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Table 9 Characteristics of included publications by region: Western Pacific

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
An (2014) [82] China Adults who had lived through the 1976 Tangshan earthquake (vs control
Age 37–60
Cross-sectional Diabetes Sept 2013 – Dec 2013 1551 adults Earthquake stress linked to higher incidence of DM
Women more likely to have diabetes after experiencing earthquake stressors compared to men
Chan (2011) [79] China Evacuees from the 2008 Sichuan earthquake Descriptive, cross sectional study Multiple NCDs including diabetes, hypertension, heart failure May 2008 132 adults Chronic health needs constituted a significant proportion of emergency care during the acute phase of the earthquake. Disaster responders must consider NCDs as well as trauma
Chen (2009) [40] China Adults who were in the West China Hospital on the day of the 2008 Sichuan (Wenchuan) earthquake Case series Hypertension May 2008 11 patients Mean blood pressure and heart rate increased immediately after the earthquake, regardless of gender or pre-existing hypertension. BP gradually declined within 6 h after the earthquake and increased again during aftershocks
Hung (2013) [42] China Patients treated by Hong Kong Red Cross three weeks after the 2008 Sichuan earthquake Cross sectional chart review Multiple NCDs including hypertension, stroke June 2008 2,034 patient encounters There was a high prevalence of chronic disease after the earthquake, especially hypertension
Huynh (2004) [58] Vietnam Women hospitalized with invasive cervical squamous cell carcinoma (subjects) and other extrauterine cancers (controls) Case control Cancer June 1996 – Sept 1996 145 women in S. Vietnam, 80 women in N Vietnam The development of invasive cervical cancer was significantly associated with military service by husbands during the 2nd Indochinese War and with parity status. Geographic and temporal variation in cervical cancer rates among Vietnamese women was associated with the movement of soldiers
Li (2010) [85] China Rural adults born between 1954 and 1964 in selected communities from the 2002 China National Nutrition and Health Survey Cross-sectional Diabetes 2002 7,874 adults Fetal exposure to severe famine increases the risk of hyperglycemia in childhood. The association is exacerbated by a nutritionally rich environment later in life
Li (2011) [102] China Rural adults born between 1954 and 1964 in selected communities from the 2002 China National Nutrition and Health Survey Cross-sectional Diabetes 2002 7,874 adults Fetal or infant exposure to famine increases the risk of metabolic syndrome in adulthood. The association is exacerbated by a western dietary pattern or being overweight in adulthood
Li (2012) [114] China People exposed to the 1959–1961 Chinese famine and those not exposed Retrospective cohort Stomach cancer 1970–2009 Population level data: (2.4million) Prolonged malnutrition during early life may increase the risk of stomach cancer later in life
Marom (2014) [61] Philippines People who survived the 2013 earthquake and typhoon (Haiyan) in the city of Bogo (northern Cebu island) Case series Head and neck tumors 2013 1,844 adults treated at the field hospital – 5% (85) had H&N tumors Surgical interventions in pts with H&N tumors in a relief mission can be performed for therapeutic, palliative and diagnostic purposes
Read (2015) [67] Philippines Patients treated by an australian govt deployed surgical team in a field hosp in Tacloban for 4 wks after Typhoon Haiyan Cross sectional Diabetes Nov 2013 131 people Sepsis from foot injuries in diabetic patients constituted an unexpected majority of the workload of a foreign collaborative surgical medical team in Tacloban in the aftermath of Typhoon Haiyan
Sun (2013) [54] China Survivors of Wenchuan earthquake staying in a temporary shelter for more than 1 year Cross sectional Hypertension March–May 2009 3,230 adults Age, family history of hypertension, sleep quality, waist-to-hip ratio, BMI and blood glucose levels are risk factors for earthquake-induced hypertension. Mental stress was not a risk factor
Wagner (2016) [96] Cambodia Community health care workers in Siam Reap province Cross sectional Type 2 Diabetes . 185 Community health workers were able to effectively learn diabetes prevention curriculum suggesting that they would be effective at disseminating the information
Wu (2015) [80] China Senior over age 60 living in 8 villages in China during a 2011 flood Cross sectional survey Multiple NCDs including hypertension, diabetes February 2012 1,183 elderly patients There was a marked decline in health status of the elderly after a flood. There were greater detrimental impacts on women and single elderly