... who out there would prioritize communicable vs noncommunicable disease (trauma being categorized as non communicable disease)? Both require urgent attention in all stages but the transition from acute to chronic health care provision in war and conflict settings seems to be a major gap.
just have a look at www.tropenchirurgie.org
there you will find links to P.Bewes and M. Kings "Tropical Surgery" virtual edition
which contains some chapters dealing with this topics, other special articles you will find in the "Club of Mainz" or "World As ssociation Emergency and Disaster Medicine"
Quaterly PDM at www.wadem.org submenu Publications
regard to the golden City of Praha
B.M. Schneider
p.s. or look at www.dismedmaster.org
In my opinion priority in such situation needs to be individualized ; for regions with health infrastructure of health services the priority is likely to be given to trauma, but in countries where health infra-structure the risk of the spread on infectious diseases can not be ignored as it may result in a second disaster. In all circumstances it seems wise to make a balance in the allocations of funds to trauma and prevention of possible epidemics in such cases.
To address health disasters in regions experiencing conflict and war will need international intervention. It is also a major human rights issue. I think governments in normal times will not be able to create reserves to handle issues when conflicts/war happens. The UN/WHO intervention is required and international community has to come together to design mechanisms to address this problem. Some sort of disaster fund can be created to raise resources or some special tax on air travel, or international mobility talk time tax, tax on all defense cargos supplied etc.
WOW! Great responses guys - thanks so much. Great insight.
Thank you!
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