Vernier Larissa, Cramond Vanessa, Hoetjes Maartje, Lenglet Annick, Hoare Thomas, Malaeb Rami, Carrion Martin Antonio Isidro
Médecins sans Frontières, Tal Abyad, Syria.
2Médecins sans Frontières, Plantage Middenlaan 14, 1018 DD Amsterdam, the Netherlands.
Confl Health. 2019 Jul 11;13:33. doi: 10.1186/s13031-019-0216-y. eCollection 2019.
War in Syria has lasted for more than eight years, causing population displacement, collapse of medical and public health services, extensive violence and countless deaths. Since November 2016, military operations in Northeast Syria intensified. In October 2017 a large influx of internally displaced persons (IDPs) arrived to Ein Issa camp, Raqqa governate. Médecins Sans Frontières (MSF) assessed the health status of recently arrived IDPs in Ein Issa camp.
MSF carried out a cross-sectional survey using simple random sampling between 8 and 18 November 2017, enrolling households who had arrived to Ein Issa camp since 1 October 2017. A questionnaire collected data on demographics, history of displacement, retrospective one-year mortality, two-week morbidities, non-communicable diseases, exposure to violence in the last year and two-week psychological distress symptoms among all household members as well as vaccination status in children aged 6 to 59 months. The latter were also screened for malnutrition. Prevalence estimates and mortality rates were calculated with their 95% confidence interval. Mortality rates were calculated as the number of deaths/10,000 persons/day using the individual person-day contribution of all household members.
MSF surveyed 257 households (1482 participants). They reported 31 deaths in the previous year, resulting in a crude mortality rate of 0.56 deaths/10,000 persons/day (95%CI: 0.39-0.80). Conflict-related violence was the most frequently reported cause of death (64.5%). In the previous year, 31.7% (95%CI: 29.4-34.2) of the participants experienced at least one violent episode. The most frequent type of violence reported was witnessing atrocities (floggings, executions or public body displays); 18.9% (95%CI: 17.0-21.0) of the population and 9.8% (95%CI: 7.9-12.0) of the children under 15 years had witnessed such atrocities. In men over 14 years, 15.8% (95%CI: 11.9-20.8) were detained/kidnapped and 11.3% (95%CI: 8.0-15.8) tortured/beaten/attacked. In the two weeks prior to interview, 14.4% (95%CI: 10.6-19.3) of the respondents felt so hopeless that they did not want to carry on living most of the time.
High levels of mortality, exposure to violence and psychological distress were reported. These survey results increase understanding of the impact of the conflict on the IDP population in Northeast Syria.
叙利亚战争已持续八年多，导致人口流离失所、医疗和公共卫生服务崩溃、暴力泛滥以及无数人死亡。自2016年11月以来，叙利亚东北部的军事行动加剧。2017年10月，大批境内流离失所者涌入拉卡省的艾因伊萨营地。无国界医生组织评估了最近抵达艾因伊萨营地的境内流离失所者的健康状况。
无国界医生组织于2017年11月8日至18日采用简单随机抽样进行了一项横断面调查，纳入自2017年10月1日以来抵达艾因伊萨营地的家庭。通过问卷调查收集了所有家庭成员的人口统计学数据、流离失所史回顾、过去一年的死亡率、两周发病率、非传染性疾病、过去一年遭受暴力的情况、两周心理困扰症状以及6至59个月儿童的疫苗接种状况。还对这些儿童进行了营养不良筛查。计算患病率估计值和死亡率及其95%置信区间。死亡率按照所有家庭成员的个人人日贡献，以死亡人数/10000人/天计算。
无国界医生组织调查了257户家庭（1482名参与者）。他们报告前一年有31人死亡，粗死亡率为0.56人/10000人/天（95%置信区间：0.39 - 0.80）。与冲突相关的暴力是最常报告的死亡原因（64.5%）。前一年，31.7%（95%置信区间：29.4 - 34.2）的参与者经历了至少一次暴力事件。报告的最常见暴力类型是目睹暴行（鞭打、处决或展示尸体）；18.9%（95%置信区间：17.0 - 21.0）的人口和9.8%（95%置信区间：7.9 - 12.0）的15岁以下儿童目睹了此类暴行。在14岁以上男性中，15.8%（95%置信区间：11.9 - 20.8）被拘留/绑架，11.3%（95%置信区间：8.0 - 15.8）遭受酷刑/殴打/袭击。在访谈前两周，14.4%（95%置信区间：10.6 - 19.3）的受访者感到非常绝望，以至于大部分时间都不想继续活下去。
报告显示死亡率、遭受暴力情况和心理困扰程度都很高。这些调查结果增进了对冲突对叙利亚东北部境内流离失所者影响的了解。
