| Titre : | Malnutrition and mortality in Kohistan District, Afghanistan, April 2001. (2001) |
| Auteurs : | Fitsum ASSEFA ; MOHAMMED ZAHIR JABARKHIL . (.) ; Peter SALAMA ; Paul SPIEGEL ; Save the Children-Usa. Washington. DC. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 286, n° 21, 2001) |
| Pagination : | 2723-2728 |
| Langues: | Anglais |
| Mots-clés : | Malnutrition ; Mortalité ; Facteur ; Etiologie ; Epidémiologie ; Prévalence ; Homme ; Afghanistan ; Asie ; Maladie nutrition |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 8Z8R0xSp. Diffusion soumise à autorisation]. Context The humanitarian situation in Afghanistan has been deteriorating for more than 3 years because of civil war and severe drought. Because of recent events, the international community is predicting a severe worsening of the country's current situation. Objective To assess the magnitude and causes of mortality and prevalence of malnutrition in Kohistan district, Faryab province, Afghanistan. Design Two-stage, 30-cluster household survey conducted April 4 through 10,2001, which included anthropometric measurements, assessment of food coping mechanisms, and retrospective mortality data collection for November 26,2000, through April 4,2001. Setting and Participants A total of 378 households comprising 3165 people living in Kohistan district, Faryab province, Afghanistan. Main Outcome Measures Crude mortality rate, mortality rate among children younger than 5 years, causes of death, prevalence of wasting and stunting among children aged 6 to 59 months (weight-for-height and height-for-age z scores<-2, respectively), and food coping mechanisms. Results The crude mortality rate among the 3165 persons surveyed during the period of interest was 2.6 (95% confidence interval [CI], 1.7-3.5) per 10000 per day and the mortality rate among 763 children younger than 5 years was 5.9 (95% CI, 2.0-8.8) per 10000 per day. Diarrhea (25.0%), respiratory tract infections (19.4%), measles (15.7%), and scurvy (6.5%) caused most of the 108 deaths. The prevalences of wasting and stunting among 708 children aged 6 to 59 months were 7.0% (95% CI, 5.9% - 9.0%) and 63.7% (95% CI, 58.6% - 68.8%), respectively. Evidence of late-stage food coping mechanisms and prefamine indicators existed among the population. Conclusions These data indicate that, by April 2001, a humanitarian crisis already existed in Kohistan. (...) |
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