high levels of mortality, malnutrition, and measles, among recently-displaced somali refugees in dagahaley camp, dadaab refugee camp complex, kenya, 2011高水平的死亡率、营养不良和麻疹,在recently-displaced达伽哈莱难民营的索马里难民,达达布难民营复杂,肯尼亚,2011.pdfVIP

Polonsky et al. Conflict and Health 2013, 7:1 /content/7/1/1 RESEARCH Open Access High levels of mortality, malnutrition, and measles, among recently-displaced Somali refugees in Dagahaley camp, Dadaab refugee camp complex, Kenya, 2011 1* 1 2 2 1 Jonathan A Polonsky , Axelle Ronsse , Iza Ciglenecki , Monica Rull and Klaudia Porten Abstract Background: Following a rapid influx of over 200,000 displaced Somalis into the Dadaab refugee camp complex in Kenya, Médecins Sans Frontières conducted a mortality and nutrition survey of the population living in Bulo Bacte, a self-settled area surrounding Dagahaley camp (part of this complex). Methods: The survey was conducted between 31st July and 10th August 2011. We exhaustively interviewed representatives from all households in Bulo Bacte, collecting information on deaths, births, and population movements during the recall period (15th February 2011 to survey date), in order to provide estimates of retrospective death rates. We recorded the mid-upper arm circumference and presence or absence of bipedal oedema of all children of height 67-110 cm to provide estimates of global and severe acute malnutrition. Results: The surveyed population included 26,583 individuals, of whom 6,488 (24.4%) were children aged under 5 years. There were 360 deaths reported during the 177 days of the recall period, of which 186 (52%) were among children aged under 5 years. The crude death rate for the entire recall period was 0.8 per 10,000 person-days. The under-5 death rate was 1.8 per 10,000 person-days. More than two-thirds of all deaths were reported to have been associated with diarrhoea (25%), cough or other breathing difficulties (24%), or with fever (19%). Measles