Glasgow Royal Infirmary, Glasgow, Scotland.
Research Department, Syrian American Medical Society, Gaziantep, Turkey.
Med Confl Surviv. 2024 Jun;40(2):111-152. doi: 10.1080/13623699.2024.2343996. Epub 2024 Apr 30.
Conflict adversely affects respiratory health in both direct and indirect ways among populations whose health is already compromised through the compounding effects of conflict. Our aim is to review academic and grey literature relevant to respiratory health in the Syrian conflict (now more than a decade in duration) to explore its impacts on populations across Syria. We performed a scoping literature review of academic and grey literature on respiratory health in Syria between March 2011 (taken as the start of the conflict for practicality) and December 2023. Of 11,472 papers screened, 34 met the inclusion criteria, of which 29 were peer reviewed. Key themes identified included the impact of conflict on asthma diagnosis and management; the burden of respiratory tract infections (RTIs) and COVID-19; the impact of chemical weapon use and the impact of destruction and interruptions to the health system(s) across Syria on respiratory health. This review highlights the need for more in-depth exploration of the impact of conflict on respiratory health in Syria with focus on social determinants, for example, shelter, public health interventions, smoking cessation, and supporting early diagnosis and treatment of respiratory conditions to counter the effects that conflict has had on respiratory health.
冲突以直接和间接的方式对健康已经受到冲突的累积影响的人群的呼吸健康产生不利影响。我们的目的是审查与叙利亚冲突（现已持续十余年）中呼吸健康相关的学术和灰色文献，以探讨其对叙利亚各地人群的影响。我们对 2011 年 3 月（为实际起见，将其视为冲突开始的时间）至 2023 年 12 月期间叙利亚呼吸健康方面的学术和灰色文献进行了范围广泛的文献综述。在筛选出的 11472 篇论文中，有 34 篇符合纳入标准，其中 29 篇是经过同行评审的。确定的主要主题包括冲突对哮喘诊断和管理的影响；呼吸道感染（RTIs）和 COVID-19 的负担；化学武器使用的影响以及叙利亚各地卫生系统的破坏和中断对呼吸健康的影响。这篇综述强调需要更深入地探讨冲突对叙利亚呼吸健康的影响，重点关注社会决定因素，例如住所、公共卫生干预措施、戒烟以及支持呼吸疾病的早期诊断和治疗，以应对冲突对呼吸健康的影响。
