7324.1280
更新日期:2001-12-01 00:00:00
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更新日期:1992-03-28 00:00:00
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更新日期:1990-06-16 00:00:00