Somalia is battling concurrent outbreaks of cholera, measles, and diphtheria driven by severe drought and displacement.

IF 3.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Archives of Public Health Pub Date : 2026-09-28 DOI:10.1186/s13690-026-02078-9

Ayuub Ahmed Osman, Maryan Ali Adam, Ilyas Abdullahi Khalif

引用次数: 0

Abstract

Somalia is experiencing concurrent cholera, measles, and diphtheria outbreaks driven by climate change, conflict, displacement, malnutrition, inadequate water and sanitation, and fragile health systems. This letter argues that these overlapping epidemics should be recognized as a syndemic rather than independent outbreaks because they share common structural determinants that amplify transmission and mortality. We advocate for integrated surveillance, combined vaccination strategies, strengthened laboratory capacity, nutrition support, climate-informed early warning systems, resilient primary healthcare, and sustained financing to improve outbreak preparedness and response in Somalia and similar fragile settings.

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索马里正在与严重干旱和流离失所造成的霍乱、麻疹和白喉同时暴发的疫情作斗争。

由于气候变化、冲突、流离失所、营养不良、水和卫生设施不足以及脆弱的卫生系统，索马里正在同时暴发霍乱、麻疹和白喉疫情。这封信认为，这些重叠的流行病应被视为一种综合征，而不是独立的疫情，因为它们具有放大传播和死亡率的共同结构性决定因素。我们提倡综合监测、联合疫苗接种战略、加强实验室能力、营养支持、气候信息早期预警系统、有弹性的初级卫生保健，以及持续融资，以改善索马里和类似脆弱环境的疫情防范和应对。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

3.00%

发文量

244

审稿时长

16 weeks

期刊介绍： rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.