Current Problems in Pediatric and Adolescent Health Care
Volume 40, Issue 2 , Pages 20-35 , February 2010

Pediatrics, War, and Children

  • Zulfiqar A. Bhutta, MD, PhD

      Affiliations

    • Division of Women and Child Health, Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
  • ,
  • Aisha K. Yousafzai, PhD

      Affiliations

    • Division of Women and Child Health, Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan
  • ,
  • Alvin Zipursky, MD

      Affiliations

    • Programme for Global Paediatric Research, Hospital for Sick Children, Toronto, Ontario, Canada

References 

  1. Goldstein RD, Wampler NS, Wise PH. War experiences and distress symptoms of Bosnian children. Pediatrics. 1997;100:873–878
  2. Toole MJ, Waldman RJ. The public health aspects of complex emergencies and refugee situations. Annu Rev Public Health. 1997;18:283–312
  3. Toole MJ, Malkki RM. Famine affected refugee & displaced populations: recommendations for public health issues. Morb Mortal Wkly Rep. 1992;41(RR-13):1–76
  4. Di Pietro JA, Hilton SC, Hawkins M, Costigan KA. Maternal stress and affect influence fetal neurobehavioral development. Dev Psych. 2002;38:659–668
  5. Di Pietro JA, Novak MF, Costigan KA, Atella LD, Reusing SP. Maternal psychological stress during pregnancy in relation to child development at age two. Child Dev. 2006;77:573–587
  6. Engel SM, Berkowitz GS, Wolff MS, Yehuda R. Psychological trauma associated with the World Trade Center attacks and its effect on pregnancy outcome. Paediatr Perinat Epidemiol. 2005;19:334–341
  7. Ickx P. Health intelligence in emergencies: which information and why?. Health in Emergencies. 2002;15:1–4
  8. World Bank. World development indicators. Washington, DC: World Bank; 2003;
  9. UN. The impact of armed conflict on child development. http://www.un.org/rights/impact.htmAccessed 2009
  10. Machel G. The impact of war on children. London, United Kingdom: UNICEF; 2001;
  11. Southall D, O'Hare AM. Empty arms: the effect of the arms trade on mothers and children. BMJ. 2002;325:1457–1461
  12. Radda Barnen (Save the Children Sweden) (A baseline study on the future of Save the Children Sweden in Afghanistan). Stockholm, Sweden: Radda Barnen; 1999;
  13. Andersson N, da Sousa SP, Paredes S. Social cost of land mines in four countries: Afghanistan, Bosnia, Cambodia and Mozambique. Br Med J. 1995;311:718–721
  14. United Nations Children's Fund (Anti-personnel land-mines: a scourge on children). In: New York, NY: UNICEF; 1994;p. 6
  15. Ali MM, Shah IH. Sanctions and childhood mortality in Iraq. Lancet. 2000;355:1851–1857
  16. Khan IM, Laaser U. Burden of tuberculosis in Afghanistan: update on a war-stricken country. Croat Med J. 2002;43:245–247
  17. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year?. Lancet. 2003;361:2226–2234
  18. Kaluski DN, Kaluski DN, Ophir E, Amede T. Food security and nutrition—the Ethiopian case for action. Public Health Nutr. 2002;5:373–382
  19. Aldis W, Schouten E. War and public health in democratic Republic of Congo. Lancet. 2001;358:2088
  20. Hadzihalilovic J, Hadziselimovic R. Growth and development of male children and youth in Tuzla's region after the war in Bosnia and Herzegovina. Coll Antropol. 2001;25:41–58
  21. Summerfield D. Children affected by war must not be stigmatized as permanently damaged. Br Med J. 1998;317:1249
  22. Walker SP, Wachs TD, Gardner JM, Lozoff B, Wasserman GA, Pollitt E, et al. Child development: risk factors for adverse outcomes in developing countries. Lancet. 2007;369:145–157
  23. Grantham-McGregor S, Cheung YB, Cueto P, Glewwe P, Richter L, Strupp B. Developmental potential in the first five years for children in developing countries. Lancet. 2007;369:60–70
  24. Engle PL, Black MM, Behrman JR, Cabral de Mello M, Gertler PJ, Kapiriri L, et al. Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. Lancet. 2007;369:229–242
  25. Richter L. The importance of caregiver-child interactions for the survival and healthy development of young children. Geneva, Switzerland: World Health Organisation; 2004;
  26. Magwaza AS, Killian BJ, Petersen I, Pillay Y. The effects of chronic violence on preschool children living in South African townships. Child Abuse Negl. 1993;17:795–803
  27. Liddell C, Kvalsvig J, Qotyana P, Shabalala A. Community violence and young South African children's involvement in aggression. Int J Behav Dev. 1994;17:613–628
  28. Laor N, Woolmer L, Mayes LC, Gershon A, Welzman R, Cohen DJ. Israeli pre-school children under Scuds: a 30 month follow-up. J Am Acad Child Adolesc Psychiatry. 1997;36:349–356
