Klinik Araştırma
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Deprem Bölgesindeki Çocuk Hastaların Beslenme Durumunun Erken Dönem Değerlendirmesi

Yıl 2024, , 230 - 234, 22.07.2024
https://doi.org/10.12956/tchd.1390606

Öz

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.

Kaynakça

  • 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.

Early Period Assessment of the Nutritional Status of Child Patients in the Earthquake Zone

Yıl 2024, , 230 - 234, 22.07.2024
https://doi.org/10.12956/tchd.1390606

Öz

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.

Kaynakça

  • 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.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm ORIGINAL ARTICLES
Yazarlar

Yunus Emre İnce 0000-0001-6018-5041

Hasan Salih Yüzdemir 0009-0005-6774-1844

Erken Görünüm Tarihi 24 Nisan 2024
Yayımlanma Tarihi 22 Temmuz 2024
Gönderilme Tarihi 15 Kasım 2023
Kabul Tarihi 22 Mart 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

Vancouver İnce YE, Yüzdemir HS. Early Period Assessment of the Nutritional Status of Child Patients in the Earthquake Zone. Türkiye Çocuk Hast Derg. 2024;18(4):230-4.

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