Deola Claudio, Patel Ronak B
International Committee of the Red Cross ; Bunia, Democratic Republic of the Congo.
Harvard Humanitarian Initiative; Harvard Medical School; Department of Emergency Medicine; Brigham and Women's Hospital; Boston, MA USA; Division of Emergency Medicine; Deptartment of Surgery; Stanford University School of Medicine; Stanford, CA USA.
Disaster Health. 2015 Jan 7;2(2):92-96. doi: 10.4161/21665044.2014.990306. eCollection 2014 Apr-Jun.
With urbanisation, cities are increasingly home to greater proportions of the world's population. As this transition has significant implications on human health, the epidemiology of diseases among relatively stable urban populations is growing. As humanitarian crises increasingly drive people to urban centers rather than traditional refugee camps, however, rapid and massive urban displacements will increase in frequency. This paper explores the idea that such urban displacements combine epidemiological features of forced migration, slum conditions and humanitarian disaster contexts. This paper highlights the lack of primary data and the consequent paucity of solid epidemiological literature in the aftermath of rapid massive urban displacements. A framework of health outcomes in urban displacement drawing from the above 3 phenomenon is presented and avenues for improved epidemiologic work described.
随着城市化进程的推进,城市中居住着世界上越来越大比例的人口。由于这种转变对人类健康具有重大影响,相对稳定的城市人口中的疾病流行病学研究也在不断增加。然而,随着人道主义危机促使人们越来越多地前往城市中心而非传统难民营,快速而大规模的城市人口流离失所现象将更加频繁。本文探讨了这样一种观点,即这种城市人口流离失所现象兼具被迫迁移、贫民窟状况和人道主义灾难背景的流行病学特征。本文强调了在快速大规模城市人口流离失所之后,缺乏原始数据以及由此导致的可靠流行病学文献的匮乏。文中提出了一个从上述三种现象中提炼出的城市人口流离失所健康结果框架,并描述了改进流行病学研究工作的途径。