From: Systematic review on chronic non-communicable disease in disaster settings
 | Country/Territory of Interest | WHO region | Type of study | Target Population | Years of observation | Number of study participants | Major findings |
---|---|---|---|---|---|---|---|
Amini (2010) [98] | Iran | EMRO | Cross- sectional | Iranian war victims blinded in both eyes | 2007 | 250 conference attendees | Quality of Life (QOL) scores in blind war victims decreased with increasing age and additional medical comorbidities |
Armenian (1998) [83] | Armenia | European | Prospective, nested case–control | Survivors of the 1988 Earthquake in Armenia | 1988–1992 | 35,043 employees of the Armenian Ministry of Health and their immediate families | During a 4-year follow-up period, the highest number of deaths from all causes (including heart disease) occurred within the first 6 months following the earthquake; associated with extent of disaster-related damage and losses |
Chan (2010) [99] | Pakistan | EMRO | Cross sectional | Face-to-face, household-based survey conducted 4Â months after the 2005 Kashmir, Pakistan earthquake in internally displaced camps near Muzafarabad city | February 2006 4Â months post-earthquake | 167 households | Although the proportion of the population with chronic conditions was similar across these studied camps, 85% of residents in the smallest unofficial camp had no available drugs to manage their chronic medical conditions as compared with their counterparts residing in larger rural unofficial (40%) and official camps (25%) |
Chan (2009) [92] | Pakistan | EMRO | Comparative descriptive study | Patients ≥ 45 years who attended two different types of post-earthquake relief clinics during a 17-day field health needs assessment in response to the 2005 Kashmir earthquake | February 2006 4 months post-earthquake | 30,000 patients in a rural site, and 382 IDPs in a urban site | The greatest gap in health services post-earthquake in both sites was non-communicable disease management. Clinical records reviewed in all study locations showed a systematic absence of documentation of common NCDs. In rural areas, older women were less likely to receive medical services while older men were less likely to access psychological services in both sites. During days when solely male doctors provided clinical services in the rural site, medical services utilization decreased by 30% |
Hung (2013) [42] | China | Western Pacific | Cross-sectional chart review | Patients presenting during a 19 day period three weeks following the Sichuan earthquake | Jun-08 | 2,034 patients | Musculoskeletal, respiratory, and GI systems were top 3 problems and > 43% of patients met hypertension criteria |
Khateri (2003) [100] | Iran | EMRO | Cross-sectional retrospective survey | Patients exposed to chemical weapons in Iran during the Iran-Iraq War (1980–1988) | 1997–2000 | 34,000 subjects | Lesions of the lungs (42.5%), eyes (39.3%), and skin (24.5%) were the most common sites of involvement among mustard agent exposure survivors |
Leeuw (2014) [101] | Country of Asylum: Jordan, Lebanon Country of Origin: Syria | EMRO | Cross-sectional survey | Syrian refugee households in Jordan and Lebanon | 2013 | 3,202 refugees | Impairments found in 22% of refugees and disproportionately affecting those over 60Â years of age (70% with at least 1 impairment) |
Li (2011) [102] | China | Western Pacific | Cross-sectional survey | Adults exposed to severe famine in utero or as children | 2002 | 7,874 adults | Adults exposed to severe famine while in utero or early childhood had increased risk of metabolic syndrome |
Mateen (2012) [31] | Country of Asylum: Jordan Country of Origin: Iraq | EMRO | Prospective observational | Iraqi refugees seeking health care in Jordan | 2010 | 7642 patients | Chronic diseases like hypertension (22%) and diabetes (11%) were common and the most common reason for visit was respiratory illness (11%) |
Mateen (2012) [103] | 19 countries | Africa, EMRO, South East Asia | Retrospective chart review | Refugees in camp settings globally | 2008–2011 | 58,598 visits | Chronic, noncommunicable diseases like epilepsy and cerebrovascular disease far exceeded (> 98%) those for neurologic infectious diseases |
McKenzie (2015) [62] | Country of Asylum:Jordan Country of Origin: Syria, Iraq | EMRO | Retrospective cohort | Syrian & Iraqi refugees applying for emergency or exceptional medical care | 2012–2013 | 223 refugees | Neuropsychiatric applications accounted for 11% of all Exceptional Care Committee applications and 2/3 of neuropsychiatric cases were for emergency care |
Otoukesh (2012) [51] | Country of Asylum: Iran Country of Origin: Afghanistan | EMRO | Cross-sectional | Afghan refugees in Iran | 2005–2010 | 23,152 refugees | The most common health referral for those aged 15–59 years was ophthalmic diseases in females and nephropathies in males. In those aged 60 + it was ophthalmic diseases for both sexes |
Redwood-Campbell (2006) [77] | Indonesia | South East Asia | Prospective observational | Patients registering in the ICRC field hospital in Banda Aceh 9Â weeks after the tsunami | Mar-05 | 271 patients | 12% of clinic visits were directly related to the tsunami. The most common medical complaints were urological (19%), digestive (16%), respiratory (12%), and musculoskeletal (12%). 24% of patients had 4 or more depression/PTSD symptoms |
Sibai (2001) [52] | Lebanon | EMRO | Cross-sectional | Representative cohort of men and women completing a health survey in Beirut, Lebanon during wartime | 1983–1993 | 1567 subjects | Total mortality rates were estimated at 33.7 and 25.2/1000 person years among men and women respectively. Leading cause of death was circulatory disease (60%) and cancer (15%) for both sexes |
Strong (2015) [53] | Country of Asylum: Lebanon Country of Origin: Syria, Palestine | EMRO | Cross Sectional | Refugees over age 60 receiving assistance from social workers | 2011–2013 | 210 refugees | Most older refugees reported at least one non-communicable disease: hypertension (60%), diabetes (47%), heart disease (30%). 74% indicated at least some dependency on humanitarian assistance |