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Toxic Turmoil pp 163-182 | Cite as

Perceived Health and Psychosocial Well-Being in the Aral Sea Area

Results from a Survey in an Area of Slow Environmental Degradation
  • Joost B. W. Van Der Meer
  • Ian B. Small
  • Eric J. Crighton
  • Nathan Ford
Chapter
Part of the The Plenum Series on Stress and Coping book series (SSSO)

Abstract

The Aral Sea was once the fourth-largest inland body of water in the world. Within less than one generation, its surface area shrank by half and its volume was reduced by 75%. The shoreline receded in places by more than 100 kilometers, leaving behind a thick crust of salt. This situation is the tragic sum of human interventions drastically gone awry plus subsequent neglect of national authorities and inertia of the international community. The environmental and social implications are catastrophic. The sea’s destruction has affected the entire ecology of the basin and the health of the 5 million people who live there.

Keywords

Somatic Symptom General Health Questionnaire Psychosocial Impact Medecins Sans Frontieres Environmental Disaster 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Ataniyazova, O. (1994). NGO helps relieve distress of women’s reproductive health in Karakalpakstan. Surviving Together; 37–38.Google Scholar
  2. Baum, A., Gatchel, R. J., & Schaeffer, M. A. (1983). Emotional, behavioural, and psychological effects of chronic stress at Three Mile Island. Journal of Consulting and Clinical Psychology, 51 (4); 565–572.PubMedCrossRefGoogle Scholar
  3. Baum, A., Singer, J. E., & Baum, C. S. (1982). Stress and the environment. In G. W. Evans (Ed.), Environmental Stress (pp. 15–44). Cambridge: Cambridge University Press.Google Scholar
  4. Bobak, M., Pikhart, H., Hertxman, C, Rose, R., & Marmot, M. (1998). Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey. Social Science and Medicine, 47(2); 269–279.PubMedCrossRefGoogle Scholar
  5. Bortnik V. (1999). Alteration of water level and salinity of the Aral Sea. In M. Glantz (Ed.), Creeping environmental problems and sustainable development in the Aral Sea basin (pp. 47–65). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  6. CARINFONET-WHO Information Centre for the Central Asian Republics. (1997). Health of the population, health care and environmental health in Central Asian Republics. CARINFONET: Bishkek.Google Scholar
  7. Cheng, T. (1985). A pilot study of mental disorders in Taiwan. Psychological Medicine, 15, 195–203.PubMedCrossRefGoogle Scholar
  8. Craumer, P. (1995). Rural and agricultural development in Uzbekistan, former Soviet South Project. Great Britain: Royal Institute of International Affairs.Google Scholar
  9. Crighton, E. J., van der Meer, J. B. W., Yagodin, V., & Elliott, S. (1999). Impact of an environmental disaster on psychosocial health and well being in Karakalpakstan. Tashkent: Medecins sans Frontieres, Aral Sea Area Program.Google Scholar
  10. Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). SCL-90: An outpatient psychiatric rating scale—Preliminary report. Psychopharmacology Bulletin, 9, 13–28.PubMedGoogle Scholar
  11. EC-IFAS/World Bank. (1997). Aral Sea Basin Project 31.A. Water quality assessment and management, executive summary—Phase one. EC-IFAS, World Bank.Google Scholar
  12. Elliott, S.J. (1992). Psychosocial impacts in populations exposed to solid waste facilities. Ph.D. dissertation, Department of Geography, McMaster University, Hamilton, Ontario.Google Scholar
  13. Elliott, S. J., Taylor, M. S., Walter, S., Stieb, D., Frank, J., & Eyles, J. (1993). Modeling psychosocial effects of exposure to solid waste facilities. Social Science and Medicine, 57 (6), 791–804.Google Scholar
  14. Feshbach, M. (1992). Ecocide in the USSR. New York: HarperCollins.Google Scholar
  15. Ford, D. E., Anthony, J. C, Nestadt, G. R., & Romanoski, A. J. (1989). The general health questionnaire by interview: Performance in relation to recent use of health services. Medical Care, 27(4), 367–375.PubMedCrossRefGoogle Scholar
  16. Frost, L. (1997). Assessment report with recommendations for intervention. Tashkent: Médecins Sans Frontières Aral Sea Area Programme.Google Scholar
  17. Glantz, M. H. (1999). Sustainable development and creeping environmental problems in the Aral Sea region. In M. H. Glantz (Ed.), Creeping environmental problems and sustainable development in the Aral Sea basin (pp. 1–25). New York: Cambridge University Press.CrossRefGoogle Scholar
  18. Glantz, M. H., Rubinstein, A., & Zonn, I. (1994). Tragedy in the Aral Sea Basin: Looking back to plan ahead? In M. Hafeez (Ed.), Central Asia its strategic importance and future prospects (pp. 159–194). New York: St. Martin’s Press.Google Scholar
  19. Glazovsky, N. (1995). The Aral Sea basin. In J. Kasperson (Ed.), Regions at risk: Comparisons of threatened environments (pp. 92–139). New York: United Nations University Press.Google Scholar
