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The New Zealand Medical Journal

 Journal of the New Zealand Medical Association, 29-April-2011, Vol 124 No 1333

[full text] [PDF]

Communicable and non-communicable diseases in the Solomon Islands villages during recovery from a massive earthquake in April 2007
Takuro Furusawa, Hana Furusawa, Ricky Eddie, Makiva Tuni, Freda Pitakaka, Shankar Aswani

Abstract


Aim
The major causes of mortality and morbidity have changed from infectious diseases and malnutrition conditions to non-communicable diseases (NCDs) in Melanesian societies. However, a massive earthquake and its related changes might have disturbed the patterns. This study aimed to explore which health problems were likely to be prevalent during the recovery process from the 2 April 2007 earthquake in the Solomon Islands.

Methods
Participants were recruited in Titiana, a severely damaged village located near a town; Tapurai, a severely damaged remote village; Mondo, a severely damaged, medium urban village; and Olive, a control village. Health indicators measured were classified into communicable and nutritional conditions (malaria, malnutrition, infection status and child growth) and NCDs (overweight/obesity, hypertension and diabetes).

Results
Titiana residents were more at risk of infectious conditions (C-reactive protein ≥ 1 mg/dL) and obesity (BMI ≥ 30 kg/m2). Tapurai and Mondo residents were at risks of infectious conditions and becoming overweight (BMI ≥ 25 kg/m2), respectively. Titiana and Mondo residents complained about insufficient subsistence production.

Conclusion
The urban communities were found to be at risks of both communicable and NCDs. Controlling the urbanisation as well as providing continuous support against infectious conditions during the recovery process would be beneficial.

     
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