Impact of war and siege on the vaccine-preventable disease pertussis in Tigray, Northern Ethiopia.

Q3 Medicine Medicine, Conflict and Survival Pub Date : 2025-03-01 Epub Date: 2025-02-14 DOI:10.1080/13623699.2025.2457076

Hansa Haftu, Afewerk Tesfahunegn, Teklit Gebremedhin, Tekae Gebru, Niguse Tsegay, Haftu Hailu, Abraha Gebreegziabher, Amanuel Hadgu, Migbnesh Gebremedhin, Birhane Yohhanes

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Abstract

Background: The consequences of the war and siege in Tigray on pertussis cases have not been previously assessed.

Method: All children diagnosed with pertussis in Ayder Hospital two years before and during the war and siege of Tigray. Data were collected using ODK software and analysed with SPSS version 22. Descriptive statistics, chi-square tests, and the Mann-Whitney U test were used to assess the impact of the war and siege. A p-value of less than 0.05 was considered statistically significant.

Results: Data from a total of 144 children were analysed, most of whom (78.5%, 113/144) had been admitted during the war and siege period. Males accounted for 53.5% of the cases. Statistically significant differences were observed during the war and siege compared to pre-war time with age (p = 0.043), patient complications (p = 0.011), vaccination status (p = 0.015), nutritional status (p = 0.039), type of pertussis (p = 0.043), receipt of appropriate treatment (p = 0.000), and place of treatment (p = 0.011). Poor outcomes and treatment were more prevalent during the war than before.

Conclusion: Pertussis outbreaks during the war and siege in Tigray were associated with poorer outcomes across all age groups.

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战争和围困对埃塞俄比亚北部提格雷地区疫苗可预防疾病百日咳的影响。

背景：提格雷的战争和围困对百日咳病例的影响以前没有被评估过。方法：所有在提格雷战争和围城前和围城期间在艾德尔医院诊断为百日咳的儿童。数据采集采用ODK软件，分析采用SPSS 22。使用描述性统计、卡方检验和Mann-Whitney U检验来评估战争和围城的影响。p值小于0.05被认为具有统计学意义。结果：共分析144例儿童的数据，其中大部分（78.5%,113/144）是在战争和围城期间入院的。男性占53.5%。在战争和围困期间，与战前相比，年龄（p = 0.043）、患者并发症（p = 0.011）、疫苗接种情况（p = 0.015）、营养状况（p = 0.039）、百日咳类型（p = 0.043）、接受适当治疗（p = 0.000）和治疗地点（p = 0.011）的差异具有统计学意义。糟糕的结果和治疗在战争期间比以前更为普遍。结论：在提格雷的战争和围攻期间，百日咳的爆发与所有年龄组的预后较差有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicine, Conflict and Survival Medicine-Pathology and Forensic Medicine

CiteScore

1.80

自引率

0.00%

发文量

期刊介绍： Medicine, Conflict and Survival is an international journal for all those interested in health aspects of violence and human rights. It covers: •The causes and consequences of war and group violence. •The health and environmental effects of war and preparations for war, especially from nuclear, radiological, chemical and biological weapons of mass destruction. •The influence of war and preparations for war on health and welfare services and the distribution of global resources . •The abuse of human rights, its occurrence, causes and consequences. •The ethical responsibility of health professionals in relation to war, social violence and human rights abuses. •Non-violent methods of conflict resolution.

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