tailieunhanh - Báo cáo y học: "Commentary: Ensuring health statistics in conflict are evidence-base"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Commentary: Ensuring health statistics in conflict are evidence-based. | Roberts Conflict and Health 2010 4 10 http content 4 1 10 CONFLICT AND HEALTH EDITORIAL Open Access Commentary Ensuring health statistics in conflict are evidence-based Leslie F Roberts Abstract The author argues that measuring mortality in conflict settings is fraught with limitations which mostly result in underestimation of mortality. Some recent publications on this subject have been based upon convenient surveillance processes or even press reports. The author calls for vigilance against such studies and argues that war related surveillance-based mortality estimates should include measures of sensitivity and representativeness. This January 2010 the second Human Security Report was released with much fanfare and an opening line stating .this report reveals that nationwide mortality rates actually fall during most wars. This conclusion which flies in the face of the entire humanitarian endeavor designed to minimize excess mortality can easily be dismissed as the artifact of a poorly done report. The report defines a war as ongoing when only 25 killings per year are occurring uses national surveys with multiyear recall periods to examine short minor conflicts rather than examining the conflict-affected populations weighs minor conflicts and major wars as similar events and selectively cites sources to make their points often ignoring the overall conclusions of those same sources. The report received limited credence in the press and even less in the academic community and hopefully will be quickly forgotten. What is important for those of us involved in the documentation of human suffering is that this report is the latest and worst in a growing trend of non-public health professionals drawing health conclusions from convenient samples. Since Karl Western made the first modern estimate of deaths during the Biafran conflict the public health community has struggled to collect data that was evermore sensitive and representative 1 . From .

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