  29. Lykes MB. Terror, silencing and children: international, multidisciplinary collaboration with Guatemalan Maya communities. Soc Sci Med. 1994;38:543–552
  30. Macksoud MS, Aber JL. The war experiences and psychosocial development of children in Lebanon. Child Dev. 1996;67:70–88
  31. Locke CJ, Southwick K, McCloskey LA, Fernandez-Esquer ME. The psychological and medical sequelae of war in Central American refugee mothers and children. Arch Pediatr Adolesc Med. 1996;150:822–828
  32. Allwood MA, Bell-Dolan D, Husain SA. Children's trauma and adjustment reactions to violent and nonviolent war experiences. J Am Acad Child Adolesc Psychiatry. 2002;41:450–457
  33. al Eissa YA. The impact of the Gulf armed conflict on the health and behaviour of Kuwaiti children. Soc Sci Med. 1995;41:1033–1037
  34. Barath A. Children's well being after the war in Kosovo: survey in 2000. Croat Med J. 2002;43:199–208
  35. Sack WH, Clarke GN, Seelev J. Post-traumatic stress disorder across two generations of Cambodian refugees. J Am Acad Child Adolesc Psychiatry. 1995;34:1160–1166
  36. Panter-Brick C, Eggerman M, Gonzalez V, Safdar S. Violence, suffering and mental health in Afghanistan: a school based survey. Lancet. 2009;374:807–816
  37. Elbert T, Schauer M, Schauer E, Huschka B, Hirth M, Neuner F. Trauma-related impairment in children—a survey in Sri Lankan provinces affected by armed conflict. Child Abuse Negl. 2009;33:238–246
  38. Attanayake V, McKay R, Joffres M, Singh S, Burkle F, Mills E. Prevalence of mental disorders among children exposed to war: a systemic review of 7,920 children. Med Confl Surviv. 2009;25:4–19
  39. Baker A, Shalhoub-Kevorkian N. Effects of political and military traumas on children: the Palestinian case. Clin Psychol Rev. 1999;19:935–950
  40. Gupta L, Zimmer C. Psychological intervention for war affected children in Sierra Leone. Br J Psychiatry. 2008;192:212–216
  41. Dybdahl R. Children and mothers in war: an outcome study of a psychological intervention programme. Child Dev. 2001;72:1214–1230
  42. Wolff PM, Tesfai B, Eggasi H, Aradom T. The orphans of Eritrea: a comparison study. J Child Psychol Psychiatry. 1995;36:633–644
  43. Barath A. Psychological status of Sarajevo children after war: 1999-2000 survey. Croat Med J. 2002;43:213–220
  44. Bustreo F, Genovese E, Omobono E, Axelsson H, Bannon I. Improving child health in post conflict countries: can the World Bank contribute?. Washington, DC: World Bank; 2005;
  45. Pearn J. War zone paediatrics in Rwanda. J Paediatr Child Health. 1996;32:290–295
  46. Southall D, Abbasi K. Protecting children from armed conflict: the UN convention needs an enforcing arm. Br Med J. 1998;316:1549–1550
  47. Rasekh Z, Bauer HM, Manos M, Iacopino V. Women's health and human rights in Afghanistan. JAMA. 1998;280:449–455
  48. Iacopino V. Mental health of women in Afghanistan (reply). JAMA. 1999;281:231
  49. Bryce JW, Walker N, Ghorayeb F, Kanj M. Life experiences, response styles and mental health among mothers and children in Beirut, Lebanon. Soc Sci Med. 1989;28:685–695
  50. Pearn J. The cost of war: child injury and death. In:  Bhutta ZA editors. Contemporary issues in childhood diarrhea and malnutrition. Karachi, Pakistan: Oxford University Press; 2000;p. 334–343
  51. Coleridge P. Disability in Afghanistan. Islamabad, Pakistan: UNDP/UNOPS comprehensive disabled Afghans' programme; 1999;
  52. Helander E. Prejudice and dignity: an introduction to community-based rehabilitation. New York, NY: UNDP; 1992;
  53. Groce NE. Violence against disabled children—UN Secretary Generals report on violence against children thematic group on violence against disabled children. New York, NY: UN; 2005;
  54. Kett M, van Ommeren M. Disability, conflict and emergencies. Lancet. 2009;374:1801–1813
  55. Sellick P. The impact of armed conflict on children in Afghanistan. Save the Children Alliance/UNICEF; 1998;
  56. UNICEF. The state of the world's children. New York, NY: UNICEF; 1996;
  57. Kinra S, Black ME, Sanja Mandic S, Selimovic N. Impact of the Bosnian conflict on the health of women and children. Bull World Health Organ. 2002;80:75–76
  58. Qouta S, Punamaki RL, el Sarraj E. The impact of the peace treaty on psychological well being: a follow up study of Palestinian children. Child Abuse Negl. 1995;19:1197–1208
  59. Husain SA. Hope for children: lessons from Bosnia. Columbia, Missouri: International Medical and Educational Trust; 2001;
  60. Southall D, Carballo M. Can children be protected from the effect of war?. BMJ. 1996;313:1493

PII: S1538-5442(09)00094-7

doi: 10.1016/j.cppeds.2009.12.004

Current Problems in Pediatric and Adolescent Health Care
Volume 40, Issue 2 , Pages 20-35 , February 2010