Skip to main content
Top
Published in: Conflict and Health 1/2015

Open Access 01-12-2015 | Review

Child health in Syria: recognising the lasting effects of warfare on health

Authors: Delan Devakumar, Marion Birch, Leonard S. Rubenstein, David Osrin, Egbert Sondorp, Jonathan C. K. Wells

Published in: Conflict and Health | Issue 1/2015

Login to get access

Abstract

The war in Syria, now in its fourth year, is one of the bloodiest in recent times. The legacy of war includes damage to the health of children that can last for decades and affect future generations. In this article we discuss the effects of the war on Syria’s children, highlighting the less documented longer-term effects. In addition to their present suffering, these children, and their own children, are likely to face further challenges as a result of the current conflict. This is essential to understand both for effective interventions and for ethical reasons.
Literature
1.
go back to reference UN High Commissioner for Refugees. UNHCR Antonio Guterres - Written text of speech to the UN Security Counci. New York: UN High Commissioner for Refugees; 2015. UN High Commissioner for Refugees. UNHCR Antonio Guterres - Written text of speech to the UN Security Counci. New York: UN High Commissioner for Refugees; 2015.
2.
go back to reference United Nations Security Council: Children and armed conflict. Report of the Secretary-General. In.: United Nations 2014 United Nations Security Council: Children and armed conflict. Report of the Secretary-General. In.: United Nations 2014
3.
go back to reference Oxford Research Group. Stolen futures: The hidden toll of child casualties in Syria. London: Oxford Research Group; 2013. Oxford Research Group. Stolen futures: The hidden toll of child casualties in Syria. London: Oxford Research Group; 2013.
6.
go back to reference UNICEF: Under Siege. The devastating impact on children of three years of conflict in Syria. In.; 2014. UNICEF: Under Siege. The devastating impact on children of three years of conflict in Syria. In.; 2014.
7.
go back to reference Food and Agricultural Organization and the World Food Programme: FAO/WFP Crop and Food Security Assessment Mission to the Syrian Arab Republic. 2013. Food and Agricultural Organization and the World Food Programme: FAO/WFP Crop and Food Security Assessment Mission to the Syrian Arab Republic. 2013.
8.
go back to reference Bilukha OO, Jayasekaran D, Burton A, Faender G, King’ori J, Amiri M, et al. Nutritional Status of Women and Child Refugees from Syria — Jordan, April–May 2014. MMWR Morb Mortal Wkly Rep. 2014;63(29):638–9.PubMed Bilukha OO, Jayasekaran D, Burton A, Faender G, King’ori J, Amiri M, et al. Nutritional Status of Women and Child Refugees from Syria — Jordan, April–May 2014. MMWR Morb Mortal Wkly Rep. 2014;63(29):638–9.PubMed
9.
go back to reference UNICEF: Joint Nutrition Assessment Syrian Refugees in LEBANON. 2014. UNICEF: Joint Nutrition Assessment Syrian Refugees in LEBANON. 2014.
10.
go back to reference United Nations Human Rights Council: Report of the independent international commission of inquiry on the Syrian Arab Republic. In.: United Nations 2014. United Nations Human Rights Council: Report of the independent international commission of inquiry on the Syrian Arab Republic. In.: United Nations 2014.
11.
go back to reference Sen K, Al-Faisal W, AlSaleh Y. Syria: effects of conflict and sanctions on public health. J Public Health. 2013;35(2):195–9.CrossRef Sen K, Al-Faisal W, AlSaleh Y. Syria: effects of conflict and sanctions on public health. J Public Health. 2013;35(2):195–9.CrossRef
12.
go back to reference Ben Taleb Z, Bahelah R, Fouad FM, Coutts A, Wilcox M, Maziak W. Syria: health in a country undergoing tragic transition. Int J Public Health. 2015;60 Suppl 1:S63–72.CrossRefPubMed Ben Taleb Z, Bahelah R, Fouad FM, Coutts A, Wilcox M, Maziak W. Syria: health in a country undergoing tragic transition. Int J Public Health. 2015;60 Suppl 1:S63–72.CrossRefPubMed
13.
go back to reference World Health Organisation: The Syrian Arab Republic. Fact sheet. Emergency Risk and Crisis Management. In.; 2014. World Health Organisation: The Syrian Arab Republic. Fact sheet. Emergency Risk and Crisis Management. In.; 2014.
14.
go back to reference Shamout N. Syria Faces an Imminent Food and Water Crisis. London: Chatham House; 2014. Shamout N. Syria Faces an Imminent Food and Water Crisis. London: Chatham House; 2014.
15.
