TY - RPRT A1 - Gardemann, Joachim T1 - Primary Health Care in Complex Humanitarian Emergencies: Rwanda and Kosovo Experiences and Their Implications for Public Health Training T2 - Croatian Medical Journal N2 - In a complex humanitarian emergency, a catastrophic breakdown of political, economic, and social systems, often accompanied by violence, contributes to long-lasting dependency of the affected communities on external service. Relief systems such as the Emergency Response Units of the International Federation of Red Cross and Red Crescent Societies have served as a sound foundation of field work in humanitarian emergencies. The experiences gained in 1994 and 1999 in the Rwanda and Kosovo emergencies clearly point to the need for individual adjustments of therapeutic standards to preexisting morbidity and health care levels within the affected population. In complex emergencies, public health activities have been shown to promote peace, prevent violence, and reconcile former enemies. In all public health training for domestic or foreign service, a truly democratic and multiprofessional approach will serve as good pattern for field work. Beyond the technical and scientific skills required in the profession, however, political, ethical, and communicative competences are critical in humanitarian assistance. Because of the manifold imperatives of further public health education for emergency assistance, a humanitarian assistance competence training center is proposed. By definition, competence training centers focus on the core competences required to meet future needs, are client-oriented, connect regional and international networks, rely on their own system of quality control and maintain a cooperative management of knowledge. Public health focusing on complex humanitarian emergencies will have to act in prevention not only of diseases and impairments but of political tension and hatred as well. KW - Nothilfe KW - Katastrophe KW - Kosovo KW - Ruanda KW - primary health care Y1 - 2002 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-4561 VL - 43 IS - 2 SP - 148 EP - 155 PB - University of Zagreb, School of Medicine ER - TY - RPRT A1 - Kilian, Maria A1 - Stengel, Evamarie T1 - Physiologie des Hungerns sowie ausgewaehlte Risikogruppen fuer den Fall einer eingeschraenkten Nahrungsmittelzufuhr. Erarbeitung wissenschaftlicher Grundlagen im Zuge des BMBF-Forschungsprojektes Neue Strategien der Ernaehrungsnotfallvorsorge T1 - physiology of starvation and of selected risk groups in case of impaired food supply; scientific fundamentals for the German Ministry of Education and Science research project on new strategies for public food supply in cases of disasters N2 - Generell ist eine kurzfristig unzureichende Nahrungsmittelzufuhr für den durchschnittlichen Bundesbuerger nicht unmittelbar mit gesundheitlichen Einschraenkungen verbunden. Vulnerable Bevoelkerungsgruppen sollten in derartigen Situationen jedoch eine besondere Beruecksichtigung erfahren. Zu diesen koennen die im Rahmen dieser Arbeit betrachteten Gruppen zaehlen. Aber auch chronisch kranke Menschen oder Personen mit Lebensmittelallergien weisen besondere Anforderungen an eine Lebensmittelversorgung im Krisenfall auf. N2 - Any short term interruption of regular food supply will create no health risk for average and typically well-nourished german citizens. However, vulnerable population segments and groups with special medical needs will have to be taken into consideration in any planning of public food supply mechanisms for crises and disasters. KW - Ernaehrung KW - Katastrophe KW - Zivilschutz KW - Risikogruppe KW - Vorsorge KW - Stoffwechsel KW - Bevoelkerungsschutz KW - Notfallvorsorge KW - Nahrungsmittelversorgung KW - Ernaehrungsvorsorge KW - Ernaehrungssicherstellung KW - food supply KW - nutrition KW - disaster KW - starvation KW - vulnerable groups Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-7732 PB - FH Münster ER -