- 04 Jun 2003 00:20
#207310
From:
pubmed.gov
http://bmj.com/cgi/content/full/326/7388/520/e
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
Med Confl Surviv 2002 Jul-Sep;18(3):249-57 Related Articles, Links
Healthcare under sanctions in Iraq: an elective experience.
Akunjee M, Ali A.
Guy's, Kings and St Thomas' Hospital Medical Schools, London SE1 9RT.
As a consequence of the 1991 Gulf War and the ensuing UN sanctions, not only was the Iraqi government destroyed, but also the general infrastructure of the country was disrupted, with the civilian population and public services bearing much of the aftermath. Ten years after the war, the health system in Iraq is still in a perilous situation. The effects of sanctions have affected almost every aspect of medical care. There has been a mass exodus of health care professionals, many of whom were foreign nationals. Doctors' salaries fell rapidly to only $30 a month, barely enough to buy the necessities of daily living. Iraqi hospitals have no access to foreign journals, textbooks or the internet; leading to a generation of out-dated and under-skilled health professionals. Most worrying is the ever-present embargo on many essential medicines. Only one-third of the medicines are available for chemotherapy for the treatment of acute lymphoblastic leukaemia in children (UKALL 97 modified 99 protocol). At the Al-Mansour paediatric teaching hospital this shortfall has led to a substantial increase in childhood mortality, with disease-free survival rates falling to 25 per cent compared to 60 per cent in 1988.
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
East Mediterr Health J 2000 Jul;6(4):791-5 Related Articles, Links
Impact of sanctions on the population of Iraq.
Popal GR.
WHO Representative, Baghdad, Iraq.
In this article the impact of sanctions on the Iraqi people is reviewed. The health services and situation in Iraq before sanctions were imposed in 1990 are described indicating their adequacy. The adverse effect of the sanctions on the health services and on health indicators are outlined, as evidenced by, among others, the increased malnutrition among children, increased infant and under-5 mortality rates and the increase in foodborne and waterborne diseases. The situation in Iraq illustrates the devastating effects of sanctions on people, particularly children, adolescents, women and the elderly, and highlights the need for more balanced and comprehensive humanitarian programmes.
PMID: 11794085 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
Comment in:
Lancet. 2000 Aug 19;356(9230):685.
Lancet. 2000 Aug 19;356(9230):685.
Sanctions and childhood mortality in Iraq.
Ali MM, Shah IH.
Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, University of London, UK. Mohamed.Ali@lshtm.ac.uk
BACKGROUND: In 1999 UNICEF, in cooperation with the government of Iraq and the local authorities in the "autonomous" (northern Kurdish) region, conducted two similar surveys to provide regionally representative and reliable estimates of child mortality (the subject of this paper) and maternal mortality. METHODS: In a cross-sectional household survey in the south/centre of Iraq in February and March, 1999, 23105 ever-married women aged 15-49 years living in sampled households were interviewed by trained interviewers with a structured questionnaire that was developed using the Demographic and Health Surveys questionnaire and following a pre-test. In a similar survey in the autonomous region in April and May 14 035 ever-married women age 15-49 were interviewed. FINDINGS: In the south/centre, infant and under-5 mortality increased during the 10 years before the survey, which roughly corresponds to the period following the Gulf conflict and the start of the United Nations sanctions. Infant mortality rose from 47 per 1000 live births during 1984-89 to 108 per 1000 in 1994-99, and under-5 mortality rose from 56 to 131 per 1000 live births. In the autonomous region during the same period, infant mortality declined from 64 to 59 per 1000 and under-5 mortality fell from 80 to 72 per 1000. Childhood mortality was higher among children born in rural areas, children born to women with no education, and in boys, and these differentials were broadly similar in the two regions. INTERPRETATION: Childhood mortality clearly increased after the Gulf conflict and under UN sanctions in the south/centre of Iraq, but in the autonomous region since the start of the Oil-for-Food Programme childhood mortality has begun to decline. Better food and resource allocation to the autonomous region contributed to the continued gains in lower mortality, whereas the situation in the south/centre deteriorated despite the high level of literacy in that region.
PMID: 10866440 [PubMed - indexed for MEDLINE]
-My note: this article is used to prove that Saddam and not the embargo are resposible
by deaths. Critics of this point of view argue that the frontier in the North is more
porous an so it is easier to evade sanctions, that the North receive its share of the
oil for food program in money an the relative (per capita) share of the oil for food
program is higher in the North.
