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Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation
BACKGROUND: Despite a decade of conflict, there has been little exploration of respiratory health in Syria, notwithstanding the known impacts of conflict on lung health. Our aim is to explore the burden and trends of respiratory consultations in Syrian American Medical Society (SAMS) facilities in n...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510865/ https://www.ncbi.nlm.nih.gov/pubmed/37730280 http://dx.doi.org/10.1136/bmjresp-2023-001636 |
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author | Basha, Lena Socarras, Alex Akhter, Mohammed Waseem Hamze, Mohamed Albaik, Ahmad Hussein, Imad Tarakji, Ahmad Hamadeh, Mufaddal Loutfi, Randa Kewara, Mazen Abbara, Aula |
author_facet | Basha, Lena Socarras, Alex Akhter, Mohammed Waseem Hamze, Mohamed Albaik, Ahmad Hussein, Imad Tarakji, Ahmad Hamadeh, Mufaddal Loutfi, Randa Kewara, Mazen Abbara, Aula |
author_sort | Basha, Lena |
collection | PubMed |
description | BACKGROUND: Despite a decade of conflict, there has been little exploration of respiratory health in Syria, notwithstanding the known impacts of conflict on lung health. Our aim is to explore the burden and trends of respiratory consultations in Syrian American Medical Society (SAMS) facilities in northwest Syria through an ecological analysis. METHODS: We performed a retrospective review of routinely collected data relating to respiratory presentations in SAMS’ facilities between March 2017 and June 2020; we compared data by facility type, infectious versus non-infectious aetiologies and age. RESULTS: Data were available for 5 058 864 consultations, of which 1 228 722 (24%) were respiratory presentations, across 22 hospitals, 22 primary healthcare centres, 3 mobile clinics and 1 polyclinic. The median number of respiratory consultations per month was 30 279 (IQR: 25 792–33 732). Key findings include: 73% of respiratory consultations were for children; respiratory presentations accounted for up to 38% of consultations each month, seasonal variation was evident; respiratory tract infections accounted for 91% of all respiratory presentations. A steep decrease in consultations occurred between the end of 2019 (160 000) and the first quarter of 2020 (90 000), correlating with an escalation of violence in Idlib governorate. CONCLUSION: This study presents the largest quantitative analysis of respiratory data collected during the Syrian conflict. It supports the need for improved measures to aid the prevention, diagnosis and management of respiratory conditions during conflict as well as further research to explore the impact of conflict on respiratory health. |
format | Online Article Text |
id | pubmed-10510865 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105108652023-09-21 Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation Basha, Lena Socarras, Alex Akhter, Mohammed Waseem Hamze, Mohamed Albaik, Ahmad Hussein, Imad Tarakji, Ahmad Hamadeh, Mufaddal Loutfi, Randa Kewara, Mazen Abbara, Aula BMJ Open Respir Res Respiratory Epidemiology BACKGROUND: Despite a decade of conflict, there has been little exploration of respiratory health in Syria, notwithstanding the known impacts of conflict on lung health. Our aim is to explore the burden and trends of respiratory consultations in Syrian American Medical Society (SAMS) facilities in northwest Syria through an ecological analysis. METHODS: We performed a retrospective review of routinely collected data relating to respiratory presentations in SAMS’ facilities between March 2017 and June 2020; we compared data by facility type, infectious versus non-infectious aetiologies and age. RESULTS: Data were available for 5 058 864 consultations, of which 1 228 722 (24%) were respiratory presentations, across 22 hospitals, 22 primary healthcare centres, 3 mobile clinics and 1 polyclinic. The median number of respiratory consultations per month was 30 279 (IQR: 25 792–33 732). Key findings include: 73% of respiratory consultations were for children; respiratory presentations accounted for up to 38% of consultations each month, seasonal variation was evident; respiratory tract infections accounted for 91% of all respiratory presentations. A steep decrease in consultations occurred between the end of 2019 (160 000) and the first quarter of 2020 (90 000), correlating with an escalation of violence in Idlib governorate. CONCLUSION: This study presents the largest quantitative analysis of respiratory data collected during the Syrian conflict. It supports the need for improved measures to aid the prevention, diagnosis and management of respiratory conditions during conflict as well as further research to explore the impact of conflict on respiratory health. BMJ Publishing Group 2023-09-19 /pmc/articles/PMC10510865/ /pubmed/37730280 http://dx.doi.org/10.1136/bmjresp-2023-001636 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Respiratory Epidemiology Basha, Lena Socarras, Alex Akhter, Mohammed Waseem Hamze, Mohamed Albaik, Ahmad Hussein, Imad Tarakji, Ahmad Hamadeh, Mufaddal Loutfi, Randa Kewara, Mazen Abbara, Aula Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation |
title | Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation |
title_full | Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation |
title_fullStr | Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation |
title_full_unstemmed | Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation |
title_short | Impact of the Syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation |
title_sort | impact of the syrian conflict and forced displacement on respiratory health: an analysis of primary data from a humanitarian organisation |
topic | Respiratory Epidemiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510865/ https://www.ncbi.nlm.nih.gov/pubmed/37730280 http://dx.doi.org/10.1136/bmjresp-2023-001636 |
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