Global Estimation of Surgical Procedures Needed for Forcibly Displaced Persons
Sixty million people were displaced from their homes due to conflict, persecution, or human rights violations at the end of 2014. This vulnerable population bears a disproportionate burden of disease, much of which is surgically treatable. We sought to estimate the surgical needs for forcibly displaced persons globally to inform humanitarian assistance initiatives.
Data regarding forcibly displaced persons, including refugees, internally displaced persons (IDPs), and asylum seekers were extracted from United Nations databases. Using the minimum proposed surgical rate of 4669 procedures per 100,000 persons annually, global, regional, and country-specific estimates were calculated. The prevalence of pregnancy and obstetric complications were used to estimate obstetric surgical needs.
At least 2.78 million surgical procedures (IQR 2.58–3.15 million) were needed for 59.5 million displaced persons. Of these, 1.06 million procedures were required in North Africa and the Middle East, representing an increase of 50 % from current unmet surgical need in the region. Host countries with the highest surgical burden for the displaced included Syria (388,000 procedures), Colombia (282,000 procedures), and Iraq (187,000). Between 4 and 10 % of required procedures were obstetric surgical procedures. Children aged <18 years made up 52 % of the displaced, portending a substantial demand for pediatric surgical care.
Approximately three million procedures annually are required to meet the surgical needs of refugees, IDPs, and asylum seekers. Most displaced persons are hosted in countries with inadequate surgical care capacity. These figures should be considered when planning humanitarian assistance and targeted surgical capacity improvements.
KeywordsHost Country Asylum Seeker Surgical Care Displace Person Surgical Capacity
This study was funded in part by Grant R25-TW009345 from the Fogarty International Center, US National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- 1.UN News Centre (1997–2015) New York: United Nations. Urging global assistance for Syrian refugees, European Union at UN says ‘everyone can offer help’. Available from: http://www.un.org/apps/news/story.asp?NewsID=52055#.Vi7ru7erTrd. Accessed 24 Oct 2015
- 2.UNHCR Statistics and Operational Data (2015) Global Trends 2014 and Annex Tables. United Nations High Commissioner for Refugees, Geneva. Available from: http://unhcr.org/pages/49c3646c4d6.html. Accessed 12 Nov 2015
- 3.ReliefWeb (2015) Record 218,000 migrants crossed Mediterranean in October. United Nations Office for the Coordination of Humanitarian Affairs, New York. Available from: http://reliefweb.int/report/world/record-218000-migrants-crossed-mediterranean-october-un. Accessed 9 Nov 2015
- 4.UNHCR projected global resettlement needs (2015). United Nations High Commissioner for Refugees, Geneva. Available from: http://www.unhcr.org/543408c4fda.html. Accessed 24 Nov 2015
- 8.UNHCR. Counting forcibly displaced populations: census and registration issues (2001) Symposium on Global Review of 2000 Round of Population and Housing Censuses: Mid-Decade Assessment and Future Prospects. United Nations Statistics Division, New York, 7–10 Aug 2001. Available from: http://unstats.un.org/unsd/demographic/meetings/egm/symposium2001/docs/symposium_51.htm. Accessed 22 Nov 2015
- 9.UNRWA (2013) Where we work. United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman. Available from: http://www.unrwa.org/where-we-work. Accessed 8 Dec 2015
- 10.Institute for Health Metrics and Evaluation (IHME) (2010) GBD 2010: Countries by region. IMHE, University of Washington, Seattle. Available from: https://www.healthdata.org/sites/default/files/files/GBD_GBD2010_Regions_countries.pdf. Accessed 20 Nov 2015
- 13.Women’s Refugee Commission (2014) Facts & figures. Women’s Refugee Commission, New York. Available from https://womensrefugeecommission.org/programs/livelihoods/research-and-resources/practitioners-forum/facts-and-figures. Accessed 30 Oct 2015
- 23.World Health Organization (2015) World health statistics 2015. World Health Organization, GenevaGoogle Scholar
- 25.Bakewell O (1999) Can we ever rely on refugee statistics? Radic Stat 72:3–15Google Scholar