Daniela Choukair, Christian Patry, Ronny Lehmann, Dorothea Treiber, Georg F Hoffmann, Corinna Grasemann, Normi Bruck, Reinhard Berner, Peter Burgard, Hanns-Martin Lorenz, Burkhard Tönshoff
Resource utilization and costs of transitioning from pediatric to adult care for patients with chronic autoinflammatory and autoimmune disorders
Pediatric rheumatology online journal
commencing 1998 war democratic republic congo humanitarian disaster drawn little response international community document rates trends mortality provide recommendations political humanitarian interventions nationwide mortality survey apriljuly 2004we used stratified threestage householdbased cluster sampling technique 511 health zones 49 excluded insecurity four purposely selected allow historical comparisons remainder probability selection proportional population size geographical distribution size cluster determined households selected systematic random classic proximity sampling heads households asked deaths household members january 2003 april 200419500 households visited national crude mortality rate 21 deaths per 1000 per month 95 ci 1626 40 higher subsaharan regional level 15 corresponding 600000 deaths would expected recall period 38000 excess deaths per month total death toll conflict 19982004 estimated 39 million mortality rate higher unstable eastern provinces showing effect insecurity deaths easily preventable treatable illnesses rather violence regression analysis suggested effects violence removed allcause mortality could fall almost normal ratesthe conflict democratic republic congo remains worlds deadliest humanitarian crisis save lives improvements security increased humanitarian assistance urgently needed