World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales最新文献

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Health conditions among workers who participated in the cleanup of the Chernobyl accident. 参与切尔诺贝利事故清理工作人员的健康状况。
Z Kamarli, A Abdulina
{"title":"Health conditions among workers who participated in the cleanup of the Chernobyl accident.","authors":"Z Kamarli,&nbsp;A Abdulina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>People who took part in the Chernobyl accident cleanup have been registered upon their return to Kyrgyzstan since 1991, and their children since 1992. Later, citizens affected by the Semipalatinsk and Chelyabinsk contamination incidents were included for registration and health care purposes. The effects of the nuclear waste depositories in the Mailuu-Suu region were examined with the assistance of the Kansas University Medical Center (United States of America). All these investigations of affected people indicate apparent increases in a number of symptoms and illnesses when compared to the rest of the population. Sample sizes ranged from several hundred to several thousand. Above-normal radiation levels and/or the stress and fear of living in contaminated area can lead to significant increases in nervous disorders, cardiovascular diseases and other problems. The most significant increase was in the suicide rate.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 1","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19860200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dosimetric support of the International Programme on the Health Effects of the Chernobyl Accident (IPHECA) pilot project: main results and problems. 对切尔诺贝利事故对健康影响国际方案试点项目的剂量学支助:主要成果和问题。
I A Likhtarev, L N Kovgan, V S Repin, I P Los', V V Chumak, D N Novak, B G Sobolev, I A Kairo, N I Chepurnoy, O N Perevosnikov, L A Litvinets
{"title":"Dosimetric support of the International Programme on the Health Effects of the Chernobyl Accident (IPHECA) pilot project: main results and problems.","authors":"I A Likhtarev,&nbsp;L N Kovgan,&nbsp;V S Repin,&nbsp;I P Los',&nbsp;V V Chumak,&nbsp;D N Novak,&nbsp;B G Sobolev,&nbsp;I A Kairo,&nbsp;N I Chepurnoy,&nbsp;O N Perevosnikov,&nbsp;L A Litvinets","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The problem of post-Chernobyl dosimetry is unique in its complexity in the history of radiation medicine and radiation protection. This is because the early experience of mass exposure of people (bombing of Hiroshima and Nagasaki, Windscale and South-Ural accidents, exposure of inhabitants of Nevada in the United States of America, the Semipalatinsk area in the former USSR, the Marshall Islands, and the Goiånia accident in Brazil, and others) differed both in the much simpler structure of the irradiation source and in the number and characteristics of exposed persons. It is obvious that post-Chernobyl dosimetry, both as an independent problem, and as a tool for epidemiological studies, requires significant expertise and economic and technical expenditures. Extensive and deep research has been carried out in Ukraine for the past 10 years. This article reviews the main results of these studies.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 1","pages":"40-51"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19862457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal mortality. 产妇死亡率。
C AbouZahr, T Wardlaw, C Stanton, K Hill
{"title":"Maternal mortality.","authors":"C AbouZahr,&nbsp;T Wardlaw,&nbsp;C Stanton,&nbsp;K Hill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A new approach to measuring maternal mortality indicates that there are some 585,000 maternal deaths, 99% of them in developing countries. This is around 80,000 deaths more than earlier estimates have suggested and indicates a substantial underestimation of maternal mortality in the past. There is a greater disparity in levels of maternal mortality between industrialized and developing countries than in any other public health indicator. While significant progress has been made in reducing infant mortality, the same is not true for maternal mortality. Although the actions needed to reduce maternal mortality have long been known, 1 woman in 50 is still dying as a result of pregnancy-related complications and the figure rises to 1 in 10 in many parts of Africa. By contrast, the figure for developed countries can be as low as 1 in 8,000.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 2","pages":"77-87"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20006407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Double jeopardy: women and leprosy in India. 双重危险:印度的妇女和麻风病。
C Vlassoff, S Khot, S Rao
{"title":"Double jeopardy: women and leprosy in India.","authors":"C Vlassoff,&nbsp;S Khot,&nbsp;S Rao","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article presents evidence from two states of India, Bihar and Maharashtra, on the process of \"dehabilitation\" among male and female leprosy patients, and suggests gender-sensitive interventions to address existing problems in leprosy control. While the study investigated a wide range of gender differences in the impact of leprosy, this article focuses on only two-marriage and family reactions. Important gender differences were apparent in the impact of the disease. While both men and women were negatively affected in terms of their family and marital lives, women suffered more isolation and rejection. Psychologically, women appeared more vulnerable because they were deprived of personal contact with others in the domestic environment where they were accustomed to receiving their greatest emotional