Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Department of Anthropology, The Johns Hopkins University, Baltimore, MD, USA.
Lancet. 2014 Feb 1;383(9915):449-57. doi: 10.1016/S0140-6736(13)62299-0. Epub 2014 Jan 20.
The health consequences of the ongoing US-led war on terror and civil armed conflicts in the Arab world are much more than the collateral damage inflicted on civilians, infrastructure, environment, and health systems. Protracted war and armed conflicts have displaced populations and led to lasting transformations in health and health care. In this report, we analyse the effects of conflicts in Iraq and Syria to show how wars and conflicts have resulted in both the militarisation and regionalisation of health care, conditions that complicate the rebuilding of previously robust national health-care systems. Moreover, we show how historical and transnational frameworks can be used to show the long-term consequences of war and conflict on health and health care. We introduce the concept of therapeutic geographies--defined as the geographic reorganisation of health care within and across borders under conditions of war.
持续的以美国为首的反恐战争和阿拉伯世界的内战给民众、基础设施、环境和卫生系统造成的附带损害之外,还对健康造成了严重影响。旷日持久的战争和武装冲突使人们流离失所,并导致健康和医疗保健发生持久的转变。在本报告中,我们分析了伊拉克和叙利亚冲突的影响,以展示战争和冲突如何导致医疗保健的军事化和区域化,这些情况使以前强大的国家卫生保健系统的重建变得复杂。此外,我们还展示了如何利用历史和跨国框架来展示战争和冲突对健康和医疗保健的长期影响。我们引入了治疗地理的概念——在战争条件下,定义为在国内外重新组织医疗保健。