go back to reference Syria Integrated Needs Assessment: Syrian Arab Republic. In.; 2013. Syria Integrated Needs Assessment: Syrian Arab Republic. In.; 2013.
16.
go back to reference Bhutta ZA, Yousafzai AK, Zipursky A. Pediatrics, war, and children. Curr Probl Pediatr Adolesc Health Care. 2010;40(2):20–35.CrossRefPubMed Bhutta ZA, Yousafzai AK, Zipursky A. Pediatrics, war, and children. Curr Probl Pediatr Adolesc Health Care. 2010;40(2):20–35.CrossRefPubMed
17.
go back to reference Laor N, Wolmer L, Spirman S, Wiener Z. Facing war, terrorism, and disaster: toward a child-oriented comprehensive emergency care system. Child Adolesc Psychiatr Clin N Am. 2003;12(2):343–61.CrossRefPubMed Laor N, Wolmer L, Spirman S, Wiener Z. Facing war, terrorism, and disaster: toward a child-oriented comprehensive emergency care system. Child Adolesc Psychiatr Clin N Am. 2003;12(2):343–61.CrossRefPubMed
18.
go back to reference International Action Network on Small Arms: Gun Violence: The Global Crisis;. In.; 2008. International Action Network on Small Arms: Gun Violence: The Global Crisis;. In.; 2008.
19.
go back to reference de Jong JTVM, Komproe IH, Van Ommeren M, El Masri M, Araya M, Khaled N, et al. Lifetime Events and Posttraumatic Stress Disorder in 4 Postconflict Settings. JAMA. 2001;286(5):555–62.CrossRefPubMed de Jong JTVM, Komproe IH, Van Ommeren M, El Masri M, Araya M, Khaled N, et al. Lifetime Events and Posttraumatic Stress Disorder in 4 Postconflict Settings. JAMA. 2001;286(5):555–62.CrossRefPubMed
20.
go back to reference Summerfield D. The psychological legacy of war and atrocity: the question of long-term and transgenerational effects and the need for a broad view. J Nerv Ment Dis. 1996;184(6):375–7.CrossRefPubMed Summerfield D. The psychological legacy of war and atrocity: the question of long-term and transgenerational effects and the need for a broad view. J Nerv Ment Dis. 1996;184(6):375–7.CrossRefPubMed
21.
go back to reference Quosh C, Eloul L, Ajlani R. Mental health of refugees and displaced persons in Syria and surrounding countries: a systematic review. Intervention. 2013;11(3):276–94.CrossRef Quosh C, Eloul L, Ajlani R. Mental health of refugees and displaced persons in Syria and surrounding countries: a systematic review. Intervention. 2013;11(3):276–94.CrossRef
22.
go back to reference Save the Children: Hunger in a war zone. The growing crisis behind the Syrian conflict. In.; 2013. Save the Children: Hunger in a war zone. The growing crisis behind the Syrian conflict. In.; 2013.
23.
go back to reference Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–51.CrossRefPubMed Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–51.CrossRefPubMed
24.
25.
go back to reference UNICEF. Machel study 10-year strategic review. New York: Children and conflict in a changing world. In; 2009. UNICEF. Machel study 10-year strategic review. New York: Children and conflict in a changing world. In; 2009.
26.
go back to reference Save the Children: Small hands heavy burden. How the Syria conflict is driving more children into the workforce. In.; 2015. Save the Children: Small hands heavy burden. How the Syria conflict is driving more children into the workforce. In.; 2015.
27.
go back to reference Grover S. Child soldiers as victims of ‘genocidal forcible transfer’: Darfur and Syria as case examples. The International Journal of Human Rights. 2012;17(3):411–27.CrossRef Grover S. Child soldiers as victims of ‘genocidal forcible transfer’: Darfur and Syria as case examples. The International Journal of Human Rights. 2012;17(3):411–27.CrossRef
28.
go back to reference Human Rights Watch: “Maybe We Live and Maybe We Die”. Recruitment and Use of Children by Armed Groups in Syria. In.; 2014. Human Rights Watch: “Maybe We Live and Maybe We Die”. Recruitment and Use of Children by Armed Groups in Syria. In.; 2014.
29.
go back to reference Sharma M, Prasain D: Gender dimensions of the people’s war: some reflections on the experiences of rural women. In: Himalayan people’s war: Nepal’s Maoist rebellion. edn. Edited by Hutt M. London Hurst & Co.; 2004: 152–165. Sharma M, Prasain D: Gender dimensions of the people’s war: some reflections on the experiences of rural women. In: Himalayan people’s war: Nepal’s Maoist rebellion. edn. Edited by Hutt M. London Hurst & Co.; 2004: 152–165.
30.