rewards. Women reported that indifference to them by other family members, or seeming negation of their presence, caused them the greatest suffering. This underscores the importance of providing information to both leprosy patients and their families about the disease and its treatment, including the possibility of cure with MDT (multi-drug therapy) and of counselling family members about their crucial role in helping patients cope and recover. This support is even more critical for women, who often lack access to the variety of outside advice and assistance available to men. The evidence presented in the article demonstrates the importance of analysing leprosy from a gender perspective, not only because this approach helps to inform our understanding of the determinants and consequences of the disease, but also because it provides new insights for improved disease control.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 2","pages":"120-6"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20006994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SUMA (Supply Management Project), a management tool for post-disaster relief supplies. SUMA(供应管理项目),灾后救援物资的管理工具。
C de Ville de Goyet, E Acosta, P Sabbat, E Pluut
{"title":"SUMA (Supply Management Project), a management tool for post-disaster relief supplies.","authors":"C de Ville de Goyet,&nbsp;E Acosta,&nbsp;P Sabbat,&nbsp;E Pluut","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Frequently in the wake of disasters, large amounts of humanitarian supplies arrive from multiple sources within the country or from abroad. Only a portion of these donations actually responds to specific requests from the affected country. A significant part consists of unsolicited donations whose value--in terms of meeting immediate, life-threatening needs--is questioned by many disaster managers. In 1990, WHO initiated a supply management project, known as \"SUMA\", to provide national authorities with a management tool and the skills to sort and inventory large amounts of relief supplies in a short period of time. It is a technical cooperation programme to assist the local coordinating agency to get an accurate picture of what is potentially available in the affected area, and to sort the most valuable relief items from those of doubtful usefulness. National authorities have developed their SUMA teams in many situations, both in Latin America and the Caribbean; this article describes three of these experiences. A flood in Costa Rica, in 1995, where the Red Cross assumed national responsibility for managing relief supplies donated locally. The earthquake in Paéz, Colombia, also in 1995, where the National Disaster Committee activated SUMA for all supplies sent to the disaster area, with the exception of specialized health shipments channelled through the Ministry of Health. In Haiti, in 1994, a complex disaster was compounded by a tropical storm. All civilian supplies arriving at the airport were processed by the SUMA team which included customs officers among its members. The traditional problem of unsorted and inappropriate supplies, noted in most international disasters, seems to have been negligible, a trend which can perhaps be credited to 20 years of preparedness activities in Latin America and the Caribbean. The superficial analysis of the data underlines the potential for operational research on the standardized databases generated by SUMA.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 3-4","pages":"189-94"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20116835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new role for WHO in emergencies. 世卫组织在突发事件中的新作用。
J P Menu
{"title":"A new role for WHO in emergencies.","authors":"J P Menu","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 3-4","pages":"168-71"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20117485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sustaining, protecting and promoting public health in Bosnia and Herzegovina. 维持、保护和促进波斯尼亚和黑塞哥维那的公共卫生。
R Alderslade, G Hess, J Lárusdóttir
{"title":"Sustaining, protecting and promoting public health in Bosnia and Herzegovina.","authors":"R Alderslade,&nbsp;G Hess,&nbsp;J Lárusdóttir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Four years of war in Bosnia and Herzegovina have severely damaged the health care system and destroyed basic infrastructures. Yet in spite of these conditions and the reappearance of several \"dormant\" diseases, no major fatal disease outbreaks have occurred. Morbidity and mortality due to infectious diseases have remained surprisingly low. This article explores some of the reasons why this potentially enormous public health disaster was avoided. Public health interventions can generally be considered the outcome of two components: knowledge and action. War situations inhibit thorough or ideal data collection and therefore the balance between knowledge and action must be tipped towards the latter. In Bosnia and Herzegovina, the WHO/national health monitoring system maintained a sufficient level of surveillance so as to provide early detection of significant threats to health. As the lead health agency in the conflict, WHO applied several health monitoring strategies. Major fatal epidemics were avoided because health workers have become increasingly scientific in predicting epidemics in war situations and formulating the steps necessary to limit them. Some of the preventive interventions applied in Bosnia and Herzegovina to reduce the impact of infectious diseases are discussed.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 3-4","pages":"185-8"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20116836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refugees: do not forget the basics. 难民:不要忘记最基本的东西。
