Journal of Epidemiology and Global Health

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Volume 3, Issue 4, December 2013, Pages 269 - 277

Conflict and diarrheal and related diseases: A global analysis

Authors
Bradley T. Kerridgea, *, bkerridg@umd.edu, Maria R. Khanb, Jürgen Rehmc, Amir Sapkotad
aDepartment of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, College Park, MD 20742, United States
bDepartment of Epidemiology, College of Public Health and Health Professions, School of Medicine, University of Florida Health Sciences Center, University of Florida, Gainesville, FL 32610, United States
cCentre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada
dMaryland Institute for Applied Environmental Health, Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, College Park, MD 20742, United States
*Corresponding author. Tel.: +1 301 345 0994.
Corresponding Author
Bradley T. Kerridgebkerridg@umd.edu
Received 15 February 2013, Revised 22 May 2013, Accepted 24 May 2013, Available Online 5 July 2013.
DOI
10.1016/j.jegh.2013.05.002How to use a DOI?
Keywords
Terrorism; Civil war; One-sided violence; Global burden of disease; Diarrheal disease
Abstract

The purpose of this study was to determine the association between deaths owing to terrorism, civil war and one-sided violence from 1994–2000 and disability-adjusted life years (DALYs) attributable to diarrheal and related diseases, schistosomiasis, trachoma and the nematode infections (DSTN diseases) in 2002 among World Health Organization Member States. Deaths resulting from terrorism, civil war and one-sided violence were significantly related to DSTN DALYs across the majority of sex–age subgroups of the populace, after controlling for baseline levels of improved water/sanitation and a variety of economic measures: overall, a 1.0% increase in deaths owing to terrorism and related violence was associated with an increase of 0.16% in DALYs lost to DSTN diseases. Associations were greatest among 0-to-4-year olds. The results of the present study suggest that DSTN disease control efforts should target conflict-affected populations with particular attention to young children who suffer disproportionately from DSTN diseases in these settings. In view of the evidence that terrorism and related violence may influence DSTN DALYs in the longer term, control strategies should move beyond immediate responses to decrease the incidence and severity of DSTN diseases to seek solutions through bolstering health systems infrastructure development among conflict-affected populations.

Copyright
© 2013 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
3 - 4
Pages
269 - 277
Publication Date
2013/07/05
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2013.05.002How to use a DOI?
Copyright
© 2013 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Bradley T. Kerridge
AU  - Maria R. Khan
AU  - Jürgen Rehm
AU  - Amir Sapkota
PY  - 2013
DA  - 2013/07/05
TI  - Conflict and diarrheal and related diseases: A global analysis
JO  - Journal of Epidemiology and Global Health
SP  - 269
EP  - 277
VL  - 3
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2013.05.002
DO  - 10.1016/j.jegh.2013.05.002
ID  - Kerridge2013
ER  -