Sunday, September 8, 2013

The Impact the Syrian War has had on Health

The UN estimate that since the fighting in Syria begun two and a half years ago 100,000 people have been killed by the fighting. Recently there have also been figures highlighting the number of people presumed to be killed by chemical weapons, but I haven’t yet come across statistics outlining the number of casualties taken by secondary effects of the war.

By secondary effects I mean the resultant food shortages, the lack of water reaching refugee camps and the spread of disease. Before the reading a article on the New Scientist’s website, I hadn’t considered how the crisis in Syria was affecting the spread of disease, I’ve now learnt that it isn’t just the displaced Syrians whose health is being compromised but also the populations of the neighbouring countries.

The war has disrupted local health services, giving way to a large outbreak of measles in Northern Syria, further hindering the measles eradication efforts in the region. Médecins sans Frontières was hard put to deliver vaccines to the remaining inhabitants. The children arriving in refugee camps are all receiving vaccines for polio and measles. 

These camps however are full to the breaking, unsurprisingly with a quarter of the Syrian population now displaced, 2 million Syrians now call these camps home. These cramped conditions have accelerated the spread of:
-       ‘lung and gut infections’
-       hepatitis (the inflammation of the liver, most types are caused by viruses, symptoms include dark-coloured urine and pale bowel movements, jaundice …)
-       tuberculosis (is caused by bacteria that primarily damage the lungs, the bacteria is spread by sneezing and coughing, common symptoms include a bad cough, coughing up blood/mucus, night sweats …)
-       leishmaniasis (a parasitic disease caused by the bite of infected sand flies, there are several variations of the disease, common forms include the cutaneous type that causes skin sores and the visceral type which affects the spleen, liver, and bone marrow)

Neighbouring Jordan has received a large proportion of the Syrian refugees; tuberculosis was close to eliminated from the country. Similarly Schistosomiasis had become rare in the regions surrounding Syria.
(An infection caused by exposure to water sources containing a Schistosoma parasite which grows into a worm that resides in different body parts depending on its species, it cans cause fever chills, diarrhoea and can affect urination.)
Furthermore there is worry that there will be more fatal MERS virus cases due to the weakened condition of the refugees.
(Middle East Respiratory Syndrome was first reported in 2012 in Saudi Arabia, not much is known about the virus, however it is known to be a coronavirus meaning they have distinct “crown- like spikes on their surface. Coronaviruses are common viruses that most people get some time in their life that cause mild to moderate upper-respiratory tract illnesses”1)

Within Syria, farmers have stopped vaccinating their livestock, but have not stopped exporting them. As a result reports of rabies, bovine TB and other such diseases have already emerged from the produce recipients.

As seen as 8/09/13
http://www.cdc.gov/coronavirus/ http://www.cdc.gov/coronavirus/about/index.htm1

http://www.newscientist.com/article/dn24157-threatwatch-syrian-refugee-flood-brings-many-dangers.html#.Uit3WmQpZqs, Syrian refugee flood brings many dangers, 05 September 2013, D.MacKenzie

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