Display options
Share it on

Mater Sociomed. 2014 Dec;26(6):382-4. doi: 10.5455/msm.2014.26.382-384. Epub 2014 Dec 14.

The impact of war on vaccine preventable diseases.

Materia socio-medica

Zarema Obradovic, Snjezana Balta, Amina Obradovic, Salih Mesic

Affiliations

  1. Institute for Public Health of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina ; Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
  2. Institute for Public Health of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina.

PMID: 25685082 PMCID: PMC4314173 DOI: 10.5455/msm.2014.26.382-384

Abstract

INTRODUCTION: During the war in Bosnia and Herzegovina, which lasted from 1992-1995, the functioning of all sectors was disturbed, including the health sector. The priority of the heath sector was treatment and less attention was paid to prevention, and this applies also to the Program of implementation of obligatory immunization, as one of the most important prevention measures. This program was conducted with difficulty and sometimes was completely interrupted because of the lack of necessary vaccines and the inability of adequate maintenance of the cold chain. It was difficult and sometimes completely impossible to bring children to vaccination. Because of these problems, a great number of children stayed unvaccinated so they suffered from vaccine-preventable diseases several years after the war.

MATERIALS AND METHODS: This is a retrospective epidemiological study. We analyzed data from January 1994 to July 2014 in Canton Sarajevo, and data about measles outbreak in 2014.

RESULTS: In the period from January 1994 to July 2014, 3897 vaccine-preventable diseases were registered in Canton Sarajevo. Among them measles, rubella and mumps were the most frequent. In March 2014, measles outbreak was registered. Almost all cases are unvaccinated (99%) and 43% of all cases are connected with failure of vaccination during the war.

CONCLUSION: During the war, routine immunization program was disrupted in Bosnia and Herzegovina (also in Canton Sarajevo). The consequences are presented as vaccine preventable diseases cases.

Keywords: Bosnia and Herzegovina; immunization; war

References

  1. Arch Pediatr Adolesc Med. 1994 Jul;148(7):704-8 - PubMed
  2. Soc Sci Med. 2003 Jun;56(12):2515-27 - PubMed
  3. Soc Sci Med. 1989;28(7):669-76 - PubMed
  4. Ugeskr Laeger. 2010 Jan 11;172(2):132-6 - PubMed
  5. J Epidemiol Community Health. 2015 Mar;69(3):226-31 - PubMed
  6. MMWR Morb Mortal Wkly Rep. 2003 Aug 8;52(31):734-5 - PubMed
  7. Soc Sci Med. 1993 Apr;36(7):843-8 - PubMed
  8. Epidemiol Infect. 2012 Mar;140(3):447-53 - PubMed
  9. Bull Hist Med. 2014 Summer;88(2):319-43 - PubMed
  10. Croat Med J. 2002 Apr;43(2):199-208 - PubMed
  11. Public Health Rev. 1992-1993;20(3-4):285-96 - PubMed
  12. Int J Health Geogr. 2007 Jun 07;6:23 - PubMed
  13. Pediatr Infect Dis J. 2003 Sep;22(9):798-805 - PubMed

Publication Types