Dhoubhadel Bhim Gopal, Raya Ganendra Bhakta, Shrestha Dhruba, Shrestha Raj Kumar, Dhungel Yogendra, Suzuki Motoi, Yasunami Michio, Smith Chris, Ariyoshi Koya, Parry Christopher M
School of Tropical Medicine and Global Health (TMGH), Nagasaki University, 1-12-4 Sakamoto, Nagasaki, 852-8523 Japan.
Siddhi Memorial Hospital, Bhaktapur, Nepal.
Trop Med Health. 2020 Jun 28;48:53. doi: 10.1186/s41182-020-00225-8. eCollection 2020.
The nutritional status of children may deteriorate after natural disasters such as earthquakes. A 7.8 Richter scale earthquake struck Nepal in 2015 that affected 1.1 million children. Children whose homes were destroyed and had to live in temporary shelters were at risk of malnutrition. With the support of Nagasaki University School of Tropical Medicine and Global Health (TMGH) and Siddhi Memorial Hospital (SMH), we conducted a nutritional survey of under-5 children living in temporary shelters in Bhaktapur Municipality in 2015 immediately after the earthquake and a follow-up survey in 2017.
We found 591 under-5 children living in 22 temporary shelters in 2015. A total of 285 children were followed up and re-assessed in 2017. In a paired analysis ( = 285), the prevalence of underweight children increased from 10.9% in 2015 to 14.0% in 2017 ( < 0.001), stunting increased from 26.7 to 31.9% ( = 0.07), and wasting decreased from 4.2 to 2.5% ( = 0.19).
Children who lived in temporary shelters after the 2015 Nepal earthquake might be at increased risk of a deterioration in nutritional status.
地震等自然灾害后儿童的营养状况可能会恶化。2015年，尼泊尔发生了里氏7.8级地震，影响了110万儿童。房屋被毁、不得不居住在临时避难所的儿童面临营养不良的风险。在长崎大学热带医学与全球健康学院（TMGH）和悉达多纪念医院（SMH）的支持下，我们于2015年地震后立即对巴克塔普尔市临时避难所中的5岁以下儿童进行了营养调查，并于2017年进行了随访调查。
2015年，我们在22个临时避难所中发现了591名5岁以下儿童。2017年，共有285名儿童接受了随访和重新评估。在配对分析（n = 285）中，体重不足儿童的患病率从2015年的10.9%上升至2017年的14.0%（P < 0.001），发育迟缓从26.7%上升至31.9%（P = 0.07），消瘦从4.2%降至2.5%（P = 0.19）。
2015年尼泊尔地震后居住在临时避难所的儿童营养状况恶化的风险可能会增加。
