Portal de Periódicos da CAPES

Diabetes in humanitarian crises: the Boston Declaration

2019; Elsevier BV; Volume: 7; Issue: 8 Linguagem: Inglês

10.1016/s2213-8587(19)30197-4

2213-8595

Sylvia Kehlenbrink, Lindsay M. Jaacks, Sigiriya Aebischer Perone, Éimhín Ansbro, Elizabeth Ashbourne, Carol Atkinson, Mark A. Atkinson, Rifat Atun, Stéphane Besançon, Philippa Boulle, Helen Bygrave, Enrique Caballero, Katy Cooper, Angelica Cristello, Katy Digovich, Shannon Doocy, S Ebrahim, Margaret Ewen, Dina Goodman, Lena Hamvas, Saria Hassan, Meredith Hawkins, Arjan Hehenkamp, Ruth F. Hunter, Lindsay M. Jaacks, Dlorah Jenkins, Kiran Jobanputra, Stephanie Kayden, Yasmin Khan, Sylvia Kehlenbrink, Farah Kidy, Emma Klatman, Lydje Lahens, Richard Laing, Jennifer Leaning, Peter Le Feuvre, Eric Lontchi‐Yimagou, Jing Luo, Gemma Lyons, Marie E. McDonnell, James B. Meigs, Christina Meyer, Laura Miller, Joy Moy, Kelly Mueller, Graham D. Ogle, Kelli N. O’Laughlin, Paul Park, Preeti Patel, Elizabeth Pfiester, Ruwan Ratnayake, Amulya Reddy, Tim Reed, Bayard Roberts, Paul D. Robinson, Khrist Roy, Nisreen Salti, Jacqueline A. Seiglie, Akihiro Seita, Vera Siesjö, Slim Slama, Katherine J. Souris, Bram Wispelwey, Sydney Yovic, Ossama Zaqqout, Matthew Zhao,

Global Public Health Policies and Epidemiology

Nearly three out of every four deaths worldwide in 2017 were caused by non-communicable diseases (NCDs). 1 Roth GA Abate D Abate KH et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018; 392: 1736-1788 Summary Full Text Full Text PDF PubMed Scopus (1887) Google Scholar Many countries have made progress reducing risk factors for NCDs such as tobacco use, hyperlipidaemia, and hypertension, but no countries have successfully reversed the increasing trends in diabetes prevalence and mortality from diabetes. 1 Roth GA Abate D Abate KH et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018; 392: 1736-1788 Summary Full Text Full Text PDF PubMed Scopus (1887) Google Scholar This situation represents a massive global health failure, since type 2 diabetes is largely preventable with lifestyle modification and cost-effective treatments exist for both type 2 and type 1 diabetes. 2 Ali MK Siegel KR Chandrasekar E et al. Diabetes: an update on the pandemic and potential solutions. in: Prabhakaran D Anand S Gaziano TA Mbanya J-C Wu Y Nugent R Disease control priorities, 3rd edn. Cardiovascular, respiratory, and related disorders. International Bank for Reconstruction and Development/The World Bank, Washington, DC2017: 209-234 Crossref Google Scholar Type 1 diabetes is of particular concern, since it is fatal in the absence of insulin treatment. The burden of diabetes and use of diabetes care in humanitarian crises in low-income and middle-income countriesHuman suffering as a result of natural disasters or conflict includes death and disability from non-communicable diseases, including diabetes, which have largely been neglected in humanitarian crises. The objectives of this Series paper were to examine the evidence on the burden of diabetes, use of health services, and access to care for people with diabetes among populations affected by humanitarian crises in low-income and middle-income countries, and to identify research gaps for future studies. Full-Text PDF Challenges associated with providing diabetes care in humanitarian settingsThe humanitarian health landscape is gradually changing, partly as a result of the shift in global epidemiological trends and the rise of non-communicable diseases, including diabetes. Humanitarian actors are progressively incorporating care for diabetes into emergency medical response, but challenges abound. This Series paper discusses contemporary practical challenges associated with diabetes care in humanitarian contexts in low-income and middle-income countries, using the six building blocks of health systems described by WHO (information and research, service delivery, health workforce, medical products and technologies, governance, and financing) as a framework. Full-Text PDF Correction to Lancet Diabetes Endocrinol 2019; 7: 590–92Kehlenbrink S, Jaacks LM, on behalf of the Boston Declaration signatories. Diabetes in humanitarian crises: the Boston Declaration. Lancet Diabetes Endocrinol 2019; 7: 590–92—In this Comment, the names of two of the Boston Declaration signatories listed in the appendix (Eric Lontchi-Yimagou and Ossama Zaqqout) were spelled incorrectly. These errors have been corrected in the online version as of July 16, 2019. Full-Text PDF