Care of non-communicable diseases in emergencies

by Slim Slama, Hyo-Jeong Kim, Gojka Roglic et al.
The Lancet – Published Online September 13, 2016

5 pp. 289 kB
http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)31404-0.pdfcov200h

Emergencies include natural disasters such as earthquakes and severe meteorological events, but also armed conflict and its consequences, such as civil disruption and refugee crises (sometimes termed chronic emergencies). The health component of the humanitarian response to emergencies has traditionally focused on management of acute conditions such as trauma and infectious illnesses. However, non-communicable diseases (NCDs) such as diabetes, hypertension, cardiovascular disease, cancer, and chronic lung disease are now leading causes of disability and death in low-income and middle-income countries (LMICs) and disaster-prone areas. NCDs require ongoing management for optimal outcomes, which is challenging in emergency settings because natural disasters or conflicts increase the risk of acute NCD exacerbations and decrease the ability of health systems to respond.

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