02828nas a2200397   4500000000100000008004100001653000900042653001500051653001000066653001000076653001800086653001100104653001100115653001200126653000900138653002400147653003000171653001700201653002100218653002600239653002200265653001200287653001600299100001300315700001100328700001200339700001700351700001400368700001500382245010900397856007800506300000900584490000600593520181700599022001402416       2009                            d10aNTDs10aAdolescent10aAdult10aChild10aCote d'Ivoire10aFemale10aHumans10aMalaria10aMale10aPopulation Dynamics10aResidence Characteristics10aRisk Factors10aRural Population10aSocioeconomic Factors10aTropical Medicine10aWarfare10aYoung Adult1 aFürst T1 aRaso G1 aAcka CA1 aTschannen AB1 aN'Goran E1 aUtzinger J00aDynamics of socioeconomic risk factors for neglected tropical diseases and malaria in an armed conflict.  uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2731884/pdf/pntd.0000513.pdf  ae5130 v33 a<p><strong>BACKGROUND: </strong>Armed conflict and war are among the leading causes of disability and premature death, and there is a growing share of civilians killed or injured during armed conflicts. A major part of the civilian suffering stems from indirect effects or collateral impact such as changing risk profiles for infectious diseases. We focused on rural communities in the western part of Côte d'Ivoire, where fighting took place during the Ivorian civil war in 2002/2003, and assessed the dynamics of socioeconomic risk factors for neglected tropical diseases (NTDs) and malaria.</p>

<p><strong>METHODOLOGY: </strong>The same standardized and pre-tested questionnaires were administered to the heads of 182 randomly selected households in 25 villages in the region of Man, western Côte d'Ivoire, shortly before and after the 2002/2003 armed conflict.</p>

<p><strong>PRINCIPAL FINDINGS: </strong>There was no difference in crowding as measured by the number of individuals per sleeping room, but the inadequate sanitation infrastructure prior to the conflict further worsened, and the availability and use of protective measures against mosquito bites and accessibility to health care infrastructure deteriorated. Although the direct causal chain between these findings and the conflict are incomplete, partially explained by the very nature of working in conflict areas, the timing and procedures of the survey, other sources and anecdotal evidence point toward a relationship between an increased risk of suffering from NTDs and malaria and armed conflict.</p>

<p><strong>CONCLUSION: </strong>New research is needed to deepen our understanding of the often diffuse and neglected indirect effects of armed conflict and war, which may be worse than the more obvious, direct effects.</p>
  a1935-2735