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
Effect of the Gulf War on infant and child mortality in Iraq.
Ascherio A, Chase R, Cote T, Dehaes G, Hoskins E, Laaouej J, Passey M, Qaderi S, Shuqaidef S, Smith MC, et al.
Department of Epidemiology, Harvard School of Public Health, Boston, MA 02138.
BACKGROUND. Increased malnutrition and morbidity among Iraqi children after the onset of the Persian Gulf war have been reported by several fact-finding missions. The magnitude of the effect of the war and the economic embargo on child mortality remains uncertain, however. METHODS. We conducted a survey of 271 clusters of 25 to 30 households each, chosen as a representative sample of the Iraqi population. The households were selected and the interviews conducted by an international team of public health professionals independent of Iraqi authorities. In each household all women 15 to 49 years of age were interviewed, and the dates of birth and death of all children born on or after January 1, 1985, were recorded. RESULTS. The study population included 16,076 children, 768 of whom died during the period surveyed (January 1, 1985, to August 31, 1991). The age-adjusted relative mortality for the period after the war began, as compared with the period before the war, was 3.2 (95 percent confidence interval, 2.8 to 3.7). No material change in the relative risk was observed after adjustment for region of residence, maternal education, and maternal age. The increase in mortality after the onset of the war was higher among children 1 to less than 12 months old (relative risk, 4.1; 95 percent confidence interval, 3.3 to 5.2) and among those 12 to less than 60 months old (relative risk, 3.8; 95 percent confidence interval, 2.6 to 5.4) than among those less than 1 month old (relative risk, 1.8; 95 percent confidence interval, 1.4 to 2.4). The association between the war and mortality was stronger in northern Iraq (relative risk, 5.3) and southern Iraq (relative risk, 3.4) than in the central areas (relative risk, 1.9) or in Baghdad (relative risk, 1.7). CONCLUSIONS. These results provide strong evidence that the Gulf war and trade sanctions caused a threefold increase in mortality among Iraqi children under five years of age. We estimate that more than 46,900 children died between January and August 1991.
PMID: 1513350 [PubMed - indexed for MEDLINE]
pubmed.gov
http://bmj.com/cgi/content/full/326/7388/520/e
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
Med Confl Surviv 2002 Jul-Sep;18(3):249-57 Related Articles, Links
Healthcare under sanctions in Iraq: an elective experience.
Akunjee M, Ali A.
Guy's, Kings and St Thomas' Hospital Medical Schools, London SE1 9RT.
As a consequence of the 1991 Gulf War and the ensuing UN sanctions, not only was the Iraqi government destroyed, but also the general infrastructure of the country was disrupted, with the civilian population and public services bearing much of the aftermath. Ten years after the war, the health system in Iraq is still in a perilous situation. The effects of sanctions have affected almost every aspect of medical care. There has been a mass exodus of health care professionals, many of whom were foreign nationals. Doctors' salaries fell rapidly to only $30 a month, barely enough to buy the necessities of daily living. Iraqi hospitals have no access to foreign journals, textbooks or the internet; leading to a generation of out-dated and under-skilled health professionals. Most worrying is the ever-present embargo on many essential medicines. Only one-third of the medicines are available for chemotherapy for the treatment of acute lymphoblastic leukaemia in children (UKALL 97 modified 99 protocol). At the Al-Mansour paediatric teaching hospital this shortfall has led to a substantial increase in childhood mortality, with disease-free survival rates falling to 25 per cent compared to 60 per cent in 1988.
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
East Mediterr Health J 2000 Jul;6(4):791-5 Related Articles, Links
Impact of sanctions on the population of Iraq.
Popal GR.
WHO Representative, Baghdad, Iraq.
In this article the impact of sanctions on the Iraqi people is reviewed. The health services and situation in Iraq before sanctions were imposed in 1990 are described indicating their adequacy. The adverse effect of the sanctions on the health services and on health indicators are outlined, as evidenced by, among others, the increased malnutrition among children, increased infant and under-5 mortality rates and the increase in foodborne and waterborne diseases. The situation in Iraq illustrates the devastating effects of sanctions on people, particularly children, adolescents, women and the elderly, and highlights the need for more balanced and comprehensive humanitarian programmes.
