Violence and mortality in West Darfur, Sudan (2003-04): epidemiological evidence from four surveys.

Hdl Handle:
http://hdl.handle.net/10144/18269
Title:
Violence and mortality in West Darfur, Sudan (2003-04): epidemiological evidence from four surveys.
Authors:
Depoortere, E; Checchi, F; Broillet, F; Gerstl, S; Minetti, A; Gayraud, O; Briet, V; Pahl, J; Defourny, I; Tatay, M; Brown, V
Journal:
Lancet
Abstract:
BACKGROUND: Violence in Darfur, Sudan, has rendered more than one million people internally displaced. An epidemiological study of the effect of armed incursions on mortality in Darfur was needed to provide a basis for appropriate assistance to internally displaced people. METHODS: Between April and June, 2004, we did retrospective cluster surveys among 215?400 internally displaced people in four sites of West Darfur (Zalingei, Murnei, Niertiti, El Geneina). Mortality recall periods covered both the pre-displacement and post-displacement periods in Zalingei, Murnei, and Niertiti, but not in El Geneina. Heads of households provided dates, causes, and places of deaths, and described the family structure. FINDINGS: Before arrival at displacement sites, mortality rates (expressed as deaths per 10?000 per day), were 5.9 (95% CI 2.2-14.9) in Zalingei, 9.5 (6.4-14.0) in Murnei, and 7.3 (3.2-15.7) in Niertiti. Violence caused 68-93% of these deaths. People who were killed were mostly adult men (relative risk 29.1-117.9 compared with children younger than 15 years), but included women and children. Most households fled because of direct village attacks. In camps, mortality rates fell but remained above the emergency benchmark, with a peak of 5.6 in El Geneina. Violence persisted even after displacement. Age and sex pyramids of surviving populations were skewed, with a deficit in men. INTERPRETATION: This study, which was done in a difficult setting, provides epidemiological evidence of this conflict's effect on civilians, confirming the serious nature of the crisis, and reinforcing findings from other war contexts.
Affiliation:
Epicentre, Paris, France. depoortere@brussels.msf.org
Publisher:
Elsevier
Issue Date:
14-Oct-2004
URI:
http://hdl.handle.net/10144/18269
DOI:
10.1016/S0140-6736(04)17187-0
PubMed ID:
15474133
Additional Links:
http://www.thelancet.com
Language:
en
ISSN:
1474-547X
Appears in Collections:
Emergencies/refugees

Full metadata record

DC FieldValue Language
dc.contributor.authorDepoortere, E-
dc.contributor.authorChecchi, F-
dc.contributor.authorBroillet, F-
dc.contributor.authorGerstl, S-
dc.contributor.authorMinetti, A-
dc.contributor.authorGayraud, O-
dc.contributor.authorBriet, V-
dc.contributor.authorPahl, J-
dc.contributor.authorDefourny, I-
dc.contributor.authorTatay, M-
dc.contributor.authorBrown, V-
dc.date.accessioned2008-02-14T11:40:36Z-
dc.date.available2008-02-14T11:40:36Z-
dc.date.issued2004-10-14T11:40:36Z-
dc.identifier.citationViolence and mortality in West Darfur, Sudan (2003-04): epidemiological evidence from four surveys., 364 (9442):1315-20 Lanceten
dc.identifier.issn1474-547X-
dc.identifier.pmid15474133-
dc.identifier.doi10.1016/S0140-6736(04)17187-0-
dc.identifier.urihttp://hdl.handle.net/10144/18269-
dc.description.abstractBACKGROUND: Violence in Darfur, Sudan, has rendered more than one million people internally displaced. An epidemiological study of the effect of armed incursions on mortality in Darfur was needed to provide a basis for appropriate assistance to internally displaced people. METHODS: Between April and June, 2004, we did retrospective cluster surveys among 215?400 internally displaced people in four sites of West Darfur (Zalingei, Murnei, Niertiti, El Geneina). Mortality recall periods covered both the pre-displacement and post-displacement periods in Zalingei, Murnei, and Niertiti, but not in El Geneina. Heads of households provided dates, causes, and places of deaths, and described the family structure. FINDINGS: Before arrival at displacement sites, mortality rates (expressed as deaths per 10?000 per day), were 5.9 (95% CI 2.2-14.9) in Zalingei, 9.5 (6.4-14.0) in Murnei, and 7.3 (3.2-15.7) in Niertiti. Violence caused 68-93% of these deaths. People who were killed were mostly adult men (relative risk 29.1-117.9 compared with children younger than 15 years), but included women and children. Most households fled because of direct village attacks. In camps, mortality rates fell but remained above the emergency benchmark, with a peak of 5.6 in El Geneina. Violence persisted even after displacement. Age and sex pyramids of surviving populations were skewed, with a deficit in men. INTERPRETATION: This study, which was done in a difficult setting, provides epidemiological evidence of this conflict's effect on civilians, confirming the serious nature of the crisis, and reinforcing findings from other war contexts.en
dc.language.isoenen
dc.publisherElsevier-
dc.relation.urlhttp://www.thelancet.com-
dc.rightsReproduced on this site with permission of Elsevier Ltd. Please see www.thelancet.com for further relevant comment.en
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshChilden
dc.subject.meshData Collectionen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMortalityen
dc.subject.meshRefugeesen
dc.subject.meshSudanen
dc.subject.meshViolenceen
dc.subject.meshWaren
dc.titleViolence and mortality in West Darfur, Sudan (2003-04): epidemiological evidence from four surveys.en
dc.contributor.departmentEpicentre, Paris, France. depoortere@brussels.msf.orgen
dc.identifier.journalLanceten

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