S Malé
{"title":"Refugees: do not forget the basics.","authors":"S Malé","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the main challenges faced by relief workers in meeting the needs of refugees in terms of their health and nutritional status. The main causes of refugee deaths in \"emergencies\" have been documented and identified. This has allowed the definition of technical principles for health interventions in refugee settings: a multi-sectoral approach; involving the refugees; meeting specific needs of refugee children and women; instituting a simple and reliable health information system; and ensuring proper management and coordination among all partners. Two examples selected from UNHCR field operations illustrate how important it is to adhere to the basic technical principles. Finally, the article also emphasizes that health assistance in refugee situations takes place in a context which is complex and comprises many variables. In addition to their qualifications and experience, health professionals must also be aware of the global dynamics of a conflict situation. Their leading principle should be that all human beings have the right to appropriate health care.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 3-4","pages":"221-5"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20117337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiological survey of the medical consequences of the Chernobyl accident in Ukraine. 乌克兰切尔诺贝利事故医疗后果的流行病学调查。
V A Buzunov, N P Strapko, E A Pirogova, L I Krasnikova, V N Bugayev, N A Korol, T V Treskunova, B A Ledoschuk, N A Gudzenko, E I Bomko, O A Bobyleva, G I Kartushin
{"title":"Epidemiological survey of the medical consequences of the Chernobyl accident in Ukraine.","authors":"V A Buzunov,&nbsp;N P Strapko,&nbsp;E A Pirogova,&nbsp;L I Krasnikova,&nbsp;V N Bugayev,&nbsp;N A Korol,&nbsp;T V Treskunova,&nbsp;B A Ledoschuk,&nbsp;N A Gudzenko,&nbsp;E I Bomko,&nbsp;O A Bobyleva,&nbsp;G I Kartushin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The characteristics of the contamination resulting from the Chernobyl accident are defined, as a basis for epidemiological investigations. Due to loss of integrity of the nuclear fuel and thermal buoyancy from fire and nuclear heating, a large quantity of radioisotopes were released over a period of up to 16 days. The areas affected were very large, 37 million hectares in Ukraine alone. About 5 million persons were affected in one way or another, over 2 million of them in Ukraine. For registration and follow-up of health consequences from the accident, 4 main groups were distinguished, namely: (1) the participants in the containment of the accident and its cleanup (\"liquidators\"); (2) evacuees; (3) residents of contaminated areas; and (4) children born to parents with significant radiation exposure. Registration and epidemiological follow-up in the former USSR and the three republics afterwards are presented with an emphasis on Ukraine. Considering the long incubation times for some of the expected illnesses and relatively low average doses, the difficulties of confirming significant effects become evident. For example leucosis morbidity among cleanup personnel within a 30 km zone around the accident was 3.4 per 100,000 before the accident and 7 per 100,000 afterwards. The question of the statistical significance of such numbers is discussed by the authors, in the context of confounding factors. For some of the observed effects it has already been established that stress and anxiety caused by the accident and living conditions in the affected areas are the principal cause rather than radiation. According to the authors, more detailed retrospective and prospective epidemiological studies are needed in the future, in order to clarify the causes of observed health effects.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19860196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer mortality in the exposed population of the Techa River area. 特查河地区受辐射人群的癌症死亡率。
M M Kossenko
{"title":"Cancer mortality in the exposed population of the Techa River area.","authors":"M M Kossenko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Radioactive contamination and population exposure resulted from the operation of the Mayak complex, a plutonium-production facility in the Southern Urals. The highest doses were received by residents along the Techa River into which wastes from the complex leaked between 1949 and 1956. A registry was established containing data on 29,528 persons and information on deaths (9426 by 1982; 6439 death certificates) and cancer cases. Six groups differing in exposure levels were set up for the cohort analysis. The range of doses to red bone marrow in these cohorts was from 1.64 to 0.176 Sv. Leukaemia and solid cancer mortality over the 33-year period of exposure was analysed. The age-standardized total cancer mortality rates and their 95% confidence intervals account for 140 (131-150) and 105 (101-109) per 100,000 person-years for the entire exposed and entire control population. The analysis of cancer mortality in different organs has shown increased rates for leukaemia in one exposed group and for cancers of the uterine corpus and cervix in the other exposed group, as compared to the identical control groups.</p>","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"49 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19860198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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