go back to reference UNICEF: Syria Crisis: Education Interrupted. Global action to rescue the schooling of a generation. In.; 2013. UNICEF: Syria Crisis: Education Interrupted. Global action to rescue the schooling of a generation. In.; 2013.
31.
go back to reference Save the Children: The Cost of War. Calculating the impact of the collapse of Syria’s education system on Syria’s future. In.; 2015. Save the Children: The Cost of War. Calculating the impact of the collapse of Syria’s education system on Syria’s future. In.; 2015.
33.
go back to reference Reese Masterson A, Usta J, Gupta J, Ettinger AS. Assessment of reproductive health and violence against women among displaced Syrians in Lebanon. BMC Womens Health. 2014;14:25.PubMedCentralCrossRefPubMed Reese Masterson A, Usta J, Gupta J, Ettinger AS. Assessment of reproductive health and violence against women among displaced Syrians in Lebanon. BMC Womens Health. 2014;14:25.PubMedCentralCrossRefPubMed
34.
go back to reference Huster KM, Patterson N, Schilperoord M, Spiegel P. Cesarean sections among Syrian refugees in Lebanon from December 2012/January 2013 to June 2013: probable causes and recommendations. Yale J Biol Med. 2014;87(3):269–88.PubMedCentralPubMed Huster KM, Patterson N, Schilperoord M, Spiegel P. Cesarean sections among Syrian refugees in Lebanon from December 2012/January 2013 to June 2013: probable causes and recommendations. Yale J Biol Med. 2014;87(3):269–88.PubMedCentralPubMed
36.
37.
go back to reference Save the Children: State of the World’s Mothers 2014. Saving mothers and children in humanitarian crises. In.; 2014. Save the Children: State of the World’s Mothers 2014. Saving mothers and children in humanitarian crises. In.; 2014.
40.
go back to reference Lamb F: Syria: The Siege of Yarmouk. In: Foreign policy journal. 2014 Lamb F: Syria: The Siege of Yarmouk. In: Foreign policy journal. 2014
41.
go back to reference Seckl JR, Holmes MC. Mechanisms of disease: glucocorticoids, their placental metabolism and fetal ‘programming’ of adult pathophysiology. Nat Clin Pract Endocrinol Metab. 2007;3(6):479–88.CrossRefPubMed Seckl JR, Holmes MC. Mechanisms of disease: glucocorticoids, their placental metabolism and fetal ‘programming’ of adult pathophysiology. Nat Clin Pract Endocrinol Metab. 2007;3(6):479–88.CrossRefPubMed
42.
go back to reference Scharf M. Long-term effects of trauma: Psychosocial functioning of the second and third generation of Holocaust survivors. Dev Psychopathol. 2007;19(02):603–22.CrossRefPubMed Scharf M. Long-term effects of trauma: Psychosocial functioning of the second and third generation of Holocaust survivors. Dev Psychopathol. 2007;19(02):603–22.CrossRefPubMed
43.
go back to reference Krause S, Williams H, Onyango MA, Sami S, Doedens W, Giga N, et al. Reproductive health services for Syrian refugees in Zaatri Camp and Irbid City, Hashemite Kingdom of Jordan: an evaluation of the Minimum Initial Services Package. Confl Health. 2015;9(Suppl 1 Taking Stock of Reproductive Health in Humanitarian):S4.PubMedCentralCrossRefPubMed Krause S, Williams H, Onyango MA, Sami S, Doedens W, Giga N, et al. Reproductive health services for Syrian refugees in Zaatri Camp and Irbid City, Hashemite Kingdom of Jordan: an evaluation of the Minimum Initial Services Package. Confl Health. 2015;9(Suppl 1 Taking Stock of Reproductive Health in Humanitarian):S4.PubMedCentralCrossRefPubMed
45.
go back to reference Woodruff BA, Duffield A. Anthropometric assessment of nutritional status in adolescent populations in humanitarian emergencies. Eur J Clin Nutr. 2002;56(11):1108–18.CrossRefPubMed Woodruff BA, Duffield A. Anthropometric assessment of nutritional status in adolescent populations in humanitarian emergencies. Eur J Clin Nutr. 2002;56(11):1108–18.CrossRefPubMed
46.
go back to reference World Health Organisation. Outbreak Surveillance and Response in Humanitarian Emergencies. WHO Guidelines for EWARN Implementation. Geneva: WHO; 2012. World Health Organisation. Outbreak Surveillance and Response in Humanitarian Emergencies. WHO Guidelines for EWARN Implementation. Geneva: WHO; 2012.
Metadata
Title
Child health in Syria: recognising the lasting effects of warfare on health
Authors
Delan Devakumar
Marion Birch
Leonard S. Rubenstein
David Osrin
Egbert Sondorp
Jonathan C. K. Wells
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Conflict and Health / Issue 1/2015
Electronic ISSN: 1752-1505
DOI
https://doi.org/10.1186/s13031-015-0061-6

Other articles of this Issue 1/2015

Conflict and Health 1/2015 Go to the issue