Abstract
Amaç: Bu çalışmanın amacı, deprem sonrası iyileşmenin erken evrelerinde depremlerin çocukların beslenme durumu ve enfeksiyon oranları üzerindeki etkisini araştırmaktır.
Gereç ve Yöntemler: 2023 yılı 6 Şubat’taki depremler sonrasında, Hatay ilindeki çocuk muayene çadırına başvuran 504 hastadan 80’i çalışmaya dahil edilmiştir. Hastaların ziyaret nedenleri ve deprem öncesi ölçümlere göre kilo kayıpları incelenmiştir.
Bulgular: Toplam 80 hasta, üç farklı yaş grubunda incelenmiştir [1 ay-5 yaş (29 hasta), 5-10 yaş (34 hasta) ve 10-18 yaş (17 hasta)]. Üç yaş grubunda da, deprem öncesi ölçümlerle karşılaştırıldığında, vücut ağırlıklarında, ağırlık persentillerinde ve yaşa özgü standart sapmalarda istatistiksel olarak anlamlı bir düşüş gözlemlenmiştir (p<0.001). Ayrıca, sık görülen hastalıklar solunum yolu enfeksiyonları (%51.25) ve akut gastroenterit (%38.75)’di.
Sonuç: Felaket sonrası çocuklar için uygun ve yeterli beslenmenin sağlanması, normal büyümenin sürdürülmesi ve hastalıkların önlenmesi için kritik öneme sahiptir. Bu nedenle, acil durum planları uzman çocuk doktorlarını içermeli ve çocuklara öncelik vermelidir.
References
- Adeoya AA, Sasaki H, Fuda M, Okamoto T, Egawa S. Child Nutrition in Disaster: A Scoping Review. Tohoku J Exp Med. 2022;256:103-18.
- WHO. The management of nutrition in major emergencies. World Heal Organ 2000;8:218-9.
- Guha-Sapir D, Van Panhuis WG. Health impact of the 2004 Andaman Nicobar earthquake and tsunami in Indonesia. Prehosp Disaster Med 2009;24:493-9.
- WHO. Levels and trends in child malnutrition. UNICEF/WHO/World Bank Gr – Jt Child Malnutrition Estim 2023 Ed. Published online 2023. https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-who-wb
- European Region WHO. Turkiye earthquake. Extern Situat Rep no 9 1 May–4 June 2023. 2023;9:1-7. https://www.who.int/europe/publications/i/item/WHO-EURO-2023-7145-46911-70035
- World Health Organization. Manual for the health care of children in humanitarian emergencies. World Heal Organ Published online 2008:15-21.
- World Health Organization United Kingdom Health Protection Agency and Partners. Disaster Risk Management for Health NUTRITION. Disaster Risk Manag Heal Fact Sheet 2011. http://www.who.int/hac/events/drm_fact_sheet_nutrition.pdf?ua=1
- World Health Organization. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet 2000;355:451-5. http://www.augsburgfortress.org/media/downloads/0800662822_chap1.pdf
- Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet 2016;387:475-90.
- Sulaiman Z, Mohamad N, Ismail TAT, Johari N, Hussain NHN. Infant feeding concerns in times of natural disaster: Lessons learned from the 2014 flood in Kelantan, Malaysia. Asia Pac J Clin Nutr 2016;25:625-30.
- Hipgrave DB, Assefa F, Winoto A, Sukotjo S. Donated breast milk substitutes and incidence of diarrhoea among infants and young children after the May 2006 earthquake in Yogyakarta and Central Java. Public Health Nutr 2012;15:307-15.
- Hutson RA, Trzcinski E, Kolbe AR. Features of child food insecurity after the 2010 Haiti earthquake : Results from longitudinal random survey of households. PLoS One 2014;9:e104497.
- Herrera-Fontana ME, Chisaguano AM, Villagomez V, Pozo L, Castro N, Beltran P. Food Insecurity and Malnutrition in Vulnerable Households with Children Under 5 Years on the Ecuadorian Coast: A Post-Earthquake Analysis. Rural Remote Health 2020;20:5237.
- Golem DL, Byrd-Bredbenner C. Emergency Food Supplies in Food Secure Households. Prehosp Disaster Med 2015;30:359-64.
