Department of Dermatology, Liverpool Hospital, Sydney, NSW, Australia.
Faculty of Medicine and Public Health, University of New South Wales, Sydney, NSW, Australia.
J Eur Acad Dermatol Venereol. 2020 Feb;34(2):419-425. doi: 10.1111/jdv.15909. Epub 2019 Oct 17.
Since the beginning of the Syrian war in 2011, the world has faced the most severe refugee crisis in history and 5.6 million Syrians have sought asylum in neighbouring countries or in Europe. According to recent estimates, more than 650 000 Syrian refugees are displaced in Jordan.
This article aims to assess the demographic characteristics and skin disease profile of Syrian displaced people residing in Al Za'atari camp and in communities in Jordan. Furthermore, the authors discuss the barriers to healthcare provision experienced during field missions.
This is a retrospective analysis of medical records collected during three medical missions in Jordan by an international dermatological team. Data on patient age, gender, country of origin and skin disease diagnoses were recorded both in Al Za'atari camp and Jordanian towns near the Syrian border.
A total of 1197 patients were assessed during the field missions, with 67.7% female and 37.1% under the age of 14 years. Dermatitis was the leading dermatological condition in both refugee camp and community healthcare clinics. Infectious diseases were the second most common; however, fungal presentations were more common in the community as opposed to viral in Al Za'atari.
High dermatitis presentations were likely secondary to the environment, living conditions and lack of access to emollients. Infectious diseases were postulated secondary to poor hygiene and sharing of overcrowded spaces. Barriers to health care included limited pharmacological formulary, difficulty in continuity of care and case referrals due to lack of specialized services. Better access to health care, improvement of living conditions and hygiene, and increased availability of medications including emollients and sunscreens are all interventions that should be carried out to reduce skin disease burden. Our findings should further urge the international community to uphold their commitments and uptake engagement in improving health care for Syrian displaced people.
自 2011 年叙利亚战争开始以来，世界面临着历史上最严重的难民危机，有 560 万叙利亚人在邻国或欧洲寻求庇护。据最近估计，超过 65 万叙利亚难民在约旦流离失所。
本文旨在评估居住在阿尔扎塔里难民营和约旦社区的叙利亚流离失所者的人口统计学特征和皮肤病概况。此外，作者还讨论了实地考察期间医疗服务提供所面临的障碍。
这是一个由国际皮肤科团队在约旦进行的三次医疗任务中收集的病历的回顾性分析。记录了患者的年龄、性别、原籍国和皮肤病诊断数据，这些数据分别来自阿尔扎塔里营地和靠近叙利亚边境的约旦城镇。
在实地考察期间，共有 1197 名患者接受了评估，其中 67.7%为女性，37.1%年龄在 14 岁以下。皮炎是难民营和社区医疗诊所中最主要的皮肤病。传染病是第二常见的疾病；然而，与阿尔扎塔里的病毒性疾病相比，社区中真菌疾病更为常见。
高发的皮炎可能是由于环境、生活条件和缺乏保湿剂所致。传染病则被认为是由于卫生条件差和过度拥挤的空间共享所致。卫生保健方面的障碍包括药物配方有限、难以持续护理以及由于缺乏专科服务而导致的病例转介。更好地获得医疗保健、改善生活条件和卫生条件以及增加保湿剂和防晒霜等药物的供应，这些都是减少皮肤病负担的干预措施。我们的研究结果应进一步敦促国际社会坚持其承诺，并参与改善叙利亚流离失所者的医疗保健。
