Forced Migration and Mortality (2001) / Chapter Skim
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Pages 130-136
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From page 130... ...
130 6 Reflections Manuel Carballo So-called "excess" mortality is typically the most dramatic outcome of complex emergencies and natural disasters, and humanitarian and disaster relief operations have traditionally and rightly been tasked with reducing or averting it to the extent possible. As a result of the attention that has been given to this over the course of the last two decades, major inroads have been made with respect to understanding the dynamics of excess mortality in crisis situations and in identifying the interventions best suited to those situations.
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From page 131... ...
MANUEL CARBALLO 131 Some of these have become more evident as a result of recent crises in different parts of the world, and the papers in this volume are particularly valuable in drawing our attention to the issues involved. Any discussion on the use of health statistics, for example, must consider the perennial question of denominator data and the difficulties that are almost inevitably encountered in obtaining these in the context of complex emergencies and natural disasters.
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From page 132... ...
132 REFLECTIONS around the time the international community took retaliatory measures, and here a confusing image of intentional and unintentional injuries, homicide and genocide will no doubt prove difficult to unravel for a variety of reasons, some of which are discussed below. The International Centre for Migration and Health (ICMH)
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From page 133... ...
MANUEL CARBALLO 133 From a more methodological perspective the papers also highlight the realities and shortcomings encountered in enumerating anything, including health events in complex emergencies and natural disasters. For even when events are readily discernible and measurable in principle, the fact remains that from a logistical perspective they often occur in situations from which it is difficult (and at times dangerous)
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From page 134... ...
134 REFLECTIONS ICMH studies of this phenomenon in other parts of the world have pointed to the relatively cavalier way in which local health systems and authorities are often neglected by relief organizations in both planning and implementing relief operations. Yet no matter how comprehensive relief interventions are, referral of complicated cases always depends on the capacity of local health services to accommodate them.
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From page 135... ...
MANUEL CARBALLO 135 the fact that they provide only a restricted image of those crises. However, because they do reflect such a visible part of the problem, there is a danger that at times the collection of mortality statistics and activities designed to reduce excess mortality will eclipse other equally salient but less evident concerns.
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