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2014年抵达乍得的中非共和国难民的回顾性死亡率

Retrospective mortality among refugees from the Central African Republic arriving in Chad, 2014.

作者信息

Coldiron Matthew E, Roederer Thomas, Llosa Augusto E, Bouhenia Malika, Madi Sassou, Sury Laurent, Neuman Michaël, Porten Klaudia

机构信息

Epicentre, 8 rue Saint-Sabin, Paris, France.

Médecins Sans Frontières, Ndjaména, Chad.

出版信息

Confl Health. 2017 May 15;11:7. doi: 10.1186/s13031-017-0110-4. eCollection 2017.

DOI:10.1186/s13031-017-0110-4
PMID:28515775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5430603/
Abstract

BACKGROUND

The Central African Republic has known long periods of instability. In 2014, following the fall of an interim government installed by the Séléka coalition, a series of violent reprisals occurred. These events were largely directed at the country's Muslim minority and led to a massive displacement of the population. In 2014, we sought to document the retrospective mortality among refugees arriving from the CAR into Chad by conducting a series of surveys.

METHODS

The Sido camp was surveyed exhaustively in March-April 2014 and a systematic sampling strategy was used in the Goré camp in October 2014. The survey recall period began November 1, 2013, just before the major anti-Balaka offensive. Heads of households were asked to describe their household composition at the beginning of and throughout the recall period. For household members reported as dying, further information about the date and circumstances of death was obtained.

RESULTS

In Sido, 3449 households containing 25 353 individuals were interviewed. A total of 2599 deaths were reported, corresponding to a crude mortality rate of 6.0/10000 persons/day, and 8% of the population present at the beginning of the recall period died. Most (82.4%) deaths occurred among males, most deaths occurred in December 2013 and January 2014, and 92% were due to violence in the CAR. In Goré, 1383 households containing 8614 individuals were interviewed. A total of 1203 deaths were reported, corresponding to a crude mortality rate of 3.7/10000 persons/day [95%CI 3.5-3.9], and 12% of the population present at the beginning of the recall period died. Most (77.1%) deaths occurred among males. As in Sido, most deaths occurred in December 2013 and January 2014, and 86% of all deaths were due to violence in the CAR.

CONCLUSIONS

The results of these two surveys describe a part of the toll of the violent events of December 2013 and January 2014 in the Central African Republic.

摘要

背景

中非共和国长期处于不稳定状态。2014年,在塞雷卡联盟组建的过渡政府倒台后,发生了一系列暴力报复事件。这些事件主要针对该国的穆斯林少数群体,导致大量人口流离失所。2014年,我们通过开展一系列调查,试图记录从刚果(金)抵达乍得的难民的回顾性死亡率。

方法

2014年3月至4月对西多营地进行了全面调查,并于2014年10月在戈雷营地采用了系统抽样策略。调查回顾期始于2013年11月1日,就在主要的反巴拉卡攻势之前。要求户主描述回顾期开始时及整个回顾期内的家庭构成。对于报告死亡的家庭成员,获取了有关死亡日期和情况的进一步信息。

结果

在西多,对3449户家庭(共25353人)进行了访谈。共报告2599例死亡,粗死亡率为6.0/10000人/天,回顾期开始时在场人口的8%死亡。大多数(82.4%)死亡发生在男性中,大多数死亡发生在2013年12月和2014年1月,92%的死亡是由于刚果(金)的暴力事件。在戈雷,对1383户家庭(共8614人)进行了访谈。共报告1203例死亡,粗死亡率为3.7/10000人/天[95%置信区间3.5-3.9],回顾期开始时在场人口的12%死亡。大多数(77.1%)死亡发生在男性中。与西多一样,大多数死亡发生在2013年12月和我2014年1月,所有死亡的86%是由于刚果(金)的暴力事件。

结论

这两项调查的结果描述了2013年12月和2014年1月中非共和国暴力事件造成的部分伤亡情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/80019659994b/13031_2017_110_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/4a9e13e62f2e/13031_2017_110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/95cd36be6fdb/13031_2017_110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/bfed124df701/13031_2017_110_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/ec421b65cd95/13031_2017_110_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/e0f6b1bef38b/13031_2017_110_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/80019659994b/13031_2017_110_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/4a9e13e62f2e/13031_2017_110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/95cd36be6fdb/13031_2017_110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/bfed124df701/13031_2017_110_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/ec421b65cd95/13031_2017_110_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/e0f6b1bef38b/13031_2017_110_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ce/5430603/80019659994b/13031_2017_110_Fig6_HTML.jpg

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