Horev Amir, Edan-Reuven Shanny, Eshel Ron, Novack Lena
Pediatric Dermatology Service, Soroka University Medical Center, Beer-Sheva.
Faculty of Health Sciences, Ben-Gurion University of the Negev.
Dermatol Reports. 2020 Dec 22;12(3):8648. doi: 10.4081/dr.2020.8648.
In addition to the immediate casualties of armed conflicts, their indirect impact may bring even more damage by causing malfunctioning of health systems and impaired access to diagnosis and treatment. We conducted a population-based study, to assess the utilization rates of health services due to skin disorders, among civilians exposed to missile attacks and siren alarms during three military operations in Israel. The study was designed as a natural experiment, whereas periods of military operations were compared to the non-military times. During the military operations, when sirens and missiles were an everyday experience, the number of visits to dermatologists was 1.07-1.16 times lower [Relative Risk (RR)=0.86-0.92] as compared to the non-military periods, especially evident for patients residing closer to the military zone, where it dropped almost 2- folds (RR=0.52). Although perceived nonurgent in their majority, the routine care should not be delayed to prevent more serious skin conditions.
除了武装冲突造成的直接伤亡外，其间接影响可能会因导致卫生系统功能失调以及诊断和治疗的可及性受损而带来更大的损害。我们开展了一项基于人群的研究，以评估在以色列的三次军事行动期间，遭受导弹袭击和警报声影响的平民中因皮肤病而使用卫生服务的比率。该研究被设计为一项自然实验，将军事行动期间与非军事时期进行比较。在军事行动期间，警报声和导弹袭击成为日常经历，与非军事时期相比，皮肤科就诊次数降低了1.07至1.16倍[相对风险（RR）=0.86至0.92]，这在居住在靠近军事区的患者中尤为明显，就诊次数下降了近两倍（RR=0.52）。尽管大多数皮肤病被认为并非紧急情况，但常规护理不应延迟，以防止出现更严重的皮肤状况。
