Salman Yumna, Shaeen Sean Kaisser, Khan Hira Anas, Islam Zarmina, Essar Mohammad Yasir
Faculty of Medicine, Dow Medical College, Dow University of Health Sciences, Pakistan.
Kabul University of Medical Sciences, Kabul, Afghanistan.
Ann Med Surg (Lond). 2022 Jun;78:103798. doi: 10.1016/j.amsu.2022.103798. Epub 2022 May 18.
Child malnourishment is a long-lasting concern that Afghanistan has been facing for many years now. This major factor amongst countless others like growing socioeconomic disparity, ineffective healthcare due to lack of funding and political instability has caused increase in nutritional instability through Afghanistan. This has increased the likelihood of numerous malnourished children contracting deadly infectious diseases like measles. Despite receiving nutritional aid, vaccines (reduce measles spread) and funding from international organizations much of these efforts have fell short due to the political instability and lack of sustained support. Emergence of COVID-19 has further intensified the already existing challenges faced by vulnerable Afghan children. The pandemic has impeded with the eradication of measles and vaccine coverage as much of the funding and attention has shifted to containing COVID-19 spread posing a greater threat for malnourished children. The combined effect of both infections has exacerbated and increased mortality in malnourished children as rate of measle spread increases. Afghan healthcare systems are now struggling more as much of their efforts are ineffectual due to lack of facilities and resources.
儿童营养不良是阿富汗多年来一直面临的长期问题。在社会经济差距不断扩大、资金短缺导致医疗保健效率低下以及政治不稳定等诸多因素中,这一主要因素导致阿富汗各地营养不稳定状况加剧。这增加了众多营养不良儿童感染麻疹等致命传染病的可能性。尽管获得了营养援助、疫苗(减少麻疹传播)以及国际组织的资金,但由于政治不稳定和缺乏持续支持,这些努力大多未达预期。新冠疫情的出现进一步加剧了阿富汗弱势儿童已经面临的挑战。这场大流行阻碍了麻疹的根除和疫苗接种覆盖率,因为大部分资金和注意力都转移到了控制新冠疫情传播上,这对营养不良儿童构成了更大威胁。随着麻疹传播速度加快,两种感染的综合影响加剧并增加了营养不良儿童的死亡率。阿富汗的医疗系统现在更加艰难,因为由于缺乏设施和资源,它们的许多努力都没有效果。