Crippling Violence: Conflict and Incident Polio in Afghanistan.
BACKGROUND:Designing effective public health campaigns in areas of armed conflict requires a nuanced understanding of how violence impacts the epidemiology of the disease in question. METHODS:We examine the geographical relationship between violence (represented by the location of detonated Improvis...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2016-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4784936?pdf=render |
| _version_ | 1817977286182305792 |
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| author | Alison Norris Kevin Hachey Andrew Curtis Margaret Bourdeaux |
| author_facet | Alison Norris Kevin Hachey Andrew Curtis Margaret Bourdeaux |
| author_sort | Alison Norris |
| collection | DOAJ |
| description | BACKGROUND:Designing effective public health campaigns in areas of armed conflict requires a nuanced understanding of how violence impacts the epidemiology of the disease in question. METHODS:We examine the geographical relationship between violence (represented by the location of detonated Improvised Explosive Devices) and polio incidence by generating maps of IEDs and polio incidence during 2010, and by comparing the mean number of IED detonations in polio high-risk districts with non polio high-risk districts during 2004-2009. RESULTS:We demonstrate a geographic relationship between IED violence and incident polio. Districts that have high-risk for polio have highly statistically significantly greater mean numbers of IEDs than non polio high-risk districts (p-values 0.0010-0.0404). CONCLUSIONS:The geographic relationship between armed conflict and polio incidence provides valuable insights as to how to plan a vaccination campaign in violent contexts, and allows us to anticipate incident polio in the regions of armed conflict. Such information permits vaccination planners to engage interested armed combatants to co-develop strategies to mitigate the effects of violence on polio. |
| first_indexed | 2024-04-13T22:14:17Z |
| format | Article |
| id | doaj.art-0c83c70418034aabb73ce7f748201725 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T22:14:17Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-0c83c70418034aabb73ce7f7482017252022-12-22T02:27:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01113e014907410.1371/journal.pone.0149074Crippling Violence: Conflict and Incident Polio in Afghanistan.Alison NorrisKevin HacheyAndrew CurtisMargaret BourdeauxBACKGROUND:Designing effective public health campaigns in areas of armed conflict requires a nuanced understanding of how violence impacts the epidemiology of the disease in question. METHODS:We examine the geographical relationship between violence (represented by the location of detonated Improvised Explosive Devices) and polio incidence by generating maps of IEDs and polio incidence during 2010, and by comparing the mean number of IED detonations in polio high-risk districts with non polio high-risk districts during 2004-2009. RESULTS:We demonstrate a geographic relationship between IED violence and incident polio. Districts that have high-risk for polio have highly statistically significantly greater mean numbers of IEDs than non polio high-risk districts (p-values 0.0010-0.0404). CONCLUSIONS:The geographic relationship between armed conflict and polio incidence provides valuable insights as to how to plan a vaccination campaign in violent contexts, and allows us to anticipate incident polio in the regions of armed conflict. Such information permits vaccination planners to engage interested armed combatants to co-develop strategies to mitigate the effects of violence on polio.http://europepmc.org/articles/PMC4784936?pdf=render |
| spellingShingle | Alison Norris Kevin Hachey Andrew Curtis Margaret Bourdeaux Crippling Violence: Conflict and Incident Polio in Afghanistan. PLoS ONE |
| title | Crippling Violence: Conflict and Incident Polio in Afghanistan. |
| title_full | Crippling Violence: Conflict and Incident Polio in Afghanistan. |
| title_fullStr | Crippling Violence: Conflict and Incident Polio in Afghanistan. |
| title_full_unstemmed | Crippling Violence: Conflict and Incident Polio in Afghanistan. |
| title_short | Crippling Violence: Conflict and Incident Polio in Afghanistan. |
| title_sort | crippling violence conflict and incident polio in afghanistan |
| url | http://europepmc.org/articles/PMC4784936?pdf=render |
| work_keys_str_mv | AT alisonnorris cripplingviolenceconflictandincidentpolioinafghanistan AT kevinhachey cripplingviolenceconflictandincidentpolioinafghanistan AT andrewcurtis cripplingviolenceconflictandincidentpolioinafghanistan AT margaretbourdeaux cripplingviolenceconflictandincidentpolioinafghanistan |