From: Systematic review on chronic non-communicable disease in disaster settings
Country/Territory of Interest | Target Population | Type of Study | NCD Studied | Years of Observation | Number of study participants | Major Findings | |
---|---|---|---|---|---|---|---|
Gilder (2014) [89] | Country of Asylum: Thailand Country of Origin: Myanmar | Women attending the antenatal care (ANC) clinic in Maela refugee camp on the Thai–Myanmar border | Cross sectional | Diabetes | July 2011—March 2012 | 228 women | The prevalence of GDM is lower in this population compared with other populations, but still complicates 10% of pregnancies. Despite the weight of evidence for the benefits of early diagnosis and treatment of GDM, the absence of a simple, inexpensive and applicable screening method remains a major barrier to GDM screening programs in refugee camps and other resource-poor settings |
Guha-Sapir (2007) [76] | Indonesia | Patients attending an International Committee of the Red Cross(ICRC) field hospital in Aceh, Indonesia, established immediately after the tsunami in 2004 | Cross-sectional | Multiple NCDs including hypertension, diabetes, chronic respiratory diseases, trauma or injury, and psychiatric illness | January 15, 2004—January 31 2004 | 1,188 study participants | Chronic diseases including HTN and DM represented 43.5% of consultations including acute presentations of chronic illnesses. These cases presented soon after the hospital opened and accounted for about half of the consultations. The largest diagnostic groups included: respiratory diseases (21.0%), other chronic diseases, such as diabetes and hypertension (17.3%), trauma or injury (9.8%) and psychiatric illness (9.7%). Females’ odds of acute disease were 34% lower than males (95% CI: 16–49%, P = 0.001) however were 65% more likely than males to be diagnosed with a psychiatric illness (95% CI: 11–145%, P = 0.013) |
Khan (2013) [115] | Bangladesh | Respondents living in flood and stagnant water-affected areas of Dhaka over 10 years of age | Cross-sectional | Multiple NCDs | March 2008 -March 2009 | 3,207 study subjects | Respondents living in flood and stagnant water-affected(FSW) areas were more vulnerable than their non-affected counterparts. While respondents living in the FSW-affected areas reported more communicable and poor mental well-being, the prevalence of NCDs was remarkably lower in the affected (2.7%) than the non-affected areas (4.8%). However, FSW affected area respondents also reported a lack of availability to be evaluated by a medical doctor, which may affect these results |
Kunii (2002) [71] | Indonesia | Patients exposed to air pollution in the “haze disaster” in Indonesia following large forest fires throughout Indonesia | Cross sectional | Chronic Respiratory Diseases including asthma | September 1997 -October 1997 | 543 study subjects | Patients had increased respiratory issues after a large forest fire disaster, especially the elderly. Wearing a high-quality face mask was protective (vs handkerchief or simple surgical mask). Almost all of the respondents (98.7%) developed or suffered from an exacerbation of symptoms, and 91.3% had respiratory symptoms. Most of the health problems were mild, but 13.1% perceived their health problems as severe and 49.2% reported that the health problems disturbed their daily life |
Molla (2014) [74] | Bangladesh | Children under 5 years of age categorized as climate refugees in Dhaka with diarrhea and asthma | Cross sectional | Asthma and diarrheal diseases | September 2012 -November 2012 | 410 households | Asthma caused a significantly higher number of disability adjusted life years (DALYs) lost in the group displaced due to climate change in comparison to controls. Associated contributing factors included overcrowding and improper household ventilation for domestic cooking or burning among climate change refugees |
Ramachandran (2006) [94] | India | Tsunami affected population of Chennai(Madras) in Southern India aged 20 and above | Retrospective cohort | Diabetes | April 2005- June 2005 | 1,184 tsunami affected subjects, 1,176 controls | Undetected diabetes and impaired glucose tolerance were higher in the tsunami-hit area as compared to controls. Diabetes prevalence was found to be similar in the tsunami affected population and control group. Women reported higher stress scores and demonstrated a higher prevalence of impaired glucose tolerance as compared to their male counterparts |
Redwood-Campbell (2006) [77] | Indonesia | Patients registering in the ICRC field hospital in Banda Aceh after the tsunami | Cross Sectional | Multiple NCDs including respiratory, psychiatric, endocrine, urological, and neurologic diseases | March 2005 | 271 patients | 12% of the problems seen in the clinic 9 weeks after the tsunami were directly related to the tsunami. Majority of patients were male, the problems were urologic, digestive, respiratory and musculoskeletal in that order. 24% had 4 or more depression/ PTSD symptoms |