PMID: 11794085 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
Comment in:
Lancet. 2000 Aug 19;356(9230):685.
Lancet. 2000 Aug 19;356(9230):685.
Sanctions and childhood mortality in Iraq.
Ali MM, Shah IH.
Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, University of London, UK. Mohamed.Ali@lshtm.ac.uk
BACKGROUND: In 1999 UNICEF, in cooperation with the government of Iraq and the local authorities in the "autonomous" (northern Kurdish) region, conducted two similar surveys to provide regionally representative and reliable estimates of child mortality (the subject of this paper) and maternal mortality. METHODS: In a cross-sectional household survey in the south/centre of Iraq in February and March, 1999, 23105 ever-married women aged 15-49 years living in sampled households were interviewed by trained interviewers with a structured questionnaire that was developed using the Demographic and Health Surveys questionnaire and following a pre-test. In a similar survey in the autonomous region in April and May 14 035 ever-married women age 15-49 were interviewed. FINDINGS: In the south/centre, infant and under-5 mortality increased during the 10 years before the survey, which roughly corresponds to the period following the Gulf conflict and the start of the United Nations sanctions. Infant mortality rose from 47 per 1000 live births during 1984-89 to 108 per 1000 in 1994-99, and under-5 mortality rose from 56 to 131 per 1000 live births. In the autonomous region during the same period, infant mortality declined from 64 to 59 per 1000 and under-5 mortality fell from 80 to 72 per 1000. Childhood mortality was higher among children born in rural areas, children born to women with no education, and in boys, and these differentials were broadly similar in the two regions. INTERPRETATION: Childhood mortality clearly increased after the Gulf conflict and under UN sanctions in the south/centre of Iraq, but in the autonomous region since the start of the Oil-for-Food Programme childhood mortality has begun to decline. Better food and resource allocation to the autonomous region contributed to the continued gains in lower mortality, whereas the situation in the south/centre deteriorated despite the high level of literacy in that region.
PMID: 10866440 [PubMed - indexed for MEDLINE]
-My note: this article is used to prove that Saddam and not the embargo are resposible
by deaths. Critics of this point of view argue that the frontier in the North is more
porous an so it is easier to evade sanctions, that the North receive its share of the
oil for food program in money an the relative (per capita) share of the oil for food
program is higher in the North.
http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract
Effect of the Gulf War on infant and child mortality in Iraq.
Ascherio A, Chase R, Cote T, Dehaes G, Hoskins E, Laaouej J, Passey M, Qaderi S, Shuqaidef S, Smith MC, et al.
Department of Epidemiology, Harvard School of Public Health, Boston, MA 02138.
BACKGROUND. Increased malnutrition and morbidity among Iraqi children after the onset of the Persian Gulf war have been reported by several fact-finding missions. The magnitude of the effect of the war and the economic embargo on child mortality remains uncertain, however. METHODS. We conducted a survey of 271 clusters of 25 to 30 households each, chosen as a representative sample of the Iraqi population. The households were selected and the interviews conducted by an international team of public health professionals independent of Iraqi authorities. In each household all women 15 to 49 years of age were interviewed, and the dates of birth and death of all children born on or after January 1, 1985, were recorded. RESULTS. The study population included 16,076 children, 768 of whom died during the period surveyed (January 1, 1985, to August 31, 1991). The age-adjusted relative mortality for the period after the war began, as compared with the period before the war, was 3.2 (95 percent confidence interval, 2.8 to 3.7). No material change in the relative risk was observed after adjustment for region of residence, maternal education, and maternal age. The increase in mortality after the onset of the war was higher among children 1 to less than 12 months old (relative risk, 4.1; 95 percent confidence interval, 3.3 to 5.2) and among those 12 to less than 60 months old (relative risk, 3.8; 95 percent confidence interval, 2.6 to 5.4) than among those less than 1 month old (relative risk, 1.8; 95 percent confidence interval, 1.4 to 2.4). The association between the war and mortality was stronger in northern Iraq (relative risk, 5.3) and southern Iraq (relative risk, 3.4) than in the central areas (relative risk, 1.9) or in Baghdad (relative risk, 1.7). CONCLUSIONS. These results provide strong evidence that the Gulf war and trade sanctions caused a threefold increase in mortality among Iraqi children under five years of age. We estimate that more than 46,900 children died between January and August 1991.
PMID: 1513350 [PubMed - indexed for MEDLINE]