Wasay Mohammad, Mushtaq Khalid
Department of Medicine/Neurology, Aga Khan University, Karachi, Pakistan.
Am J Disaster Med. 2010 Mar-Apr;5(2):126-8.
Army action against terrorism in Pakistan led to the largest human migration in this century. About 3.4 million people (internally displaced persons, IDPs) were displaced. The authors visited all major camps and some houses in Mardan area and interviewed IDPs and doctors at these camps and areas to identify medical needs and current state of provision of medical care. This disaster largely represented displacement of millions of people (IDPs) including women and children to a new weather and environment in overcrowded refugee camps and houses. Influx of large number of displaced people created excessive burden for already deprived local health services. The medical issues and requirements for these IDPs living in camps were totally different from a disaster like earthquake. Global response to this disaster was slow and less effective. The need for a WHO coordination center for creating quick and urgent response for such kind of disasters in future is emphasized in this article.
巴基斯坦军队打击恐怖主义的行动导致了本世纪最大规模的人口迁移。约340万人(境内流离失所者)被迫流离失所。作者走访了马尔丹地区所有主要营地及一些房屋,采访了这些营地和地区的境内流离失所者及医生,以确定医疗需求和医疗服务的现状。这场灾难主要表现为数百万人(境内流离失所者),包括妇女和儿童,被迫转移到过度拥挤的难民营和房屋中,面临新的气候和环境。大量流离失所者的涌入给本就匮乏的当地卫生服务造成了过重负担。这些住在营地的境内流离失所者的医疗问题和需求与地震等灾难完全不同。全球对这场灾难的反应迟缓且效果不佳。本文强调需要设立一个世界卫生组织协调中心,以便未来能对这类灾难做出迅速而紧急的反应。