Abstract:
Conflict adversely affects respiratory health in both direct and indirect ways among populations whose health is already compromised through the compounding effects of conflict. Our aim is to review academic and grey literature relevant to respiratory health in the Syrian conflict (now more than a decade in duration) to explore its impacts on populations across Syria. We performed a scoping literature review of academic and grey literature on respiratory health in Syria between March 2011 (taken as the start of the conflict for practicality) and December 2023. Of 11,472 papers screened, 34 met the inclusion criteria, of which 29 were peer reviewed. Key themes identified included the impact of conflict on asthma diagnosis and management; the burden of respiratory tract infections (RTIs) and COVID-19; the impact of chemical weapon use and the impact of destruction and interruptions to the health system(s) across Syria on respiratory health. This review highlights the need for more in-depth exploration of the impact of conflict on respiratory health in Syria with focus on social determinants, for example, shelter, public health interventions, smoking cessation, and supporting early diagnosis and treatment of respiratory conditions to counter the effects that conflict has had on respiratory health.
摘要:
冲突以直接和间接的方式对健康已经因冲突的复合影响而受到损害的人群的呼吸系统健康产生不利影响。我们的目标是回顾与叙利亚冲突中呼吸健康相关的学术和灰色文献(目前持续时间超过十年),以探讨其对叙利亚各地人口的影响。我们在2011年3月(作为实用性冲突的开始)至2023年12月之间对叙利亚呼吸健康的学术和灰色文献进行了范围研究文献综述。在11,472篇论文中,34符合纳入标准,其中29人进行了同行评审。确定的关键主题包括冲突对哮喘诊断和管理的影响;呼吸道感染(RTIs)和COVID-19的负担;化学武器使用的影响以及叙利亚各地卫生系统的破坏和中断对呼吸系统健康的影响。本综述强调需要更深入地探讨冲突对叙利亚呼吸健康的影响,重点关注社会决定因素。例如,庇护所,公共卫生干预措施,戒烟,并支持呼吸系统疾病的早期诊断和治疗,以抵消冲突对呼吸系统健康的影响。