Background:Non-pharmaceutical interventions(NPIs)are a crucial suite of measures to prevent and control infectious disease outbreaks.Despite being particularly important for crisis-affected populations and those livin...Background:Non-pharmaceutical interventions(NPIs)are a crucial suite of measures to prevent and control infectious disease outbreaks.Despite being particularly important for crisis-affected populations and those living in informal settlements,who typically reside in overcrowded and resource limited settings with inadequate access to healthcare,guidance on NPI implementation rarely takes the specific needs of such populations into account.We therefore conducted a systematic scoping review of the published evidence to describe the landscape of research and identify evidence gaps concerning the acceptability,feasibility,and effectiveness of NPIs among crisis-affected populations and informal settlements.Methods:We systematically reviewed peer-reviewed articles published between 1970 and 2020 to collate available evidence on the feasibility,acceptability,and effectiveness of NPIs in crisis-affected populations and informal settlements.We performed quality assessments of each study using a standardised questionnaire.We analysed the data to produce descriptive summaries according to a number of categories:date of publication;geographical region of intervention;typology of crisis,shelter,modes of transmission,NPI,research design;study design;and study quality.Results:Our review included 158 studies published in 85 peer-reviewed articles.Most research used low quality study designs.The acceptability,feasibility,and effectiveness of NPIs was highly context dependent.In general,simple and cost-effective interventions such as community-level environmental cleaning and provision of water,sanitation and hygiene services,and distribution of items for personal protection such as insecticide-treated nets,were both highly feasible and acceptable.Logistical,financial,and human resource constraints affected both the implementation and sustainability of measures.Community engagement emerged as a strong factor contributing to the effectiveness of NPIs.Conversely,measures that involve potential restriction on personal liberty such as 展开更多
Mudslides buried and flooded hundreds of homes on Sunday, August 8, in Zhouqu,the Gannan Tibetan Autonomous Prefecture of northwest Gansu Province. The death toll from the massive rain-triggered mudslides in Zhouqu C...Mudslides buried and flooded hundreds of homes on Sunday, August 8, in Zhouqu,the Gannan Tibetan Autonomous Prefecture of northwest Gansu Province. The death toll from the massive rain-triggered mudslides in Zhouqu County had risen to 1,239 as of August 15, a week after the devastating mudslides hit the county, with 505 others still missing.展开更多
The refugee convention of 1951^1 defined a refugee as“someone who is unable or unwilling to return to their country of origin owing to the well-founded fear of being persecuted for reasons of race,religion,nationalit...The refugee convention of 1951^1 defined a refugee as“someone who is unable or unwilling to return to their country of origin owing to the well-founded fear of being persecuted for reasons of race,religion,nationality membership in particular social group,or political opinion.”The convention also lays down basic minimum standards for the treatment of refugees,without prejudice to States granting more favorable treatment to refugees.Such rights include access to courts,to primary education,to work,and the provision for documentation,including refugee travel documents in passport forms”.None of these conditions have been applied to the Palestinian refugees.Following Israel’s war of independence in 1948-49,about 800,000 Palestinians became refugees mainly in Jordan,Syria,Lebanon,and Egypt,where their descendants still live.UNRWA was created in 1949 as a“fire extinguisher”to provide the refugees in these four States with short-term survival assistance.UNRWA’s original mandate was for three years,assuming that the refugees will soon be absorbed by the countries of their refuge.This hope never materialized,and almost 70 years later,the third and fourth generation of Palestinians are still being considered by UNRWA as“refugees”.Our research shows that flows in UNRWA’s working principles have resulted in the prolonging of the problem,and the hindering of its resolution.A comparison with the World Bank’s assistance programs proves that UNRWA’s programs are clearly part of the problem and not part of the solution.展开更多
基金SB,KF,AH,JS and IJS acknowledge funding from the MRC Centre for Global Infectious Disease 514 Analysis(reference MR/R015600/1)jointly funded by the UK Medical Research Council 515(MRC)and the UK Foreign,Commonwealth&Development Office(FCDO),under the 516 MRC/FCDO Concordat agreement and is also part of the EDCTP2 programme supported 517 by the European Union+2 种基金SB acknowledges funding from the Wellcome Trust(219415)JS acknowledges funding from the Wellcome Trust(grant reference:215163/Z/18/Z)IJS was supported by the QMEE CDT,funded by NERC grant number NE/P012345/1.The funding bodies played no role in the design of the study and collection,analysis,and interpretation of data and in writing the manuscript.
文摘Background:Non-pharmaceutical interventions(NPIs)are a crucial suite of measures to prevent and control infectious disease outbreaks.Despite being particularly important for crisis-affected populations and those living in informal settlements,who typically reside in overcrowded and resource limited settings with inadequate access to healthcare,guidance on NPI implementation rarely takes the specific needs of such populations into account.We therefore conducted a systematic scoping review of the published evidence to describe the landscape of research and identify evidence gaps concerning the acceptability,feasibility,and effectiveness of NPIs among crisis-affected populations and informal settlements.Methods:We systematically reviewed peer-reviewed articles published between 1970 and 2020 to collate available evidence on the feasibility,acceptability,and effectiveness of NPIs in crisis-affected populations and informal settlements.We performed quality assessments of each study using a standardised questionnaire.We analysed the data to produce descriptive summaries according to a number of categories:date of publication;geographical region of intervention;typology of crisis,shelter,modes of transmission,NPI,research design;study design;and study quality.Results:Our review included 158 studies published in 85 peer-reviewed articles.Most research used low quality study designs.The acceptability,feasibility,and effectiveness of NPIs was highly context dependent.In general,simple and cost-effective interventions such as community-level environmental cleaning and provision of water,sanitation and hygiene services,and distribution of items for personal protection such as insecticide-treated nets,were both highly feasible and acceptable.Logistical,financial,and human resource constraints affected both the implementation and sustainability of measures.Community engagement emerged as a strong factor contributing to the effectiveness of NPIs.Conversely,measures that involve potential restriction on personal liberty such as
文摘Mudslides buried and flooded hundreds of homes on Sunday, August 8, in Zhouqu,the Gannan Tibetan Autonomous Prefecture of northwest Gansu Province. The death toll from the massive rain-triggered mudslides in Zhouqu County had risen to 1,239 as of August 15, a week after the devastating mudslides hit the county, with 505 others still missing.
文摘The refugee convention of 1951^1 defined a refugee as“someone who is unable or unwilling to return to their country of origin owing to the well-founded fear of being persecuted for reasons of race,religion,nationality membership in particular social group,or political opinion.”The convention also lays down basic minimum standards for the treatment of refugees,without prejudice to States granting more favorable treatment to refugees.Such rights include access to courts,to primary education,to work,and the provision for documentation,including refugee travel documents in passport forms”.None of these conditions have been applied to the Palestinian refugees.Following Israel’s war of independence in 1948-49,about 800,000 Palestinians became refugees mainly in Jordan,Syria,Lebanon,and Egypt,where their descendants still live.UNRWA was created in 1949 as a“fire extinguisher”to provide the refugees in these four States with short-term survival assistance.UNRWA’s original mandate was for three years,assuming that the refugees will soon be absorbed by the countries of their refuge.This hope never materialized,and almost 70 years later,the third and fourth generation of Palestinians are still being considered by UNRWA as“refugees”.Our research shows that flows in UNRWA’s working principles have resulted in the prolonging of the problem,and the hindering of its resolution.A comparison with the World Bank’s assistance programs proves that UNRWA’s programs are clearly part of the problem and not part of the solution.
