The State of the World's Refugees Adapting Health Responses to Urban Environments

United Nations High Commissioner for Refugees, Geneva, Switzerland.
JAMA The Journal of the American Medical Association (Impact Factor: 30.39). 08/2012; 308(7):673-4. DOI: 10.1001/2012.jama.10161
Source: PubMed
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    ABSTRACT: A major refugee crisis is taking place in the Middle East. More than 4.2 million Iraqis (1 in 7) have been displaced from their homes.1 More than 2 million refugees are in neighboring countries, including 1.2 million in Syria1 (population 19.3 million2) and 800 000 in Jordan1 (population 6 million2). The crisis represents the largest displacement in the region's history since the Palestinian crisis and one of the largest caseloads ever dealt with by the United Nations High Commissioner for Refugees (UNHCR).
    JAMA The Journal of the American Medical Association 05/2008; 299(14):1713-5. DOI:10.1001/jama.299.14.1713 · 30.39 Impact Factor
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    ABSTRACT: To determine the range and burden of health services utilization among Iraqi refugees receiving health assistance in Jordan, a country of first asylum. Medical conditions, diagnosed in accordance with the tenth revision of the International classification of diseases, were actively monitored from 1 January to 31 December 2010 using a pilot centralized database in Jordan called the Refugee Assistance Information System. There were 27 166 medical visits by 7642 Iraqi refugees (mean age: 37.4 years; 49% male; 70% from Baghdad; 6% disabled; 3% with a history of torture). Chronic diseases were common, including essential hypertension (22% of refugees), visual disturbances (12%), joint disorders (11%) and type II diabetes mellitus (11%). The most common reasons for seeking acute care were upper respiratory tract infection (11%), supervision of normal pregnancy (4%) and urinary disorders (3%). The conditions requiring the highest number of visits per refugee were cerebrovascular disease (1.46 visits), senile cataract (1.46) and glaucoma (1.44). Sponsored care included 31 747 referrals or consultations to a specialty service, 18 432 drug dispensations, 2307 laboratory studies and 1090 X-rays. The specialties most commonly required were ophthalmology, dentistry, gynaecology and orthopaedic surgery. Iraqi refugees in countries of first asylum and resettlement require targeted health services, health education and sustainable prevention and control strategies for predominantly chronic diseases.
    Bulletin of the World Health Organisation 06/2012; 90(6):444-51. DOI:10.2471/BLT.11.097048 · 5.11 Impact Factor