Glass R I, Cates W, Nieburg P, Davis C, Russbach R, Nothdurft H, Peel S, Turnbull R
Lancet. 1980 Apr 19;1(8173):868-72. doi: 10.1016/s0140-6736(80)91365-3.
In the disaster relief programme for Kampuchean refugees in Thailand, epidemiological techniques were incorporated into the health-planning process during the first 2 weeks of the refugee influx. The findings influenced not only health care in the first refugee camp but also the delivery of medical services in subsequent camps. The mortality rate in the first week of refugee settlement was 9.1/10 000/day, and fell to 0.71/10 000/day by the fifth week. Children aged 4 and under had the highest risk of death. Fever/malaria was the main cause of morbidity and mortality. Simple epidemiological techniques, if initiated early in the relief effort, can influence medical decisions and lead to more effective use of health resources.
在泰国柬埔寨难民救灾项目中,在难民涌入的头两周,流行病学技术被纳入卫生规划过程。这些发现不仅影响了第一个难民营的医疗保健,也影响了后续难民营的医疗服务提供。难民安置第一周的死亡率为9.1/10000/天,到第五周降至0.71/10000/天。4岁及以下儿童死亡风险最高。发热/疟疾是发病和死亡的主要原因。简单的流行病学技术,如果在救援工作早期启动,能够影响医疗决策并更有效地利用卫生资源。