Journal Article > LetterFull Text
BMJ. 23 October 2024; Volume 387; q2324.; DOI:10.1136/bmj.q2324
Wait E
BMJ. 23 October 2024; Volume 387; q2324.; DOI:10.1136/bmj.q2324
Journal Article > LetterFull Text
BMJ. 12 September 2024; Volume 386; q2002.; DOI:10.1136/bmj.q2002
Burnett A, Katona C, McCann S, Mostafanejad R, Yfantis A
BMJ. 12 September 2024; Volume 386; q2002.; DOI:10.1136/bmj.q2002
Journal Article > CommentaryFull Text
BMJ. 13 March 2024; Volume 384; e077512.; DOI:10.1136/bmj-2023-077512
Cunnington AJ, Abbara A, Bawa FK, Achan J
BMJ. 13 March 2024; Volume 384; e077512.; DOI:10.1136/bmj-2023-077512
Journal Article > CommentaryFull Text
BMJ. 17 March 2023; Volume 17 (Issue 380); 642.; DOI:10.1136/bmj.p642
McCann S
BMJ. 17 March 2023; Volume 17 (Issue 380); 642.; DOI:10.1136/bmj.p642
Journal Article > CommentaryAbstract Only
BMJ. 6 February 2023; Volume 380; e073352.; DOI:10.1136/bmj-2022-073352
Mansour R, Houston A, Majeed A, Boum Y, Nakouné E, et al.
BMJ. 6 February 2023; Volume 380; e073352.; DOI:10.1136/bmj-2022-073352
What you need to know:
-- Consider coinfections with monkeypox and other sexually transmitted infections among patients presenting with an acute rash or skin lesions and systemic symptoms.
-- While it is safe to manage monkeypox patients virtually, they may need advice to maintain infection control measures and interventions to manage complications.
-- A specialist infectious disease unit with access to novel antivirals such as tecovirimat and cidofovir should manage high risk patients.
-- Healthcare workers should be aware of the stigma surrounding monkeypox, which may result in reduced health-seeking behaviours; healthcare staff should screen patients sensitively, using inclusive language to avoid alienating patients.
-- Consider coinfections with monkeypox and other sexually transmitted infections among patients presenting with an acute rash or skin lesions and systemic symptoms.
-- While it is safe to manage monkeypox patients virtually, they may need advice to maintain infection control measures and interventions to manage complications.
-- A specialist infectious disease unit with access to novel antivirals such as tecovirimat and cidofovir should manage high risk patients.
-- Healthcare workers should be aware of the stigma surrounding monkeypox, which may result in reduced health-seeking behaviours; healthcare staff should screen patients sensitively, using inclusive language to avoid alienating patients.
Journal Article > EditorialFull Text
BMJ. 28 October 2022; Volume 379; o2579.; DOI:10.1136/bmj.o2579
Black B
BMJ. 28 October 2022; Volume 379; o2579.; DOI:10.1136/bmj.o2579
Journal Article > CommentaryFull Text
BMJ. 20 April 2016; DOI:10.1136/bmj.i2037
Akol AD, Caluwaerts S, Weeks AD
BMJ. 20 April 2016; DOI:10.1136/bmj.i2037
Journal Article > ResearchFull Text
BMJ. 20 September 2003; Volume 327 (Issue 7416); 650.; DOI:10.1136/bmj.327.7416.650
Grein T
BMJ. 20 September 2003; Volume 327 (Issue 7416); 650.; DOI:10.1136/bmj.327.7416.650
OBJECTIVE
To measure retrospectively mortality among a previously inaccessible population of former UNITA members and their families displaced within Angola, before and after their arrival in resettlement camps after ceasefire of 4 April 2002.
DESIGN
Three stage cluster sampling for interviews. Recall period for mortality assessment was from 21 June 2001 to 15-31 August 2002.
SETTING
Eleven resettlement camps over four provinces of Angola (Bié, Cuando Cubango, Huila, and Malange) housing 149 000 former UNITA members and their families. PARTICIPANTS: 900 consenting family heads of households, or most senior household members, corresponding to an intended sample size of 4500 individuals. MAIN
OUTCOME MEASURES
Crude mortality and proportional mortality, overall and by period (monthly, and before and after arrival in camps).
RESULTS
Final sample included 6599 people. The 390 deaths reported during the recall period corresponded to an average crude mortality of 1.5/10 000/day (95% confidence interval 1.3 to 1.8), and, among children under 5 years old, to 4.1/10 000/day (3.3 to 5.2). Monthly crude mortality rose gradually to a peak in March 2002 and remained above emergency thresholds thereafter. Malnutrition was the leading cause of death (34%), followed by fever or malaria (24%) and war or violence (18%). Most war victims and people who had disappeared were women and children.
CONCLUSIONS
This population of displaced Angolans experienced global and child mortality greatly in excess of normal levels, both before and after the 2002 ceasefire. Malnutrition deaths reflect the extent of the food crisis affecting this population. Timely humanitarian assistance must be made available to all populations in such conflicts.
To measure retrospectively mortality among a previously inaccessible population of former UNITA members and their families displaced within Angola, before and after their arrival in resettlement camps after ceasefire of 4 April 2002.
DESIGN
Three stage cluster sampling for interviews. Recall period for mortality assessment was from 21 June 2001 to 15-31 August 2002.
SETTING
Eleven resettlement camps over four provinces of Angola (Bié, Cuando Cubango, Huila, and Malange) housing 149 000 former UNITA members and their families. PARTICIPANTS: 900 consenting family heads of households, or most senior household members, corresponding to an intended sample size of 4500 individuals. MAIN
OUTCOME MEASURES
Crude mortality and proportional mortality, overall and by period (monthly, and before and after arrival in camps).
RESULTS
Final sample included 6599 people. The 390 deaths reported during the recall period corresponded to an average crude mortality of 1.5/10 000/day (95% confidence interval 1.3 to 1.8), and, among children under 5 years old, to 4.1/10 000/day (3.3 to 5.2). Monthly crude mortality rose gradually to a peak in March 2002 and remained above emergency thresholds thereafter. Malnutrition was the leading cause of death (34%), followed by fever or malaria (24%) and war or violence (18%). Most war victims and people who had disappeared were women and children.
CONCLUSIONS
This population of displaced Angolans experienced global and child mortality greatly in excess of normal levels, both before and after the 2002 ceasefire. Malnutrition deaths reflect the extent of the food crisis affecting this population. Timely humanitarian assistance must be made available to all populations in such conflicts.
Journal Article > EditorialFull Text
BMJ. 20 December 2021; Volume 375; n3126.; DOI:10.1136/bmj.n3126
Caluwaerts S
BMJ. 20 December 2021; Volume 375; n3126.; DOI:10.1136/bmj.n3126
Journal Article > EditorialFull Text
BMJ. 10 January 2022; Volume 376; o46.; DOI:10.1136/bmj.o46
Mesic A
BMJ. 10 January 2022; Volume 376; o46.; DOI:10.1136/bmj.o46