Press Releases Saturday 14 August 1999
No 7207 Volume 319

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(1) INCIDENCE RATE OF LAND MINE VICTIMS IN
KOSOVO IS HIGH

(2) Most of this week's issue of the BMJ is devoted to issues around
medicine and international law. A number of researchers from
the International Committee of the Red Cross report the findings
of studies into the impact of modern weapons on both military
and civilian populations The papers include:-



 

(1) INCIDENCE RATE OF LAND MINE VICTIMS IN
KOSOVO IS HIGH

(Number of land mine victims in Kosovo is high)
http://www.bmj.com/cgi/content/full/319/7207/450

The incidence rate of injuries and deaths in Kosovo caused by
mines and unexploded ordnance exceeds that found in many
other countries affected by antipersonnel mines, such as
Mozambique, Afghanistan or Cambodia, say researchers in a
letter in this week's BMJ.

Dr Etienne Krug and Dr A Gjini from the World Health
Organisation report that during the four week's after 13 June,
when Kosovar refugees began returning home, an estimated 150
people were maimed or killed by mines or unexploded ordnance
in Kosovo. Seventy one per cent of the survivors were younger
than 24 years of age and most were boys and men, say Krug and
Gjini. They report that the rates of such injuries are expected to
remain high as the population has not yet started to return to the
fields and the collection of fire wood for the winter is expected to
start in September.

Mines and unexploded ordnance are not only a public health
problem because they kill and maim, but also because they drain
resources from an already depleted health system, say the
authors. They say that their study confirmed that current efforts
at raising mine awareness and demining should be encouraged
and increased. They also argue that awareness raising efforts
should be especially targeted at young men and children and that,
as in other countries, the international community should first
train and equip the local deminers.

Contact:

Dr Etienne Krug, Medical Officer, Violence and Injury
Prevention, Department for Disability, Injury Prevention and
Rehabilitation, Social Change and Mental Health, World Health
Organisation, Geneva
Email: kruge{at}who.ch
 

(2) Most of this week's issue of the BMJ is devoted to issues
around medicine and international law. A number of researchers
from the International Committee of the Red Cross report the
findings of studies into the impact of modern weapons on both
military and civilian populations The papers include:-

(Clinical and legal significance of fragmentation of bullets in
relation to size of wounds: retrospective analysis)
http://www.bmj.com/cgi/content/full/319/7207/403

(Mortality associated with use of weapons in armed conflicts,
wartime atrocities and civilian mass shootings: literature review)
http://www.bmj.com/cgi/content/full/319/7207/407

(Effect of type and transfer of conventional weapons on civilian
injuries: retrospective analysis of prospective data from Red
Cross hospitals)
http://www.bmj.com/cgi/content/full/319/7207/410

Contact:

Robin Coupland, Surgeon, Unit of the Chief Medical
Officer, International Committee of the Red Cross, Geneva,
Switzerland
Email: rcoupland{at}icrc.org
 

(Circumstances around weapon injury in Cambodia after
departure of a peacekeeping force: prospective cohort study)
http://www.bmj.com/cgi/content/full/319/7207/412

(Incidence of weapon injuries not related to interfactional combat
in Afghanistan in 1996: prospective cohort study)
http://www.bmj.com/cgi/content/full/319/7207/415

Contact:

Dr David Meddings, Epidemiologist, Unit of the chief Medical
Officer, International Committee of the Red Cross, Geneva,
Switzerland
Email: dmeddings{at}icrc.org
 

(New challenges for humanitarian protection)
http://www.bmj.com/cgi/content/full/319/7207/430

In the Education and Debate section of this week's BMJ a team
from Harvard Center for Population and Development Studies in
the States discusses the role physicians can and, they argue,
should play in establishing civilian protection during hostilities and
providing neutral space where medical and aid workers can
deliver relief.

Contact:

Claude Bruderlein, Research Fellow and Special Adviser to UN
Office for the Co-ordination of Humanitarian Affairs, Harvard
Center for Population and Development Studies, Cambridge,
MA, USA
Email: cbruderl{at}hsph.harvard.edu
 

(North-South research partnerships: the ethics of carrying out
research in developing countries)
http://www.bmj.com/cgi/content/full/319/7207/438

A doctor from the World Health Organisation in Geneva explores
the differing interpretations of ethical standards for conducting
medical research in developing countries and highlights the
inequitable distribution of funding , ten per cent of global research
funding goes to diseases comprising 90 per cent of global burden.

Contact:

Tessa Tan-Edejer, Medical Officer/Scientist, Global Programme
on Evidence for Health Policy, World Health Organisation,
Geneva, Switzerland
Email: tantorrest{at}who.ch
 

(Supporting sharia or providing treatment the International
Committee of the Red Cross)
http://www.bmj.com/cgi/content/full/319/7207/445

(Learning to express dissent: Mdecins Sans Frontires)
http://www.bmj.com/cgi/content/full/319/7207/445

The International Committee of the Red Cross and Mdecins Sans
Frontires discuss the ethical dilemma posed by working in
countries operating under sharia law, such as in Afghanistan.
Should aid organisations continue to provide health care in
countries where amputation after a conviction is the norm" should
they treat a person who has been punished, or would this make
the organisation complicit in a practice that is recognised as
contrary to human rights"

Contact:

Dr Pierre Perrin, Chief Medical Officer, International Committee
of the Red Cross, Geneva, Switzerland
Email: pperrin{at}icrc.org

Hanna Nolan, Humanitarian Affairs Adviser, Mdecins Sans
Frontires, Amsterdam, Netherlands
Email: hanna_nolan{at}amsterdam.msf.org
 

(Science for evil: the scientist's dilemma)
http://www.bmj.com/cgi/content/full/319/7207/448

A mathematician from the University of Edinburgh discusses the
role of the Pugwash organisation, which was set up by a group of
physicists after the building of the atomic bomb, in an attempt to
contain the malign use of their science.

Contact:

Michael Atiyah, President of Pugwash, Department of
Mathematics and Statistics, University of Edinburgh, Edinburgh
Email: atiyah{at}maths.ed.ac.uk


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