  20. Goldberg D. P. (1972). The detection of psychiatric illness by questionnaire: A technique for the identification and assessment of non-psychotic psychiatric illness. London: Oxford University Press.Google Scholar
  21. Goodchild, M. E., & Duncan-Jones, P. (1985). Chronicity and the general health questionnaire. British Journal of Psychiatry, 146, 55–61.PubMedCrossRefGoogle Scholar
  22. Havenaar, J. M., van den Brink, W., van den Bout, J., Kasyanenko, A. P., Poelijoe, N. W., Wohlfarth, T. et al. (1996). Mental health problems in the Gomel region (Belarus): An analysis of risk factors in an area affected by the Chernobyl disaster. Psychological Medicine, 26, 845–855.PubMedCrossRefGoogle Scholar
  23. Health and Welfare Canada. (1987). The active health report—Perspectives on Canada’s health promotion survey 1985: What we think, what we know, what we do. Ottawa: Supply and Services, Canada.Google Scholar
  24. Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–218.PubMedCrossRefGoogle Scholar
  25. Huppert, F. A., Gore, M., & Elliott, B.J. (1988). The value of an improved scoring system (CGHQ) for the general health questionnaire in a representative community sample. Psychological Medicine, 18, 1001–1006.PubMedCrossRefGoogle Scholar
  26. Lerman, Z. (1996). Land and water policies in Uzbekistan. Post Soviet Geography, 37(3), 145–174.Google Scholar
  27. Lipovsky, I. (1995). The Central Asian cotton epic. Central Asia Survey, 14 (4), 529–542.CrossRefGoogle Scholar
  28. Micklin, P. (1991). The water management crisis in Soviet Central Asia. In The Carl Beck Papers (p. 10). Pittsburg: University of Pittsburgh Center for Russian and East European Studies.Google Scholar
  29. Mnatsakanian, R. (1992). Environmental legacy of the former Soviet Union. Edinburgh: Centre for Human Ecology, University of Edinburgh.Google Scholar
  30. O’Hara, S., Wiggs, G. F. S., Mamedov, B., Davidson, G., & Hubbard, R. B. (2000). Exposure to airborne dust contaminated with pesticide in the Aral Sea region. Lancet, 355, 627–628.PubMedCrossRefGoogle Scholar
  31. Semenza, J. C, Roberts, L., Henderson, A. J. B., & Rubin, C. H. (1997). Water policy implications from a randomized intervention trial in Uzbekistan. American Journal of Tropical Medicine and Hygiene, 59(6), 941–946.Google Scholar
  32. Shapiro, S., Skinner, E. A., Kramer, M., Steinwachs, D. M., & Regier, D. A. (1985). Measuring needs for mental health services in a general population. Medical Care, 23 (8), 1033–1043.PubMedCrossRefGoogle Scholar
  33. Smith, D. (1991). Growing pollution and health concerns in the lower Amu Darya basin, Uzbekistan. Soviet Geography, 32(8), 553–565.Google Scholar
  34. Stanley, B., & Gibson, A.J. (1985). The prevalence of chronic psychiatric morbidity: A community sample. British Journal of Psychiatry, 146, 372–376.PubMedCrossRefGoogle Scholar
  35. Taylor, M. S., Elliott, S. J., Eyles, J., Frank, J., Haight, M., Streiner, D. et al. (1991). Psychosocial impacts in populations exposed to solid waste facilities. Social Science and Medicine, 33 (4), 441–447.PubMedCrossRefGoogle Scholar
  36. UNHCR. (1996, May 30–31). CIS conference on refugees and migrants. United Nations High Commissioner for Refugees, Geneva.Google Scholar
  37. van der Meer, J. B. W. (1999). Voices on environmental health in the Aral Sea area. Results of key informant interviews about environment, health and research. Tashkent: Médécins sans Frontières Aral Sea Area Program.Google Scholar
  38. World Health Organization (1999). Environmental health research for Europe: Third Ministerial conference on Environment and Health, London, June 16–18, 1999. Copenhagen: WHO Regional office for Europe.Google Scholar
  39. Woudenberg F. (1999). Praktijk en onderzoek in de risicocommunicatie [Practice and research in risk communication]. Tijdschrift voor Gezondheidswetenschappen, 77, 163–168.Google Scholar
  40. Zaridze, D. G., Basieva, T., Kabulov, M., Day, N. E., & Duffy, S. W. (1992). Oesophageal cancer in the Republic of Karakalpakstan. International Journal of Epidemiology, 21(4), 643–648.PubMedCrossRefGoogle Scholar
  41. Zolotokrylin, A. N. (1999). Climate fluctuations and changes in the Aral Sea basin within the last 50 years. In M. H. Glantz (Ed.), Creeping environmental problems and sustainable development in the Aral Sea basin (pp. 86–99). Cambridge: Cambridge University Press.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2002

Authors and Affiliations

  • Joost B. W. Van Der Meer
    • 1
  • Ian B. Small
    • 1
  • Eric J. Crighton
    • 2
  • Nathan Ford
    • 3
  1. 1.Médecins sans Frontières (Holland), Aral Sea Area ProgramUzbekistan
  2. 2.McMaster Institute of Environment and HealthHamilton, OntarioCanada
  3. 3.Médecins sans Frontières, UK OfficeUK

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