European Journal of Epidemiology

, Volume 12, Issue 1, pp 93–99 | Cite as

Outpatient morbidity in Slavonski Brod during 1991/1992 war in Croatia

  • Hrvoje Tiljak
Report on Eastern Europe

Abstract

Indirect effects of war on the health status of population in Slavonski Brod, Croatia, were assessed. The study was based on registered outpatient morbidity data in General Practice Service of Slavonski Brod Medical Centre. Data from a pre-war period (January–June 1991) were compared to the war data (July–December 1991). Health care utilization and morbidity rates significantly differed in the two time periods. The most prominent were decreased consultations rates (40%) and increased rates of intestinal infections (80%), skin infections (20%) and injuries (50%). Numerous other changes were found, but all could not be related to the war. Although the indirect war effects on health were minimal at the time of investigation, the process was visible and must be continuously observed.

Key words

Croatia General practice Health status Health utilization Morbidity War 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Lee I, Haines A. Health cost of the Gulf war. BMJ 1991;303: 303–306.Google Scholar
  2. 2.
    Glavina K, Tucak A, Janoši K, et al. Deliberate military destruction of the general hospital in the city of Osijek. Croatian Med J 1992; 33 (War suppl 1): 61–69.Google Scholar
  3. 3.
    Kern J, Ivanković D, Kujundžić M, Dragun D, Vuletic S. Migratory dynamics due to the war in Croatia. Croatian Med J 1992; 33 (War suppl 2): 101–105.Google Scholar
  4. 4.
    Bryce JW, Walker N, Ghorayeb F, Kanj M. Life experiences, response styles and mental health among mothers and children in Beirut, Lebanon. Soc Sci Med 1989; 28: 685–695.Google Scholar
  5. 5.
    Lacković Z, Markeljević J, Marušić M. Croatian medicine in 1991 war against Croatia: A preliminary report. Croatian Med J 1992; 33 (War suppl 1): 110–119.Google Scholar
  6. 6.
    Marcikić M, Kraus Z, Dmitrović B, et al. War victims in Eastern Slavonia. Croatian Med J 1992; 33 (War suppl 2): 75–77.Google Scholar
  7. 7.
    Ropac D. Disregard of the Red Cross sign. Croatian Med J 1992; 33 (War suppl 2): 169–171.Google Scholar
  8. 8.
    Kujundžić M, Kern J, Ivanković D, Budak A, Dragun D, Vuletić S. Person displacement pattern in Croatia. Croatian Med J 1992; 33 (War suppl 1): 55–60.Google Scholar
  9. 9.
    Dodge CP. Health implications of war in Uganda and Sudan. Soc Sci Med 1990; 31: 691–698.Google Scholar
  10. 10.
    Garfield RM, Frieden T, Vermund SH. Health-related outcomes of war in Nicaragua. Am J Public Health 1987; 77: 615–618.Google Scholar
  11. 11.
    Hebrang A. Reorganization of the Croatian health care system. Croatian Med J 1994; 35: 130–136.Google Scholar
  12. 12.
    World Health Organization. International classification of diseases. 9th revision. Manual of the international statistical classification of diseases, injuries and causes of death. Geneva: WHO, 1977.Google Scholar
  13. 13.
    Jelić J, Hečimović Kodžoman V, Kopić J. Work of the anaesthesiology, resuscitation and intensive care service of the Slavonski Brod Medical Center during the 1991–1992 war against Croatia and Bosnia and Herzegovina. Croatian Med J 1994; 35: 163–167.Google Scholar
  14. 14.
    Medicinski Centar Slavonski Brod. Spisak primljenih ranjenika i poginulih — dnevna evidencija 31.12.1991 [Register of injuries and deaths related to the war —daily records]. Slavonski Brod: Medicinski centar, 1991.Google Scholar
  15. 15.
    Jelić A. Child casualties in a Croatian community during the 1991–1992 war. Arch Dis Child 1994; 71: 540–542.Google Scholar
  16. 16.
    Lang S. Human rights, medicine and health: Tragic symbols of Eastern Slavonia that became a reality. Croatian Med J 1995; 36: 3–6.Google Scholar
  17. 17.
    Centar za socijalni rad. Register prognanika i izbjeglica — stanje 31.12.1991 [Register of displaced persons]. Slavonski Brod: Skupština općine Slavonski Brod, 1992.Google Scholar
  18. 18.
    Medicinski centar Slavonski Brod. Izvješće Službe opće medicine, I polugodište 1991 [Report of the General Practice Service, 1st semi-annual report, 1991]. Slavonski Brod: Medicinski centar, 1991.Google Scholar
  19. 19.
    Medicinski centar Slavonski Brod. Izvješće Službe opće medicine, II polugodište 1991 [Report of the General Practice Service, 2nd semi-annual report, 1991]. Slavonski Brod: Medicinski centar, 1992.Google Scholar
  20. 20.
    Savezni zavod za zdravstvenu zastitu. Statistički godišnjak o narodnom zdravlju i zdravstvenoj zaštiti u SFR Jugoslaviji 1989 [Statistical annual report on health status and health services in SFR Yugoslavia]. Beograd: Savezni zavod za zdravstvenu zaštitu, 1990.Google Scholar
  21. 21.
    The Harvard Study Team. The effects of the Gulf crisis on the children of Iraq. N Engl J Med 1991; 325: 977–980.Google Scholar
  22. 22.
    Lamberts H, Wood M (eds). International classification of primary care. Oxford: Oxford University Press, 1987: 16–103.Google Scholar
  23. 23.
    Armenian HK. In wartime: Options for epidemiology. Am J Epidemiol 1986; 124: 28–32.Google Scholar
  24. 24.
    Garfield RM, Neugut AI. Epidemiologic analysis of warfare: A historical review. JAMA 1991; 266: 688–692.Google Scholar
  25. 25.
    Tennant C, Goulston K, Dent O. Australian prisoners of war of the Japanese: Post-war psychiatric hospitalisation and psychological morbidity. Aust NZ J Psychiatry 1986; 20: 334–340.Google Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Hrvoje Tiljak
    • 1
  1. 1.General PractitionerSlavonski Brod Medical CentreSlavonski BrodCroatia

Personalised recommendations