- Farfel A, Assa A, Amir I, Bader T, Bartal C, Kreiss Y, et al. Haiti earthquake 2010: A field hospital pediatric perspective. Eur J Pediatr 2011;170:519-25.
Abstract
Objective:The objective of this study was to investigate the impact of earthquakes on the nutritional status and infection rates of children in the early stages of post-earthquake recovery.
Material and Methods: Following the earthquakes on February 6, 2023, 80 out of 504 patients who presented to the pediatric examination tent in Hatay province were included in the study. Reasons for patient visits and weight loss compared to pre-earthquake measurements were examined.
Results: A total of 80 patients were examined across three different age groups [1 month-5 years (29 patients), 5-10 years (34 patients), and 10-18 years (17 patients)]. In all three age groups, a statistically significant decline was observed in body weights, weight percentiles, and age-specific standard deviations when compared to their pre-earthquake measurements (p<0.001). Besides, frequently occurring illnesses were respiratory tract infections (51.25%) and acute gastroenteritis (38.75%).
Conclusion: Ensuring appropriate and adequate nutrition for children in the aftermath of a disaster is of critical importance for sustaining normal growth and preventing of diseases. Therefore, emergency plans should include expert pediatricians and prioritize children.
Keywords
References
- Adeoya AA, Sasaki H, Fuda M, Okamoto T, Egawa S. Child Nutrition in Disaster: A Scoping Review. Tohoku J Exp Med. 2022;256:103-18.
- WHO. The management of nutrition in major emergencies. World Heal Organ 2000;8:218-9.
- Guha-Sapir D, Van Panhuis WG. Health impact of the 2004 Andaman Nicobar earthquake and tsunami in Indonesia. Prehosp Disaster Med 2009;24:493-9.
- WHO. Levels and trends in child malnutrition. UNICEF/WHO/World Bank Gr – Jt Child Malnutrition Estim 2023 Ed. Published online 2023. https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-who-wb
- European Region WHO. Turkiye earthquake. Extern Situat Rep no 9 1 May–4 June 2023. 2023;9:1-7. https://www.who.int/europe/publications/i/item/WHO-EURO-2023-7145-46911-70035
- World Health Organization. Manual for the health care of children in humanitarian emergencies. World Heal Organ Published online 2008:15-21.
- World Health Organization United Kingdom Health Protection Agency and Partners. Disaster Risk Management for Health NUTRITION. Disaster Risk Manag Heal Fact Sheet 2011. http://www.who.int/hac/events/drm_fact_sheet_nutrition.pdf?ua=1
- World Health Organization. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet 2000;355:451-5. http://www.augsburgfortress.org/media/downloads/0800662822_chap1.pdf
- Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet 2016;387:475-90.
- Sulaiman Z, Mohamad N, Ismail TAT, Johari N, Hussain NHN. Infant feeding concerns in times of natural disaster: Lessons learned from the 2014 flood in Kelantan, Malaysia. Asia Pac J Clin Nutr 2016;25:625-30.
- Hipgrave DB, Assefa F, Winoto A, Sukotjo S. Donated breast milk substitutes and incidence of diarrhoea among infants and young children after the May 2006 earthquake in Yogyakarta and Central Java. Public Health Nutr 2012;15:307-15.
- Hutson RA, Trzcinski E, Kolbe AR. Features of child food insecurity after the 2010 Haiti earthquake : Results from longitudinal random survey of households. PLoS One 2014;9:e104497.
- Herrera-Fontana ME, Chisaguano AM, Villagomez V, Pozo L, Castro N, Beltran P. Food Insecurity and Malnutrition in Vulnerable Households with Children Under 5 Years on the Ecuadorian Coast: A Post-Earthquake Analysis. Rural Remote Health 2020;20:5237.
- Golem DL, Byrd-Bredbenner C. Emergency Food Supplies in Food Secure Households. Prehosp Disaster Med 2015;30:359-64.
- Farfel A, Assa A, Amir I, Bader T, Bartal C, Kreiss Y, et al. Haiti earthquake 2010: A field hospital pediatric perspective. Eur J Pediatr 2011;170:519-25.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Early Pub Date | April 24, 2024 |
| Publication Date | July 22, 2024 |
| Submission Date | November 15, 2023 |
| Acceptance Date | March 22, 2024 |
| Published in Issue | Year 2024 Volume: 18 Issue: 4 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.