Wednesday, January 11, 2006

The Lancet's Congo Mortality Survey

Not a surprise, but from a notable source. The Lancet, a British medical journal, has a recent article about mortality in the Congo. Available online here (reg. required):

Mortality in the Democratic Republic of Congo: a nationwide survey
The Lancet 2006; 367:44-51

Summary

Background
Commencing in 1998, the war in the Democratic Republic of Congo has been a humanitarian disaster, but has drawn little response from the international community. To document rates and trends in mortality and provide recommendations for political and humanitarian interventions, we did a nationwide mortality survey during April–July, 2004.

Findings
19,500 households were visited. The national crude mortality rate of 2·1 deaths per 1000 per month (95% CI 1·6–2·6) was 40% higher than the sub-Saharan regional level (1·5), corresponding to 600,000 more deaths than would be expected during the recall period and 38,000 excess deaths per month. Total death toll from the conflict (1998–2004) was estimated to be 3·9 million. Mortality rate was higher in unstable eastern provinces,
showing the effect of insecurity. Most deaths were from easily preventable and treatable illnesses rather than violence. Regression analysis suggested that if the effects of violence were removed, all-cause mortality could fall to almost normal rates.

Interpretation
The conflict in the Democratic Republic of Congo remains the world's deadliest humanitarian crisis. To save lives, improvements in security and increased humanitarian assistance are urgently needed.


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Thursday, January 05, 2006

At home for the holidays and travelling. I'll be blogging again in February and working on the project website... thanks for checking in and please check back.


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